Category: Granite Views

I worked for over seven years to increase awareness of an important health condition that warrants everyone’s attention as 1 in 10 of us have it, and 1 in 3 of us are at high risk of developing the mostly preventable version — diabetes.

Every year as November approached, we would see and begin the preparations for Diabetes Awareness Month, and yet I would think to myself: “Every day is diabetes awareness day!” Thus my mixed feelings toward awareness days even as I knew that 1 in 5 people with diabetes don’t know they have it, and more than 8 in 10 individuals with prediabetes are unaware. This for a health condition that has the potential for significant improvement or control, and potential prevention — if we have the understanding of how to care for ourselves and manage our diabetes or prediabetes.

There are other kinds of awareness events, such as National Wear Red Day (on Feb. 4, this year), which raises attention to heart disease being the No. 1 killer of women, and all of February being American Heart Month; June being Alzheimer’s and Brain Awareness Month, and Sept. 5 to Sept. 11 being National Suicide Prevention Week. The calendar is now full with these kinds of awareness events and it’s difficult to register their existence, let alone keep track of them. Which has helped me now realize there actually can be a benefit to focusing much-needed attention, and has me wondering: As all of us are touched by one or more of these health issues, how do we support and amplify each other’s concerns so that we can all, together, contribute to building a healthier future?

Health equity means that everyone has a fair and just opportunity to be as healthy as possible. And we have long considered the United States to be the land of opportunity. Yet our current standing among developed countries as having the worst maternal mortality — where most maternal deaths are preventable — reminds us that we face a significant threat to the opportunity for all to thrive and contribute to this country’s future prosperity. There are many contributing factors for our current situation — some relate to individuals, many relate to our living conditions, and even more relate to systemic factors such as the availability of health insurance coverage, access to health care, bias that may be built into how things are done and more. Thankfully, more attention is being focused on helpful policy solutions that impact how care is provided in the clinical setting as well as the supports that can help all birthing people have healthy and positive perinatal experiences and contribute to community well-being.

This year April 11 through April 17 marked Black Maternal Health Week — I hope we will all be curious to learn why we should all care enough to be aware.

by Jeff Rapsis

All politics is local — and our region’s inability to bring passenger rail back to Manchester, Nashua and the rest of the Merrimack Valley is a good example of that.

However, this old saying might offer the key to finally making progress, even as state lawmakers in Concord are maneuvering to ban using state money on the long-stalled project.

How? I think the issue is that in New Hampshire, as in most places in America, public transit projects such as this naturally fall to a state’s transportation department to plan and oversee.

But in the Granite State, a majority of residents feel they’ll see no real benefits from Manchester and Nashua joining Boston’s commuter rail network. Hence the opposition and inaction, even though civic officials in Manchester and Nashua, the state’s two largest cities, have pushed it for decades.

What to do? I think it’s time for leaders in the Merrimack Valley to recognize that the state DOT is simply the wrong crib for this baby. A majority of the state (and hence the Legislature, which funds the state DOT) will simply never be convinced to make the investment.

So instead, a group of civic leaders from Concord south to Nashua should band together and craft a plan to fund it on their own.

This would require the creation of an entity similar to a tax increment financing district, but on a larger scale. It might function like a regional planning agency, but with the power to propose and implement taxes or other funding mechanisms (subject to voter approval) to raise revenue for restarting and operating passenger rail.

It wouldn’t be easy. But the Merrimack Valley is the most heavily populated area of New Hampshire, home to 561,000 of the state’s 1.3 million residents. It boasts the state’s largest concentration of business activity.

Surely this area on its own could generate the estimated $300 million all-in investment needed to extend passenger rail north from Lowell, Mass., and the annual subsidy of about $13 million.

In return, we’d reap the benefits of improved access to Boston, the region’s economic hub.

And here’s an idea to start you thinking: Why not impose a $5 fee on anyone boarding a Boston Express Bus to Logan Airport, with the revenue earmarked for passenger rail?

Jeff Rapsis, a Bedford resident, is Associate Publisher and a co-founder of the Hippo.

So often in our society, I hear how we crave opportunities for our children to explore, to tinker, and to figure out who they are in this world. We are all for our youth getting outside or into the kitchen or workshop to help make sense of what the world offers them.

What is often missing from this narrative is giving space for our kids to explore who they are and what they offer to the world. In fact, we can often find this downright threatening especially when it comes to exploring one’s race, sexual orientation, sex, gender and culture.

I see the fear of these types of examinations rippling throughout our entire public education system here in New Hampshire and our country as a whole. There are laws and policies being passed that dictate what a teacher can instruct on race, or what name a child can (or cannot) go by, and limit discussions around family structures. There are demands that parents must be notified of all that is being discussed in our K-12 schools with threats of lawsuits being made if those requirements are not met.

In Manchester, there is a lawsuit filed over chosen name practices within that district. We have HB2 in place, which white lawmakers adopted to limit discussions around race in our classrooms. In Mississippi, an administrator was terminated for reading a book titled “I Need a New Butt” to second-graders, and we cannot forget the recent legislation passed in Texas and Florida with really damaging practices put in place to further oppress LGBTQIA+ youth.

These are all motivated by fear but I’m not sure what the fear is about. Do we truly not believe our children are capable of learning more about themselves? To better understand the complexities and possibilities each of our identities hold? Is it that there is a belief that if they learned this information then they would be able to have better agency over their own bodies, their own lives, in a way that threatens the “norm”?

Our kids are beautiful and resilient humans. All trauma specialists talk about the need to build healthy resilience, which comes through conversation, connection and self-responsibility. Avoidance, unfortunately, does not get us there and stunts us against reaching our true potential.

I hope we can embrace and find the same level of fulfillment from self-exploration as we do exploration of the outside world. We can understand a lot from our children, and I believe they will be our greatest teachers in redeveloping our curiosity.

Fifteen years ago, as a new board member of the Animal Rescue League of NH, I pulled into the parking lot one day and met the sweetest beagle out for a walk. I went home and began negotiating with my husband, anxious for our 2-year-old son to have a canine companion to grow up with. He reminded me we were leaving on vacation. We agreed if the dog was still there when we got back, we could bring it home. The dog was adopted in the interim, but a few weeks later I received a call that he had been returned.

Potter and his sibling had both arrived at the shelter as strays. Their owner had been called but declined to pick them up. The shelter staff estimated Potter’s age as 1 at the time. When I saw Potter’s patience with our curious toddler, I knew he was meant for us. That patience never wavered with our son, nor with the next beagle I brought home, nor with the addition of a Brittany spaniel, and certainly never with our grandchildren.

This is not to say Potter didn’t have his quirks. UPS deliveries were a challenge as he assumed responsibility for judiciously guarding the front door from any drivers of brown trucks. A few years ago I noticed Potter no longer reacted to the sound of the UPS truck, and we soon realized he had gone completely deaf.

As he entered his senior years he slowed down remarkably, spending his days sleeping in his favorite chair, only rising (punctually) for his four meals a day. As one aging issue developed into another, Potter received his very own pill box so we could better manage his medications. We arranged our schedules to accommodate mealtimes and meds. He became increasingly anxious and restless, frequently pacing throughout the night, symptoms of doggie Alzheimer’s.

The past several months, we have struggled with when to let him go. At a recent vet visit, Potter became aggressive with the vet staff. I knew then that it was time, his pain and confusion causing atypical behavior for him. Potter did his job well, and the little boy who grew up with him is now a 17-year-old teenager. I will be forever grateful that he chose us all those years ago to be his forever home. His steadfast love and companionship made our family whole. He has more than held up his end of the deal and it is time to bid him farewell. May you rest in peace, our sweet boy.

What does a high school diploma get you? Some might say that someone with a high school diploma will earn more money over their lifetime than someone who hasn’t earned a diploma. That may be true, but do you credit the diploma for the extra earnings? Does that diploma tell you anything about the specific skills that an individual would bring to the workplace? I believe that the high school diploma has largely outlived its usefulness and that the end game in high school should no longer be to simply earn a diploma.

What does a high school diploma tell you about someone? For example, if someone got a B in biology, can anyone tell me what that person knows and is able to do with what he or she learned in biology? How did they get the B? Did they get it because they got a B average on their tests? Was it because they passed their homework in on time? Did they regularly participate in class discussions? Did they do well on the final exam? Maybe they were nice to the teacher. Whatever they did, it translated into a B. Even if we assume that they did fairly well in their biology class, how much of what they were taught will they actually retain even two weeks after the exam?

And what are colleges supposed to translate from your grades in high school? Why is it that 40 percent of college freshmen need to take remedial courses in either math or language arts? Can we assume that their high school transcripts were interpreted by the admissions officers to be that these students actually had skills in those areas? Then how come they had to take remedial courses?

I believe the high school diploma’s usefulness is coming to an end, and that the new coin of the realm for high schools will be certifications and career credentials; something that will give confidence to anyone who has interest in someone holding one of these credentials that they have achieved the skills necessary to perform the associated tasks, be it a welder’s license, a massage therapist’s license, an associate’s degree in a specific field, etc. These credentials not only give someone confidence that you have the requisite skills but they immediately carry weight in the marketplace when seeking specific jobs.

Career-related credentials are coming soon to a high school near you and they will be a welcome improvement over the outdated notion of a diploma.

Fred Bramante is a past chairman and memtber of the New Hampshire State Board of Education. He speaks and consults on education redesign to regional, state and national organizations.

I recently found myself on a Zoom call with some medical school classmates I hadn’t spoken with in many years. While not a fan of school reunions, I found their enthusiasm infectious as we later considered how to encourage all 85 classmates from the Dartmouth Medical School class of 1997 to attend our upcoming reunion.

Later, I realized that over the last year, I had a few wonderful opportunities to reconnect with lost friends. There is the friend from San Diego who I have only seen once since my wedding 20 years ago; I spent two hours on the phone catching up. There is the friend from Pittsburgh who was my long-distance best friend in high school, back when pen-pals meant you wrote letters by hand and sent them through the (snail) mail. We lost touch until she emailed me. It turns out she has lived in New Hampshire longer than I have! There was joy in reconnecting with people who played significant roles in my becoming who I am today.

The universal need for social connection is well-documented, as are the benefits to physical health and mental and emotional well-being. Having social support networks is considered a social determinant of health — meaning part of the 80 percent of what contributes to our health outside of health care (which contributes at most only 20 percent). Not having social connection can have long-term negative health impacts. Social connection is not about the number of friends or contacts we have, or the number of groups we belong to. It’s about our subjective sense of connection, our feelings on the inside of being connected to others.

According to the Stanford Center for Compassion and Altruism Research and Education we can “give, share support and do acts of service and kindness for others” as compassion and volunteering create that helpful sense of connection and purpose. We should also prioritize taking care of ourselves, and asking for help when we need it. Oftentimes others in our lives would be happy to provide assistance.

On a population level, policy makers can promote awareness of the positive effects of social ties, being attentive to avoiding policies that have a negative effect on social connection, and prioritizing beneficial policies, interventions and programs that reduce social isolation and strengthen social networks and opportunities for connection.

In these challenging times of pandemic fatigue, climate disaster and what feels like the brink of world war, the words of Martin Luther King Jr. resonate for me: “Whatever affects one directly, affects all indirectly. I can never be what I ought to be until you are what you ought to be. This is the interrelated structure of reality.” In the words of a very successful marketing jingle from a while back, go ahead, “reach out and touch someone.” I’m pretty certain you’ll be glad you did.