Thanks Anyway

 In Preventive Medicine Column

 

Thanks, Anyway

We are called upon to gather, reflect, and give thanks mere days from now, as we do every year at this time. And yet, this year it falls in a season of historic discontent. How are we to manage?

To begin, let’s be clear that the problem is universal, no matter which way we voted. Yes, it is undoubtedly more acute and poignant for those of us who cast votes for what proved to be the lost cause. But there is nothing to gloat about on the winning side of this tally, either. Why? Well, for one thing, we all have the same vivid evidence that we live in a house ominously divided. The passions on both sides appear to be unusually extreme, highlighting the width of that division. More impressive still is its length. It is now an established fact that our presidential election was lost by a candidate who not only won a decisive majority of the popular vote, but who won it by a greater margin than at least several former presidents had in victory. For every 100 of us who favored this outcome, to whatever degree, there are 101 who went the other way.

We are one another’s neighbors. We are one another’s cousins. The human family and the fabric of community are non-partisan bonds we share.

For another, the evidence that we were victims- winners and losers alike- of willful misinformation is overwhelming. It’s not only a fact, but one being celebrated by the addition of “post-truth” to the Oxford dictionary. We are invited to accept that we live in a “post-truth” world.

We should reject the invitation. There is nothing post-modern about post-truth; it is regressive. It is the state of states subject to tyranny, the control of information, and the dominion of propaganda. It serves despots, not democracies, and is among the shackles broken by our revered institutions, a free press salient among them.

But even leaving aside any lofty causes, there is simply this: post-truth promises, by their very nature, will not be kept. They are, once the euphemism is stripped away, naked lies. They serve only manipulation, and thus abuse us all, but especially those who rally to their support.

Returning, then, to the challenge of this year’s thanks: I heard from a neighbor in my hometown of Hamden, CT, that in the days since the election, she has seen swastikas prominently displayed, once on skin, once on clothing. She has lived here for years, and never seen one before.

That there is cause for revulsion in this is self-evident; we all know what swastikas have come to symbolize. But if that reprehensible worldview was lurking among us, perhaps we may be thankful that it has been exposed, and that good people, no matter our politics, may confront it.

This is a stretch, I admit, but no more than contending with the results of cancer screening. Good news is better than bad news, but bad news is better than not knowing the news. Knowledge is power, in this case the power to confront a social cancer now revealed, but lurking there all along. We don’t really have a new problem; we have new awareness. So, this goes in the “now we know” file.

Then, I received a missive from a junior colleague in lifestyle medicine, expressing her justified anxieties as she expects the arrival of her baby daughter in December, wondering where we all go from here. I can’t say why she thought I could help, and don’t presume to think I did; but here, more or less, is what I said.

As a fellow parent, I feel the reasons for anxiety deeply. We all aspire to bring our children into a world with no shadows, but that is the fantasy of every generation. You were not born into a world with no shadows; nor was I. But we can be thankful to be here just the same, and have our chance to shine a light. Like every parent before you, you will have to welcome your perfect addition to the human family- into an imperfect world, and hope she makes it better. She will have that chance- and we may be thankful for it.

Silly as it seems, smiling can induce happiness as reliably as happiness can induce smiling. Hugs are genuinely health promoting. Social connections are on the short list of factors most consistently associated with the addition of years to lives, and life to years. Love defends against chronic disease. In other words, as we gather this year and seek reasons to be thankful, we may find them in the gathering itself. If we can manage to consider that the very same feelings are populating groups across every measure of diversity, so much the better. We are more alike than different in what we feel, and fear; need, and love.

The fortunate among us will have the opportunity to reflect accordingly, bellies full and sated, in the company of people we love. There may be tears, but there should certainly be hugs, and smiles. There will be reasons for thanks, in spite of it all.

-fin Dr. David L. Katz;www.davidkatzmd.com; founder, True Health Initiative

Dr. David L. Katz
DAVID L. KATZ MD, MPH, FACPM, FACP, FACLM, is the founding director (1998) of Yale University's Yale-Griffin Prevention Research Center, and current President of the American College of Lifestyle Medicine. He earned his BA degree from Dartmouth College (1984); his MD from the Albert Einstein College of Medicine (1988); and his MPH from the Yale University School of Public Health (1993). He completed sequential residency training in Internal Medicine, and Preventive Medicine/Public Health. He is a two-time diplomate of the American Board of Internal Medicine, and a board-certified specialist in Preventive Medicine/Public Health. He has received two Honorary Doctorates. Dr. Katz has published roughly 200 scientific articles and textbook chapters, and 15 books to date, including multiple editions of leading textbooks in both Preventive Medicine, and nutrition. Recognized globally for expertise in nutrition, weight management and the prevention of chronic disease, he has a social media following of well over half a million. In 2015, Dr. Katz established the True Health Initiative to help convert what we know about lifestyle as medicine into what we do about it, in the service of adding years to lives and life to years around the globe.
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