Showing posts with label abuse. Show all posts
Showing posts with label abuse. Show all posts

Saturday, August 3, 2019

On The Dangers of Faux Solutions to Catastrophic Encounters with Law Enforcement

Image of disabled Black activist & mother Korryn Gaines with
her five-year-old son Kodi. Korryn chatting on her
Cell phone with Kodi chatting happily on her lap
Digital art rendering K.Cevik. 
Original photo Instagram
It is so difficult for me to write about this topic repeatedly.
But right now, Senator Chuck Schumer is currently battling the DOJ over who will control the funds for the surveillance of autistic children and adults who wander under Kevin and Avonte's Law.

This is the latest chapter in the continued tragedy of another crop of ID tag monitoring initiatives paired with autism awareness training. These initiatives are meant to give autism parents that false sense of security that their offspring won't be harmed in an encounter with police.

I used to believe such training was the magic bullet that would solve this. I watched while one disabled POC after another died at the end of such encounters and wept, realizing I was totally wrong.

Any law enforcement ID program, registry of biometric information and DNA, or other such efforts to reduce catastrophic encounters with disabled community members who are neurodivergent or have an invisible disability label do not help the potential victims.  They may reduce law enforcement risk, and they may make families and police feel better. Tagging humans without their consent and surveilling them does not reduce wandering it may or may not make it easier to find missing autistics. But regarding the death toll of neurodivergent African Americans caught in catastrophic encounters with law enforcement, nothing has changed. They are still dying regardless of how much training, IDs, tracking, or biometric database building is involved.

That means this is not working for our families.

I breakdown when I am forced to repeat the names of every young autistic African American who was shot dead by officers who knew their disabilities, were already trained in de-escalation techniques, were carrying tasers but used guns instead [see Stephon Watts ], and in some cases actually knew the victims personally from previous encounters [see Paul Childs III.] Some of the officers involved in some of the shootings and excessive use of force incidents had histories of prior bad acts that received little or no disciplinary action [see Gilberto Powell’s case].

I want anyone reading this to feel our people's pain. We can only reduce the deaths and irreparable harm when we understand that repeating and mandating solutions that aren't working perpetuate the cycle of harm to disabled Black populations.

All these programs that flip the responsibility for being victimized to the disabled person in crisis and present the solution as somehow being centered on wearing identification, carrying communication cards, or being known to law enforcement as a neurodivergent individual need to leave the catastrophic police encounter conversation. We have to consider what it means to have identification tags hanging all over our loved ones letting anyone and everyone know our disabled folks are vulnerable and excellent targets. We have to approach these things better than mandating solutions without including folk who know what it means to be autistic and marginalized in multiple ways. These people may be invaluable in crafting better solutions. I cannot emphasize enough that not listening to everyone in this conversation is costing lives.

It should not matter whether or not a person is visibly disabled. It should not matter what the respectability factor of a citizen is. We all have Miranda rights, civil rights, and the right to equal humane treatment by law enforcement and criminal justice representatives in our country.

We have all seen enough videos of law enforcement officers dumping visibly disabled people out of their wheelchairs and forcing off prosthetic limbs and crutches from citizens to understand by now that being aware a person is disabled doesn't prevent deaths or excessive use of force during engagement of those in crisis.

The most infamous historical instances of wrongful incarceration, wrongful institutionalization, and eugenics programs always began with asking the future victims to carry special identification, wear visible badges, distinctive clothing, or segregate themselves from the rest of society in very specific ways that allowed them to be easily singled out or rounded up for harm later.

Neither parents nor any other stakeholder in the disability justice conversation should be lulled by the myth that somehow, autistic loved ones will be saved if the police get more disability identification or autism training or autistic offspring have a big red sign on them saying I AM [fill in invisible disability label]. All of these methods of risk reduction depend entirely on the good graces of the officers. They also could actually open an avenue to deflect liability from city and state government by giving them a loophole to avoid responsibility for harm to citizens who won’t or can't carry these extra identity cards. Should autistic children and adults register themselves in law enforcement databases, particularly in a world of racial and ableist profiling? What are the ethical and legal concerns regarding DNA kits given to law enforcement in case an autistic child goes missing in an age where police are grabbing familial DNA without consent to aid in criminal investigations? These are things we must think about carefully before pushing for mandated autism registries and other things that might come back to harm our loved ones.

Think! What makes us believe this when every single disabled person who has died never had the opportunity to show any officer ID or anything other proof of disability because the distance they stood from those who shot them dead was too far to do anything of the sort? I need to reiterate what has been pointed out about the shooting of Korryn Gaines:  "While the Baltimore County Police Department is equipped with a Mobile Crisis Team that "pairs a mental health clinician with a police officer to provide emergency police response to persons in need of crisis intervention," this unit was never called in to de-escalate the situation. Korryn Gaines was shot through the outside wall of her house and her toddler son, who they knew was in her arms because she was live-streaming this, was shot in the process. What good would Korryn's ownership of  ID with “I am a childhood victim of the lead paint problem that Maryland government refuses to hold slum lords accountable for and have a permanent intellectual disability as a result” have done here?

The task before us is to reduce encounters altogether, spend money on community-based crisis response and respite centers, and educate communities about how to be more inclusive of their neurodivergent members. Mobile crisis response teams do no good if they aren't deployed and tactical assault teams are sent instead.

 I have so much going on right now but this issue upsets me so much I made the time I frankly don’t have to write this. Again. If we don’t address the true problem our neurodivergent loved ones will keep paying the price with their lives.

So let's define the true problem regardless of how uncomfortable it makes us. How do we help our loved ones avoid catastrophic encounters with any law enforcement officer who may have committed previous bad acts involving excessive use of force without being held accountable for them or who may be ableist, racist, transphobic, or otherwise biased against those in the community who are marginalized?

The problem is not a problem of awareness of disability, lack of training in the identification of invisible disability, or any other method that blames a victim for not appearing disabled enough. Again, the police were aware of Korryn Gaines' psychiatric disability but did not choose to deploy the Mobile Crisis Team. Skewing the definition of the problem prevents sustainable solutions and costs lives.

It's time to end misguided efforts at mandating faux feel-good options that give no real safety but provide great optics for organizations and generate income for individuals promoting them in conferences and paid training programs. Define the true problems and help drive change to create real protections that save lives. Our loved ones are dying. Help take the first step away from this road to hell paved with our parental and professional good intentions.



Thursday, February 25, 2016

Death Without Dignity: The Inevitable Consequences of Maryland's End-of-Life Option Act


"Life, although it may be only an accumulation of anguish, is dear to me; 
and I will defend it."

MARY SHELLEY

Nearly one year ago, I gave written testimony before the Maryland House and Senate regarding opposing the Richard E. Israel and Roger "Pip" Moyer End-of-Life Option Act. You can read that here:

Readers should also see the disturbing new study on exactly what has happened to the now perverted euthanasia laws in Europe here:

Where The Prescription For Autism Can Be Death

I am going to bring up my points of opposition to the annual reintroduction of this bill, adding this very critical point first. In the wake of the passage of or the Affordable Care Act (ACA), the rush to embrace euthanasia protocols is already having serious punitive consequences for terminally ill patients and this harm should disturb everyone. The myth of rebranding legalized assisted suicide as dignified and rolling out a new, hip lexicon of language to hide assisted suicide legislation under the guise of "empowerment" and "choice" does not change these laws opening the door to abuse, denial of insurance coverage for patients who wish to live and continue medical treatment to do so, and the expansion of the law beyond its intended scope.  With insurers going as far as flatly stating in their rejection letters to patients that they refuse coverage of life-sustaining care but will pay for euthanasia drugs, cases like those of Barbara Wagner and Randy Stroup make it quite clear that mandated assisted suicide places those with limited means in an inhumane and unacceptable ethical position that contradicts all vaunted "beautiful death"  or "choice of death empowering terminally ill patients" stories.



I oppose this revised bill.
My primary concerns:

1. Patients can request physician-assisted suicide if a doctor has diagnosed them with a terminal illness and six months or less to live. Such a prognosis is nearly impossible to accurately predict.  Please see my own story in the link above.

2. Historical evidence both here and in countries where such laws have been enforced for years show that regardless of the limitations or narrow verbiage of the legislation, said laws foster abuse, and expand to a scope beyond their original intent. Those impacted are vulnerable populations including those with disabilities the elderly, and those with a psychiatric disability.

3. The bill places medical professionals in an untenable position complicit in hastening the death of patients rather than fighting for their lives and dismisses the role of an entire branch of medicine dedicated to palliative care.

4. There is clear evidence that similar laws have already been  interpreted by insurers as a way of denying services for terminally ill patients who fit the diagnostic criteria for assisted suicide but wish to fight to continue to extend their lives, placing vulnerable patients in unethical positions while allowing insurers to push the end of life option to reduce costs.

No medical professional can accurately estimate the lifespan of any patient. Thus the inherent risk in basing a law on the idea of a medical declaration of a limited lifespan.

As I stated in my testimony last year:

" I am a resident of Montgomery County, and mother to a wonderful 13-year-old boy with multiple intellectual disabilities and nonspeaking autism.  Our son has many health challenges. I have a deep concern that if this bill becomes law, it will expand away from its intended purpose and become a danger to patients like my son.

The example of the Netherlands is a clear indicator of what happens when assisted suicide laws exist to be expanded upon. Quoting the Disability Rights Education and Defense Fund’s research into this matter:

“Herbert Hendin documented how assisted suicide and lethal injections have become not the rare exception, but the rule for people with terminal illness in the Netherlands."

"Hendin stated in Congressional testimony, “Over the past two decades, the Netherlands has moved from assisted suicide to euthanasia, from euthanasia for the terminally ill to euthanasia for the chronically ill, from euthanasia for physical illness to euthanasia for psychological distress and from voluntary euthanasia to nonvoluntary and involuntary euthanasia. Once the Dutch accepted assisted suicide it was not possible legally or morally to deny more active medical [assistance to die], i.e. euthanasia, to those who could not effect their own deaths. Nor could they deny assisted suicide or euthanasia to the chronically ill who have longer to suffer than the terminally ill or to those who have psychological pain not associated with physical disease. To do so would be a form of discrimination. Involuntary euthanasia has been justified as necessitated by the need to make decisions for patients not [medically] competent to choose for themselves.”[106]”

“Hendin has also described how the government-sanctioned studies suggest an erosion of medical standards in the care of terminally ill patients in the Netherlands: 50 percent of Dutch cases of assisted suicide and euthanasia are not reported, more than 50 percent of Dutch doctors feel free to suggest euthanasia to their patients, and 25 percent of these doctors admit to ending patients’ lives without their consent.[107] Further, he reported that, for a thousand people each year in the Netherlands, physicians have ended their patients’ lives without consulting the patients.[108]”

Our State legislature voted to make physician-assisted suicide a felony in 1999, and rightfully so. This bill is very open to the abuses and decline of palliative care happening in the Netherlands. It makes me fear for our son’s well-being and for the future of our great State. Our General Assembly is ahead of its time in many decisions it makes and laws it passes, but this bill is not a step forward. I fear it is a step off a cliff."

References and Resources:

Where The Prescription For Autism Can Be Death
http://tinyurl.com/hjleqwk

House Bill HB0404

The Furor Over Death Drugs and the Cases of Barbara Wagner and Randy Stroup

Disability Rights Education and Defense Fund Policy on Assisted Suicide

My Terminal Illness Survival Story as testimony before Maryland Congress