Boston Globe

U.S. Military Should Get out of the Middle East

It’s time to end US military engagements in the Middle East. Drones, special operations, CIA arms supplies, military advisers, aerial bombings — the whole nine yards. Over and done with. That might seem impossible in the face of ISIS, terrorism, Iranian ballistic missiles, and other US security interests, but a military withdrawal from the Middle East is by far the safest path for the United States and the region. That approach has instructive historical precedents.

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It's Not the Killers' Problems - It's Our Own

I don’t really care about the background and beliefs of the black sniper in Dallas, or of the white cops who killed defenseless black men in Baton Rouge and Falcon Heights, Minn.

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Women and the Subprime Crunch

There was a time when purchasing a home was something only married couples did. However, increasingly, single, widowed, and divorced women with and without children are making the choice to purchase a home on their own. Yet, the economic and social consequences of subprime lending practices on them are subjects few are discussing.

Women have become a key component in the real estate market. Last year in Massachusetts, over one-third of first-time home buyers were single women and nearly one-quarter of all home buyers were single women.

Women borrowers are overrepresented in the subprime lending market according to studies done by both the Consumer Federation of America and the National Community Reinvestment Coalition. Across the economic spectrum, women receive less favorable terms than similarly situated men on home purchase, refinance, and home improvement loans. The studies also show that the gap between women and men receiving subprime loans actually increases as women's income increases.

Elderly women are prime targets of refinance and home improvement subprime lenders. Women on average live longer than men and have a greater chance of living alone. Rising property taxes and medical expenses make older women on fixed incomes particularly susceptible to lenders who promise money for necessary repairs, but instead exact huge fees and charge inflated interest rates.

African-American women, who represent half of African-American home purchase borrowers, are particularly vulnerable. In fact, there is evidence that subprime lenders charge black women and Latinas higher rates and fees than same-race men and white men, again, regardless of income and across all loan types.

For women, the impact of problems in the lending industry crosses age, class, and racial lines as well as neighborhoods.

Because of subprime lending, they are in danger of losing ground in their effort to reach economic self-sufficiency for themselves and in many cases for their children. Older women, who have seen the equity in their homes depleted, are in greater jeopardy of becoming dependent on family or social services. Single women, who are likely to earn less, have more dependents, and to spend a higher percentage of their income on housing, are thus less able to absorb the cost of an escalating, inflated subprime loan payment. Along with foreclosure, loss of savings, impaired credit and even bankruptcy are predictable consequences. Greater Boston service providers are already seeing an increase in family homelessness and it appears that a larger number of the newly homeless families are headed by women.

Why would a woman commit herself to the uncertainty of a subprime loan? The most obvious answers are that they want to create stable home environments, build financial equity, and enjoy the tax advantage of home ownership. Too often, as single women and especially as single parents, credit may seem hard to obtain, notwithstanding the fact that, on average, women have higher credit scores than men. Subprime lenders may even counsel them that conventional loans are unavailable to them and that subprime loans are their only recourse. In some cases, brokers who promised borrowers "the lowest possible rates" gave borrowers higher priced loans and extravagant fees. The current crisis is a result of a slowing home sale market, declining prices, and monthly mortgage payments that, in many cases, have spiked so precipitously that borrowers' income could not possibly cover them.

Blaming the victims is both unwarranted and unhelpful. It will not solve the economic or social problems caused by the tide of foreclosures that officials are struggling to forestall.

Not until 2004 did the Federal Reserve require subprime lenders to provide any specific data on their loans. Even today, they resist any effort to provide information of the risk profiles of borrowers. What we do know is that many women who qualified for conventional loans did not get them and that they and others were being fleeced.

A former loan officer testified about how she marketed subprime mortgages: "If someone appeared uneducated, inarticulate, was a minority, or was particularly old or young, I would try to include all the [additional costs] CitiFinancial offered."

According to Attorney General Martha Coakley, weak or subprime credit has led to 25,000 foreclosure actions in Massachusetts in the past 12 months. If the trend continues, many more women will join those who have already lost their homes. These women represent all ages, all races, and all socioeconomic classes. Some are single mothers and their children range from infants to baby boomers. As a threat to women, this crisis is a threat to us all.

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Marijuana Gains Wonder Drug Status

A new study in the journal Neurology is being hailed as unassailable proof that marijuana is a valuable medicine. It is a sad commentary on the state of modern medicine -- and US drug policy -- that we still need "proof" of something that medicine has known for 5,000 years.

The study, from the University of California at San Francisco, found smoked marijuana to be effective at relieving the extreme pain of a debilitating condition known as peripheral neuropathy. It was a study of HIV patients, but a similar type of pain caused by damage to nerves afflicts people with many other illnesses including diabetes and multiple sclerosis. Neuropathic pain is notoriously resistant to treatment with conventional pain drugs. Even powerful and addictive narcotics like morphine and OxyContin often provide little relief. This study leaves no doubt that marijuana can safely ease this type of pain.

As all marijuana research in the United States must be, the new study was conducted with government-supplied marijuana of notoriously poor quality. So it probably underestimated the potential benefit.

This is all good news, but it should not be news at all. In the 40-odd years I have been studying the medicinal uses of marijuana, I have learned that the recorded history of this medicine goes back to ancient times and that in the 19th century it became a well-established Western medicine whose versatility and safety were unquestioned. From 1840 to 1900, American and European medical journals published over 100 papers on the therapeutic uses of marijuana, also known as cannabis.

Of course, our knowledge has advanced greatly over the years. Scientists have identified over 60 unique constituents in marijuana, called cannabinoids, and we have learned much about how they work. We have also learned that our own bodies produce similar chemicals, called endocannabinoids.

The mountain of accumulated anecdotal evidence that pointed the way to the present and other clinical studies also strongly suggests there are a number of other devastating disorders and symptoms for which marijuana has been used for centuries; they deserve the same kind of careful, methodologically sound research. While few such studies have so far been completed, all have lent weight to what medicine already knew but had largely forgotten or ignored: Marijuana is effective at relieving nausea and vomiting, spasticity, appetite loss, certain types of pain, and other debilitating symptoms. And it is extraordinarily safe -- safer than most medicines prescribed every day. If marijuana were a new discovery rather than a well-known substance carrying cultural and political baggage, it would be hailed as a wonder drug.

The pharmaceutical industry is scrambling to isolate cannabinoids and synthesize analogs, and to package them in non-smokable forms. In time, companies will almost certainly come up with products and delivery systems that are more useful and less expensive than herbal marijuana. However, the analogs they have produced so far are more expensive than herbal marijuana, and none has shown any improvement over the plant nature gave us to take orally or to smoke.

We live in an antismoking environment. But as a method of delivering certain medicinal compounds, smoking marijuana has some real advantages: The effect is almost instantaneous, allowing the patient, who after all is the best judge, to fine-tune his or her dose to get the needed relief without intoxication. Smoked marijuana has never been demonstrated to have serious pulmonary consequences, but in any case the technology to inhale these cannabinoids without smoking marijuana already exists as vaporizers that allow for smoke-free inhalation.

Hopefully the UCSF study will add to the pressure on the US government to rethink its irrational ban on the medicinal use of marijuana -- and its destructive attacks on patients and caregivers in states that have chosen to allow such use. Rather than admit they have been mistaken all these years, federal officials can cite "important new data" and start revamping outdated and destructive policies. The new Congress could go far in establishing its bona fides as both reasonable and compassionate by immediately moving on this issue.

Such legislation would bring much-needed relief to millions of Americans suffering from cancer, AIDS, multiple sclerosis, arthritis, and other debilitating illnesses.

The Biggest News Around

There is a time to navel-gaze, and convention season '04 is one of those times. Post-9/11, it's America's first chance to think collectively about what lies ahead. The big problems. The big solutions.

Sounds exciting to me. The conventions have barely started, but the television networks are saying there won't be any news. That's not how the rest of the world sees it. Two men are going to speak, and for the next four years one of them will be the most powerful person on the planet. To the rest of the world, what they say is the biggest news around.

That's why I'm going to both conventions. Not just to listen, but to talk. Because when I last looked I couldn't find the biggest global challenge, AIDS and the extreme poverty in which it thrives, on the schedules.

Every constituency wants its box checked, its issue mentioned by the candidates, but this isn't just any "issue," and the people most affected are not a constituency. They don't vote in America; they don't pay taxes in America. They live far away on the plains of the Serengeti or the shantytowns of Senegal, but like it or not, our future in the West is eerily bound up with theirs.

I know this doesn't look good; I'm a rich Irish rock star, not even a rich American rock star. It makes people wince, including myself. But there's a real opportunity for America to lead an adventure, and the adventure is this: We are the first generation that really can do something about the kind of "stupid" poverty that sees children dying of hunger in a world of plenty or mothers dying for lack of a 20-cent drug that we take for granted. We have the science, we have the resources, what we don't seem to have is the will.

At the conventions, would better billing for this subject make any difference to the star issues already at the top? Jobs? No. Security? Yes. The perception of America? Definitely. Never before has this great country been so scrutinized, and never has the "idea" of America been under such attack. Brand USA could use some polishing, and I say that as a huge fan.

This is an opportunity to show what America stands for. Antiretroviral drugs are great advertisements for American ingenuity and technology. I've said to President Bush and Senator Kerry, both of whom care about this issue passionately, to go ahead and paint these pills red, white, and blue. Because these pharmaceuticals will not just transform the communities and countries that we see on the nightly news, they will transform the way they see us.

I've seen the look in the eyes of people dying three to a bed in Malawi, knowing that save for an accident of latitude or longitude they would be saved. Oddly, their looks are never accusatory or defiant – it's the children they leave behind who may become the problem.

Eighteen million AIDS orphans by the end of the decade in Africa alone. What will they think of us and from where will order be introduced into their chaotic lives? Whispering extremists attract recruits when hope has broken down. Surely, in nervous, dangerous times, it is smarter for America to make friends now of potential enemies than defend itself against them later.

Look; this is more than a hill to climb, and there are a few chasms to cross.

Unfair trade is a big one. No one in the West is ready to jump that yet, but they should. Foreign assistance is another. The United States is 22nd in the list of richest countries when it comes to how much it gives to the poorest as a percentage of our wealth, including private philanthropy. The explanation for this might be the next chasm we have to leap – a healthy skepticism about whether this money will get into the right hands.

Bush's Millennium Challenge, which rewards countries that fight corruption, and the Global Health Fund, which Kerry has pushed for and which audits every penny, overcome this concern and are smart ways of getting bang for your buck.

When Americans know what a difference this money will make, they will be the most generous in the world. We're already seeing the beginnings – a historic $2 billion increase to fight AIDS and extreme poverty thanks to bipartisan support in Congress this year.

Americans are joining a campaign to be part of something that is bigger than themselves. At the conventions there's history in the making for both parties. That's what people from around the world will be tuning in to hear on their transistors. That's why I'm going to be there. I want to be a nagging presence in sunglasses, a visual reminder of people who have a life-or-death stake in what is and isn't discussed on the convention floor.

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