Tag: Care

  • Relationship Between Brother And Sister

    Relationship Between Brother And Sister

    [ad_1]

    Sibling rivalry is the result of competitive relationship or animosity between siblings, blood related or not. It is believed that competition between siblings arises because one of the siblings gets more attention from parents.

    A brother-sister relationship is one of the most beautiful relationships of the world. One finds the best friend, second parent, silly fights, partner in crime and protector in this one relation. In short, siblings are friend and guide to each other. The friendship between siblings is similar to that which exists amongst peers. The possibility of friendship among siblings is great.

    Having a sibling is a bliss. Seriously. They maybe irritating, annoying and what not, but, be sure, if there is a problem, they are the ones who would come first in front of you to protect you. That is how the relationship should be. In a sibling relationship, you have fun and talk but not romantically. There is no sexual attraction but talk and love each other.

    There exist siblings who are friends but there also exist siblings who are separated by rivalry, fight and animosity. Since day one, they are each other’s best friend, greatest arch enemy. There are people who share more affectionate relationships with friends than with their own siblings. The possibility of developing friendship among sibling is great. There are many factors which influence this friendship such as having been born in the same family, having been grown up together, having been educated in the same or similar way. Based on their biological nature, siblings share a mutual affection that comes from years of living together.

    Siblings are simply too precious to waste. They are your longest memory bank, your shared history, the person who may know you better than anyone else. They are so deeply part of your identity that they cannot be erased even when they are not present. Many siblings become estranged and stop seeing one another altogether. That is a pity, indeed. If there is anyone who has grown apart with their siblings, please make efforts to change that situation before it is too late. Yes, it may end in failure – some rifts are too deep to heal. But if you can find a way, you will never regret it. Siblings are too precious to be forgotten because they helped to make you who you are.

    A brother-sister relationship is the most endearing relationship ever in which there is a lot of love, care and fun too. Everyone have nice memories in childhood. There is nothing stronger than the relationship between brother and sister. Brother and sister are childhood friends. Their bonding is very much strong and is never lost.

    A sister is for telling stories and making promises that will never be broken. Being sister and brother means being there for each other in the time of need. For a brother, a sister is his soul mate and the best part of him. A true sister is a friend who listens with her heart.

    [ad_2]

    Source by Anil Prabhakar

    Views: 0

  • The Risk/ Reward Approach, To Better Health: 4 Scenarios

    The Risk/ Reward Approach, To Better Health: 4 Scenarios

    [ad_1]

    Doesn’t it, make sense, to be more willing to use, more extreme approaches, possibilities, and approaches, if there is a serious, and/ or, life – threatening, treatment, than, when, this doesn’t exist? Several years ago, I remember watching a television advertisement, for a prescription drug, for treating, foot – nail fungus. This product, perhaps, effectively treated its desired ailment, yet, when the contra – indications, etc, were listed, which included causing cancer, liver ailments, etc, I wondered, why, anyone, would use this, for a seemingly, less – than, life – threatening ailment. With that, and similar issues, considered, this article will attempt to, briefly, consider, examine, review, and discuss, 4 possible scenarios, and, whether, they are warranted, using the risk/ reward approach, and mindset.

    1. Chronic ailments: Many of us, suffer, from one, or more, chronic ailments, especially, as we age. Some people learn to live, with the discomfort, and/ or, address it, by using some safe alternative remedy, and/ or approach. Others, either, are so uncomfortable, have such a low pain/ discomfort threshold, etc, they seek more aggressive treatments, and modalities. A chronic ailment, is one, which lingers, on an ongoing basis, either, consistently, or on a sporadic time – frame.

    2. Acute ailments: Acute ailments are those, which come on, rather suddenly, and may, come from known, or unknown causes. Known causes may include injuries, due to falls, strains, etc, while, unknown ones, often, come from something, we may not even recall happening. The smart approach is to, first, recognize, and consider, the reasons, and causes for the discomfort/ ailment/ pains/ aches, etc, and, then, evaluate the possible remedies. It is always wise, to contact, and consult, a trusted, health professional, as soon as possible, in order to ensure, nothing is overlooked! Once, more serious ailments, and/ or, causes, have been ruled out, it is often wise, to consider alternatives, which may be safe, effective approaches.

    3. Life – threatening illnesses: Obviously, if you are diagnosed with a life – threatening disease, such as cancer, etc, it makes sense to consider using a more aggressive treatment, with potential severe side – effects, than it is, for lesser ailments. If, without the treatment, your chances are somewhat poor, your risk is limited, and reward enhanced!

    4. Options/ alternatives: If you don’t pay keen attention to taking care of yourself, no one else will! Examine your true needs, medical causes of your discomfort, and your options and alternatives. The lesser, the danger of the ailment, it is wise, to take fewer risks/ chances, and vice versa!

    Take care of your health needs, by using the risk/ reward approach, and consideration! Doesn’t that make sense?

    [ad_2]

    Source by Richard Brody

    Views: 0

  • Email, Phone Or Live Chat Support – How to Best Serve Your Customers

    Email, Phone Or Live Chat Support – How to Best Serve Your Customers

    [ad_1]

    In technical support there are generally 3 options for providing the customer support services needed by your customer: Email, Live Chat, and Phone. Each one has its own advantages depending on the nature of your products or services. As a rule of thumb, you should choose the support system(s) that will make your customer most comfortable and satisfied. But how do you know which form is best for your company? Here are some advantages of email support, live chat support and phone support.

    Email Support:

    Cheapest form of support

    – No need for expensive telephone equipment or land lines

    – Best for companies with global customers

    – Free for customer to receive help

    Does not need to be 24/7 support

    Will lead to reduced number of phone or live chat contacts

    – Customers who have requests or need solutions that do not need to be solved immediately can use this form

    Provides a clear written solution to questions or requests

    – Can clearly explain instructions

    Easily recorded

    – Possible to transfer conversation if further help is needed

    – Can improve on quality by reviewing conversations

    Flexible time frame

    – Does not require immediate response

    Lessens the need for native speakers

    – Foreign accents are no longer a problem

    Live Chat Support:

    Cheaper form of support

    – No need for expensive telephone equipment or land lines

    – Best for companies with global customers

    – Free for customer to receive help

    Provides real time support

    – Solutions can be provided immediately

    – No “on hold” waiting time

    Creates trust and reliability

    – Customers feel confident that they can receive help immediately

    – Customers feel that serving them is important to you

    Customer representative receive all necessary information

    Can ask the right questions and receive information immediately

    Easily recorded

    – Possible to transfer conversation if further help is needed

    – Can improve on quality by reviewing conversations

    Saves time

    – Representatives can handle more than one customer at a time

    Lessens the need for native speakers

    Foreign accents are no longer a problem

    Phone Support:

    Provides real time support

    – Solutions can be provided immediately

    Creates trust and reliability

    – Customers feel confident that they can receive help immediately

    – Customers feel that you appreciate their business

    Customer care representative receive all necessary information

    – Can ask the right questions and receive information immediately

    Customers feel comfortable

    – Most customers are most comfortable with phone support

    – Helpful to people who are less technologically savvy

    Personable

    – A helpful friendly voice can calm irritated customers

    Secure

    – Does not depend on the internet to provide customer support

    How you provide technical support services depends largely on your clientele. In most cases, providing a multitude of customer care support service options is best so that the customer can choose what they are most comfortable with.

    [ad_2]

    Source by R Van Herpen

    Views: 0

  • Functional Medicine & Chiropractic In Treatment of Concussions

    Functional Medicine & Chiropractic In Treatment of Concussions

    [ad_1]

    Concussions are a form of traumatic injury to the head accompanied by temporary impairment of brain function. This kind of damage is often referred to as mild traumatic brain injury (mTBI) or mild head injury (MHI) and is one of the most common kinds of external damage in the head and neck region.

    In 2013, about 2.8 million traumatic brain injury-related visits to the emergency department took place in the United States. Modern studies reveal that the most common mechanisms of TBI are:

    • Road traffic accidents
    • Falls
    • A hit by or against a certain object

    Roughly speaking, all concussions can be divided into two major groups: sports-related and not related to sports. Although the treatment in both cases is roughly universal, patients who had received a sport-related concussion often worry about how quickly they would be able to return to their training sessions, games and tournaments. A major part of the functional treatment of TBI is in explaining the importance of complete recovery before going back to physical activities: this is crucial not only for the patient’s health but also for his or her optimal physical performance.

    What Happens During A Concussion?

    Regardless of the specific mechanism of the damage, a concussion happens when there is an abrupt and extreme change in speed. For example, when a goalkeeper is hit by a ball in the head, he receives a huge local acceleration – and the skull, being a solid structure, is the first to respond accordingly by moving in the direction of the blow.

    The brain, on the other hand, is a “floating” structure suspended in cerebrovascular liquid in the skull, so it takes longer to change its direction and speed of movement. Thus, when a sudden blow to the head is received, the brain is smashed against the cranium, damaging the local soft tissues.

    Similarly, when a person is driving a vehicle such as a car or bike, a sudden stop (such as due to a road accident) would cause an abrupt decrease in speed which initially affects the skull: for the next moments, the brain would be still moving in the initial direction thus hitting the skull.

    The resulting symptoms from such damage may include:

    • Physical: headache (both local and diffuse), nausea, vomiting, increased sensitivity to light and sound, dizziness, seeing flashes of light or blinking stars, blurred vision, tinnitus (ringing in the ears).
    • Emotional and behavioral: depression, anxiety, sleepiness or insomnia, fatigue, irritability.
    • Cognitive: impaired memory and concentration, feeling “slowed down” or “in a fog.”

    But that’s just half of the problem. According to the Center for Disease Control and Prevention, people who had suffered from a concussion have significantly increased risk of dying from other medical issues such as:

    • Seizures – 50-fold increase in risk.
    • Accidental drug poisoning – 11-fold increase in risk.
    • Infections – 9-fold increase in risk.
    • Pneumonia – 6-fold increase in risk.

    This is why a holistic treatment of concussions is crucial for the long-term health of each and every patient, as it should alleviate not only the initial symptoms, but prevent the development of subsequent health problems as well.

    The Conventional Approach to the Treatment of Concussions

    In terms of treating concussions, most doctors focus on the principle “prevent additional brain damage.” This is done mainly through the prescription of such medications as painkillers, non-steroid anti-inflammatory drugs (to prevent brain swelling), antibiotics (to prevent infections during the recovery period), antidepressants, and rarely diuretics (to remove excess fluid from the body). Although such an approach is viable and brings a lot of benefits, it almost completely misses the non-brain damage from a concussion, as well as delayed long-term health issues.

    Granted, it’s better than nothing but it can hardly be considered an end-to-end therapy. Although this treatment is great in alleviating immediate manifestations, it does not decrease the long-term impact of the injury. In other words, the patient who chooses conventional treatment for his or her concussion might have to resort to medical care years after the injury, often unaware that the damage could have been avoided a long time ago. Luckily, different aspects of functional treatment have been proved to be successful in treating long-term outcomes of traumatic brain injury.

    Functional Medicine for the Treatment of Concussions

    The human brain is attached to the spinal cord, thus sudden movement of the former inevitably affects the latter. Even if the brainstem is abruptly shifted by a fraction of a millimeter, all sorts of health problems can arise in the entire body as a result of spinal root and nerve dislocation.

    This is why spinal manipulation therapy (SMT), as a form of chiropractic treatment, proves to be so effective in treating traumatic events of the cervical spine, which are often accompanied by concussions. Besides improving long-term outcome, it also decreases pain, increases the range of motion, and alleviates local muscle spasm.

    [ad_2]

    Source by Ann Barter

    Views: 0

  • The Enduring Nature of Love

    The Enduring Nature of Love

    [ad_1]

    Love Endures and we are reminded of this idea during this month of February, when Valentine's Day is celebrated .. Now- a- days, people buy cards and send e-greetings to their beloveds. But long ago, people expressed their love via post or letters delivered on horseback.No telephones, Internet and mass media were utilized to convey the message from one lover's heart to another. I adore the old romantic movies from early US history, where letters are hand crafted with delicate calligraphy to express the heartfelt passion of the lovers heart.The letters are then carefully sealed with wax and given to an entrusted delivery person or mail service to ensure that their beloved, however near or far away will receive it. Upon receipt of the letter, that may have taken weeks or months to arrive, the cherished recipient opens it, and is reminded that love endures through time and distance.

    How very different this delayed gratification is, from the immediacy of sending a text, email or Instagram post as we do nowadays.With technology so highly advanced, one can reach out to many people at one time and express their love and they can voice their love many times a day to one or numerous friends and lovers near and far. Also, there is no need to wait for a response, as in days gone by, instead one can receive immediate feedback that their loved ones care for them. But perhaps this instant gratification of love expressed virtually has outweighed the benefits of love that is cultivated slowly and held closely to one's heart over time and space.

    I imagine that years ago, before mass communication was available, that love was more tenderly cherished and expressions of love, although more infrequent, were possibly more genuine.The innocence of love that endures over time without the constant need for a barrage of proof that comes from texts, calls, emails and Instagrams that one is loved is a special gift. Consider the friend whom you haven't heard from in many years, who suddenly resurfaces in your life (maybe from a Facebook search) Upon reconnecting with one another, the love that was there may be instantly reignited and a bond that was formed eons ago can come to life again.This is proof that love endures through time and doesn't diminish because of lack of contact. remember that just because you have not heard from someone in a while, that does not mean that they don't love you.

    Perhaps you have been lucky enough to connect with a person who feels incredibly familiar to you upon first meeting them. You may have a sense of loving them automatically. This could possibly be a divine union that began in another lifetime, only to be continued in this time and space.When true love is present, the power of that formidable force can transcend all physical limitations.This applies to our loved ones that have moved on to the other side of life as well. Their love is still accessible to us. True love endures ceaselessly.

    During this Valentine's month, look deep within your heart and see if there is someone you could reach out to and express your love for them, even though time may have passed since your last encounter. You just might be pleasantly surprised to discover that love endures through time and space.

    [ad_2]

    Source by Liah Howard

    Views: 0

  • Senior Residential Living: A New Age Abode for Elders

    Senior Residential Living: A New Age Abode for Elders

    [ad_1]

    Over the years, senior citizen living has changed tremendously and that’s a piece of good news. Earlier, senior citizens did not have many options. However, in the current scenario, there are abundant assisted living options for senior citizens. The trick is to choose the right one. For today’s people of high age-band, retirement means freedom.

    Here are some of the specific things which modern-day elderly look forward to:

    • Social Interaction – Elderly love those senior living communities which keep them in close contact with other people of their age-groups. They also want to attend those events and activities which encourage social interaction. Thanks to modern technology, now seniors can stay in touch with their families through text messages, video chat sessions and other technology-driven platforms.
    • True Freedom – Today’s senior living communities revolve around the idea of choices. It means elders want to make a pick between various levels of care, residential amenities, dining options and much more. Today’s seniors want to have full control over their lives and so senior living communities are constantly adding more options to their list.

    Now let’s have a look at some of the amenities of senior active living communities:

    1. Activities – Today’s senior living communities in India are doing everything to keep their residents both entertained and engaged. These homes organise different events, games, trips, hobby classes, and much more, to entertain their guests.
    2. Social Dining – Whether it is a tea with the other residents in the morning or a happy hour in the afternoon, these senior communities offer plenty of social dining options to their residents. As a result, their residents always stay connected with society and never feel alone. Also, most of the modern-day seniors want to go beyond the typical buffet system. Senior citizen residential communities are quick to understand their needs and thus, offer top-notch quality dining options to their residents with gourmet chefs.
    3. Outings – It is now typical for lifestyle communities for seniors to offer outings to interesting destinations like theatres, sports, museums, etc. Such outings not only help elderly to break the monotony but also keep them energetic.
    4. Laundry and other maintenance services– Since seniors value independence, most senior housing communities offer laundry, house cleaning and other home maintenance services. After all, after working hard throughout their lives, no one wants to worry about all this stuff now.
    5. Fitness – Staying healthy is a priority of modern-day senior citizens. They look for senior housing communities that take care of their health by offering different fitness facilities. As a result, senior communities are embedded with facilities like swimming pool, treadmills, walking paths, etc.

  • Fortunately, modern-day seniors have lots of options when it comes to choosing the right senior living community. Moreover, today’s senior active living communities also offer customised options to their residents to make their golden years the most beautiful part of their lives.
  • [ad_2]

    Source by Sudhir Kumar Singh

    Views: 0

  • Created To Bond – Changes That Heal – Part I

    Created To Bond – Changes That Heal – Part I

    [ad_1]

    Since God is a relational being and we were created in His image, we too are relational. We were created as relational beings and it does not matter who we are or what we may possess materially, we still need an emotional connection to other human beings. When we are outside of relationship, we lack the very essence that makes us who we are as a person. One of the most pervasive truths is that close connection with others is fundamental to our existence.

    It has been said that no man is an island. Every person on the earth is related to someone else through family, associations, employment, religion and a myriad of other ways. At our very core we are relational beings and must be connected in some ay to others. In order to survive we draw on the resources of others for things that we do not have within ourselves nor can provide for ourselves without the assistance of someone else.

    If we are to prosper and grow, we need to be connected to God and to one another. This connection fuels our transformation and causes us to blossom and bear fruit. Many times we find ourselves in a state of barrenness because we think that we can survive without other people. It is evidenced in some of our verbal expressions such as, “I can do it on my own; I don’t need you; I don’t need nobody.”

    As this attitude of emotional and spiritual isolation continues serious problems arise because with relationships to others we cannot be ourselves. This lack of relationship and bonding brings about alienation and a sense of emptiness that leads to pain, depression and hatred. Often times we remain in this state not understanding that it is the lack of relationship that is causing the pain and we are not willing to renew relationships in order to alleviate that pain.

    This unwillingness leads to our tying to hold ourselves together not knowing that in order to do so we need the support of those whom we refuse to connect with. Therefore, we find that we remain alone and our world becomes increasingly chaotic. Truly, no man is an island for even an island must be in relationship even if it is with what is not like it (the ocean) otherwise it could not be what it is.

    Developing And Renewing Relationships

    We are born in a state of non-conformity. We move from a warm, safe environment to a harsh and cold one. Often the first thing we feel is pain as the doctor or nurse whacks us on the behind. We are now in a position where we have to depend on fallible people to care for us. Yet, as we grow, time and the relationship that develops with others, specially our mother, help us to begin the bonding process. Many people believe that as children, we automatically love our mother. They have not come to the understanding that the emotional bond between a mother and child is one that develops through the love, closeness and care that the mother provides for the child. As time passes, the child internalizes his mother’s care and comfort that gives him a greater sense of security. It fills his memory storehouse with thousands of loving memories from which to draw in times of loneliness and grief. These memories are also an encouragement to him during his passage through hard times in his life because they leave an indelible impression on him as to his worth. This impression is a means for him to have a sense of being emotionally secure in who he is even though he may be alone. It also helps him to connect with others.

    All sorts of emotional, psychological, and neurological processes begin in a child based on the child’s emotional bond with its mother. As the child develops and is nurtured he develops a sense of security and belonging. This is the mechanism that propels the child out into the world to establish other friendships and helps him to bond as he begins to feel as apart of the group.

    In time, this confidence that emerges from being a part of something bigger than themselves leads to a desire to separate from their home and enter into the adult world where emotional attachment can be formed to fuel and support them for the rest of their lives.

    [ad_2]

    Source by Franklyn T. Johnson, Ph.D

    Views: 0

  • A Review of the Newlife Malaysia Multi Level Marketing Company

    A Review of the Newlife Malaysia Multi Level Marketing Company

    [ad_1]

    Newlife Malaysia was was originally started by Dr. Lynn Tan and Mr. C.K. Tan. Dr. Lynn Tan got motivated to start this company because she was very good at sports when she was younger and very health conscious. She even participated in many State Wide Sports Tournaments in Malaysia. But at the young age of 19 her health started failing and no one knew why. She was at a loss for energy, and found herself irritated and lethargic most of the time. She saw many physicians but none of them could diagnose what was wrong with her.

    One day her and her husband met a Dr. Costa Deir while they were at church. By coincidence he was also a medical doctor and naturopath. Then things all of a sudden changed for the better. She was diagnosed as having Toxemia or poisons throughout her body. Dr. Lynn Tan then started using common sense, homeopathic simple principles to start detoxing her body, like eating the right types of foods. In a few short months, her health suddenly took a turn for the better. As some people get better using homeopathic remedies that traditional medicine couldn’t seem to help her with, is where her inspiration came to start Newlife Malaysia came from.

    The philosophy of Newlife Malaysia is Good Health and Good Wealth without compromise. The business which was founded in 1993 was mainly setup for the founders family consumption. When they realized they could help thousands of people, they opened the business to the public and started a Network Marketing Compensation Plan. Upon browsing their website, I noticed they carry a pretty nice array of products. The main categories are Health Food, Herbal & Detox, Vitamins & Minerals, Personal & Family Care, Annemarie Borland Products and Nutritional Books.

    As of this moment, with our current eating habits we are destroying our health and the health of our children by not eating the right foods. Small children are now getting diseases like diabetis that only adults use to get. Medical Facilities are filled with people with diseases and ailments and in too many cases medical doctors don’t have logical answers. With better eating habits, these diseases could easily be circumvented. It’s a childs right to be healthy and a responsibility of parents to keep them healthy. This is the main philosophy behind Newlife Malaysia. They want to not only supply you with the proper nutrients and foods but educate you on how to eat properly to live a higher quality of life.

    Just by a quick glance I estimate the company sells about 100 products in all. This information wasn’t on their main site, but another website that collects leads for this company said it was a Infinity Depth (Hybrid) Pay Plan. The products are all delivered right to the customers home. To my knowledge this MLM Opportunity is only open to the people in Malaysia.

    This isn’t the fanciest MLM Website I’ve seen by a long shot, but the owners have established credibility with me due to how long they have been in business and their personal experiences in health and searching for homeopathic remedies. I can personally relate to this myself and I’m sure many who read this can in one way or the other as well.

    [ad_2]

    Source by Brian Garvin

    Views: 0

  • Is My Doctor Filing for Divorce Because He/She Is Cheating on Me?

    Is My Doctor Filing for Divorce Because He/She Is Cheating on Me?

    [ad_1]

    After 35 + years, my doctor is divorcing me! The mistress seems to be… concierge medicine. Yes, the “honeymoon period” has worn off, and we, as consumers have been expecting our doctors to accept our insurance till “death do us part.” Well, malpractice insurance has gone through the roof, the paperwork has become overwhelming, and reimbursement rates have diminished to practically nothing in some cases, causing a few stresses in this marriage. In fact, it has been reported that 1-in-10 doctors who own private practices, will start direct pay or concierge medicine in the next one to three years.

    Even though Congress effectively avoided the 27 percent slash in Medicare payments during the fiscal-cliff negotiations, the damage was already done. Doctors know this is not a “permanent fix,” and that is cause for the “wondering medical eye.” For example, under ObamaCare, doctor payments from the Medicare health insurance program are dropping at an alarming rate in order to help fund the Affordable Care Act over the next ten years. Doctors need to know there is more stability in a “good thing.”

    So are doctors giving up on their long time patients all together? An AMA survey revealed that one in five physicians plan on restricting the number of Medicare patients in their practice, but will you or your loved one be one of the lucky ones? How will you keep your doctor from straying to that “medical relationship-wrecker,” Concierge?

    Spice up your doctor/patient relationship! No, no, get your head out of the gutter; sending in strippers and showing your “physical assets” is NOT what I am talking about (plus that novelty will wear off, and these distractions can lead to bad patient care), but keep it genuine and simple, like my grandmother did!

    Remember that you know your doctor best (you have been their patient for years), so work with that base! Here are some successful tips from my grandmother who will be celebrating her golden anniversary with her doctor:

    1. Say “thank you” to your doctor – you might be surprised by how many patients DON’T utter a word of appreciation.

    2. Have a heart-to-heart with your doctor – let your doctor know you want to keep them through reimbursement cuts, etc, and Obamacare or not, you will be loyal… no cheating on them with another specialist without them knowing, or slipping some herbal remedies without consulting with them, etc.

    3. Negotiate an affordable rate – if your doctor is dropping your insurance, ask them what a reasonable cash rate would be and work out a payment plan.

    4. Show an interest in your doctor – knowing your doctor’s anniversary, asking them about their kids or favorite sports team, etc. My grandmother knit a blanket in her doctor’s favorite sport’s team colors for the holidays one year and he LOVED it.

    5. Bake an apple strudel. OK, my grandmother bakes the best apple strudel and her doctor looks forward to that freshly backed strudel whenever she comes into his office.

    By following these simple tips, Grandma has been able to keep her relationship with her doctor not only alive, but fun. So keep your doctor from straying, engage him/her by following grandma’s lead, and you might be happier with the outcome.

    [ad_2]

    Source by Michelle Katz

    Views: 0

  • A Substantive Due Process Challenge to the War on Drugs

    A Substantive Due Process Challenge to the War on Drugs

    [ad_1]

    Substantive Due Process Analysis of the Incarceration of Drug Offenders

    A. Framework

    In Washington v. Glucksberg, Chief Justice Rehnquist described the framework for substantive due process analysis:

    Our established method of substantive-due-process analysis has two primary features: First, we have regularly observed that the Due Process Clause specially protects those fundamental rights and liberties which are, objectively, “deeply rooted in this Nation’s history and tradition,” and “implicit in the concept of ordered liberty,” such that “neither liberty nor justice would exist if they were sacrificed.” Second, we have required in substantive-due-process cases a “careful description” of the asserted fundamental liberty interest. Our Nation’s history, legal traditions, and practices thus provide the crucial “guideposts for responsible decisionmaking,” that direct and restrain our exposition of the Due Process Clause. As we stated recently in Flores, the Fourteenth Amendment “forbids the government to infringe . . . ‘fundamental’ liberty interests at all, no matter what process is provided, unless the infringement is narrowly tailored to serve a compelling state interest.”

    Applying this method, one must first examine freedom from incarceration to determine if it is a fundamental right. If so, government policies that require the incarceration of offenders, including drug offenders, must serve compelling interests and be narrowly tailored to achieve them. This article assumes for the sake of argument that drug problems give rise to compelling state interests. It then reviews the interests asserted by the government in its pursuit of its drug war policies and the results of those policies to determine whether the policy of incarcerating drug offenders is narrowly tailored to those asserted interests.

    B. The Fundamental Liberty Interest: Freedom from Incarceration

    Federal and state laws subject drug offenders to incarceration. Incarceration is a tremendous deprivation of liberty that triggers the protections of the Due Process Clause. The Supreme Court has recognized this right on a number of occasions. In DeShaney v. Winnebago County DSS for example, the court held:

    [I]t is the State’s affirmative act of restraining the individual’s freedom to act on his own behalf–through incarceration, institutionalization, or other similar restraint of personal liberty–which is the “deprivation of liberty” triggering the protections of the Due Process Clause . . . .

    Perhaps the earliest explicit recognition by the Supreme Court of freedom from incarceration as a fundamental right under substantive due process came in Allgeyer:

    The ‘liberty’ mentioned in [the fourteenth] amendment means, not only the right of the citizen to be free from the mere physical restraint of his person, as by incarceration, but the term is deemed to embrace the right of the citizen to be free in the enjoyment of all his faculties; to be free to use them in all lawful ways; to live and work where he will; to earn his livelihood by any lawful calling; to pursue any livelihood or avocation; and for that purpose to enter into all contracts which may be proper, necessary, and essential to his carrying out to a successful conclusion the purposes above mentioned.

    An 1891 law review article noted that Blackstone described “freedom from restraint of the person” as “perhaps the most important of all civil rights,” and that Lord Coke felt “the liberty of a man’s person is more precious to him than everything else that is mentioned [in the Magna Charta].” Blackstone states that “the rights of all mankind . . . may be reduced to three principal or primary articles; the right of personal security, the right of personal liberty, and the right of private property.” Indeed, the original Latin in the Magna Charta’s “law of the land” clause uses the term “imprisonetur.”

    No court has invalidated a criminal statute through the application of substantive due process analysis to the fundamental right of freedom from incarceration. At the same time, no court has ruled to the contrary. The Supreme Court avoided the question in Reno v. Flores:

    The “freedom from physical restraint” invoked by respondents is not at issue in this case. Surely not in the sense of shackles, chains, or barred cells, given the Juvenile Care Agreement. Nor even in the sense of a right to come and go at will, since, as we have said elsewhere, “juveniles, unlike adults, are always in some form of custody,” and where the custody of the parent or legal guardian fails, the government may (indeed, we have said must) either exercise custody itself or appoint someone else to do so.

    This analysis would not apply to adult drug offenders. The Fourth Circuit also avoided addressing freedom from incarceration as a fundamental right in Hawkins v. Freeman:

    Hawkins’s rhetorical reference to the right as being “freedom from unjust incarceration,” and that of amicus, American Civil Liberties Union of North Carolina, as the “right to be free from arbitrary incarceration,” are issue-begging generalizations that cannot serve the inquiry. A properly precise description can, however, be found in the facts and legal authorities relied upon by Hawkins in support of his claim. From these, we deduce that the precise right asserted is that of a prisoner to remain free on erroneously granted parole so long as he did not contribute to or know of the error and has for an appreciable time remained on good behavior to the point that his expectations for continued freedom from incarceration have “crystallized.”

    Hawkins is distinguishable because it deals with an inmate whose parole was revoked. In any event, the casual dismissal as an “issue-begging generalization” flies in the face of nearly 800 years of common law tradition and over a century of Supreme Court decisions recognizing freedom from incarceration as a fundamental right. Indeed the language of the Supreme Court’s Ingraham decision supports the application of substantive due process proposed in this paper:

    While the contours of this historic liberty interest in the context of our federal system of government have not been defined precisely, they always have been thought to encompass freedom from bodily restraint and punishment. It is fundamental that the state cannot hold and physically punish an individual except in accordance with due process of law.

    The Court also stressed this fundamental liberty interest in Foucha v. Louisiana, a case involving the confinement of a person found not guilty by reason of insanity:

    Freedom from bodily restraint has always been at the core of the liberty protected by the Due Process Clause from arbitrary governmental action. “It is clear that commitment for any purpose constitutes a significant deprivation of liberty that requires due process protection.” We have always been careful not to “minimize the importance and fundamental nature” of the individual’s right to liberty.

    While the Foucha Court indicated that “a State may imprison convicted criminals for the purposes of deterrence and retribution,” the remark was dicta and did not involve any discussion of substantive limits on the police power. In Meachum v. Fano the Court made a similar remark in the context of a case dealing with prison conditions: “[G]iven a valid conviction, the criminal defendant has been constitutionally deprived of his liberty to the extent that the State may confine him.” Again there was no discussion of substantive limits on the police power. Indeed the previous sentence noted: “The Due Process Clause by its own force forbids the State from convicting any person of crime and depriving him of his liberty without complying fully with the requirements of the Clause.”

    Recently in Zadvydas v. Davis, the Court noted:

    The Fifth Amendment’s Due Process Clause forbids the Government to “depriv[e]” any “person … of … liberty … without due process of law.” Freedom from imprisonment–from government custody, detention, or other forms of physical restraint–lies at the heart of the liberty that Clause protects.

    Freedom from incarceration is not just a fundamental right. It is the one of the most fundamental of rights.

    C. Identifying the State’s Interests

    Governmental drug policy interests identified in federal statutes include “demand reduction,” “supply reduction,” and “reducing drug abuse and the consequences of drug abuse in the United States, by limiting the availability of and reducing the demand for illegal drugs.”

    Federal law sets specific goals for the National Drug Control Strategy. These include:

    “Reduction of unlawful drug use to 3 percent of the population”;

    “Reduction of adolescent unlawful drug use to 3 percent of the adolescent population”;

    “Reduction of the availability of cocaine, heroin, marijuana, and methamphetamine”;

    “Reduction of the respective nationwide average street purity levels for cocaine, heroin, marijuana, and methamphetamine”; and

    “Reduction of drug-related crime.”

    Goals are also set forth with regard to drug-related crime:

    (i) reduction of State and Federal unlawful drug trafficking and distribution; (ii) reduction of State and Federal crimes committed by persons under the influence of unlawful drugs; (iii) reduction of State and Federal crimes committed for the purpose of obtaining unlawful drugs or obtaining property that is intended to be used for the purchase of unlawful drugs; and (iv) reduction of drug-related emergency room incidents . . . .

    D. Defining “Narrow Tailoring” in the Context of Substantive Due Process

    Assuming that the governmental interests are compelling, we must determine whether the incarceration of drug offenders is narrowly tailored to achieving them. The government must show that its policy passes strict scrutiny. The concept of narrow tailoring is not well defined in the context of substantive due process, but has been fairly well defined in regard to the First Amendment and Equal Protection. Equal Protection cases also arise out of the Fourteenth Amendment. In Wygant v. Jackson Bd. of Education the Supreme Court held: “Under strict scrutiny the means chosen to accomplish the State’s asserted purpose must be specifically and narrowly framed to accomplish that purpose.” In a footnote, the Court described narrow tailoring in even further detail:

    The term “narrowly tailored,” so frequently used in our cases, has acquired a secondary meaning. More specifically, as commentators have indicated, the term may be used to require consideration of whether lawful alternative and less restrictive means could have been used. Or, as Professor Ely has noted, the classification at issue must “fit” with greater precision than any alternative means. “[Courts] should give particularly intense scrutiny to whether a nonracial approach or a more narrowly-tailored racial classification could promote the substantial interest about as well and at tolerable administrative expense.”

    It is important to note here that a policy that does not advance the government’s interests violates substantive due process regardless of how it compares with the alternatives. If it does not accomplish its purpose, logic dictates it cannot be specifically and narrowly framed to accomplish its purpose.

    E. Advancing Governmental Interests

    Congress has identified certain tools for assessing the national drug control strategy. The National Household Survey is the measure for “unlawful drug use.” Similarly, “adolescent unlawful drug use” is to be measured “by the Monitoring the Future Survey of the University of Michigan or the National PRIDE Survey conducted by the National Parents’ Resource Institute for Drug Education.” On these measures, the goals are not being reached.

    The measure of adolescent drug use that was specifically identified by Congress, illicit drug use in the past 30 days, worsened in 2001. More than 25% of US twelfth graders reported using illicit drugs in the past 30 days. That is nearly double the figure for 1992 and more than eight times the stated goal of 3%. Over 40% of 12th graders tried an illicit drug in the past year.

    The PRIDE Survey and National Household Survey show similar results.

    The drug war has also failed in its other goals. The Monitoring the Future Survey tracks how twelfth graders perceive the availability of drugs. Reducing availability is an explicit goal of the drug war. The perceived availability of marijuana in 2001 was slightly higher than in 1975. The figures for harder drugs are more disturbing. From 1975 to 1986, roughly 20% of twelfth graders said heroin was easy to get. That number shot up in the late 1980s and has remained consistently higher than 30%. Cocaine remains widely available to our youth, with nearly 50% of twelfth graders saying it is easy to get. The survey began measuring the availability of ecstasy in 1989, when only 22% of twelfth graders felt it was easy to get. In 2001, that number went over 61%, having jumped from 51% the year before.

    Drug war policies are not achieving the stated drug war goals. They cannot be “specifically and narrowly framed to accomplish their purpose” because they are not accomplishing their purpose. Drug use has not been reduced in any significant way, and levels of drug use are far above the stated goals. Our children have easy access to drugs. We can’t even keep drugs out of jails. The drug war and the incarceration of drug offenders have also failed to achieve secondary goals regarding supply, demand, purity, drug-related health problems and drug-related crime. The policy of incarcerating drug offenders does not “directly advance[] the governmental interest asserted.” The War on Drugs is not working.

    F. Alternative Means

    Even if a court is persuaded that incarceration advances the government’s interests, the government must also show that its policy choice fits better than the alternatives. Critics of the drug war encompass a broad spectrum of backgrounds, and the range of “solutions” is just as wide. Libertarians and others favor outright legalization of drugs. The legalization of marijuana is a somewhat popular variation of overall legalization, and there are other variations such as the legalization of marijuana for medical purposes and decriminalization of drugs or marijuana. Another leading approach, known as harm reduction, looks at drugs from a public health perspective.

    The effectiveness of some of these alternatives is difficult to assess. Even so, certain comparisons can be made. Advocates of treatment point to studies showing that treatment is much more effective than incarceration. Spencer notes:

    The recidivism rate for first time Dade County drug offenders was sixty percent, but for those who successfully completed the Dade County Drug Court treatment programs, the recidivism rate reported by Dade County officials was only seven percent. Drug court treatment programs are also cost effective. It costs Florida only $2,000 to put a drug offender through a drug court program, as compared to $17,000 per drug offender for incarceration. As a result, other drug court programs are being established throughout the country.

    Similarly, a Rand study found treatment to be seven times more cost-effective than current supply-control policy in reducing cocaine consumption.

    G. The Incarceration of Drug Offenders is Not Narrowly Tailored

    Incarceration involves a far greater infringement of fundamental rights than alternatives which are both more effective and less intrusive. The incarceration of offenders is not advancing the state’s asserted interests. The drug war is not narrowly tailored, failing the Supreme Court’s “established method of substantive-due-process analysis” as described by Chief Justice Rehnquist. The laws requiring the incarceration of drug offenders are therefore unconstitutional, if substantive due process analysis is applied.

    IV. CONCLUSION

    It is true that the approach suggested in this paper would limit the police power. Constitutional protection of individual rights exists for that very purpose. We face coercive government action, carried out in a corrupt and racist manner, with military and paramilitary assaults on our homes, leading to mass incarceration and innocent deaths. We can never forget the tyranny of a government unrestrained by an independent judiciary. Our courts must end the War on Drugs.

    For the full article, with endnotes, see: http://www.redlichlaw.com/crim/substantive-due-process-drug-war.pdf

    [ad_2]

    Source by Warren Redlich

    Views: 0