Further Media Consolidation a Bad Idea

Nearly six decades ago the question of America’s media; newspapers, radio, and an emerging television broadcast medium, came before the Supreme Court in a case involving the First Amendment. The Court ruled that, "the widest possible dissemination of information from diverse and antagonistic sources is essential to the welfare of the public; a free press is essential to the condition of a free society."

In consideration of the SCOTUS ruling, the FCC adotped a cross-ownership rule that barred common ownership of a broadcast station and a daily newspaper in the same market. The rule was designed to promote two of the Commission’s longstanding goals in broadcast regulation – competition and diversity of information sources. The Commission first adopted the rule in 1975, when there were approximately 1,700 daily newspapers, 7,500 radio stations, and fewer than 1,000 TV stations. Three national commercial broadcast networks that had a combined prime time audience share of 95%.

Despite the recognition that a diverse media landscape was essential to American democracy, the profit imperative dictated another direction, so that by 1983, 50 corporations controlled a majority of American media. Now that number is six. And Big Media may get even bigger, thanks to the FCC’s consideration of ending the rule preventing companies from owning a newspaper, and radio and TV stations in the same city.

Ignorance of the Extreme Risk Protection Order Law May Be Fatal

Most people have heard the expression, ignorantia juris non excusat, although perhaps not in Latin. Broadly translated it means, "ignorance of the law is no excuse." But there’s another expression from Roman law, ignorant lures nocet, which means, "not knowing the law is harmful." In the case of Extreme Risk Protection Order Laws, that’s a better fit.

I wrote a Guest Commentary for the Yakima Herald, published Sunday September 10th, that asked the question, “Why aren’t we using our 'red flag' law?” The commentary spoke to our failure to effectively implement the Extreme Risk Protection Order law (RCW 7.105.100), especially in Benton and Franklin counties. The ERPO law has been in effect in Washington for over five years, and to say it has been used only sparingly is an understatement. The biggest impediment to the law's employment is the public’s ignorance of its existence. The League of Women Voters of Benton and Franklin counties is working to change that.

Sheriff's Deputy Ryan Clinkunbroomer

The critical importance of raising the public’s awareness of so-called 'Red Flag’ laws was brought home once again just recently, when a Los Angeles sheriff’s deputy was shot to death by Kevin Cataneo Salazar, whose family said he struggled with mental health issues, including “schizophrenia,” and wouldn’t take his medication. Law enforcement arrested the man and confiscated "several weapons" from his home. This case is eerily similar to the 2021 case of Ryan Kaufman here in Kennewick, reexamined in a February 2023 Tri-City Herald article by Cameron Probert.

Like Washington, California has a ‘Red Flag’ law, the court-issued Gun Violence Restraining Order (GVRO). This temporarily suspends a person’s access to firearms when they are found to pose a significant risk to themselves or others by having access to firearms, even if they obtained them legally, as the suspect in the deputy’s murder is said to have done. Only if the suspect had been evaluated by a competent behavioral health authority and certain conditions were documented, and if this was reported to the National Instant Criminal Background Check System (“NICS”), might a gun dealer have refused to sell a firearm to the suspect.

'I want you to know that my son has schizophrenia and delusional perceptions and the police know this.'

Marle Salazar, mother of Kevin Cataneo Salazar, the killer of Los Angeles County sheriff’s Deputy Ryan Clinkunbroomer told this to reporters in Spanish. But her son had no record of being involuntarily committed to a mental institution, and only the police were in a position to address the situation Mrs. Salazar described to them. According to Mrs. Salazar, they told her son they couldn't help him.

It should come as no surprise that people are reluctant to have family members, especially children dear to them, involuntarily committed for mental evaluation, let alone hospitalization. But the tragedy is that 46% of people who die by suicide had a known mental health condition. Firearm deaths associated with mental illness are nearly always suicides, and a suicide attempt with a firearm is almost always fatal.


Suicide deaths are typically impulsive acts, and are the number one cause of firearm related death in the U.S. According to the Washington State Department of Health, in Washington over a 5-year period, 76% of firearm deaths were suicides. Don’t want to have a family member committed? At least remove their access to firearms. Petition for an Extreme Risk Protection Order, or ask your local police to do it.


Learn more about Extreme Risk Protection Orders:


In Washington, here:
https://protectionorder.org/erpo/faq-extreme-risk-protection-orders.html


In Benton County, here:
https://www.co.benton.wa.us/pview.aspx?id=873


In Franklin County, here:
https://www.franklincountywa.gov/591/Domestic-Violence-Civil-Protection-Order


Por instrucciones con formularios en español:
https://www.courts.wa.gov/forms/?fa=forms.contribute&formID=113


Remember, ignorant lures nocet, not knowing the law is harmful. In the case of gun violence, it may be fatal.

Video on Treating Back Pain with Various Categorioes of Medication

Michelangelo Buonarroti - Drawings

 

If you suffer from more or less constant back pain, as I do, you may find this video on how to treat the pain helpful. It is presented for the lay person, it is simple to understand, and concise. It is presented by Dr. Zinovy Meyler, a physiatrist with over a decade of experience specializing in the non-surgical care of spine, muscle, and chronic pain conditions. He is the Co-Director of the Interventional Spine Program at the Princeton Spine and Joint Center.

This is a transcript of the video

Different medications used to control back pain fall into different categories. Now, the broad spectrum of the categories can be broken down initially into the way we take the medication itself. So, oral medications, those that can be used as topical medications, and those that need to be injected.

So, to talk about the oral medications, which are more commonly used as an initial treatment. Over-the-counter medications that control the pain, such as Tylenol, can be used to control the pain itself. Now if we are to actually employ the use of the anti-inflammatory and pain control, we can seek the aid of non-steroidal anti-inflammatory medications. The most common ones are ibuprofen, naproxen, and the common brand names are Aleve, Motrin, Advil.

The other medications that can be used are steroids. If there is a lot of inflammation that causes the back pain, oral steroids can be employed. Now, generally, we don’t like to use oral steroids for a variety of reasons – they don’t tend to help pain that is axial, or in other words pain that is limited to the actual back without radiating into the extremities. So, we are actually using the steroids very sparingly because it has systemic effects - although minimal, but it does - and as with any treatment, we try to minimize the systemic effect or any side effect by achieving the highest yield in terms of relieving pain. So, steroids can be used, but are not commonly used.

Another type of medication is narcotic medication. Now, narcotic medications are opioids and they are used to dissociate the patient from the pain. They are usually used for severe, acute pain. They are meant to be used for a short period of time, such as the initial injury, or initial trauma, or initial onset of the most acute pain or they can be used in post-operative pain control. Another group of medications are muscle relaxants. Now, muscle relaxants are used to decrease the tone of the muscles and the reason to use them is because in many cases of back pain, muscle spasm is what usually accompanies it.

Another oral medication that can be used to control back pain is antidepressants and a variety of antidepressants can be used. An example of those would be tricyclic antidepressants or antidepressants like Cymbalta.

So, there are certain medications that can be used by just putting it directly on the skin over the area that is affected and that can be helpful. The benefit of these medications is that it is directly applied to where the pain is and where the injury is. The medications are either anti-inflammatory or pure painkillers. So the pure painkillers are things like lidoderm patch, which is lidocaine that is slowly released through a patch through the skin and that can be applied to used to just numb up the area and reduce the localized pain. Another type is the use of diclofenac, which is one of the older non-steroidal anti-inflammatory medications and that can be used in the form of a patch as a Flector patch or in the form of a cream, such as Voltaren or other formulations. The benefit of this is that it is localized and systemic absorption is quite limited. That limitation is the fact that it only penetrates a certain depth and so really the use is, to an extent, limited.

Another group of the medications are the medications that are injected and there are really two of the main ones that are used for back pain. One is non-steroidal anti-inflammatory medication that can be injected, such as Toradol, and that’s injected into the muscle and the effect is systemic - or in other words it affects the whole body - in reducing the pain and its anti-inflammatory action. Another one is anesthetic, which is anesthetic like lidocaine, bupivacaine, or any other form of an anesthetic that is used to numb up the area. That can be used either to break up a muscle spasm or to numb up an area so that other manipulations can be performed in order to relieve the pain.

Another medication that can be used as an injectable is a steroid. A corticosteroid, as opposed to an oral corticosteroid, goes directly to where the problem is. So, it doesn't have to be systemically absorbed - it bypasses the systemic effect - even though it is systemically absorbed to a small degree, but it bypasses the major systemic side effects and its concentration doesn't have to be diluted by all the processes that have to happen in our body in order to get that medication to the source of the pain.

So, that really is a general overview of the medications we can use in controlling, and relieving, and in treating back pain.