12.19.2009
12/19 Simple Life
12.18.2009
12/12 Religious Harassment
I get urged to convert to Islam fairly frequently. My friends don't pressure me, though some of my Peace Corps buddies get ongoing pressure from their friends, but strangers often do. It's most commonly taxi drivers, interestingly - possibly because they know I'm trapped in their car, giving them a finite window with which to convert me?
I usually explain that I am Christian, and that's generally enough to stop the efforts. Mohammed required his followers to respect the fellow "People of The Book," the Jews and Christians. (Though the current situation in Israel/Palestine and the centuries of Crusading show that it hasn't always worked out so well.) Some keep going at that point. I explain that I follow the religion of my parents; given the respect-for-elders built into the culture here, that is sometimes enough. (Although once, that got the response, "Well then your parents are going to hell, too." I cut off the dialog at that point.)
I've tried saying, "There are many paths to God," but that usually blows up in my face - I've had people shout, "NO! There is only ONE PATH to Allah!" - so I don't use that one anymore. I'm perfectly willing to discuss religion, but if it gets angry or mean-spirited, I simply end the conversation, whether by walking away, turning away, or pretending not to understand anymore. (After the grand taxi driver told me my parents going to hell, I turned to face the window. The men crowded next to me waited a minute to see what my response would be, then turned to each other and said, "Oh, she doesn't understand Tamazight." I turned back to the man closest to me and said icily, "I understood every word. I'm done with this conversation.")
Technically, it's illegal to prosletyze in Morocco - in any direction - but that's only enforced against Christian missionaries. Also, technically, the Qur'an forbids compelling or coercing any conversion...but that doesn't seem to stop people. I can recite the sura that says, "There is no compulsion in Islam," in Classical Arabic, but that only works on the most educated people, who aren't the ones having this conversation with me. While scholars know that a compelled conversion is meaningless, the common person knows only that converting a nonbeliever wins them a guaranteed ride to heaven.
Sidenote: Even more meaningless is the inadvertent conversion. In order to become a Muslim, you have to recite, three times, in Classical Arabic, "There is no God but Allah, and Muhammed is his Prophet." Some uneducated folks believe that if they can simply trick me into saying this sentence three times, they get their ticket to heaven. I've had several people, usually children or teenagers, say, "Hey, repeat this:" expecting me not to know what it means. The first time it happened, I asked them what it meant. "It doesn't matter, just say it," I was told. This strikes me as the moral equivalent of offering someone a Communion wafer as snack food, and then telling them that they're Catholic now.
In Peace Corps, we talk about "religious harassment", in the same conversation with sexual harassment and political harassment ("Was Bush a good president? Do you think it's good to kill Iraqis? Do you support Israel?") Male PCVs tend to get more religious harassment than female PCVs, but we all get it, to varying degrees.
I think it's important to clarify that not all religious conversation is religious harassment. I like talking about religion, as long as it's in a mutually respectful way. Anyone who has had a Jehovah's Witness show up on their doorstep or got ambushed by a Hari Krishna at an airport has had an abrupt and unexpected conversation about religion. Some people hate it; others accept it as part of the human condition. "Harassment" is generally defined as unwelcome attention that makes the recipient uncomfortable. Note that it depends on the attitude of the recipient, not that of the instigator. In my opinion, when the conversation crosses the line to criticizing or belittling me, my faith, or my family, that's when it changes from talk to assault.
12/18/09 On Sexual Assault and Safety
12.16.2009
11/6 I will zayd...
12/13 Rule of Law
- the pollution that fills Moroccan skies because it's cheaper to pay off the car inspector than pay for engine repairs.
- the transits and dump trucks that transport people illegally (and dangerously) on top, because the checkpoint cops will waive you through for a small "fee".
- the medicines and condoms that should be distributed freely to sex workers - provided by NGOs - that the distributors charge for, pocketing the cash and paying a percentage to whoever is supposed to regulate it.
- for that matter, the sex workers themselves; prostitution is illegal in Morocco, but that just means that the cops get to demand bribes (in cash and trade) from the prostitutes, who have no recourse
- the street signs and road lines that serve only as suggestions, because a bribe will get you out of any ticket
12/16 Skype
12.15.2009
12/15/09 Snow Status
12.14.2009
12/14 Rhapsody on Conditioner
12.09.2009
12/8/9 Volunteer Support Network
Let me rectify that.
Many Peace Corps countries have a Volunteer Support Network. Of course, we're all each others' support network anyway, but organizing a VSN means that we can get some funding for formal training sessions. At these, second-year Volunteers teach selected PCVs active listening skills and other peer counseling tools. Once you've gone through this, you're known as a VSN-trained Volunteer. (Sorry, no snazzy acronym or anything.)
VSN-trained Volunteers distribute their phone numbers and other contact information to their fellow PCVs, but it's rare (though not unheard-of) for Volunteers to cold-call a VSN-trained PCV. We do most of our work more informally; when a friend says, "I need to talk," or "Wow, I'm going through a hard time,",we can respond more usefully than just saying, "Oh, me too, let me tell you..."
VSN training takes place during the first six months of service. After that, during the six-month-mark "In-Service Training (IST)", PCVs choose one of their VSN-trained Volunteer peers to join the VSN Committee.
The Committee organizes the trainings, creates the curricula, and organizes a variety of Volunteer-supportive activities, from Secret Snowflake exchanges to distributing cartoons and magazines to calling new PCVs and offering support.
We don't have a formal role within Peace Corps, really, but once in a while, PC staff looks to us to get a sense of the emotional status of the Volunteer community. Like now.
12/9/9 Perceptions of PCMO
I'm a member of the organizing committee for Morocco's Volunteer Support Network. In that capacity, PC staff asked me - asked us - to come to headquarters and meet with "The Washingtonians", to give them our sense of how the Volunteer community is reacting to soyoun's passing.
[Sorry, it's still hard to talk about. But I'm working on it.]
Most of the response I've heard centers around the role of the Peace Corps Medical Officers (PCMO). PCMO has a hard task - maintaining the health of 215 people scattered across a country the size of California, not all of whom have access to clean water, let alone phone service. That said, they've made their share of misdiagnoses and faulty prescriptions, which PCVs tend to complain to each other about. PCMO's reputation has steadily eroded, and in the wake of a friend's - a sister's - death from illness, people have been looking for someone to blame, and most of the anger has settled on PCMO.
Knowing that, I wanted to investigate why. What are these mistakes that have compounded into such a deep distrust that PCMO has become the scapegoat of choice? So I surveyed the PCVs in my stage, called the ones who seemed to want to tell their stories, and collected information.
Of course, the plural of anecdote is not data, but it was the best approach I could come up with.
So I collected stories. Sad stories. Stories of my friends - my Peace Corps family - feeling neglected, mistreated, and abandoned by the people they had trusted their health care to.
One PCV came back from a medical evacuation, still in recovery, and never got a phone call from PCMO for followup care. After getting in touch with PCMO and asking for some followup, and PCMO promised a forthcoming call...which never came.
A PCV was assaulted and battered, went to PCMO for care, and was told, "You're over-reacting. It happened, it's done, go home." Fears about returning to the scene of the crime were dismissed and even derided.
A PCV felt symptoms of a progressive disease that led to debilitation. PCMO said that the symptoms were "normal". PCV lobbying led to a lab test, whose results were positive - marginally positive - and PCMO continued to say that nothing serious was wrong.
A PCV took a hard fall and came to PCMO - it happened within 100 yards of a Peace Corps facility - asking for painkillers. The doctor failed to notice that the Volunteers' pupils were different sizes, a straightforward indication of a concussion. Another PCV did notice this, and arranged care.
A PCV had symptoms of a serious parasitic infection and repeatedly called PCMO. Each call was answered by a different medical officer - we have 2 doctors and 1 nurse, all of whom rotate phone duties - and not until the 8th call did anyone realize that this was an ongoing problem, not a new one.
Speaking of a failure to look at medical records...
A PCV requested a MRI to evaluate long-lasting pain in a joint. PCMO thought it was too expensive, and arranged an x-ray - but since nothing was broken, doctor and patient agreed that an x-ray wouldn't show anything. Just as the PCV was heading out for the exam, a cast-off comment indicated that this was a long-standing problem, of many years' duration. PCMO said, "Oh, that changes everything," and arranged for different tests - but still not an MRI. The Volunteer was startled to realize that the well-documented medical history had never once been checked by the doctor.
A Volunteer had trouble breathing. It was dismissed by PCMO...until the PCV insisted on lab tests that revealed life-threatening blood clots in the lungs.
..and there are so many others. So many stories - some serious, many minor - of PCVs enduring pain, sometimes for days, sometimes for months. And we endure. We carry on, knowing that Peace Corps isn't supposed to be easy...but with an ever-diminishing faith in the power of PCMO to keep us whole and healthy.
One of the emerging themes of these stories was the need felt by PCVs to "lobby for treatment." The idea that, without fighting for care, symptoms and struggles are diminished or dismissed by PCMO. Running a fever? Keep taking ibuprofen every two hours, then call back in 48 hours. Diarrhea? Limit your food to the BRATT diet - bananas, rice, apples, tea, & toast - for the next 48 hours. As was said in one of today's meetings, "If I had a nickel for every time I heard 'Wait 48 hours and then call back,' I could afford to call my parents."
The idea that we're not hypochondriac idiots - that we know how to manage minor problems, and that maybe we've already waited 48 or 72 hours before calling PCMO - doesn't seem to penetrate.
And when a medical tragedy arises - even one that isn't PCMO's fault, as the recent inquiry has determined - we're all too willing to turn our lost faith into targeted anger.
Anger is one of the stages of grief. It's human nature to look for someone to blame for something as horrific as the death of a wonderful young woman. And given this history - given that nearly every Volunteer has at least one story, and usually several, of PCMO missteps, large or small - we find an outlet for our anger.
