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Harry Shearer

Harry Shearer

Posted: August 5, 2009 11:11 AM

The New Orleans Mental Health Crisis, Exposed


Sometimes, journalism consists of "discovering" things that everybody knows -- at least, everybody in the affected area -- but that have slipped off the national radar screen. Such is the case with a remarkable three-part series this week in -- wait for it -- the Washington Times.

Yes, the paper owned by you-know-who has reported on one of the two long-running crises in New Orleans that have been ignored by the national media since so-called Katrina fatigue set in: the mental health crisis among the city's population. (The other long-running crisis, in affordable rental housing after the flood damaged or destroyed 80,000 units, remains undiscovered by outsiders.)

The Times stories focus on all the salient points of the mental health mess: the long-term depression of many Katrina survivors, the degree to which the crime rate is swelled by mentally-disturbed people acting out, the heroic efforts of police crisis units and volunteer organizations to find and help people who can't seek out help themselves, and the increasing disparity between the need and the resources available for care and help.

All this is welcome, if overdue, and admirable.

And yet...Even from three reporters who've been in New Orleans for weeks researching these articles there is a remarkable lapse: a failure to explain why the disaster happened, why the city was inundated. Instead, in addition to the numerous references to "Katrina's floodwaters", there is, in the series' second article, this strangely bland sentence:

"City, state and federal agencies have pointed fingers at one another for four years, seeking to lay blame for the failure of the levees that allowed the floodwaters to wash over the city."

In two words, not true. The United States Army Corps of Engineers, in its June, 2006 IPET report, acknowledged what had already been amply documented in the ILIT and Team Louisiana reports, namely, that Katrina was not a natural disaster in New Orleans (as it was on the Gulf Coast), but rather a massive, catastrophic failure of poorly designed and constructed levees and floodwalls -- a project under the supervision and control of the ACE. Odd that a paper in Washington, home of the Corps, would choose to ignore, and obscure, these facts.

Do we have to wait four more years for a non-New Orleans newspaper to discover them?

What the city, state and feds have been fighting about, in fact, has been the fate of downtown's large and iconic Charity Hospital, flooded but (according to doctors who worked there) not destroyed. Closed since the flood, it's been the subject of a tug of war between LSU, which ran the Charity Hospital system and which desires to build a new hospital in a new location, and FEMA, which has resisted paying the tab for the replacement. (And the Bush Administration actively sought the closing of hospitals like Charity, part of a "two-tier" system that specifically served the working poor and indigent -- for ideoglogical reasons) Charity, many knowledgeable people report, could be reopened more cheaply than the cost of the new hospital LSU wants. While this fight goes on, the folks once served by Charity (including the mentally ill) go ill- or un-served.

And the Obama Administration's response to all this? Are those crickets I hear?

Yes, I know, he's "only been in office six months." And, of course, the presidency gets less complicated as you go along, doesn't it?

 
 
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02:30 PM on 08/07/2009
There's an article entitled, "Sen. Mary Landrieu, Obama administration tout new arbitration rules for Charity Hospital, other recovery projects" by Bill Barrow, The Times-Picayune
Thursday August 06, 2009, 6:38 PM

Haven't taken the time to really digest what it says or understand what it hopes to accomplish. Thought you might be interested in reading it.

The one thing I will comment on is that according to doctors and nurses who remained in New Orleans post-Katrina, there was no substantial damage to the infrastructure of Charity Hospital. Without a doubt, it's an old facility that is in desperate need of renovation. But from it's my understanding that hospital staff took the initiative to thoroughly clean and sanitize the first floor of Charity. It was up and running, not to full capacity, but it would have enabled them to begin seeing low-income patients who needed medical care.

However, when they went back to continue their cleaning efforts they found the doors CHAINED.
They were able to gain access and once inside they saw that the place had been trashed, with sinks and toilets filled with debris and overflowing.

At the time, hospital staff DID NOT believe it was the random act of vandals but the actions of individuals who wanted Charity to be shut down so that a new facility could be constructed. Incidentally, the time frame in which this occurred also coincided with the closing of approximately 3-4 local hospitals throughout New Orleans. Curious, isn't it?
10:57 AM on 08/10/2009
creolechild it's amazing these comments are still open.

You posted way down there somewhere, that despite its relative high elevation, the 9th Ward is not coming back like it really should for several reasons, one of them being the prohibitive cost of rebuilt and new structure elevation requirements.

I fully support elevation requirements----I'd like to see ALL rebuilt and new structures elevated at least above the Katrina flood level. What I also support is federal assistance to elevate those structures, regardless of who owns them. After the structure is rehabbed or rebuilt, let whomever lived in the home before Katrina have first dibs on renting it before opening it up to allcomers.

I can't help but think the rebuilding & elevating & repatriating of what was once a vibrant, historically significant bastion of black/creole middle class could do wonders for the city's mental state.
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05:00 AM on 08/11/2009
Hey, Luziannnagirl. I just wanted to thank you for steering me towards the "American Creole" doc. For some reason, I couldn't get the reply function to work on your original post below, so I'll reply on this one.
I thought I'd remembered something about this pre-Civil War black NO history, and I look forward to investigating it further. Thanks again!
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CrescentCityRay
10:35 PM on 08/06/2009
JohnAshman said: "Why specifically? It's a local issue, clearly. Why should it be a matter for the other 49 states or even the other parts of Louisiana? That's my point. If you let your affairs to be dealt with by bureaucrats from 1000 miles away, you're bound to be disappointed."

"let your affairs to be dealt with" ?????? We wish we had a choice. We are required by the US Congress to depend on the USACE for flood protection, inadequate as it may be.

Release us from USACE dependence and let us keep our oil and gas rents and royalties from off our coast and we will rebuild our storm buffer wetlands and build great storm surge flood protection without any help from any of the other 49 states.
10:27 AM on 08/10/2009
If we really wanted to assert our independence and self-reliance and go Libertarian all the way, why, Louisiana could then join OPEC and really stick it to the other 49! How doe $10 a gallon sound, Ashman? How does freezing your ass off every winter because Louisiana's finally decided to pass on the true cost of mining natural gas to the out-of-state consumers?
03:05 PM on 08/06/2009
Harry, thank you again.
I have been following this series as well, but more from the perspective of WTF?
They continued to slog the Lie that "Katrina-did-it".
But then, as the series progressed, the comments started to really grate on yer'oh'so humble Editilla's Toof.
I found each of these articles garrulously slanted and even a tad Yankee racist in their framing of New Orleans Mental Illness Post Federal Flood (PFF).
They opened with The Lie.
This was a piece of subtle misinformation, black marketing.
The more I read these articles the more I resent them.
It is a Quiet Lie that New Orleans is Hopeless.
It is a Quiet Lie that we should not have flooded.
It is a Quiet Lie that we are beyond recovery because we were crazy in the first place to live here.
It is a Quiet Lie that what befell New Orleans was something most Americans can get their mind around.
It was not... something to "get over". The only way Editilla has found to try that about the Flood, is with this Ladder and the Hand of the Goddess who takes care of Fools and Errant Troubadours. Yeah, I went pretty batshit crazy too.
But, what is the rest of America's Excuse? I was there.
What say da'Jury? Here come da'Judge!
I can forgive God for raping Mary, but I Will Never Forget the Crucifixion of New Orleans by the Exquisite Corps of Engineers.
Sinn Féin New Orleans!
Editilla~New Orleans Ladder
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CreoleLady
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11:59 AM on 08/06/2009
Thank you so much for being a vocal warrior for New Orleans. As one who returned to the city one month after Katrina, I can say that the things that you write about are on target.

Anyone who returned to New Orleans Post-K suffered from some form of depression. How could anyone not have been depressed living in trailers next to our destroyed homes, or standing in lines for hours just to get groceries, or smelling the stench of the discarded refrigerators? Not one of my friends returned to New Orleans. The blue-tarp roofs, the empty lots, the school system in disarry, jobs cut because businesses left, sky rocketing prices of everything - how could anyone not be depressed? My depression lasted for years - even though I was functional and able to take care of my family.

I know we aren't the only area in the US to be hit with devastation. Those who have been blessed without this type of tragedy should be emphathic to our situation. Many wonderful people outside of New Orleans have been super supportive, and we thank you, but those that aren't supportive really don't understand this type of pain, and have been vocal about it.

Mr. Shearer, I truly appreciate you for keeping our plight on the front burner. With so much going on, it would be easy to forget about us. But you don't. You keep fighting for us, and I am so grateful for you! Thank you so much!
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Harry Shearer
12:21 PM on 08/06/2009
Thanks for your kind words, but New Orleans has done so much for me, and New Orleans people continue to amaze me with the grace with which they live life in a vibrant, if wounded city, that I just need, every once in a while, to put a down payment on my debt to the place.
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steamboat
10:39 AM on 08/06/2009
So Harry, now that the democrats have absolute total control (Pres., Congress, Senate) instead of power-sharing and a less-then-adaquate FEMA chief, just how improved and far better are things then they were last year at this time?
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Harry Shearer
11:33 AM on 08/06/2009
Not much.
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Rogan
07:05 AM on 08/06/2009
I think Obama is (probably justifiably) afraid to do anything in maybe as long as his first year in office, that will be widely perceived among and attacked by the opposition as "a black thing." Directly addressing the on-going catastrophe that is Katrina; directly addressing and shutting down the "War on Drugs" and its sibling racist catastrophe, our prison system; and, generally speaking, getting visibly "angry," are among these issues. (I think that during the campaign he was very careful to restrain his sense of humor to a reasonable sane minimum, for the same reasons; and considering that the first time he made a joke at a press conference that rang odd, the "media" jumped all over it, if that is what he's thinking, he may well be right.)
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07:33 AM on 08/06/2009
While I understand your point, this, "Obama doesn't want anyone to think he's too black," argument is gettin' pretty stale.
He didn't mind weighing in on the professor Gates controversy. Sacrificed his entire health care reform message that week, to wade into that morass.
How many white (I'm white by the way) insurance, Wall Street, banking industy and police department folks does he have to appease, before "nervous white people" get it that he's not Al Sharpton?
If Obama's letting a major city flounder (after it was practically destroyed by Federal incompetence) because he's afraid voters might see funding that city's recovery as "a black thing," then he's behaving criminally.
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steamboat
11:11 AM on 08/06/2009
I've heard excuses before, but yours might be the "excuse of the year".
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03:29 AM on 08/06/2009
I've been thinking all evening about this Washington Times report, and It's simply unconscionable that this level of misery is still going on in NO after all these years. What kind of country have we become?
People come to this blog to brag that THEY would never live in a "dangerous" area, and (not the least bit subtly) imply that the folks of NO "deserve" their misery.
What kind of people have we become?
Those who love to smugly taunt, "fix NO yourselves. Quit expecting a handout." obviously never bothered to read the stories of those volunteers wading into hell, trying to help those poor people cast aside by our wealth obsessed society of ME.
"Get over it! Sh*t happens. Get a job. Let them eat cake!"
What kind of people are we now? What do we value as a society?
Corporations send busses filled with poor, angry and ignorant people, to disrupt the democratic process. An angry mob of ederly people on Medicare, either paid or brainwashed into screaming against "socialized" health care reform.
Health care reform that the nation desperately needs, and which is particularly needed in NO.
And our president? He's been pretty much absent on his cornerstone campaign issue of health care reform, so I guess NO getting lost in the shuffle of billionaire bailouts shouldn't be too surprising.
I just wish Rod Serling was still alive, so he could explain this Twilight Zone episode to me.
02:04 AM on 08/06/2009
I'd guess that the local government has a lot more to do with the current problems than anything on the federal level. Of course much of the mental health troubles relate directly to the economic loss and displacement of Katrina.

However a huge portion of NO's problems stem from the interpersonal conditions that its residents must endure. I've lived in all of Louisiana's major cities and have heard the same story multiple times. New Orleans evacuees flooded into town and brought along senseless gang violence (continuing to battle between residents from different zip codes), theft, and armed robbery.

Living in this sick culture of violence has to take its toll. I know people who never carried guns before now arming themselves. The roots of this disorder pre-date Katrina.
09:49 AM on 08/06/2009
JustinAddison

Part of the problems you mention are a chicken-egg thing. Racial strife, low education levels and poverty contribute to the self-perpetuating cycle of the people electing and re-electing substandard public servants from that area, and poor public representation leads to inattention to public infrastructural issues at all levels, with deadly consequences. However, even if their local, state, and federal elected officials were all of the highest caliber, I'm not sure N.O.'s challenges could or should attempt to be met without significant federal involvement.

Yes, I've lived around LA, too, including New Orleans. There has long been a pushiness, an "I'm gonna tread on you before you even think about treading on me" , kind of "gotcha" attitude among some N.O. residents that I personally find offensive. Perhaps it does help pave the way for real violence, but perhaps if there had ever been adequate mental health facilities and public infrastructure, it would be less so.
10:48 AM on 08/06/2009
It's interesting that the overall picture the public has about the residents of Louisiana is of a state with low education levels, racial strife, and poverty. This is an image that has been widely promoted by the mass media. And while there is some element of truth to the statement, it by no means provides the whole story.

The opposite side of the coin is the GENERATIONS of black families who have championed the cause of post-secondary education for themselves, and their children. Example: Xavier University, was founded by "St. Katharine Drexel of Philadelphia and her Sisters of the Blessed Sacrament, a religious community dedicated to the education of African Americans and Native Americans, established Xavier as a high school in 1915. The four-year college program was added in 1925. Today Xavier retains its distinction as the only historically Black, Catholic University in the Western Hemisphere."

There are large segments of the black population who are hard-working and decent people. They contribute much to the state of Louisiana, and could be considered middle- and high income, owning homes and businesses. This self-sufficiency dates back to the early 1900s. My grandparents, both paternal and maternal, are included in this segment of the population.

It's easier to feed into the perception that everyone in Louisiana is poorly educated and sitting around waiting for 'government handouts' though. This gives folks a convenient target to take their frustrations out on.
10:18 AM on 08/06/2009
In general, I agree with your comments, However, despite the overwhelming presence of gang members in the city, who are permitted to use the criminal justice system as a revolving door to wreak more havoc, to their credit some gang members were responsible for saving the lives of countless people in their communities, and protecting them, after Katrina when the response on the local and federal level was largely M.I.A.

And while it's true that many in the community are scared to cooperate with the police because retaliation for doing so often meets them on their doorsteps shortly afterward, many communities are fighting back by organizing neighborhood watch groups. Yet, despite their efforts they usually encounter fierce resistance, indifference, and a general lack of cooperation from NOPD. I don't understand why this occurs.

As it stands, residents of New Orleans are catching it from all sides: the criminal element, judges who impose light sentences, if any at all, and a police department which fails to do follow-up on cases to ensure a conviction. Perhaps if the criminal justice system in New Orleans was not broken, dysfunctional, and basically ineffective, then its citizens would have a better quality of life. Unfortunately, that won't happen until this major problem is resolved.
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maxfax
Taa - dah!
02:01 AM on 08/06/2009
I have enormous admiration for all your efforts to keep the focus on the trial and tribulations of post-Katrina New Orleans, but you didn't mention one of the major culprits in all this, including the mental health crisis, who is the Governor, Bobby Jindal. He forced cuts to health care, specifically the New Orleans adolescent hospital will be closed because he failed to veto the bill eliminating it. Also, the drama surrounding Charity is part of the Jindal plan, he has failed to close the deal to reopen it, because there are many interested parties who will benefit if it does not reopen, instead if it is torn down and there is new construction, think of all those big contracts for campaign contributors. Lastly, he's failed to engage the Obama administration on the state of the levees, and the corps' continued delays in reports, and construction, we're back to piecemeal, and not the major effort New Orleans was promised to be rebuilt and be protected by Bush, and Obama's committment to follow through. The local media is more mesmerized with the Jefferson trial than with reporting on what's important to protecting the city, and the people who have failed to do their jobs to which they were elected. So it goes.
01:45 AM on 08/06/2009
I found the entire article suspect due to their statement of The Lie: "Katrina-did-it".
I was there for the flood but left for much of the recovery because I flat lost it.
Since then, I cut my teeth on this very blog. As a form of Anger Management, I became somewhat of a Nolatroll Stomper. Then I started my own blog to have New Orleans on this very long road home.
I still eat the enemies of New Orleans for breakfast, but had laid off these general American Thugs to focus more on the local Corps Astro-turfer Spin'filtraitors who continue to plague the New Orleans media. And, my anger at American Denial has grown. Because the story has become clearer, due in no small measure to our Herolero Harry Shearer no lie.
But it was when I spotted the comment CrescentCityRay that I lost it all over again.
Comment #6: http://www.washingtontimes.com/news/2009/aug/05/clash-of-solutions-from-powers-that-be/comments/
With thanks to Charlotte.
Harry has read some of my anger here. It is hard to explain. Ray does a fine job of it. Better than I can. Hell, I'm lucky to be alive.
Thanks for keeping it all On Point, Harry. Really.
Editilla~New Orleans Ladder
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Rogan
07:29 AM on 08/06/2009
I'm not from New Orleans, but I'm with you, about the anger.

I got clotheslined by the health care system when I came down with ankylosing spondylitis in 2001. I've been in continuous agonizing pain ever since... but the HARD part, was the way health professionals treated me, because of insurance.

I've lost faith in humanity. Our doctors conspire with insurance companies, to get richer, by torturing and killing people. And many of my fellow Americans WANT IT TO BE THAT WAY. They KNOW what that means: they think poor people deserve to suffer. It makes MY NEIGHBORS happy, that people they think are inferior to them, are suffering and dying.

It doesn't happen to me often: but how many times would YOU have to be verbally assaulted by a stranger, ranting that you ought to leave the country or die because your expensive illness is paid for by his taxes, before you decide to just avoid people? I have a lot of trouble even trusting my wife.

I wish I could afford to leave the country, and move somewhere "socialist," where, I assume, people actually know how to care about each other, still. Here, they not only don't know how to care; they're PROUD of that.
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07:42 AM on 08/06/2009
Rogan, I, and many others, are fighting as hard as we can to get health care for all in this country that is still barbaric in it's attitude towards health care..
08:27 AM on 08/11/2009
Rogan, admittedly offtopic, but you might check out Dartmouth Spine Clinic's website and the work by Dr. Weinstein---in the national news lately. I got into one of his big low back problem studies, did everything via internet, cd, snail mail, and phone, and it helped me tremendously.
01:38 AM on 08/06/2009
I'm just glad that the poorly designed and constructed levees and floodwalls have all been subjected to the best engineering analysis, redesign, construction, and repair that is humanly possible. There can be no justification for such a preventable tragedy, but at least we took this opportunity to examine our national priorities and recreate our failing National infrastructure for the century to come.

Oh. Never mind.
10:23 AM on 08/06/2009
Actually, there continue to be problems with the levees because they still breach at various points along the walls. There was an attempt to bring onboard engineers from the Netherlands to assist with analysis, redesign, construction, and repair...but I doubt that it will happen.
11:04 PM on 08/05/2009
Harry - I appreciate all you do to keep this subject front and center! People really need to read more and actually study the history of New Orleans before they submit their comments - if they did they wouldn't be arguing these points with you.

You are dead on regarding this issue - keep up the good work!
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Bienville
Make levees, not war
11:23 PM on 08/05/2009
The Internet contains very informative resources.

Those wishing to learn should Google "Flood Control Act of 1965" and "ILIT Berkeley" and read what they find.

Most of the ignorance routinely displayed here would be alleviated.
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doctorj2u
09:37 PM on 08/05/2009
Very good multimedia page for the article.
http://www.washingtontimes.com/interactives/post-katrina-mental-health-woes/
08:27 PM on 08/05/2009
Los Angeles is below sea level. Holland is below sea level. Lagos is below sea level. New York would be a lake if they didn't pump it out 24/7/365 1/4.
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doctorj2u
08:24 PM on 08/05/2009
Be sure to read the comment section of this excellent report on the mental heath crisis in NOLA to understand the depths some Americans have reached. It is beyond sad.