Snapler

January 27, 2010

On the International Day of Holocaust Commemoration, Continue to Fight Anti-Semitism

Seventy-four years ago, in July 1936, a Jewish journalist from Prague named Stefan Lux burst into the hall of the League of Nations in Geneva. Like many European Jews at the time, Lux was driven to anguish and even madness by the world's indifference to the eruption of anti-Semitism throughout the continent and especially in Nazi Germany. The international community, though, reacted indifferently to the scourge. Indeed, the League was engaged with a long list of issues -- most notably Italy's annexation of Ethiopia -- but not the mounting mortal threat to European Jews. Desperate to draw global attention to Jewry's plight, Lux staged the ultimate demonstration: He ran to the podium, shouted, "C'est le dernier coup!" -- This is the final blow! -- and, producing a pistol, shot himself dead.

Lux's sacrifice was, of course, futile. Wrought by anti-Semitism, his death could be counted among the six million Jews -- together with twice that number of Poles, Christian clergy, homosexuals and Gypsies -- slaughtered in what we collectively call the Holocaust. Still, history's greatest atrocity might have been easily averted had the League of Nations interceded in time or even at all. Subsequent acts of genocide in Cambodia, Rwanda and Darfur were met with similar detachment. Nevertheless, the international community is today largely united around the conviction that silence in the face of mass annihilation is unconscionable. A prominent example of this conviction was rendered by the United Nations General Assembly in 2005 in designating January 27 -- the anniversary of Auschwitz's liberation -- as the International Day of Holocaust Commemoration.

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December 26, 2009

Language Interpretation Services in Health Care Industry Reach Tipping Point in 2010

More than 24 million U.S. residents speak a language other than English or have trouble communicating clearly without resorting to their native tongues. The new health care plan being debated in Congress promises to bring millions more of these legal immigrants into a system already struggling to communicate with patients in their languages to assure they get the life-saving care they need. Is the health care system ready for more immigrants, even if they are here legally? Why should we embrace any language other than English anyway? Isn't this America?

Given the burgeoning Hispanic population, Spanish is an obvious second language to English and is spoken throughout the health care system in the United States. Still, the more obscure of the 176-plus languages and various dialects used in doctors' offices, at clinics, even in emergency rooms when timely attention matters most, often create the most opportunity for patient harm. Some of these patients are underprivileged, but many are not. Research shows that limited English-proficient (LEP) speakers come from all ages and income brackets. The most pressing language needs might surprise you since you've likely never heard of many of them: Arlington, Virginia, needs Krio interpreters (the language of Sierra Leone, Africa); Denver needs Karen speakers (spoken in Myanmar, formerly Burma); Seattle needs Oromo (Ethiopia); and Phoenix needs Dari (Afghanistan).

Federal law obligates health care providers receiving government funding to ensure language access to LEP individuals who cannot tell their doctor what hurts, but that hasn't always been enough to ensure full adoption and save lives. Without guidance or consistent enforcement, hospitals and other medical facilities have responded to the federal language access requirement in dramatically different ways, with some offering in-house interpreters combined with over-the-phone language interpreting services and others offering much less. Even among those with formal interpreting services, the level of quality varies greatly. Fortunately, the states have started stepping up to strengthen interpretation services. A California law took effect on January 1, 2009, requiring all health plans to offer the same access to language services as enrollees in government plans; Hawaii requires language services in all state programs; Maryland mandates language assistance by hospitals and agencies receiving federal funds; Washington requires cultural competency training for physicians; and New York hospitals must develop language assistance programs.

Between 1990 and 2000, the percentage of Americans speaking a language other than English at home increased from 13.8 to 17.8 percent as the LEP population grew from 6.1 percent to 8.1 percent. As we enter a new decade, we're at a point where this ongoing linguistic change cannot be refuted, and the combination of progressive language law, the expanding needs of an ever-evolving national landscape of patients and just plain common sense have us at a tipping point.

Yes, this is America -- the ultimate melting pot. And, although our country is much more diverse and complex than many of us would sometimes like to acknowledge, these differences make us special and unlike any other nation that has ever been. History shows a strong tradition in the U.S. of eventually assimilating each wave of immigrants into our society, the majority of which do learn to speak English. But, the reality is that in 2010 we won't be a country of one language, or even two or three. We are a country of nearly 200 languages -- and cultures -- and growing. That's a good thing as we all benefit from the diverse backgrounds and cultural differences of each other. And, at some point, everyone has to go to the doctor.

December 23, 2009

The Latest in Gifts that Last a Lifetime

Think it's impossible to find a child a hot, new gift for a modest price? If you're hunting for one of those trendy electronic hamsters, you might be out of luck. But take heart: $10 or $15 can still go a long way -- and even save a child's life.

New vaccines at those prices can prevent the two biggest killers of young children -- pneumonia and diarrheal disease. As a nation we have a great opportunity to extend a spirit of generosity to the world's children with the highest risk of dying.

In a season when gathering with family is a joyful tradition, reflect on the nearly 9 million families that lost a child under 5 this past year to preventable and treatable diseases.

Almost all these families live in the developing world. Unfortunately, they didn't have access to the new vaccines or the even less expensive treatments--like antibiotics or oral-rehydration fluids--that have been around for years. Annually, pneumonia and diarrhea kill nearly 4 million small children. Preventable neonatal infections and malaria are the other major killers.

AIDS, the focus of nearly three quarters of current U.S. global health funding, accounts for less than 3 percent of these child deaths worldwide. It's truly inspiring that over the past several years the United States has granted 2 million people living with HIV and AIDS a new lease on life through access to drug treatments. Amazingly, for just a fraction of the $5.7 billion we'll spend fighting AIDS this year alone, we could deliver life-saving services to tens of millions of children who lack access to basic health care. We can do both.

We would dramatically reduce the number of children who die needlessly each year.

The United States already has an admirable track record in saving children's lives. We've helped make measles and tetanus vaccinations and life-saving oral rehydration therapy widely available around the world--preventing millions of child deaths. In Bangladesh, Nepal, Mozambique and Ethiopia, broad-based, U.S.-funded programs have been integral in cutting child mortality rates by more than 40 percent since 1990. These programs work, and they have shown that making affordable and effective health interventions available can save lives, even in very poor countries.

Such scientifically-proven, remarkably cheap options include oral rehydration solution and zinc, low-cost drugs to treat pneumonia and malaria, and breastfeeding counseling. Add the new vaccines for pneumonia and diarrhea to the mix and we now have the tools to achieve revolutionary reductions in under-5 deaths.

In May, President Obama pledged to emphasize basic health care for mothers and children as part of his new global health initiative. But he didn't ask for much more money this past year, and last week Congress approved only a modest $54 million increase for maternal and child health care, as well as $400 million more in AIDS and malaria funding that will in part benefit children.

Using figures published in The Lancet medical journal, experts estimate that $1 billion in increased funding for child and maternal health could save 1 million children's lives a year. U.S. leadership would inspire other wealthy nations to join the cause. And, by working with developing nations to ensure health interventions reach children and families on the margins, the U.S. would help those countries strengthen their national health systems to improve children's health for generations to come.

Let's encourage President Obama to be as bold in exercising U.S. leadership on global health as he has been in responding decisively to the global hunger crisis. In this season when children anxiously await their gifts and we their smiling faces, Americans can all be part of the greatest gift for children everywhere--the chance to survive and thrive.


Former U.S. Senate Majority Leader Bill Frist, a physician, is the chairman of Save the Children's Survive to 5 campaign. Orin Levine, Ph.D. is executive director of the International Vaccine Access Center at the Johns Hopkins Bloomberg School of Public Health.

December 12, 2009

Does the World need another Martyr? The Case of Birtukan Mideksa

By Chris Flaherty -Filmmaker

On December 28 2008, Birtukan Mideksa was arrested again and imprisoned to serve a life sentence after the pardon granted to her in 2007 was revoked. Medeksa was among more than 100 people jailed for offences after allegations of fraud took hold of the Ethiopian election in 2005. The Ethiopian government claimed that her pardon was conditional on "an apology for her crimes." Today, the 36yr old court judge and mother appears to be gradually elevating to martyrdom status alone in her prison cell -- much the same way Aung San Suu Kyi of Burma has.

In May of 2005 the Ethiopian government shot and killed 193 unarmed protesters after a much contested national election. In addition, thousands around the country were rounded up and sent to prison. The press was virtually shut down and many journalists were forced to go into hiding or risk the possibility of suffering horrific consequences at the hands of government security forces. The effect on the population has been devastating. Since the government crackdown Ethiopians have been living in fear of a regime that has demonstrated it will stop at nothing to maintain power, including murdering its own citizens.

The next Ethiopian national election is rapidly approaching and will be held next May. As a filmmaker and a strong supporter of human rights and democracy, I tried my best to reveal the circumstances Ethiopians face in my current film, Migration of Beauty. The film documents in detail the election in 2005 and draws parallels between the present reality inside the country and how it affects the lives of Ethiopians in the Diaspora. I cannot help but be discouraged with all the latest developments coming out of Ethiopia. A recent Reuter's article indicates that hundreds of opposition party members have been rounded up and sent to prison in preparation for the upcoming election. Indeed, the ruling party's most viable opponent, Birtukan Mideksa has been in prison since December of 2008. Before her arrest she was hailed as the best possibility to beat Prime Minister Meles Zenawi and his party, the Ethiopian People's Revolutionary Democratic Front or, EPRDF. Now, Birtukan Mideksa appears to be gradually elevating to martyrdom status much the same way Aung San Suu Kyi of Burma has.

As the election gets nearer, grim news coming out of Ethiopia increases with tremendous frequency. A recent report by the Committee to Protect Journalists or CPJ reveals that Ethiopia is the second most abusive country towards journalists in the entire continent of Africa. Organizations like, Reporters Without Borders and the International Press Institute have been sounding the alarm for some time.

At a recent screening of my film in New York City, Tala Dowlatshahi, the senior advisor for the U.S. branch of Reporters Without Borders and anchor of RUTV illustrated quite clearly the horrific situation of two particular Ethiopian journalists. Serkalem Fasil and Eskinder Nega were initially jailed after the 2005 Ethiopian election. They were eventually released under a pardon agreement but now with the 2010 election approaching, the government is attempting to legally revoke the pardon and put them back in prison. Dowlatshahi further pointed out the Ethiopian governments attempt to use an anti-terrorism law to charge journalists both as individuals and the companies they work for. The law was passed earlier this year and is having the ominous effect of forcing journalists to permanently close newspapers and flee the country as charges are being drafted against them.

Recently Ethiopian Prime Minister Meles Zenawi went to Copenhagen to represent Africa in the United Nations Climate Change Conference. I was personally dismayed how such an oppressive figure could be accepted to represent an entire continent. Even more astounding is the insensitivity of "the powers that be" towards the suffering of the Ethiopian people. As former New York Times reporter Doug McGill put it, "he's being recognized and welcomed with open arms." McGill also compared him to North Koreas Kim Jong Ill and Zimbabwe's Robert Mugabee.

Journalists and filmmakers who work with REPORTERS UNCENSORED still have much work to do to inform the general public about oppressive regimes like the EPRDF and Prime Minister Meles Zenawi. They will always be what they are but those who insist on lending them the credit to continue their filthy practices are the ones we need to call out.


Chris and his film, Migration of Beauty will be featured this week on Reporters Uncensored (RUTV). Tune in at 6pm (ET) for a LIVE chat at www.livestream.com/reportersuncensored or watch on demand. For more information go to www.reportersuncensored.com

December 10, 2009

TOMS Shoes Accepts the Secretary of State’s 2009 ACE Award

Rarely do I ever write out a speech, but last night, accepting the ACE Award in Washington D.C., was such a special night and opportunity I wanted to make SURE that I thanked everyone in the proper way. The irony of it all is that when Secretary Clinton presented me with the award, I was kind of nervous and confused and I did not get to give the full speech I had planned, so I want to share it with you here and I hope that more people will read this than listened to me bumbling up there at the podium. So, here it is...



When I was told that we were nominated for this award, I was filled with one emotion and that was humility. As I looked over the list of past winners, all companies that we all know and respect, I could not believe that I would be going to Washington and possibly standing up here today.

TOMS started as a spontaneous desire to give shoes to kids who really needed them. Faced with this need for the first time in Argentina, I did not want to simply start a charity, for I worried about sustainability. I mean yes, I could have asked friends and family for donations and that would have worked for a year or two, but what happens when we have something like Hurricane Katrina and my donors are supporting the needs of the victims, or what happens when we find ourselves in a tough economic downturn? I could not imagine going to the kids we had been supporting and saying, "Sorry, no shoes this year." So I started TOMS as a for-profit business based on a simple model. We started in my apartment with three interns, one who runs much of the operations today, and our efforts were not fueled with investment capital but a deep passion to help those original kids and I have found in the last three years that passion and compassion can build a business.

With so many health problems in the world, many people ask me, "why shoes?" I did not choose shoes, they chose me, but I have learned a lot about shoes and, more importantly, their importance in world health and the life-changing vehicle they can be to people who are at risk for foot diseases such as hook worm or podoconiosis. Most of the foot diseases that cause destruction to lives are preventable with shoes and basic hygiene, and I plan on spending my life preventing these diseases so that these beautiful people can live the full life we each deserve.

The original TOMS shoe was based on the Argentine alpargata, mostly worn by farmers and "common people," as my friends in Argentina say. Now, every time I go back to Argentina, my friends down there and I get a good laugh when I show them the pictures of our humble shoe on celebrities on the red carpet, runways of fashion shows, and being "guest designed" by the great Ralph Lauren for his Rugby collection. But besides laughing at the irony of it, my Argentine partners get a deep feeling of pride knowing that it is their shoe that is helping put hundreds of thousands of shoes on children's feet in countries like Haiti, Ethiopia, South Africa, and even here in the U.S.A.

Of all the people who have been part of this amazing journey in Argentina, there is one that stands far above them all. In fact, the reason I was so excited that we were nominated for this award was that I knew if we won, I would have the opportunity to recognize one of the most amazing young men I have ever met, and that is Alejo Nitti. He is my friend, our original Chief Shoe Maker, and as they say in Argentina, my "companero". He has been with me since the very first day. Without his commitment to TOMS and this idea I had on the farm three years ago, I truly do not know where we would be. You can see why this award is so special to me -- it not only represents business being done between two countries that benefits others, but it is proof that when two people come together to do something special, regardless of their citizenship or language, something magical, even historical, can happen and that is what the past three years of my life has been: a magical journey with one of the greatest human beings I have ever met. And while I accept this award on behalf of all the amazing TOMS employees in the U.S.A and around the world, I will be giving it to the first believer in TOMS, my companero down in Argentina, Alejo Nitti.

While this journey might have started with Alejo's belief in me, there are many people who have come into my life the past few years who have truly made this dream come true and really they should be standing up here accepting this award. I speak of my staff, or as I call them, my TOMS family. We are now 60 plus people and each person in our LA warehouse, that we call an office, is not only a deeply passionate individual, but they are some of the most talented and positive people I have ever met. Without their willingness to pour their heart into this movement every day, I would not be standing up here. If you all are reading this right now, know that I love each of you very much and you inspire me every day more than you know.

For those of you who know me, you know that I spend most of my days in far off places around the world and spreading the TOMS story on college campuses across the country, so I am rarely in the office. Many people have asked me how it is possible to run my business from so far away and of course we all know one of the answers, thanks to my great friends at AT&T and the beautiful commercial they created this year about TOMS and my life, but the truth is it would never be possible to do what I do without a very special person in my life. This person is here with me today, and her name is Candice Wolfswinkel. I met Candice at a Nordstrom when I was selling shoes out of my Airstream trailer and a few months later convinced her to volunteer for TOMS for nine months in planning our South Africa Shoe Drop. It did not matter that we could not afford to pay Candice in those early days -- she gave us everything she had and once we were able to start paying her, she accepted a position as my right hand and has been leading the culture of our company ever since. Candice, I love you deeply and feel so blessed you are in my life, and I thank you on behalf of the 500,000 kids that will be getting shoes this year as a result of your tireless effort and service.

It is very hard to believe but all the people I have mentioned so far have only been a part of the last four years of my life and, as you can see, they have affected me deeply and positively, but there is much more to this story than the past four years. In fact, the only reason I was confident enough to set out on this journey in the first place was the result of the unconditional support and love my parents, Mike and Pam, and my brother Tyler and sister Paige have given me for the past 33 years. I truly believe that I can do anything because of them and I know no matter how hard I fall, and I will fall, they will be there to help dust me off and set me on my way again. I love you all very much and thank you for believing in me.

Lastly, I want to thank a few other people celebrating this special day with me. My grandfather Bernie, my many friends and colleagues who have flown in from all over the country to be here, Secretary Clinton for presenting me with this incredible honor, Undersecretary Hormats, Assistant Secretary Borg, and Former U.S. Ambassador to Argentina Tony Wayne who nominated us for this ACE award.

So I leave you all with the a few words that a very special friend recently gave to me,

"May your days be filled with love and light."

thank you.

December 4, 2009

Oprah and the Power of 10

Ten dollars.

It's not a large sum of money. In this country, 10 bucks doesn't really buy that much -- maybe a decent glass of wine, a previously viewed DVD, a couple cans of tennis balls.

In the humanitarian world we go to great lengths to describe in simple terms for donors, the media, the public in general, how the smallest amounts, the smallest interventions can save lives.

How many times have I watched a parent arrive at one of our nutrition centers in Chad, or Ethiopia, or the Democratic Republic of Congo carrying a severely malnourished, limp, unresponsive child -- a child whose time left on earth may be fewer than 24 hours? And then, a week later, the child is reversing course after receiving the proper therapeutic food. Ten bucks can do that.

How many times did I meet a new mother who faced a one in 22 chance of dying due to complications in childbirth -- but because she had appropriate pre- and postnatal care from one of our trained midwives, she was alive and healthy, lying in a recovery room, gazing into the eyes of her beautiful newborn. Ten bucks can do that too.

In volatile, fragile environments in the developing world, the margins separating life from death can be razor thin.

This past week, International Medical Corps and Oprah teamed up once again to tackle some of the gravest threats to the health of women and children in Sub-Saharan Africa. Oprah made a powerful appeal on her show and online that we join her "For All Women" campaign and give something, anything back. Thousands upon thousands of her viewers answered her rallying cry and have donated $10, $50, $100 to International Medical Corps.

I suspect those viewers cannot truly picture the enormity of the impact they're making with even a modest donation. I suspect that's true of most people who want to give to charity and make a difference -- particularly at this time of year when we are all trying to keep perspective on what matters most to us.



But I can attest that small sums do have an enormous impact. I think back to one father in eastern Congo who was transported to our clinic, along with about 30 other parents and kids from a displacement camp. All the children were severely malnourished and needed immediate attention. As he cradled the daughter he knew was slipping toward death, he looked at me and our staff with eyes that said, "You're my last hope." He handed her off to our chief nutritionist. Within a few weeks that little girl had made a full recovery.

When we say that $10 can save a life, we mean it.

If you want to learn more or to donate to the For All Women campaign, go to International Medical Corps' site directly or www.oprah.com/forallwomen.

November 26, 2009

Sharing the Privilege of Abundance

Thanksgiving always evokes memories of the days when, as mothers of young children, we would bundle them up to deliver turkey baskets -- family to family -- to those in Washington, DC who couldn't afford a holiday dinner of their own.

That simple act connected our children to the original spirit of Thanksgiving -- where families stop not only to give thanks for plenty, but to share with strangers in need. Thanksgiving is one of the few days where soup kitchens and food pantries around the country burst at the seams -- not just with turkey and stuffing, but with volunteers eager to serve.

Americans, in fact, are the most generous people in the world when it comes to private philanthropy: 85 percent of American families give their time or money, with private giving averaging $300 billion a year.

This year Thanksgiving strikes at a critical hour for families everywhere who have been hit hard by the global financial meltdown.

In the United States, one in nine people rely each month on food stamps. Demand at food pantries and homeless shelters is at record levels. And 17 million American households have had difficulty putting food on the table during the last year -- a 14-year high.

Yet while we concentrate our efforts on addressing hunger at home, we must remember another face of hunger in our world -- one that's largely invisible until we glimpse it on our TVs from some distant country, when a typhoon, earthquake, flood, drought or conflict makes the evening news.

It's easy to forget the silent tsunami of hunger that rips an ever-greater swath through the places where there are no streets, where mothers wonder if their malnourished babies will survive and fathers despair that they cannot provide even a single meal for their desperate families. The compounding impact of the food, fuel and financial crises has pushed the numbers of those suffering chronic hunger past one billion -- one in six people on earth -- for the first time in history.

Those in the "Bottom Billion" subsist on a dollar a day or less. Each day, hunger and related ailments claim 25,000 lives, mostly children -- making hunger the world's No. 1 public health threat. Even when chronic hunger does not kill, it maims -- shattering health, longevity, and hope.

Malnutrition in children under age two causes irreversible damage to their minds and bodies. In countries like Ethiopia, Pakistan and Guatemala, one in two children is stunted. Not only is this an incalculable human loss, but it is a quantifiable financial loss to these nations. Studies show malnutrition causes tens of billions of dollars in losses to poor countries -- or as much as 11 percent of GDP.

As we've traveled the world, the two of us have shared stories and tears with other mothers -- far from Washington -- who have watched, helplessly, as their children slipped from their grasp into the maws of hunger. For them, Thanksgiving never comes.

Although the mind reels with the huge needs of the world, the solutions are surprisingly achievable. Many nations -- Ireland, China, Brazil, and a growing number of African countries -- have beat back the worst of hunger. Inexpensive nutritional interventions can dramatically improve the health -- and lives -- of women and children. For just 25 cents a day, we can feed a child at school, giving them a real shot at forging a better future.

And with $3.2 billion a year -- or $1.5 billion less than Americans spend on Halloween annually and a fraction of America's private giving -- we can feed the 66 million children worldwide who go to school hungry. This alone won't end hunger, but it would be a huge step forward.

If we are to solve hunger, it will take the political will and resources of governments. It's encouraging that the Obama administration and Congressional leadership recognize that a sustainable, comprehensive food security strategy is vital to ensure our planet's future peace and prosperity.

Yet every one of us, at all levels, can make a difference -- especially if we work together. The World Food Programme's first Internet citizens' campaign, www.wfp.org/1billion, is mobilizing the online community: if a billion Internet users donate a dollar a week, we could transform the lives of a billion hungry people across the world.

As we enter the season of colossal Wall Street bonuses and a frenzy of holiday spending, it is time for us to once more share the privilege of plenty. It is time to declare, once and for all, that not a single child should die from -- or be irrevocably stunted by -- hunger.

Not on our watch.

Read more HuffPost Thanksgiving coverage and commentary