Lisa Lumb, artist. In dialogue with her twin sister.
I am not sick to my stomach. I am sick to my soul.
The first job of any religious person is to try to make their own religion safe for the world. Every religion has a dangerous side which has at various times in the evolution of the tradition provided cover, sometimes even encouragement, to the most obviously horrible facets we humans are capable of doing to each other. Every king, thug, despot, gang leader and e-gazillionaire has a chaplain willing to cheer them up when they are sad and encourage them when angry. Every castle had a chapel, even when it did not have flush toilets.
As a follower of a Jewish man named Jesus, I am sharply aware that people have done, in the name of my religion, some of the same repulsive things done in Israel this week. Hamas didn’t do anything that the Crusaders hadn’t wraught a millennia ago on the very same land.
My daughter is married to a Jewish man, with both my grandsons raised to respect and participate in the rituals of Jewish life. We just built a Sukkah shelter together that we bought on Amazon. They are San Francisco moderns, sophisticated and proud of lots of things no longer believed. They let a Baptist sit in the Seat of Elijah for the circumcision. And those kids are more likely to go to Burning Man or a trance music festival in Israel one day than church.
I am sick to my soul.
This weekend a couple dozen authors and scholars from Africa, Europe and the US will gather at Wake Forest University to blend our thinking toward a book published next year about religion and health. We meet in sharp awareness that many would wish for no religion at all.
I can’t blame anyone who looks at history and concludes that we should try a culture with no religion of any kind. I thought we were heading that way, as rational secular science-based logic was all the rage way back at the end of the 20th century. It turns out that there is something in the human being that simply must tether beyond ourselves to ultimate meanings. Call it Spirit. Homo sapiens spiritus. We all have an ember that will flame for good or evil beyond all imagination.
Any of us brave enough to accept identity with one of the great traditions is responsible to see that the others of that tradition do not use that religious cover for heinous actions toward people of other religions; or those who are simply going about their life down the street in Hroza, Gaza or Winston-Salem. We say clearly that any religion—especially our own–that is comfortable with gross inequity in the distribution of things God intends for everbody should be rejected by the larger world as fraudulent. If one’s religion is not good for the whole world it obviously is not linked to the God who created the human species with nearly infinite variations of thought and imagination. Any religion that is not good for the whole world is dangerous to our small planet. Let us not leave that to secular people to say; it is our responsibility.
Practically, only a Christian can engage a dangerous Christian. Same for every other religion. This is not without risks, as some of the most virulent emotion is between people who share the same religious identity. But only an older white male Baptist can deal with the leadership of the minority group of older white male Baptists showing dangerous tendencies in public toward people within punching range. No Muslim, Jew or Sikh can sort out a crazed Baptist. That’s on us Baptists. And I’ll count on y’all to keep your extremists away from my grandsons.
The heinous savagery degrades all religion. Every faith favors humility, hospitality, kindness, generosity and peacefulness—especially toward strangers. And every religion violates every one of those time and again when it fails to hold itself accountable to its own teachings.
Today a kind of prayer beyond words lives in my soul, sick with sorrow.
The top floor of Baylor Scott and White hospital is dark wood, deep carpet and lots of glass, out of which one can see Dallas stretching to the dusty horizon. A physician noted that the people visible to the southeast near the Ferris wheel tend to die about 12 years sooner than those on the other side the same distance from the hospital. This is why I was there talking about the “social determinants” of health and what religion has to do with them. You’ll notice the phrase has two problems, “social” (when it really means “non-medical”) and, worse, “determinants” (when it really means variables). Hospital leaders hear about these factors a lot these days, but nearly all the problem and possibilities called social lie on the other side of the sidewalk outside their control.
The school is way more important than the hospital. Two scholars (Case and Deaton) sifted life expectancy data to clarify that people who don’t graduate from college tended to die 8 years younger. It’s not because the books would have taught them health-related tips. College is a social marker, mainly about one’s parents social position which is a big boost toward the student’s. Hospitals are pouring money into new IT to see what social determinant things such as food and short-term housing that their patients need. That is nice but misses the point. And it misses where to work.
It may surprise the well-educated, but not those on the downside of the data. The two thirds of Americans who did not go to college know all about early death; no wonder they are angry and vote with fury.
Social is the thing that happens when people talk to each other. In this case, at Tova Coffee House in Lubbock, TX
In 2008 the World Health Organization commissioned a global study on these poorly named factors, led by Dr. Marmot, who was famous for noticing that life expectancy decreased in a step-wise factor with each click down in social position within bureaucracy. The 2008 report said sharply that “social determinants can be more important than health care or lifestyle choices in influencing health.…studies suggest that SDH account for between 30-55% of health outcomes. ….the contribution of sectors outside health to population health outcomes exceeds the contribution from the health sector.” We’ve wanted to blame the doctors and the hospitals when the problem falls on all the rest of us.
The critical role of social drivers has two inconvenient implications for hospitals and one for people of faith. Hospitals have been happy with the assumption that they are the key to extending the health to everybody who can see their large buildings. Modern healthcare is mind-numbingly expensive. The business model draws from a deep well of borrowed money from nervous bankers requiring vast reserves to ensure they are paid back. The weird irony is that hospitals look like they have a lot of money, but it is reserved for the banks, not the neighborhoods. Everybody hates this.
Hospitals are legally obligated to provide “community benefit” but nearly all of it pays for expensive free care offered inside their tall buildings. Some count medical education (of doctors, not the patients). In some states they count the loss between what government pays for Medicare and Medicaid and the actual cost. Less than a nickel of every community benefit dollar goes to anything in community. Everyone involved hates that, too.
We should release the hospitals from the unrealistic expectation they can do what they’re not designed to do. They deserve tax benefit for giving so much care to people who can’t pay. We don’t want citizens dying, writhing on the streets. But—and this is the inconvenient part—we should no longer pretend that hospitals can solve what all the rest of us need to be accountable for. If hospitals can’t do it, they shouldn’t get political credit for pretending to try. Let the money follow the science to where health is created: especially the schools, social supports and public health that advances the health of everybody.
The day after speaking in Dallas, I was on a Stakeholder Health Zoom, a sophisticated group that knows all about this cruel reality. We we talked about how to get the money and attention out the door and into the streets. One promising clue is the rapid spread of communities using the Vital Conditions and the Thriving Together document to approach the radical complexity of assets in community. This has already sparked an extraordinary 53-agency Federal Working Group to advance health for “all people, no exceptions” at that level. We just have to do the same at the local level.
As I was preparing for the Dallas lectures, I came across a note that President Carter sent me when I was leaving his Center to go over to Emory University. He was not impressed. And he would not be any more impressed with my recent move to Wake Forest University Div School.
He hates needless theory when there is something practical to do. And he hates pretending that someone else should do what we can do any Saturday. Science says that health comes from people being in the right relationship to each other. It always has.
There are two reasons for grown-ups to avoid church. First, they’ve never been. My grandson once asked me with innocent curiosity what that building is with the “t” on top. Many others have been and see no reason to come back. The experience may have been repellent, demeaning or embarrassing. When you hear the worst people in public life explain their ugliness with faith, sensible people back away and keep the kids out of earshot. But it is far more likely that the church was inoffensive– less interesting than another cup of coffee, a walk around the block, tennis or whatever.
I’m speaking of church, but I’m guessing something happens like this in other religions, too.
I have found my closest working partners in two groups. The first are inside the church, but near the back door ready to get back on the streets. The second are already on the streets surprised to find themselves friends with a religious guy like me. We share the energy, joy and pathos—but not “god-talk.”
Next week twenty authors from Africa, Europe and the United States will gather at Wake Forest to blend our thinking on a book on religion and health to be published next year by Elgar Press. The intellectual sausage is still in process, so it’s premature to share detail. I mention it because most of the authors are in the two groups—some surprised to be invited to anything religious and all surprised by the creative energy released.
I am trying out the name “theogenerative practioner” for those propelled by an experience that feels ultimate and urgent, not just dutiful or godly. TGP for short. They are everywhere which is why I can’t despair. When Stakeholder Health gave Soma Saha and Ji Im our Jerry Winslow and Ruth Temple Bell Award in June, I called all of them that. Legendary practice; the theo signals the well from whence comes the imagination and resilience.
Writing in a more academic manner about “theogenerative practice” for the book I had to deal with “theo.” Jim Cochrane pointed me to Rev. Dr. Ted Jennings, our late friend from Chicago Theological Seminary, a TGP who wrote a wildly generative book, Beyond Theism, in 1985 (out of print, but available used on Alibris). He said we had been suckered into defending an abstraction called God—and the dangerous claptrap of theism. We misplaced the real mystery, that we humans experience God more like a verb than a noun. Ted did not care about God as an abstract ultimate cause that lends itself to authoritarianism. The abstract god justifies structures of religion, culture, politics and practice whose inertia robs the poor of hope for change and, risks the extinction of us all. A Christian theologian, he cared less about God as creator and more about the liberating Spirit. And he cared about the itinerant carpenter who was killed by the twisted authorities of religion and empire for proclaiming justice and mercy. Count me, in Ted.
Although TGP’s are often not religious, we find “god-talk” helpful as we talk to each other about the experiences of being drawn, called, called out, confronted by the deeper currents of life. Ted was careful to note that a lot of non-religious people experience this even when they don’t have “god-talk” to explain it: activists, artists, care-givers and healers. Maybe you and me.
Zach Stewart
I think of Brooks Hays, Jimmy Carter, Bill Foege, Jim Curran, Howard Koh. And John Lewis, of course, who became an icon of generative public justice-making. He was raised in the church; long called him “preacher” for his earnest way of preaching to the chickens under his care. (Read Walking in the Wind right away!). But his life changed when,
“on a Sunday morning in early 1955, I was listening to our radio…as always, when on the air came a sermon by a voice I’d never heard before, a young minister from Atlanta…. But even more than the voice, it was his message that sat me bolt upright with amazement….This was the first time I had ever heard something I would soon learn was called the social gospel….I felt that this man—his name was Martin Luther King Jr.—was speaking directly to me.” (Lewis, p. 56).
He was transformed forever; following, following, following and in then leading, leading and leading. This was an event that opened the possibility that oppressive political realities could be disrupted, too.
We may never have another John Lewis or Jimmy Carter. But we may never have another you or me, either. It is entirely normal to have one’s life disrupted by events and inbreakings that release us for what we are made to be, made to do. Ted would say the work of theology begins with these events, not the old dry abstractions of theism. God is not done. What?!?!?!
Don’t skip over “generative.” This is the quality we recognize in God and the people. And not just practice which is nice, kind or proper. This is what makes God disruptive and impossible to tame by human systems. And this is why generative theologians scare defenders of the old ways.
A critical role for TGP’s who are religious like me is to defend theogenerativity against authoritarian religion in the public square. We needed this in COVID when religion was used to undermine public health. And, sadly, we see it in the most ironic place—love and the wonders of sexuality. Amid so much hurtful blather, we have to say clearly that God delights in generative relationships; you can’t have too much love across the whole fluid alphabet of sexual identities. God loves love.
By Jimmy Carter. Hanging in the Zaban Room of The Carter Center
We need tens of thousands of theogenerative practioners. And I think we have them. We have twenty-five new ones starting at our School of Divinity. Jerry Winslow is still disruptively typing at 78. I promise you that Jimmy is doing something theogenerative on his 99th birthday.
I walk through morning light among the apple trees to the circle of seven hives as a half-million bees begin a new day. I sit by the small hive over on the left looking for pollen saddlebags on the arriving foragers which will tell me there are babies being fed. This hive is a refugee remnant from one that fell prey to an infestation of wax moths. Many bugs beside bees are attracted to honey and wax—small beetles, ants, “destructor mites” too small to see. And, the most disgusting, wax moths that tunnel sideways through the comb leaving stringy goo the bees can’t remove and can quickly overrun the whole hive.
Bees are NOT supposed to do this, but they were refugees without options, so they build UNDER an empty hive.
The Mother and 6 or 8 thousand sisters abandoned the lost hive, flew 100 feet across the circle and attached underneath an empty box and built comb as if they were waiting for me to do something. This situation is not covered in my dozens of beekeeping books, which the bees don’t read. I was anxious about hurting the already traumatized refugee Mother so I gently picked up the bottom board under which they had attached themselves and put it on top of a small box with their new comb dangling down into a box. I added a bottle feeder to help them settle in.
Mother might have time for two three cycles of babies before frost. The sisters don’t hibernate, but they’ll quite raising babies and push the drones out to save food and bother. The girls form a tight ball to keep Mother warm until February when she’ll rev up again if—a big if—the hive can recover its strength. I’ll always pull for the underbee.
Meanwhile, the other half million sisters around the circle need treatment for those damn mites. This involves a 14 day regime of stinky chemical pads inside their hive which makes them grumpy as I check carefully for other bugs. The only nectar around is goldenrod so I’ll feed them after this treatment with a last shot of formic acid till we tuck them in for the Winter.
We say “beekeeper” but I am the one being kept. Why do all this? Not the honey, although I did harvest 18 gallons from four of the hives this summer; should be twice that If I can nurse these hives along. But the longer I am kept by the bees, the less I think about the honey. These sisters have watched mountains, oceans and glaciers come and go—taking lightly the latest annoyance, we silly humans. I savor being inside their generous circle on a season of their 30-million-year journey.
Moon rising through the Nunnery on Iona.
On every one of those 11 trillion days, they read their environment and adapted to the unexpected. They focuses on the babies who thought only of the babies after them. Bees will let you have honey, but sting for brood. On the other hand (bees have six) their survival depends on radical diversity. Honeybees are impossible to tame; certainly not be me. The mother mates with 10 boys a few seconds each 50 feet in the air. She flies right past the neighborhood boys to those a couple miles away. Her daughters have random fathers so every bee and every hive is a slightly different mix of inherited traits. Don’t worry about their survival; some hive somewhere will have the traits to survive the worst we dumb humans can do. We humans on the hand (we only have two) are far less likely to survive. We don’t think about the babies, resist diversity and have tamed ourselves.
But now and then an improbably wild human hive emerges with traits fit for the future. Last month TC and I took rail, ferry, bus and footpath to the rocky island of Iona on the western coast of Scotland. People have come here for millenia to experience its “thin veil” between human and the Ultimate. The abbey was built 1,460 years ago and Druids worshipped here a thousand before them. Its Christian phase attracted pilgrims and, unfortunately, my ill-behaved Viking kin for centuries until succumbing to the protestants who let the rubble crumble. In the 1930’s until a muscular Presbyterian, George McLead, founded the Iona community restoring the abbey, and more importantly, built a movement for enspirited mercy and justice. My Norwegians gave them the lumber for the ceiling they had burned earlier. Now Iona is a hive of radical spirit. If honeybees invented humans, we would look like the Iona community—women leading with maybe 15% men allowed, as long as seemed relevant to the babies.
Late summer fields surrounding the Abbey of Iona.
About a mile across the strait from Iona is the pink granite “island of the strong women.” The founding priest Columba shipped the women and cows over there, which didn’t last long as boy energy is too brittle for the harsh climate. Today the spirit and practice of the Iona community is distinctly feminine, unafraid of the bitter winds or the venal proud boys now having their day in so many places around the world. Spirit with sting ,if the babies are threatened. And they are.
Aaryaman Singhal, one of the brilliant young leaders of the Sunrise Movement. Count me in.
Iona tunes my ear for the songs of freedom rising up where you don’t expect it. An unlikely young hive, the Sunrise Movement, rose up in Texas demanding the government to reinvent the depression era Civilian Conservation Corp to fight climate extinction. It is led partly by Aaryaman Singhal, who reads his environment like the a honeybee. After slogging through steaming heat in east Texas and Louisiana, this week he stood by President Biden and AOC announcing the American Climate Corps infuriating the republicans (who rather remind me of the wax moths the way they go sideways). It will set another 20,000 people free to give themselves a chance to give the world a chance.
This is how life works. Hope comes from the edges, from the experiments you’d least expect to work. Look to where the veil is thin between human and ultimate; where you can see the inbreaking of the future.
Standing Cross next to the Abbey of Iona looking across to the Island of Mull.
Did you even know there were boy and girl artichokes? My daughter tells me that this one is a boy.
Bob Matthews and I have shared a friendship for nearly 30 years, dating back to the time I worked with Jimmy Carter. Nowadays, both Bob and Jimmy, along with another close colleague, are on hospice care. Yet another friend depends on an annoying oxygen machine. It seems as if our whole species—humanity—is living in diminishing days.
Bob, who is living with chronic obstructive pulmonary disease, is cared for by his wife Marjorie, his daughter Sarah, and hospice nurses, all blending both skill and humor. A few weeks ago, they hurriedly assisted him as he struggled for breath, to which he responded, “why bother?”
It’s a real question. And as a pediatric chaplain, Bob would know smarmy distraction.What justifies any effort or expenditure—bother—when the recipient can’t give back? Insurance may pay for the oxygen or rent the special bed, but no amount can offset the emotional investment of a daughter, wife, or friend. Why bother?
Bob’s patio blooms with flowers that he nurtured, now with help from his daughter Sarah. Did he earn their blossom? Do we ever truly earn anything? Certainly not through our clumsy endeavors labeled as “work.” Most of the most beautiful things in our lives are unearned and now in threat. The fading redwoods, air itself. Why should we bother?
Weed or miracle? Who cares?
As long as Bob can marvel at the beauty of a single blossom, he is on duty. The world runs on wonder, not mere logic. I suspect the flowers grow towards Bob’s awe just as they do toward the sun.
Later in the day, while in another garden with another daughter, I experienced the astonishing beauty of a raspberry. Can anyone truly earn even one of them? And there, from the same earth, an onion the size of her head emerged, worms wriggling away to prepare another one. Witness the egg laid by a generous hen, young Malbec grapes nearby, their roots digging into the same miraculous soil.
A honeybee paused to watch us. Most honeybees live six to eight weeks in the summer, their wings worn out from countless flights, collectively producing less than a teaspoon of honey. Does any human deserve enough for a single cup of tea?
Stone sober, I felt as high as any Californian had ever been at the audacious generosity of it all.
Most of the most beautiful things in our lives are entirely unearned, but often under threat; the redwoods, air itself. So there’s plenty of urgent work for the young and healthy, and even some for the grey, who can endure policy discussions in closed rooms. But work without wonder is unlikely to heal.
Just last Thursday, I saw half a trillion dollars worth of gold in the basement of the NY Federal Reserve Bank; money isn’tlacking in the world. The upper floors, though, offered something more valuable—brilliant minds, brimming with expertise and energy, contemplating the intersection of climate, health, and community. These minds can envision, then bring to life, things that haven’t existed before. But, why bother?
Some people are willing to give their lives away to the last breath—Jimmy, Bob, Jerry. Why wait to follow what they show us? What about the approximately four thousand weeks most of us get before those final moments? ‘We should begin, not end in wonder and then act. Any tool in a hand not guided by love, is more likely to harm than heal.’
I’ve never been much attracted to contemplation, being busy myself. But I see that worthy labor only grows from a sense of wonder, especially as we grapple with the fear of losing our natural systems and social structures. Fear triggers action, but rarely discernment.
Nobody has ever been busier than Jimmy Carter, who even managed to squeeze in bird-watching en route from the airport during an election monitoring trip to Zambia. The miracles on the wing captivated him, just as the miracle of free voting did. He observed, then he worked.
Celeste Wray a spirit warrior who belonged to St. John’s United Methodist church in Memphis, Tennessee which has seen its share of evil and evil overcome. She fought every good fight with grace.
On Memorial day we often think of those who gave everything so that others could enjoy the normal pleasures of human life, especially the love of family. It has also become a day when loveless political bullies bluster at some already-stigmatized set of people unlikely to hit back. Their cowardly ugliness hardens our social spaces and hurts people who have already been hurt by their families. It continues partly because they rarely go after groups that can’t easily hit back. They don’t attack older white heterosexual married hospital executives. Or ordained Baptist ministers. Like me. I recently presided at the wedding of two kind women whose hearts had found each other. Why would they be attacked and not me? Because bullies are weak, the kind of people the heroes of memorial day faced down.
I wore the robe and read from the Bible my mother gave me upon my ordination:
“You can see, feel and hear that the whole universe sings, hums, buzzes and claps its hands on this happy day. We signed the North Carolina State marriage license before the ceremony to get the government out of our family affairs. So why do a marriage ceremony at all? The State permits love, but only a sacred event with family and friends cements it.
“We know that some in our hard-hearted world think that these two lovers should not even hold hands, much less be joined in matrimony. So it is important that we support their love for each other from this time forward.
“These two wise and thoughtful women considered their decision carefully; they do not need any wisdom from me about how to live their lives or give themselves faithfully to each other and the world. We can see they know this.
“It important for an ordained minister of the Gospel of Jesus Christ to grant sacred blessing to carefully considered committed love. There are those who would not; those who fear the overflowing love of a wildly abundant God. But if we did not celebrate this love as holy, true and sacred, the rocks, trees and earth would cry out and sing instead. This love and this marriage is of a loving God who has made us to have love and then make commitments and keep them so that love matures over decades as a gift for each other and for each of us who are also blessed by their love.
Reverend Mark Stephenson is the South African Methodist minister who presided over the marriage of TC and me.
Anyone could see their natural kind way in the world. They grow things, repair things, clean things, bring stuff into order. They give themselves in labor and skill. They are thrifty, kind and wise; and better at everything because of their union. This is obviously a union made by God, even if some of the family was still getting used to the idea.
I pronounced them married. What God made One, let nobody and nothing separate, especially some loveless bully who wouldn’t know love if it walked up and kissed them on the lips.
We did the wedding in the backyard of our home shared with six hives of mostly girl bees– 150,000 sisters who provided the mead with which we celebrated over dinner
We need lots of love.
TC and me in the Monadnock Room (overlooking the mountain) the day before the wedding. The actual day was marked by heavy rains which are acknowledge in most cultures as a sign of great blessing.
Last weekend TC and I were in New Hampshire to dance at another wedding. Like most love, it was improbable and inevitable. This woman and man had been so bruised by earlier marriages that they had given up on love entirely. It fell to their children to encourage them to try again. And love found a way! The wedding ceremony lasted at least three hours with all that Irish, Indian, Bhai, and random 21st century meaning-making had to offer. Fire, flame, music, bubbles, knots, turmeric, dance. We didn’t really need any of it, as there was no possibility of missing the light of love between this man and woman shocked to find themselves loved and cherished by one another. Thank God their kids didn’t give up on them!
There is no way to out-bully bullies. I may be best to ignore them; starving them of the attention and fear they crave. Only their children can reach them, after all.
But it would help for those of us they are not likely to attack, to speak up for love. Especially those of us who they think look like people who agree with them. Instead, we should encourage every bit of every kind of committed love it is possible to nurture, bless and protect.
The life of Reverend Dr. Christopher Patrick Bounds doesn’t fit in a blog; it hardly fit into Memphis! He and the Bounds brothers once opened for the Temptations on Beale Street and he knew the labyrinth under those streets working with public works department. And, oh my, did he do public work as the soul of the “Memphis Model.” He and Dr. Bobby Baker built a meshwork of trust in a city with almost none, certainly none that crossed over the broken boundary zone between the powers, principalities and structures of faith that kept dreaming of mercy and justice decades after Martin preached his last sermon down the street at Mason Temple.
I knew only a shred of this great life. Technically, he worked for me as a chaplain at Methodist LeBonheur Healthcare, but I was never confused about who knew what to do and why. He and the Reverend Dr. Bobby Baker once took me to breakfast after the Congregational Health Network was rising up from the delta mud; they told me I needed to hire more white people to balance the risk of the work being dismissed and targeted as just Black: “surely you can find some!” Chris lent his considerable store of trust to CHN, Methodist Healthcare and me. He once took me to preach at the Historic First Baptist Church of Millington (the white people named their later thing First Baptist, too). The congregation had come for church and found me in the pulpit; they were skeptical based on a few centuries of history. Chris explained in his introduction that I talked softly and, frankly a bit oddly about the leading causes of life; but it was worth leaning in and listening.
Dr. Bounds was never surprised by the ugly claws of injustice. He closed the door of my office and told me that while he knew I was a liberal and did not have room for Satan in my cosmology, I was dangerously exposed without some way to understand that chaos fights back when justice and mercy begin to rise up. It did and does.
He was the lead chaplain at University Hospital which put him inside rooms where justice could be carefully titrated and found inconvenient amid the pressures of big time healthcare business. He spoke in clear language that ripped the veil when quality wonks spoke of gross disparities as “opportunities.” We found, somewhat surprisingly, that our data showed equal treatment inside the ER; but that Black men died on the way at shocking rates. And the hospital had trouble keeping track of the ones that survived. Chris said these were his brothers and that they were dead.
It is hard to live with such clear vision and a heart of mercy. He was one of the few Black preachers to preach white funerals, including one for a recovering alcoholic chaplain. Their love for each other was a beacon fire in a dark land.
He spoke life in places that only spoke death. He preached leading causes of life in a funeral that released a family full of repressed anger and grief. The deacons and lawyers had to protect him. He warned me that these leading causes of life were a lot more powerful than they look.
TC and I got married in South Africa but with a blessing of the marriage on Mud Island in Memphis. Chris did the prayer which went on for quite some time. Several minutes into the prayer we realized he had wandered off into supplications for the Affordable Care Act, which somehow seemed appropriate given the many tribes attending. Pastoral love and politics were never far apart in the eyes of Dr. Bounds.
When I think of—dare I say brother—Chris, I can think of many times he spoke the urgency of justice. But I can only remember him with a smile and gentle eyes that did not give up on anyone. We knew when his love Bren passed last year, that Chris would not have much more use for this world. He passed at 10:30 Monday morning in the residential hospice he helped build, surrounded by many whose lives were dignified by his.
White Dove, by Jimmy Carter in the Zaban Room of The Carter Center
Jimmy Carter’s life is now complete, a race run full out to the last day. The moravian bells of old Salem chime in his honor as I type. Many others will follow in the days, months and decades to come. We must not lose memory of his decency, honesty, toil, service and faith. And not dishonor him by elevating those virtues out of reach of all of us.
Counting him out was almost never a good idea whether he was running for an improbable office (every one he ever held) or an improbable health goal (guinea worm, polio, smoking or handgun violence). Or embracing improbable relationships—the Allman Brothers Band so key to the first steps of his race for President, Charles Taylor, the Liberian Pariah President or North Korean Pariah President, Kim Jong-un. Carter was able to live across improbable boundaries because he was comfortable with his own complexities and complicities; he knew he was human like all of the 8,018,082,868 of us. And he was clear-eyed about his own death, which most of us ignore until the last final shock.
Carter was always misread as being somewhat simplistic and moralistic. In fact, he worked through his own complexities to still choose to act, speak and do what he thought right. He was not surprised that his relationships sometimes made that harder; he was a loyal to people who made his life more complicated than a more ruthless man would have (thinking of a few bankers and entrepreneurs who clung to him like barnacles). A religious man with eclectic curiosity, he often confounded Baptist Christians who feared the grey areas (most of life). And he confounded secular friends who loved the grey so much they found it odd that a man could choose commitment and follow through. Not satisfied with a simplistic stab at polio, he did the hard work decade after decade after decade. Never satisfied with pontificating in a hotel ball room, he took African presidents to left-behind places in their own countries they had never seen. And then he went back again and again. He knew the complicated reasons for homelessness, but he never failed to pick up his own hammer and build one more home. He loved one woman his whole life, even though he was honest enough to almost lose an election by admitting “lust in his heart” for others. He gave the word “human” a good name.
Like many thousands, my life would be unrecognizably different had it not met his. Not long after he was involuntarily returned to civilian life from the White House, he started The Carter Center as a launching pad, more than a museum. He and Dr. Bill Foege, who had run the CDC under him, held the first global conference called Closing the Gap, even before he had a building. An engineer’s kind of conference, it asked how much of the burden of premature morality could be prevented based on what was already known. What could we actually do with what we already know? About two thirds was preventable back in the 80’s, as your grandmother would have guessed. And who needs to act? Among others, the ubiquitous faith networks who he knew tended to sit around and wait for something terrible to happen and then act surprised at the most predictable things (cancer, war, diabetes, river blindness). Could religious people grasp the vast moral chasm causes by not acting on the patterns we know cause needless suffering? He and Dr. Foege got the attention of the Robert Wood Johnson Foundation and started the Interfaith Health Program, which I ended up leading. Why me, and not some famous academic bishop? Frankly, I’m not sure, but both men had a preference for bold action over formal qualifications.
The first thing we did was blow up the perfectly respectable grant plan of work, which began with a big formal conference at the new Carter Center. We replaced it with two years of scrappy meetings in dumpy basements and raggedy centers all over the nation (not unlike his run for president, now that I think of it). We asked the leaders actually doing things what they would commend to him as worth replicating. And we asked where they were stumped for lack of a clear vision of what might work. The two lists were identical, of course, which meant that the big innovation was having enough humility enough to realize that somebody down the road had probably already figured out the answer we thought we had to invent. It is actually harder to adapt something as it demands even more intelligence than simply plopping down another idea from somewhere. He called this a “mundane revolution.”
Carter is known for protecting the Arctic reaches of the Alaskan wilderness. I rafted the Canning River which borders that vastness and I was grateful; what other President even knew it was there, or would spend scarce political capital to protect it? It wasn’t just big nature he loved; he never missed participating in the Audubon bird count in Plains. He personally called the American Chestnut Society to get some hybrid seedlings to plant at The Carter Center, where they are improbably growing strong. He accepted some gift of Koi from the Japanese government but refused to purify the pond so people could see them. (A Georgia pond is brown.) Life, even the mundane, is spectacular when you have eyes like his.
My very best ideas are tiny footnotes in the extraordinary legacy left by this special man. These include the “Memphis Model,” emulated by dozens of major healthcare systems all over the nation, the “religious health assets” which paved the way for the WHO into activating faith networks all over the world and, of course, Leading Causes of Life, which I spoke about the first time at a Conference in Milwaukee to which the former President sent me to in his place (imagine their disappointment!). Carter created a physical and a mental space where it seems reasonable to imagine things that had never happened and then try to do them. And then keep trying, maybe even for 98 years.
After decades of one unbearably oafish Christian after another desecrating the very idea of faith, he quietly gave his life as a long gift to his church and all people of faith: an example of sacred dignity and integrity. Not that the oafs understood. When he was gracious enough to invite evangelical leaders to the White House, more than one publicly prayed that he would become a better Christian. However, when my secular friends think that anyone who tries to believe is foolish, I could always say, “No, I mean people like Jimmy Carter.” They had to nod.
He had little patience with superficial piety. Once he had all of us Directors reflect on whether Newt Gingrich had any good ideas in his “Contract with America.” I choked and noted this was not likely to go down well with the faith people who actually do the work on the streets. He snapped that the churches rarely break a sweat, while the government at least knows where all the poor live.
In the very first article for the Interfaith Health Program he wrote, “We must make the choices that lead toward life.” And who is accountable for those choices? Not just improbable Presidents, but hundreds of thousands of improbable grown-ups doing the right thing when people notice and when they don’t.
This is true, even unto the very end of their days, when the right thing means releasing into the love of one’s family, instead of the normal vain and fruitless medicalized struggle against death. James Carter was proud, but never vain, often overlooked, but few lives bore so much fruit. I hope his last thought was satisfaction of a life well lived.
Rulers have held conferences about food, hunger and health since the land between the Tigris and Euphrates rivers was farmed 11,000 years ago. Now every five years the United States Congress passes a comprehensive Farm Bill in that great tradition of balancing complicated and conflicting ideas about how to feed another generation. Governments have usually gotten their citizens enough calories in the short run, but screwed up the long run, turning farms turning into deserts. Mesopotamia, now Iraq, was “the fertile crescent,” just as northern Africa was the grainery of the Romans, just as Iowa is for us. Doesn’t bode well for Iowa.
At Joe Biden’s White House Conference on Food, Hunger and Health last week I sat behind Dr. Dean Ornish, the cardiologist who was derided for showing that one could reverse heart disease with nutrition, exercise and, even more controversially, social/spiritual support. On my left was the President of American Soybean Association, which has so successfully lobbied for their bean that it is second only to corn syrup as the most common ingredient in the American diet, including many products that are only barely identifiable as food. There were many such ironies in the room: food bankers munching on lunch provided by Google. Hospitals like mine highlighting community food initiatives in the shadow of our massive surgical towers that Dr. Ornish proved unnecessary decades ago. Meals on Wheels executives jostling with Instacart lobbyists. Organic farmers next to pesticide people. Chef José Andrés, the electrifying Puerto Rican Chef sounded the call to simply feed everybody…now; just do it.
The last time food rated a White House conference was under President Nixon 53 years ago when I was in high school. He opened the door to China, just as he opened the kitchen cupboards to food stamps, now called WIC and school lunch programs. He also had Earl Butts as Secretary of Agriculture who considered small farmers a silly distraction in favor of industrial behemoths. The mishmash of noble and industrial programs had all sorts of unintended consequences that their advocates understand need to be corrected. New York Mayor Eric Adams (sitting next to Dr. Ornish) wanted the health experts to be responsible for designed school lunches to be about nutrition, not calories: “we’re just feeding the next health crisis.” Donna Martin, The head of Burke County Georgia school kitchens asked for the same thing: “come to school, work in our kitchens, feed our kids.”
Food doesn’t come from a warehouse or even a kitchen; it comes from soil. The kitchen just links two astonishing complexities, the soil biome and the one in our gut where food turns into…us. We know now that the human gut biome determines much of our resilience and lifespan health. Many even speak of the “gut brain” to describe how the biome shapes our choices, emotions, patterns of behavior. The only thing more complex is soil itself. Bad dirt, bad gut, bad health.
Those complexities of soil and gut are largely shaped by the third, politics. Perhaps as complex as food and soil is the social biome; how the 8 billion of us love, fear and choose over our lifespans. Our social choices emerge from our social soil, not surprisingly these days producing poorly nourished decisions. Our civil society, Congress and courts are like children raised on Twinkies and Red Bull; our democratic process staggers in puff and bluster.
It is easy to be cynical about events like the White House Food, Hunger and Health Conference. But this is how democracies muddle our our way, and nearly infinitely smarter than letting the rich royalty dither. The day before the Conference, the White House released a thoughtful national food strategy with 5 pillars—the first one focusing on economic stability. This thoughtful document is only paper until it gets translated into the 2024 budget and the $1.1 trillion Farm Bill. That legislation will determine how many soybeans get subsidized, what kids get free lunches, what moms watch their kids grow healthy or smaller. As President Joe said, “if a mother can’t feed her child, what the hell else matters?” A handful of contested house seats will decide whether that legislation will will be shaped by the people who put together the White House food strategy or people with no strategy at all. Food policy shapes generations; Wendell Berry thought we should enact 50-year Farm Bill’s to break the dangerously short-term thinking. ( Jackson, Wes; Berry, Wendell (January 5, 2009). “A 50-Year Farm Bill”. The New York Times.)
The food conference should make everyone uncomfortable a half century after the last one. Different decisions could help our community systems produce much more health. But we have to include capital investments on the screen, which is especially sensitive for hospitals and industries such as soybeans and food chemicals. Once you’ve built something, you have to pay for it. Better scientific critique would prevent us making extravagant and unfounded investments that produce little real gain in health. Our non-profit industry has shielded our capital investment side from visibility to the community benefit legislation, so I don’t sense we have a lot of moral high ground on the soybean people. Like fixing the food stamp and school lunch programs, the hungry would have us fix community benefit legislation, too.
President Joe Biden bringing the word: “if a mother
Most politics is mostly projected out of the past, not the future. The arguments focus on keeping privileges, not getting new ones. That’s how the 3/5th of a citizen idea got into our founding documents: it kept slavery and made inevitable the Civil War. This is also how the subsidies for cotton, sugar, soybean and petrochemical industries end up the Farm Bill cycle after cycle. I was representing Stakeholder Health which has dozens of healthcare non-profits, so I was not comfortable about our illogical privileges, too. We give away a lot of free care. But we could be way more scientific about our investments, including the vast sunk cost of buildings. If we stacked all our bed towers next to all the soybean silos, I think ours would be higher, more expensive and harder to defend.
The day before the White House Conference I was part of a workshop convened by the Stand Together Foundation—a child of the Koch Brothers Foundation. It would have been easy to be cynical about this one, too. But the invitation was just as hard to turn down as the White House Conference, as the subject was just as fundamental: “social dynamics of health.” The two were windows on opposite side of the house peering into the same phenomenon.
The link between the tiny San Diego workshop and massive WH Conference is hard to miss as both events raise fundamental issues of how to achieve fundamental public good. One of the big changes since the last WH Conference is the huge expansion in the non-governmental non-profit sector, especially in healthcare. Neither meeting was about more charity. Rather, the issue is how to appropriately recognize our part of the community systems that create the population scale patterns of health. Whether we are big hospitals or soybean farmers, we should thoughtfully subjecting all of our community-facing policies to basic science critique, especially procurement and capital planning.
The place to start is the same place as doctors do, “first, do no harm.” Wendell Berry was a young man during the Nixon Conference. He was already famous for taking on the agro-industrial machinery that found small farmers so inconvenient and illogical. “What I wish to speak for here is the discipline in the Human character that makes him able to forebear and restrain himself when he’s doing obvious damage to other people.”
Bad food and bad food policy comes from ravaged social soil. Ours is worse than depleted; actively poisoned. Carpet bomb spraying of pesticides makes it impossible for bees to fly or think. Anyone who would do that has drunk their own poison. Dirty politics? I only wish that politics were as healthy, resilient and self-cleansing as dirt.
The maven at the heart of the San Diego meeting was Tom Romeo, VP of the Charles Koch Foundation. Tom had gathered a group of thinker-doers working with the homeless, in public housing developments, with police and troubled kids and two surprisingly cheerful economists. Tom gifted the participants with copies of Ivan Illich’s 1973 book, Nemesis and Deep Economy by Bill McKibben. The third hand-out was a paper TC, Jim Cochrane and I wrote for the National Academies of Sciences about “the health of complex human systems.” These are not what you’d expect of a Koch workshop; a signal that something very basic is changing in the idea soil out of which grows the social dynamics.
Illich, McKibben and my team argue that we have to see human health as the fruit of nested complex systems, just related as soil and gut. This is not a metaphor; this is why things happen as they do. It is why the planet is melting, bees dying and neighborhoods go hungry. If we do not think, analyze and dialogue in the complexity of the nested systems, we will break those systems. The farms will turn to desert and our children will grow small, theirs smaller still.
The data say that we are well beyond the tipping point and that we should despair. However, the natural systems testify that they rebound once the poisoning stops. The ozone hole we thought our doom two decades ago, is already half healed. The Monarch and the Honeybees will thrive too, as will all that comes from healthy soil, meadow and forest. The only question is whether our grandchildren will be here to enjoy it.
Winston Churchill used to say that you can on Americans to do the right thing…after we have exhausted all possible alternatives. Surely we have arrived at that place now since there is still a chance for the children. Bill McKibben, in his latest book, The Flag, the Cross and the Station Wagon notes that there aren’t many things an old person can do better than a young one, except getting arrested on behalf of their grandchildren. We have to try, take risks, be bold for those we love.
Trying in complex human systems means grown-ups talking to each other, especially those expecting to disagree. That’s why I reluctantly went to the San Diego conference and found myself among new friends. Trying means thousands of committees, some dealing with the trillion-dollar Farm Bill, some about the neighborhood school kitchen, some with the homeowners’ association figuring out how to stop spraying dumb chemicals.
Complex human systems seem overwhelming. But they invite us to be part of the complexity because everything matters. Just as every quart of poison spray matters, just as does every choice, every vote, every conversation with someone you thought opposite. Every kindness is honored; no love wasted, no healing intention lost. Chef Andreas is right; we have all the ingredients; we just have to try.
Two citizens, Dr David Beckman who led Bread for the World. And me, from Precinct 601 in Winston-Salem NC.
Even an electric vehicle depends on the kindness of strangers now and then. Good thing there are always kind strangers. In this case it was Mike Carnett, a car salesman in Wytheville, Virginia, 90 miles from home when we only had 78 miles of battery life.
Nifty charger at Pipestem State Park. VERY handy.
TC and I had enjoyed the glories of Pipestem State Park in West Virginia, which overlooks the ancient Bluestone Gorge. And it has a modern little free charger for both Tesla and our union-made Chevy Bolt. (I love to park next to Tesla’s who paid three times what I did for our 250 miles of range.)
We decided to take the long way home down the New River as my EV app told us about a charger in Blacksburg. From there we would have plenty of electrons to get home to Winston. We travel these days guided by clever iPhone Apps and the scattering of charging stations in in Walmarts, shopping malls, gas stations and the occasional city hall parking lot.
Even the cheapest EV (mine) has more than 200 miles of range, which is a lot more than I can go without stopping to pee. I’ve put just under 20,000 miles on my Bolt ranging from Atlanta to Cincinnati to DC with only flutters of anxiety.
Butyou still have to get the electricity into the battery. Our Bolt would not accept the charge at the EVGo charger in Blacksburg even after 45 minutes with a very helpful young man on the help line. No problem as we had plenty of juice to get down to Wytheville as a gas station where we had charged the day before. But, it wouldn’t charge there either, even after an hour on the phone with another delightful lady. We were now 12 miles short of the 90 to get home.
The Nissan Leaf was one of the first legit EV’s so every dealer has a free, but really slow, charger. We drifted slightly nervously across town to Dutch Miller Nissan. It almost worked. Out walked Michael Carnett, who poked and joked as salesman do. He noticed that the charge nozzle didn’t seem to be quite seating correctly. So I stuck my naked finger into the gizmo and dislodged a little chunk of plastic that was wedged in, probably broken off from an earlier session. A teeny-weeny trickle of electrons began to move. It was like watching a bucket of water heated by a match. So we went back to the fast Electrify America and ate ice cream as the big wire poured in 100 miles in 25 minutes. Home by dinner.
Piece of plastic in the wrong spot prevented the charger from seating correctly. Who knew? Note I still have all my fingers even after fishing it out from amid the electronics.
Electric vehicles are still vehicles with thousands of moving parts. There is no oil to change or engines to pour gas in. But EV’s are still complicated machinery built to ride up and down mountains at high speed. Stuff happens in the real world.
I can’t wait for the deluge of charging stations after Senator Coal Mine (a compliment in West Virginia) changed his mind and permitted the future to edge into our lives last week. I don’t know how our Nissan friend votes or what he thinks of global warming. I know I was grateful for his practical curiosity and kind spirit. It’s gonna take all us strangers showing a little kindness to get to the future.
Sunset at Pipestem was still worth all the adventure.
