As I said in my newsletter message, the month is filled with holidays, beginning with Ground Hog Day, (here) the Nevada State Caucus, then Super Tuesday, then Valentine’s Day, then President’s Day, then, all together, Black History Month. What I find to be difficult is that the healthcare issues so critical to each of us does not have a “day.” After all, for all of these days…three day weekends, dinners honoring someone who has contributed notably to the community, television monopolies of elections and debates…the fact that millions do not have insurance, are under-insured, or are otherwise unable to access the care they need, draws cursory dialogue when, if a whole day were devoted to health and wellness, it might bring more attention to what we don’t do the rest of the year.

I am admittedly being somewhat sarcastic. I realize that isolating one day among other “one days” is hardly enough to alter the collective consciousness needed to transform our relationship to health. However, it is no more or less feasible to impact decision making than any other proposal to date.

Lee Kaiser, in 1990, said that assumption that managed care could fix what was then a faltering system was like rearranging the deck chairs on the Titanic. The question now is if even knowing that we are sailing the healthcare ship called Titanic is having any impact at all.

There is hope, however. The hope does occur at the bedside, when a nurse’s hand holds the hand of a patient or family member; when a physician walks into a patient’s room and uses her skill and compassion to relentless persue life and living on behalf of her patient. We hear about it all the time…when noticing how reconnecting with our own humanity, sharing the fears and anxieties, the losses and gains in the human process becomes the currency exchanged from heart to heart.

I am hardly cynical as I know at this moment, more people in high places are well aware of the problems now and ahead. I also know that more hospitals are investing in wellness than ever before. So, let us continue to celebrate all the holidays in February, the flowers that blossom…and know that for each month, the opportunity for healing ever present.

For the last three years, Dallas has been performing with the Swedish Indian-Jazz Fusion group, Mynta. He left on Monday, January 21st, for New Delhi, and wrote the following as the first of several entries reporting on his experience. I share this because he is so brilliant and rich in describing his experience and because so many enjoy his writings..

Blog 2

January 23, 2008

Blog summary: After a ten-hour United Airlines flight from SF to Frankfort, a three hour layover in Frankfort, a six-hour Lufthansa flight to Delhi, arrival in Delhi, the first day, the first concert.

A Special Feeling

Years ago, when Susan and I were regularly working as entertainers on cruise ships, we had the memorable experience of sailing out of San Francisco under the Golden Gate Bridge. It was the most amazing feeling…to watch the Golden Gate recede in the distance…to know that we would be totally out of touch (at least for a few days) with telephones, bills, friends, work, i.e. all the components of day to day life. That’s why cruise ships are such a popular type of vacation setting.

I had a similar feeling when I finally took off from San Francisco yesterday, after my unexpected 16 hour layover there. Settling in for a ten-hour flight, I first caught up on reading some of my backlogged Sunday New York Times Magazines and book review sections. The one from Jan. 6 of this year was devoted to Islam…very interesting. At some point, I slept for three hours or so. When my brain started to reach overload, I switched to reading the Funny Times. Finally, when I couldn’t read any more, I pulled out my IPod and listened to some new music I’d recently loaded that I had not gotten around to ever listening to in its original CD format.

Thoughts on Thinking

Two quotes in the Funny Times struck me, here quoted as I best remember them:

George Bernard Shaw: Most people never stop and think. The more ambitious ones have perhaps one thought a month. I personally have been making a good living for years from having a new thought on the average of once a week.

Leonard Bernstein: Opportunity occasionally knocks. But most people expect it to drag them out of bed and make breakfast for them.

Ultimately, a ten-hour plane flight offers the opportunity to just think. (Whether the resulting thoughts will be original or not is another matter.) I thought about my upcoming tour. I thought about specific pieces that I will be expected to play flawlessly that I haven’t played for a year. (This was like a mental music rehearsal.) I thought about several of the varied responses I’ve already received from the blog I wrote in the SF hotel room. I thought about my wife, family, friends, how lucky I am to be able to make this trip. I thought about the mentalities of different geographical locations. On the one hand, our modern lifestyle of work, schedules, cell phones, etc. is found throughout the industrial world. On the other hand, Germany feels different from the US. India feels even more different. I realize that as a result of my extensive travels, I am something of a cultural chameleon, adapting to wherever I am, just like I regain my Southern accent when I go back to Georgia, and then lose it again when I leave.

Time to think…what a delicious luxury! I don’t know why I get so caught up in life that when I am forced to be still and think, it feels like I haven’t done it for awhile. Susan and I have been going to the health club and exercising regularly for the last three months. It feels good. Maybe we should try to carve out some daily time for reflection, meditation, or just plain old thinking. Other people do it. Why is it so hard to balance everything that one ideally would like to do? Sometimes I feel like life consists of isolated moments of clarity separated by days, weeks, and months of semi-consciousness or worse.

A Small Political Act

In my three hour layover at the Frankfort airport, it was always my intention to purchase some rum at the duty free shop for my Indian host and friend Kirit. My choice was Havana Rum, imported from Cuba. It’s so ridiculous that the US restricts its citizens from traveling to Cuba or buying Cuban exports. And so in my mind, my little purchase was a protest against that policy. I have no idea if the Cuban rum is better or worse than the Jamaican rum for sale on the same shelf. I will hopefully taste it at the party that Kirit is arranging for day after tomorrow, at which Mynta will perform.

Airline Comparisons

Departing Reno was traumatic on several accounts. Besides the flight being late, the United check-in counter was staffed by one single stressed-out agent. The new system is that passengers must first check-in on the video kiosks prior to receiving their luggage tags from the attendant. Since I was flying internationally with a paper ticket, I was unable to use the kiosk. I waited for what seemed like quite awhile, while the agent distributed the luggage tags to the passengers who were using the kiosk check-ins. I tried to get her to check me in, but to no avail. Finally, the lady said to no one in particular, “I’ve been working non-stop for eight hours…I’m now off duty!” With that, she left the thirty or so people waiting stranded at the counter. It was outrageous. Finally, from the back room, two new agents came forward to wait on me and the other frustrated passengers. At that time, I was still thinking that I had the chance of making my original flight connection.

Unfortunately, United Airlines compares very unfavorably to Lufthansa. The two airlines use identical planes, the Boeing 747-400 jumbo jet. The 747 has to be one of the best American products of all time. After reigning as the world’s largest commercial jet for twenty years or more, it is finally being overtaken by the even larger European-made Airbus A-380. The United jet was only half full, while the Lufthansa jet is packed. On United’s ten hour flight, we were served only bags of pretzels and a ridiculous sweet roll (which I refused) at the beginning of the flight, and an ice-cold turkey sandwich for “breakfast” before landing. Beer and wine cost $4 and $5. Meanwhile, on the packed Lufthansa flight, I’ve been given a free beer already (a good German one in the bottle), and a hot meal is forthcoming. How bad does the US airline service have to get before management notices that their flights are half full while their competition is filled to capacity? It’s similar to the American automobile manufacturers resisting fuel economy, and then they’re surprised that Toyota has overtaken GM and Ford as the new world’s largest auto company, years ahead of Detroit in developing and marketing fuel-efficient hybrid technology. It’s sad.

I was just handed a hot hand-wipe in preparation for meal service. In other words, the service is great. The contrast with US air carriers continues to annoy me. Is this another sign of the irreversible decline of American culture?

Arrival in Delhi

After my delay in SF, it was anticipated that I would arrive in Delhi (around 1am) at the same time as the Swedish guys. But in Frankfort, I got a text message from Christian that they were delayed and would not arrive until the next morning. And so, I arrived in the middle of the night, stood in my first crushing Indian line, and thankfully retrieved my luggage.

Like other Indian airports, the New Delhi airport charges an admission fee to anyone wishing to enter the baggage claim hall to meet their incoming passengers. So the first line of greeters consisted of representatives from the Hyatt (and similar ritzy hotels) as well as industry and government greeters. As one leaves the hall, one sees a throng of people waiting outside, looking for their arriving parties. Many are waving signs. There are guards at the entrance to hold back the outsiders. It feels like one is about to dive into a raging river of people. I stepped into the river with trepidation. My uncertainty lasted only a moment until I saw a guy holding a sign with my name on it. He was the driver hired by our local concert organizer. The driver didn’t speak English, and so we drove the half hour stretch to the hotel in silence.

Seeing the streets of Delhi late at night, totally deserted, is a stark contrast to how they look in the daytime. Unlike Calcutta and Bombay, I did not see anyone sleeping right on the sides of the road. We did pass one slum, a “shanty-town” collection of hovels made of cast off building materials, cardboard boxes, and scrap tin. One of them even had electricity, no doubt stolen/hot-wired from a neighboring business line. A few packs of dogs roamed the streets. As we got closer to the hotel, the layout changed to a more orderly spacious grid of wide streets and buildings. This is a legacy of the British presence, and is unique to New Delhi in my Indian experience.

The hotel was a modest, relatively clean, zero-star-rated establishment. I fell into bed around 4am, to be awakened in what felt like an instant later, at 8:30am by the arrival of the Swedes. My intention was to stay awake throughout my first day in order to force my body onto Indian time, a 13&1/2 hour change from Reno. I phoned Kirit, who promptly sent his driver to pick me up, to shift out of the hotel to his house. The Swedes were exhausted and planned to sleep until the afternoon.

It was great to see my friends, Kirit and Kitty, again. Susan and I had stayed with them on two previous trips. It is always great to be able to feel at home with friends in a foreign country. Close to their house, I was able to fulfill one of the main missions of my trip: to shop for Susan and purchase more of the Indian clothing that she has taken to wearing almost exclusively these last few years.

Mynta’s First Concert

For the second year, our Delhi concert was outdoors in a restaurant courtyard with in the grounds of the historic Lodi Gardens. Adjacent to the restaurant is the tomb of the emperor Lodi. His sarcophagus is surrounded by other smaller graves. An Indian fellow standing nearby asked me if I knew the story of the graves. Answering no, he proceeded to explain that in the those early days, it was customary that when the emperor died, his family had to join him in death, which accounted for the smaller sarcophagi. I asked, you mean they killed the relatives? The man answered, no, they were taken alive and forced into the coffins, which were then closed upon them! I have not been able to verify this story, but it’s a good story nonetheless.

Our concert was the opening event for a four-day festival: Jazz, Blues, and Beyond. The promotion for our event was incredible! The band’s picture was in the daily newspaper announcing the concert. Then at the venue, there were at least four television crews and many print journalists lined up to interview us. Christian and I did a live evening news cutaway for a local station. The lady interviewer was very glamorous, asking us questions such as, how do you like India. What did she expect us to say? We heard afterwards that the same station had broadcast three of our pieces in their entirety, interspersed with our interview, with the broadcasted segment totaling 20 minutes in all. Print reviews are bound to follow, but it’s doubtful that we will ever see them.

The concert itself went very well, considering the fact that we had absolutely no rehearsal and had not played together for nine months. The audience of around two hundred was great…very receptive to our Indian-jazz fusion. I had a number of old friends in the audience, several of whom have visited us in years past in Reno. We expect that if we can mount a tour every year, this venue will be a recurring one for us.

Tonight, we will play a private home concert at a mansion inhabited by a cousin of Kirit, whose husband is a government minister. The house is a relic of the British raj period, situated on a huge garden in the midst of the New Delhi diplomatic neighborhood. This home concert will hopefully open up additional contacts to future events on future tours. For the band, it will be a rehearsal, minus Fazal, our tabla player, who had to return to Bombay today.

Tomorrow, we fly to Bangalore for the biggest concert of the tour. We will have a different tabla player (since Fazal is booked elsewhere), as well as an additional Indian percussionist playing the mridangam. But our biggest guest will be vocalist Shankar Mahadevan. He is a former member of Mynta, but has developed into one of India’s biggest pop stars. He can command a personal fee of ten grand for Indian concerts on a regular basis. But he is currently occupied writing Bollywood hit songs and recording on a practically daily basis. The bottom line is that Shankar is an incredible musician. He will appear with us without any rehearsal. We will play some repertoire from the time when he was a Mynta member. But we will also play songs which he has never heard, which he will pick up with one hearing and sing along with the melodies besides scatting in Indian style. This will be an outdoor concert with approximately 3000 in attendance.

That Nevada is having its first ever political caucus four days following Martin Luther Kings, Jr.’s birthday has significance. It is also significant that elections around the world have been horrifically blemished with violence, death, assassination, and fear. For what it looks like here, this caucus is the first hands-on opportunity for individuals to feel Democracy in the moment. We get to go somewhere, stand somewhere, raise our hands and be counted. And, no one here is afraid to show up. At the same time, the focus of this election continues to be a toss up between health care and the war in Iraq.

Nevadans for Healthcare has been relentless in putting out comparisons between all candidates of both parties regarding how to solve the health care crisis. It seems that the focus remains pointed to economic solution for what may appear to some to be an economic problem. Leland Kaiser, healthcare futurist, in 1989, said looking to managed-care to solve the health care crisis (as it was then) was like rearranging the deck chairs on the Titanic. That is true to the issue of using the insurance based model we have now. It is also true if the problem is assumed to be money when it is one of values.

Making small changes, however, could optimize the massive investment now made in the US in health care. Single, standardized forms, a single clearing house for insurance payments, and a limit on the profits allowed to Insurance companies would help but are highly unlikely to occur. All of these would still not solve the basic flawed values that have made health care a profit-making, market driven industry rather than one based on service, skill, and the human right to be cared for when ill.

I am interested in how you would solve this problem. It seems to me that denying anyone health care, needed hospitalization, basic health services, and needed medications for lack of insurance is far worse that giving care to everyone, having equal access, and having the public invest in the health of its members rather than shareholders. Further, I am confused about the perceived difference between public health and public health access.

Market-based systems are biased towards those who have the means to enter and meet the market price. Whether this is better than standing in a need-based cue for care, or having the option of public vs private care…one would have to tell me why denial of access is better.

To the legacy of Martin Luther King, Jr, I would suggest that the fact the the poor face more difficult and health-challenged lives would have been his next cause as the next civil right: the universal and equal rights to healthcare.

No, it is not quite over yet but the New Year is starting anyway. I say this because this was my own wakeup year…the point at which I see the world from a perspective of vulnerability, from the perspective of impending transformation, from the perspective of new urgency. Sustainability…a word I have used often in the last two months…is relevant to my persona as well as my world, to my practice as well as my intention, and to my relationships as well as my efforts. What is going on today that did not seem feasible last year? What is going on not happening right now that was a critical issue last year? What hurt and woundedness were inflamed and are still inflamed, but have succumbed to other priorities of the moment?

It is beyond my comprehension to witness the devastation in New Orleans, the fires in California, the flooding and earthquakes and cyclones in Asia… and none of these are “over.” And, some would say “that is last year’s news.” I say, it is this year’s suffering…and this year’s opportunity for healing.

THis year starts with new opportunities to rethink old ways of last year’s world that can be transformed into new futures. WHile we all listen intently to the presidential candidates, my plan is to listen very carefully not only to what they are saying, but to whom they are saying it. Healthcare remains the Rubic’s cube of economic, human, clinical, and social challenges. It is solvable as it is if one wants a Rubic’s cube. However, another model might provide more balanced solutions that having to have ultimate equality and segegration of the parts made so obvious by the perfect Rubic’s model of one color per side.

Maybe we need the Rubic’s Rainbow…a whole that is multicolored where neither front nor back, top nor bottom, can be completed without all issues being dealt with. A thought. Rubic’s Rainbow.

Every year at this time I feel sad. Just the nature of time passing, December being here again…and life passing. At the same time, both the tragic and miraculous show up for me. On the tragic side, the many shootings, here and abroad, star at me everytime I open my email. I always wonder if we have really become so much more violent or the nature of this information age brings us news that just never would be aware of in prior times. There are days when I feel that I have “too much information” about things, people and events, over which I have no control.

Then, on the side of the miraculous…so many good things. In our own house, Lily Upp, our 10 year old daughter of Sue Upp, has successful beaten the big bad wolf of bone cancer. The whole year was the year of Lily…and, finally, such a triumph for her and her Mom, Sue…and for all of us who connected between Reno and Detroit. Sue is our Regional Sales Manager working at a distance only in miles, not in spirit.

Jane Wirth, wife of David Wirth, is also beating the devil of cancer…and healing wins out, with her spirit and body rallying to the task. She is at UCSF Med Center…where she is not at the tale end of the treatment she started a few months ago. There are days when the issue is not having cancer…but, being grateful that whatever it is, is more vulnerable that the human body it tries to conquer.

Then, the war. Painful to think of…year after year, as I wrote in my message this month, it seems that the concerns and fears and challenges remain unchanged. But, this year, we are almost at 4,000 Americans having died…and untold thousands of Iraqis. That history has many more tales of worse wars is no consolation. The loss of a future for each individual…of their potential, their untold legacy…except in the projection of meaning by those of us remaining.

So, each of you, along with me, I am sure can list the tragedies and miracles of 2007. I am willing to go forth into 2008 with great expectations of goodness and healing. An election year…that gives us all one more chance to reevaluate nad mkae choices. That each day offers choices is the truth…but, the end of a year, is like a magnification of the choices…

Have a great holiday, but more important, , I will try to remember that the days and years following are the real gift…