Showing posts with label france. Show all posts
Showing posts with label france. Show all posts

Monday, May 23, 2016

From Paris to Peru: Women Daring the Streets

By Kelly Cogswell

I was sitting on the Paris metro last week when some guy of about thirty plopped himself down next to the teenage girl across from me and began to ask, "Where are you going? What stop are you getting off at?" as he touched her shoulder, and touched her arm. She didn't look at him, but kept answering. She'd been trained to be polite after all.

When she glanced over I told her, "You don't have to respond." And the guy turned from the girl to me, asked, "Are you her mother? Is she your mother?" And the girl and I looked at each other and said, "Yes," in unison.

He pawed her one last time, and left at the next stop. I hope his dick falls off, though another creep will appear. The girl told me that she is harassed all the time on the metro. That's what women exist for. Our opened mouths are only allowed to laugh at your jokes. In advertisements our lips are permanently parted so you can imagine your cock in there. Yeah, every woman is dying for it. Except for senile old ladies like me who might act irrationally, forget what we're doing and bite it off.

Afterwards, I had this insane desire to laugh. Like mother like daughter, I let men do the same things to me at her age, worse even, wanting to please. I had no stock response that would deflect attention without making a scene that might humiliate or enrage them, and then whatever happened would be all my fault. Even if nothing did, I’d still be that humorless, screaming harridan that even other women hate, afraid I’ll make them look bad.

About the same time, a large group of female ex-Ministers of both the right and left denounced pervasive sexual harassment within the French political class. They seemed less angry than relieved to finally speak up. I remember how happy I was the first time I was on the street with a bunch of dykes and, transformed from object into actor, finally began to express myself on this bigger stage, claim space with my body if nothing else.

Lately, though, I think street activism is only radical for women. There's nothing new about seeing men there. My mother never even ate in a restaurant at a table for one, never went alone to the movies, or even saw a woman preacher in the pulpit. Decades later the idea of a woman in the White House still seems ridiculous.

The woman owner of a big-time French soccer club is told to go back in the kitchen. In November, ISIS terrorists blamed women for forcing them to pick up automatic rifles, strap on suicide vests and attack Paris bars and cafés. Because what could be more of an affront to God than seeing women relaxing in public, polluting nearby men? Not long ago we went back to the nearby Comptoir Voltaire, which had finally reopened after the attacks. I ordered a glass of cold white wine. The woman next to us drank coffee and turned her face to the sun. We spoke French, and English, and Arabic, all genders together. We thumbed our noses at God. Or just men, maybe.

Last week, three Femen interrupted an appearance by Muslim Brotherhood’s golden heir, Tariq Ramadan who likes to tell credulous westerners about his peaceful version of “political Islamism”, and his love for democracy, but has a side game encouraging young men (and women) to build a world in which women are legislated into our place. The French, Algerian and Moroccan Femen not only bared their breasts to expose painted slogans, they tried to cover up Ramadan's face with the black abaya which allowed them to piously sit on the first row before storming the stage. Ramadan didn't like it at all.

A double discourse works just as well for the Pope who seems positively gay-friendly and progressive when he visits the U.S. but in Italy mobilizes his forces against LGBT activists, so effectively watering down a recent civil union bill my queer Italian friends didn't bother to celebrate when it passed. Worldwide the Catholic Church works against access to contraceptives and abortion, torturing poor women with enforced pregnancies and even jail if they dare interrupt a pregnancy. Recently in El Salvador, a women sentenced to 40 years in prison for a presumed abortion—she said it was a miscarriage—was released after five years in jail.

In Peru, another Catholic country, women also went topless last week, to protest new penalties for abortion and denounce the candidacy of Keiko Fujimoro, whose father is the former president. Alberto Fujimoro in jail for corruption and a couple of small massacres. Between 1996 and 2000 he was also responsible for the sterilization of as many as three hundred thousand poor, indigenous women, the majority against their will.

The cops tear-gassed them, of course, these dozen terrifying women. That image for me says it all. Enormous armed men. A cloud of teargas erasing vulnerable women with a few words scrawled across their bare chests.

Monday, April 25, 2016

Nuit Debout: This Revolution Is Not for You

By Kelly Cogswell

Revolutions don't excite me any more. They're never for me. Not Occupy Wall Street. Not the new social movement going on in France right now, called "Nuit debout" and centered fifteen or twenty long blocks from me at Place de la République.

It began on March 31 following a series of protests against proposed government changes to the labor laws that might or might not make things worse for workers. What's sure is that France has a high unemployment rate, and young kids are already so worried about retirement that associations of high school students joined labor unions as the prime organizers in these enormous demos. I saw the student leaders, and was excited that some were young women.

These protests exploded into a movement that seemed spontaneous, at first, but was triggered in part by François Ruffin, a journalist releasing a Michael Moore- like film, and other activists. They reportedly decided to piggyback on the March 31 demo, by refusing to leave the plaza afterwards, encouraging others to stay with them. Their goal: to unify several social movements including concerns of labor protection and income inequality. It worked spectacularly well. Ruffin's film is a hit. And, "Nuit debout" (Up All Night, or Standing Night ) has become a more general movement frequently compared to Occupy Wall Street.

After weeks of encampment, they've reached a détente with the authorities, settling into a rhythm where they only gather on the weekends and after work until midnight or 1 a.m. If you pass by, you'll see tents, and tables and small working groups. Other times, there are big general assembly meetings with lots of speakers. In terms of gender, the overwhelmingly white crowd seems reasonably mixed, but when it comes to speakers it's mostly men. The men talk a lot-- about equality, horizontality, and intersectionality, drawing connections between civil liberties and income, police reform, immigration, Palestine, the environment, questions of race, women, queers.

Probably, if I stayed, I'd even agree with a lot of what they say. But form matters, too, and at Nuit debout, men hog the podium in general assemblies, and grandstand in working groups. Not only do more men speak, they speak much longer than women. And when women finally do get a word in, they are repeatedly, frequently, inevitably interrupted.

The feminist group there proposed that they partly solve the problem by alternating genders on the list of speakers, but the crowd determined that there weren't enough female speakers to justify such a move. And never once thought it useful to ask why.

The group, Commission on Feminisms, has also been trying to hold regular women-only meetings to encourage more women to articulate their issues, at least in this smaller protected space. But men, that often self-identify as feminist, come to harass, and harangue them, inspiring one of my friends to joke that they'd finally figured out how to interest men in what women have to say.

These "feminist" men have also used the open, mixed feminist meetings to rage against women-only meetings being held in a public space like the Place de la République, in a public movement of citizens like Nuit debout. So what if women can't fully participate in this public movement, or even stand safely in the public plaza?

Sexual harassment there is not uncommon. There have even been sexual assaults. I read one blog post describing how when some women tried to talk about their experiences right there at Nuit debout, (just like Occupy Wall Street!) some man shouted he'd never seen such a thing. And when the women responded rudely, the man's feelings got hurt and the group had to process that. Because his feelings, of course, were the point.

Nevertheless, it was a woman, Fahima Laidoudi, a 53-year old cleaning lady and far-left militant, who apparently has prodded Nuit debout to recognize their lack of diversity on the racial front. In response, Parisian activists created a sort of outreach committee. In the city of Marseille, they went further, and organized an event Saturday in the cité des Flamants, a housing project outside of town.

Almost nobody came except journalists, including one from Le Monde, who reported that instead of a tickertape parade, they got a critique from one local activist, Fatima Mostefaoui. "Here, we've been standing and awake for thirty years," she told them. "Nobody here was waiting for you to fight poverty, police violence, social injustice… You came here to give us a voice? We've had a voice. It's just that nobody's listening because everything we say is censored and stigmatized."

Afterwards, one young man told Le Monde that they'd picked the wrong place. "I'm not sure I'd try again."

Me neither. Even though the men of the left have increasingly mastered the language of change, they themselves haven't budged. They don't listen, can't stand any voice but their own. Without women, without poor people, people of color, oh yes, and queers, the end result can only be more of the same.

Monday, February 01, 2016

Queer Ally, Defender of Justice, Resigns in France

Christiane Taubira ready to zoom off, but not into the sunset.

By Kelly Cogswell

I love Christiane Taubira. If she appeared before me like Yemaya, or the Virgin Mary, I'd fall at her feet. The French Republic has rarely had such a staunch and principled defender. As an elected deputy of the French parliament, she was the driving force behind a 2001 law recognizing slavery and the Atlantic slave trade as a crime against humanity. François Hollande's French Minister of Justice since 2012, she spent months introducing and defending the 2013 law that would give lesbians and gay men marriage equality, and establish her as one of the most hated targets of the extreme right.

She didn't care. Every day during the battle I'd wake up and check out YouTube to catch her latest impassioned speech, or snippy response, or even extended fit of giggles. She took the fight personally as a black woman. And said so. Equality was equality to her. And she'd been fighting for it her entire life. In France as a young black student newly arrived from her birthplace of Cayenne in French Guiana. In Guiana fighting for the cause of independence.

Now, faced with having to defend proposed legislation which actually attacks equality, she's walked away from her post, denouncing the antiterrorism measure that would strip convicted terrorists of French citizenship if they are dual nationals, even if they are born in France.

While it may seem like a small, symbolic gesture, that would almost never be applied, it is part of a Constitutional reform that will institutionalize inequality, officially creating two classes of French citizens. There are those who have citizenship permanently and irrevocably--mostly white French people born in France into white French families. And those whose citizenship is theoretically vulnerable--mostly immigrants and the children of immigrants who also have citizenship in another country.

This act can only exacerbate existing racism, xenophobia, and anti-immigration sentiment at a moment when all of Europe is grappling with a huge swell of refugees. And citizens of color in France, including North African Jews, are already considered not quite French.

Most importantly, here, where Equality and Fraternity are two of the three pillars of the French Nation, along with Liberty, it also undermines what it means to be French. Like the U.S., France has never quite lived up to its ideals. But the average French person still believes in them, at least in the abstract. And when social and legal change does happen, some aspect of liberty or equality or fraternity will be the underlying argument. I can't imagine France without them. Will it be converted into a U.S. post-9/11, cynical or indifferent to vanishing civil liberties, secret prisons, a parallel justice system with its own Guantanamos, endless surveillance?

I saw the Spielberg movie Bridge of Spies during the holidays, and especially liked that scene between a Cold War spook and Tom Hanks who plays Brooklyn lawyer James Donovan defending an accused Russian spy. The CIA guy wants him to share confidential information, and tactics. And Donovan goes all Constitutional on him defending the right to a fair trial for everyone, and asking just what it is Americans have in common, anyway? Especially Americans like them, Donovan, the child of Irish parents? The spy guy with a German name?

Donovan answers his own rhetorical question by saying that nothing at all unites Americans. Just a few abstract ideas, a few principles. Like Equality. Especially equality under the law, a competent defense. For everyone.

It was eerie to watch the movie here in Paris just a few weeks after the November 13 attacks when people were still lighting candles and laying mountains of flowers in front of the cafes and restaurants and clubs where hundreds of men and women were slaughtered and maimed by ISIS terrorists. People were still afraid. The streets were half empty. Tourists had cancelled their reservations and many Parisians were avoiding cafes, especially the terraces. You could get a seat anywhere.

Also, Hollande had just made his big speech to the parliament with his ministers there in the front row. I saw Taubira listening as he tried to counter fear and grief with strength and anger, condemning the attacks. And of course, laying out his anti-terrorism measures, which included declaring a state of emergency, possible Constitutional reforms, and this provision to strip nationality.

When he said that, I thought I saw Taubira's face close in on itself. And afterwards, when she joined the whole room singing the Marseilleise, I wondered what that call to battle meant to her.

Now I know. A portion of her parting tweet was, "Parfois résister c'est rester, parfois résister c'est partir..." "Sometimes resisting means staying, sometimes resisting means walking away…" She'd stayed for months trying to fight the provision. But having failed, she couldn’t stay, and offer her seeming approval. Already, she's published a book-length essay against the legislation. She may have left the government, but she's still fighting for France.

Monday, January 12, 2015

A Dyke In Defense of Offense: Yes, Je Suis Charlie

By Kelly Cogswell

I guess you know by now that the key staff at Charlie Hebdo in Paris were slaughtered by Islamist extremists outraged at, well, almost everything, but especially how the satirical magazine attacked Islamist extremists. But before their bodies were even cold, the glorious automatons of the American left were eviscerating the work of these dead cartoonists and journalists, taking it out of context, blaming the victims, projecting the subtext loud and clear: these colonialist, racist pigs only got what they deserved.

I don't even know where to start.

Except that if you think it's important to speak the truth to power, or at least try to, you should've had their backs. Not that Charlie Hebdo always got it right. Satire is tough. Sometimes they had brain farts like anyone else. Case in point--the time that they were trying to do a take down of Minute, the extreme right magazine that caricatured France's black Minister of Justice, Christiane Taubira, as a monkey, justifying it as humorous. Charlie Hebdo responded with their own version captioned, "Minute is not Charlie Hebdo. Racism is not funny…" While their intent was to critique racism, the image seemed to reinforce it. Like when some writers and filmmakers have depicted rape scenes, gay-bashings, and other graphic violence.

Fine. Whatever. Let them all be butchered, discarded without grief. Our artists should be perfect. And careful. We should put our work in the drawer for years, see if it holds up, and maybe wait until a team of censors can weigh in. Probably we should ban journalism altogether, along with late night comedy shows. Any form of media that is topical and subject to errors --of judgment, good taste, history, and our murky collective subconscious.

Somebody might mistake an attack on fat cat imams or violent Islamists like IS for an attack on Mohammed himself, or ordinary Muslims just trying to go to mosque and pay their bills. Neither should we repudiate the Israelis attacks on Palestinians because the resulting anti-Semitism will no doubt lead to dead Jews in Parisian supermarkets. No, don't expose the tyranny of the Castro brothers in Cuba, or it'll look like you're supporting U.S. meddling. Likewise, queers in West Africa getting stoned by mobs will have to do without our American help because somebody might accuse us of colonialism.

Above all, we must never grieve the imperfect dead. We must stand above the fray and keep our delicate white, our delicate, brown hands clean.

I read somewhere that all this criticism was progress, an attempt to avoid exercising "white male privilege." No matter that the resulting carefulness, outraged superiority and demand for perfection is itself rooted in privilege and power. The only careful people are those that have a lot to lose. Who if they aren't already there, believe they might yet be invited to the grownups' table, and having other resources at their command can define the only speech worth protecting, usually their own perfectly nuanced, calibrated, respectful and educated sneers.

People like me will never measure up. Mild as I am I'll be considered too shrill, too queer, too furious to always get it right. And when we open our traps we're dismissed or attacked. Like Ayaan Hirsi Ali. You'd think she'd be heard as a nice brown Somali woman herself born inside the Muslim faith, but no. Every time she's scheduled to speak somewhere, there's a huge lefty outcry. Islamophobe! somebody screams. And maybe she is, literally, afraid of Islam. In the name of it, her female body was mutilated. People around her were murdered. She herself has been condemned to death. Me, I'm afraid of it, too. Like all religions. No matter how many reforms the Big Three go through, it's there in black and white that women are worthless. Queers should be killed. And we are killed any place, any time religious fundamentalists get the upper hand.

I feel sorry, I feel sick, at these nouveau Torquemadas offended at offense. If I was a cartoonist, I'd draw them with their heads protruding from a considerable ass, and the delicate rose of that hole would be their vile little mouths. Or maybe that's me. Or who I'd like to be some days. Like Charlie Hebdo a vulgar satirist down in the metaphorical mud, sneering at my betters, and making rude noises, but also wailing with inconsolable grief at the two towers I watched burn from the roof of my building, and then, also, at the resulting slaughters in Afghanistan and Iraq. At all the dead in France. Because in some things you don't actually have to choose sides. In fact, you must not.

As Harry Bosch once said, fictional homicide detective, and the only prophet I revere, "Everybody counts or nobody counts."

Monday, July 21, 2014

Gaza, Queers, and Banning Speech

By Kelly Cogswell

It's harder and harder to be a cheerful, card-carrying member of the LGBTQ community. If it's not the new spate of weddings, it's our obsession with the policing of speech. We catch some famous person saying homo or fag, bust their chops, and soon they're at HRC or GLAAD, beating their breasts and getting sensitivity training. A few days later, the same censors are screaming, Free speech! Free speech! because somebody wasn't allowed to march for something (that they agree with).

Those who demand limits, at least sometimes, might want to consider France as a cautionary tale. After World War Two and the massacre of Jews, there are serious penalties for speech inciting hate. Last week, Anne-Sophie Leclere, a local, first-time candidate for the extreme right, was sentenced to five months in jail and a 50,000 euros ($68,000) fine for publicly posting racist images, and making racist remarks about Christine Taubira, the Minister of Justice.

And just this weekend, in an effort to prevent anti-Semitic violence, Paris banned a march-- against the bombing of Palestinians. The government had what they considered a good reason. A similar demo last week devolved from criticism of Israel to denunciations of The Jews. Protesters with baseball bats tried to storm at least one synagogue, trapping a number of terrified people inside.

The ban, though, was denounced even by members of the governing party as anti-democratic, no matter that it was probably legit. The right to assemble apparently isn't written into the French constitution (though the right to strike is).

In any case, the ban, complete with threats of jail time and huge fines, only made things worse. Big mouths got to play the victim and no doubt claim Jews really do control the government. And after a semi-peaceful start, with a mixed crowd of all genders and ages, the march evolved into the usual melee featuring guys with their faces wrapped in those checkered scarves, and posing for the cameras with a cloud of teargas behind. The message that Israel should quit bombing Palestinians was largely lost.

Despite the predictable, though unintended consequences of curtailing speech, people still seem to think it's a good idea. I went to hear a talk by Stuart Milk the other day, and he seemed a little embarrassed when somebody asked him why Americans couldn't gag Scott Lively. He didn't exactly muster a spirited defense of our values. Just explained the law, kinda, then changed the subject as fast as he could.

And it's true, with near absolute free speech, Americans are stuck with the likes of preacher, and antigay activist Scott Lively. In the U.S., "hate speech" pretty much only has legal implications when accompanied by a concrete act of violence. Or when there's a direct and unmistakable cause and effect, like yelling "Fire" in a crowded theater, leading to somebody getting trampled to death. So Mr. Lively can travel the world spreading lies and hate about LGBT people, and he can't be prosecuted in America, until links between his antigay campaigns and violence become more and more direct. Or he's attacked from a different angle.

Faced with the consequences of such speech, it's difficult to accept the usual pat response that the answer to bad speech is more speech. What we should say, then, is that efforts to prevent hate speech may actually open the door to it, and thwart efforts to fight back.

We're seeing it play out in Europe. With the intention to prevent a reprise of the Holocaust, they introduced the idea that it is acceptable to criminalize speech that may incite a certain mindset (hate) which may incite a criminal act. From there, it's not much of a leap to decide to prevent the original speech from taking place.

And while you could shut up Scott Lively once and for all, you may also see more marches banned. Because something untoward might be said, which might eventually lead to violence.

In the worst case scenario, you get Russia. Because if the tools exist to ban Scott Lively, they exist to ban you. It all depends on who's on top. Take these ideas to their logical conclusion with a different ideological lens, it's not only possible, but practically necessary, to criminalize pro-gay speech. After all, societies agree on what is dangerous and repugnant, and if in Russia there is the widespread belief all queers are pedophiles, and also, somehow, magically, a threat to the state, speech in our defense is dangerous, too.

So keep this in mind--once legal tools exist to curb speech, we can't guarantee only the wise and good-hearted will be in control of them. So we better err on the side of scary, limitless speech. This is especially important (I'll say it again) for queers. We will always be a minority, always vulnerable. We need to protect the few weapons we have.

Kelly Cogswell is the author of Eating Fire: My Life as a Lesbian Avenger (U Minn Press, 2014).

Tuesday, April 13, 2010

Stalking Catherine Deneuve

By Kelly Jean Cogswell

I meant to stalk Catherine Deneuve. I really did. She apparently lives at Place Saint Sulpice which is only a fifteen minute walk away. And it has plenty of benches for the lazy stalker, though you'd be advised to bring an umbrella, not so much for the rain but for the lurking pigeons.

Unfortunately, I've run out of time. I'd remember, then forget. Or have something else to do. Laundry doesn't wash itself. Groceries have to be bought. Paris streets demand to be walked, columns to be written. And in any event, just as I'm about to leave the country, she has begun to stalk me.

A couple of months ago she turned up in a dream. I've read stories of how she'd sued insulting journalists, and there was that time she sued the lesbian magazine Deneuve until they were forced to change their name to Curve. But in my dream she was quite nice.

She complimented me on my purple Wellies cast just for me in textured rubber, while I waxed eloquent about her pants made of cowhide that still had the hairs attached yet were nevertheless as supple and buttery as the finest Italian leather. They made an interesting contrast to her silky blouse that itself was composed of two or three green Indian prints.

Last night, Catherine appeared again, thinner than I remembered and perhaps angry I'd surfed past her Mississippi Mermaid, also starring that other great actor Jean-Paul Belmondo, who rose to fame in the New Wave of French cinema and then sank into playing less exalted versions of the same gangsters, cops and conmen.

I can't remember much of the dream except that I put my hand on the ribs between her breasts and felt her heart beating madly as a bird. It wasn't sexy so much as a direct means of communication erasing the usual celluloid between us.

The first time I remember seeing her was in a video of the Jacques Demy musical, Umbrellas of Cherbourg. It became my first favorite film. She was so strangely, untouchably beautiful. She sang and danced in the rain, not cheerfully, but while suffering in a way not at all American. That was around 1995. A few years later I saw the film 8 Women and was surprised at all the years she'd aged in between, until I remembered I saw the Umbrellas of Cherbourg long after it was made.

I still find her sexy. Maybe more than when she was young and terrifying. She still has that presence. She can still act. Seriously. I saw a character of hers once sink into a confusion of fear, self-pity, disgust, and somehow emerge with a wimpy determination. A tour de force that took a couple of seconds. She also has those transcendent moments where she puts forth the purely and nakedly beating heart that I felt between my fingers just last night.

Which is what really attracts me. How her communication is almost perfect, at least on the screen. I wish I could pull off the same in my metier. Especially when it comes to France. I had this idea when I came here that I'd sometimes write about what it was like to be an immigrant. The problem is that my immigrant-lite experience has created a growing sense of distance between worlds and words that has made it near impossible to describe.

You say tomato, I say tomate. You say potato, I say pomme de terre. And beyond the artifice of language, there's our personal lexicons. Paris, what does it mean to you? Champagne every day for breakfast? Cigarettes and Sartre for lunch? Bigots preventing those nice Muslim women from wearing their scarves? Communist medicine? And don't even start with that double-edged word, "American." Words conjure more words, images from god knows where. So much depends on shared context.

I should have known better. Already, when I moved from Kentucky to New York, there were regular letters and annual visits at first, then nothing. Not just because I came out as a lesbian (mother's translation: sinner ready to burn in hell), but because my life diverged further and further both from the worlds my family knew and even from the images they'd seen on the movie screen.

Every joke had to be explained, every little story became an epic because there were no reference points in common with their rural-rooted, suburban, church-going lives or with anybody's Mean Streets. I didn't know where to start. And ended with silence -- the flip side of all the shouting that dominates American politics now.

What's left but novels, films, and Catherine Deneuve? Self-contained, they build up context frame by frame, word by word until you feel the human heart beating underneath.

Tuesday, September 01, 2009

Two Cents on Health Care

By Kelly Jean Cogswell

When I drop in on the American health care debate my only response is "Freaks!" Seriously. Universal health care = death panels? Communism? Armageddon? On the other hand, who on earth believes access and regulation will fix it all?

I'm an unexpected skeptic. I'm living in France where the value of universal coverage is self-evident. Despite their complaints about the high cost of care, middle-class French people pay very little, poor people pay nothing, and even outsiders like me benefit from government regulation, subsidies, and a system among the best in the world.

To give you an idea of what it means in financial terms, last year I had an ovarian cyst that involved a lot of doctor visits and eventually surgery. I paid full price for everything before my insurance returned the bulk of it. Sixty euros ($86) covered one visit to a private gynecologist, 28 euros for a visit to a public clinic. A sonogram was eighty euros. An MRI ran 454 euros. Surgery with three whole nights in the hospital was 4450 euros ($6367) including hospital bed, surgeons' fees, anesthesiologist, medication, bed pan, coffee and croissants. And I waited less than a month for this non-emergency surgery to be scheduled.

The most important thing, though, is that at every stage the care was competent and professional. Hell, it was the best I've ever had. Unsurprisingly, the World Health Organization as well as the Commonwealth Fund rank France, along with Switzerland, Britain, Canada, and Japan, as having the best health care system in the world, not just in access, but in having the best outcomes in all age categories for cancer, heart disease, diabetes, and rates of other chronic diseases.

For me the question is, even if the flying pig of universal health coverage manages to get past the increasingly powerful lobbyists and their congressional lackeys to give every American insurance, can the United States actually transform its medical culture enough to make universal health care work? Access aside, America's existing health care system stinks. You can pay a lot, or pay a little, you're still in a country rated a pathetic 37th on results.

My theory is that the key to the success of French medical care is not just access, but access to one standard of care for everyone, not just in terms of how medical recommendations are made, but in terms of class.

I'd heard about it from one of my old neighbors, a medical social worker, who told me how he might spend a morning in a total slum with a recent hospital discharge, and the afternoon visiting a patient whose possible inheritors were squabbling in an adjoining room.

I got a chance to watch it myself last year. In the waiting room at the public hospital, there'd be a student, a middle-class matron, an au pair. The secretaries terrified rich and poor alike with the same French bureaucratic chill. The doctors greeted everyone with the same face of professional interest, the same polite handshake.

Compare that mix of patients and the imposition of the same social conventions to New York, where there's clearly a two-tier system of health. The poor are treated by specialists in the poor, who rarely leave their medical ghettoes to treat the rich. In public clinics, nurses snicker at patients to their faces, make fun of accents even if they have one themselves. Doctors, usually paid less than their peers in private practice, assume that the financial poverty includes moral and intellectual lack, too, and treat you accordingly.

Which is not to say they don't prescribe the expensive procedures and tests. The problem is the staff just don't take the same care with some poor schmuck as they would with the rich.

There was the time I was on Medicaid and having intestinal problems. They recommended a colonoscopy and I was right in the middle when the anesthesia wore off. They couldn't give me more because my blood pressure dropped, which they hadn't prepared for though apparently it's a common side-effect, and despite the fact I was begging them to stop, these medical professionals just went straight on like I wasn't there begging them to please, oh my god, please stop.

No, access isn't everything. I could tell you a dozen stories like that. Only a few of them mine. Should I be happy more people get access to that?

I think this two-tier system is also bad for the middle-class or rich. Aware of the differences in pocket books, the potential for patient lawsuits as much as the payoffs in lucrative tests and prescriptions, I doubt doctors give them the objective, thoughtful care they should. They don't refuse to offer useless treatments, don't take chances when they ought to.

Reform? Hell. Better burn down the house.

Tuesday, December 09, 2008

The Price of Health

By Kelly Jean Cogswell

Thursday, I bought a bathrobe and pajamas, packed a bag, and took the metro to the hospital where I handed over both my credit card and a check so they would accept my 59.2 kilos of flesh to be depilated, disinfected, knocked unconscious, pierced with holes, de-cysted, and released.

Even paying full price, it was a bargain by American standards. In Paris, doctors will make a house call for about $85. A visit to a gynecological clinic costs $40. A sonogram is about $100. And a prescription of Xanax runs three bucks. Laparoscopic surgery with three nights in the hospital is a mere $5,800, surgeons' fees and morphine included. In New York, that'd barely cover a bed pan.

For most French folks, the government covers two-thirds of health care costs, and they often have a supplementary insurance that gets the rest. For the poor and unemployed, the state picks up the whole tab. The best thing is, French doctors are competent. Even in the public sphere. The hospital I was going to was more highly rated than the private clinic a friend of mine used that cost an extra 600 bucks a day.

I checked it out, did price comparisons. That's the American way. To focus on dollars and cysts. When the radiologist said I had a big clump in an ovary and needed an MRI, I freaked out more about the cost and whether my insurance would reimburse me than that my body was growing strange fruit. After all, it's medical bills that metastasize into crippling debt. And money that shapes our experience of medicine, even health.

Health for the rich means well-being, every part of the body on track, clear skin, good feet, all systems go. The poor are often grateful just for mobility and generally being intact. You can have rotten teeth, and a bad back, and still proclaim when you lose your job, "At least I have my health."

We don't have the time or money for more. In the New York public health system, you wait months for appointments, then wait for hours and days in waiting rooms with all the other marginal folks, new immigrants, working poor, the crazies who apparently don't deserve better. And rarely get it.

The doctors seem to hate us, and secretaries sneer behind our backs. Bring a list of questions to an appointment, you'll be dismissed as a hypochondriac. Admit a pelvic exam was painful, maybe the nurse practitioner will suggest early childhood abuse and abuse you verbally if you dissent. Wake in the middle of a colonoscopy, they'll continue without anesthesia because they're too incompetent to deal with dropping blood pressure, can't give you more drugs, and pleas to stop, stop, stop from a Medicaid patient are like whispers in deaf ears.

Good luck with that universal health care thing. Access isn't enough for anything resembling care. For that, the enormous gap between the salaries of Madison Avenue doctors and the ones at public clinics has to end, along with segregation of patients. In fact, class and race themselves would probably have to go, along with the culture of scorn as deeply rooted in American medicine as shame and fury are buried in people like me.

Inequality's in the very nature of the medical beast. On the one side, there's the patient as supplicant, asking for help. On the other, some white-coated god free to give or withhold. And charge you for it either way. When money or race or sex or sexual identity is added to the picture, the balance is increasingly skewed.

I'm wary, even in Paris, where the care is good and cost is less a factor. Handing over my body still feels like a kind of fourth dimension prostitution in which I lose both my money and my flesh. All I own is a computer, the clothes on my back, and everything under them until you arrive at my beating heart. Now, even that's yours.

And laying there, a day later, with my dragon breath and scars and IV drip, I was tempted to tell her so. Explain to the young surgeon smiling shyly at the American patient all the effort I've put into protecting this shell. All the male hands on my female ass in high school that I had to shove away. The bottles dodged from cars because I was a dyke and on the street. These sudden waves of hate in the media that sweep you off your feet. The walls I've built against what homophobes do to you in their brains. What doctors have done in the flesh.

How I defend what I want to relinquish. How I want to be saved. And though she had done this thing, cut a miraculous door into a world I kept for myself, and pulled out death, I needed more.

Monday, April 02, 2007

Queers Lost at Francophone AIDS Conference


By Kelly Jean Cogswell

The 4th Francophone Conference on HIV/AIDS met last week in Paris. Political questions were handled with kid gloves, if at all, and everything from ethics in drug trials to HIV permutations was stuffed so elegantly into PowerPoint presentations that the mammoth obstacles of governments and history and biology seemed like mere pebbles in our path.

Still, the reality of AIDS intruded occasionally, like when you saw delegates choking down handfuls of pills, or ACT-UP Paris zapped the Abbott pharmaceutical company.

A Taste of Their Own Medicine
To get to the conference rooms two levels down at the Cité des Science et de l'Industrie, you had to pass warrens of stands from the big Pharma companies that make AIDS drugs and machines that count T-cells.

If you were anywhere near the Abbott booth on Friday, you got to see AIDS activists pour fake blood on the displays of glossy brochures where everybody taking Abbott drugs was happy. And they probably were, since a lot of people can't get their hands on the stuff -- especially in Thailand.

Vengeful after Thailand's decision to manufacture generic varieties of some of their drugs under a WTO agreement for health emergencies, Abbott has declared an "embargo" against them. None of their drugs for that country.

Forget about selling them the new second-line ARV cocktail, Kaletra, which is hugely important because there's no need for refrigeration, a groundbreaking advance for tropical countries where many don't have their own refrigerators.

To protest, activists painted bloody handprints everywhere, and shouted, "Ten thousand deaths a day aren't enough for Abbott," and "Kaletra: it's an emergency."

Forging Alliances
ACT-UP Paris organized the demo at the stand, but they were joined by dozens of African AIDS activists who tend to take actions like Abbott's very personally.

Most of them are HIV-positive, if not actually living with AIDS. In an earlier action in the morning, when a dozen members of ACT-UP interrupted an Abbott symposium to unfurl a banner reading "AIDS = DEATH UNDER COPYRIGHT" and ask for signatures demanding Abbott end the embargo, African activists were the first to get involved.

They walked out of the symposium en masse, and Jeanne Gapiya, founder of the AIDS organization ANSS in Burundi, helped pass out flyers. "It was an act of solidarity and revolt because it's the first time that we've seen a pharmaceutical company take such punitive measures against a country that was acting within the bounds of international law."

She takes Kaletra herself and said she couldn't live with herself if she just stood silently by. "I put myself in the shoes of Thai people, and wonder how they'll survive," she said.

Besides, as one man shouted, "Our countries are next - Solidarité!"

Khalil Elouardighi, a spokesman for ACT-UP, added that Abbott's hard-line stance on Thailand may well be a trial balloon for tactics on restricting access to other developing countries. "They increase their profit, while actually lowering the number of people treated."

Fighting For Ethical Drug Trials
The irony is that in the last few years, Africa and Southeast Asia have been overrun with researchers doing their drug trials on the "virgin bodies" that have never touched an aspirin, much less an antibiotic.

They test their experimental formulas, and then market the new-found drugs at hefty prices their guinea pigs could never afford.

And while big Pharma weeps over the erosion of intellectual property, not to mention profits, community activists struggle to hold researchers to the same basic ethical standards they'd use among gay men in San Francisco, for instance.

"Just because there are economic and cultural differences doesn't mean you have license to change the protocol," said Jean-Marie Talom of REDS Cameroon at a workshop on Ethics and Research. It was his critique of the Tenofovir research trial in Cameroon that ultimately led to its cancellation.

A kind of oral vaccine against HIV, researchers gave Tenofovir or a placebo to a test group of prostitutes, promising they were safe if they took it daily, and skipping the part of the protocol that said they had to tell the women about safe sex. So what if they got HIV and died? It's all grist for the statistic mill.

In fact the drug does seem to work, and Talom would have preferred that the study continue, only live up to its obligations.

It shouldn't be an either/or situation with drug trials, where activists either have to let studies continue unchallenged, or shut them down completely. There's a third way, he asserted. "Ideally, questionable studies could be halted temporarily until satisfactory changes are made, then continued."

Stopping them entirely is the worst outcome of all. "There's no progress without research. What we need is to have researchers and drug companies and activists and governments working together to move forward."

Crossing Borders
Unfortunately, transparency and good will is in short supply. In a later conversation, Talom admitted that he'd known some of the Tenofovir researchers for years. "We were practically like brothers, but when I started calling them for information on the study," he shook his head, "Nothing."

He finally asked activists in Paris to get involved, and it was only their connections that uncovered the paper trail of abuses. He was stonewalled again when he confronted the researchers and politicians to demand the study conform to its own protocol and inform the women about safe sex.

But again, nothing was done until activists in Paris zapped the Cameroon embassy and got a TV station to pick up the issue. Then the whole thing became a circus and the study was shut down.

Getting outsiders involved is a tricky issue. During the ethics workshop, activist Christine Kafando from Burkina Faso, chastised him, declaring, "Just because people are illiterate, doesn't mean they're beasts. We have ears, and they're open now. It's we that have to organize. We that have to learn. We that have to demand!"

That's true, kind of, but it doesn't take into account how many activists are hogtied by unresponsive, undemocratic governments, and the failure of the rule of law. Jeanne Gapiya of Borundi has been threatened with arrest so often it's almost, but not quite, a joke in her family.

When push comes to shove, activists do what they must to get the information out and protect people, even if it means asking for help from outside. Which is why African activists were there to participate as ACT-UP Paris left bloody handprints on walls of the Abbott booth, chanting, "It's an emergency."

So is the situation of gay men.

The Incredible Invisible Queers
Instead of emphasizing that HIV is an equal opportunity virus, all the new blah, blah, blah about how the face of AIDS has changed, and it is now a disease of straight people, has somehow managed to erase African and Asian queers.

At the conference, homos were sometimes included in laundry lists of "vulnerable populations" along with children, prostitutes, prisoners, and illegal immigrants, but often not. When a speaker finally focused on homo-transmission, it was in the context of France, Brazil and Holland.

Apparently, there are no queers in Afrique.

So much for the benefits of having gay men in positions of power in the AIDS hierarchies. By and large, they've kept their lips zipped on the subject of African homophobia, if they noticed at all.

Like with Bush and his quick jettisoning of women's issues when he has to negotiate with mullahs, I suspect professional fags have left us behind on purpose as they negotiate AIDS programs with homophobic health ministers.

While we were eating canapés and drinking champagne from one of the Pharma booths, prior to zapping Abbott, Olivier Jablonski, one of the few French queers actively fighting for gay Africans, got a text message that cops were rounding up queers in Senegal and a lot of people were trying to hide out on the beach.

How many of these guys do you think get tested, much less treated for HIV?

Already in Africa, straight men are afraid of the health system and the stigma of AIDS. I can't imagine the courage it takes to show your face at a clinic when you're a big fag in a country where homophobia can land you in jail, or dead in a muddy ditch along the side of the road.

Confidential testing is mostly imaginary. The best they can do is find a place far from their home communities, tell lies about hiding the test from the wife back home, and hope and pray none of their neighbors has the same idea.

For gay men in Africa, fighting homophobia = fighting AIDS.

Groups like ACT-UP Paris seem to have lost the connection when they scoot past national boundaries. They believe all forms of discrimination are related, and do fight homophobia, and sexism, et al, but all the gay stuff stays at home as if there were no queers south of Gibraltar, and the phantom African fag couldn't catch AIDS.

Larry Kramer is right. We need a queer army that goes everywhere. If the homophobes don't get the fags in Senegal, AIDS will. We should do something. C'mon, put on your pink triangles and pink Timberlands. Let's hijack a few tanks and march. Solidarité!

Tuesday, March 20, 2007

Globalization, Rappers and Queers in Gay Paree

By Kelly Jean Cogswell

810 words

When it comes to American culture, you need comic strip words in big, fat letters like POW! and BLAM! for what we do to other people, or our own for that matter.

In France, half of the top hip-hop videos of last Sunday were American, including one P.Diddy, two Snoop Doggs and Miss Fergie Fergalicious singing about how hot she was, but not promiscuous. I went to a "queer" film festival later in the day where the name was not only American, but half the films.

This is a little more complicated, though, than McDonald's supplanting little cafes with mass-produced frites. It's a testimony to the strength of identity politics in the U.S.

In the case of rap, it has given --mostly men-- a short-cut to a Black identity, especially in France, and Cuba and other centers of the African Diaspora.

The musical genre itself has an accessible tradition of defiance, social commentary, and failing that, rage. Then there's the style, all the doo rags, baggy pants, Sean Jean jackets, and the bling. Wearing it all together is like wrapping yourself in a flag. You don't have to keep the beat.

I was on the subway the other day with a young black gansta wannabee pacing up and down the platform, and scaring all the rainbow of nice bourgeois Parisians, even though if you looked twice you could tell the baggy pants and doo-rag were a costume on him, a kind of carapace.

Maybe that extravagant shell is enough in a place like France which is so conformist that even its nonconformists conform to a particular mode. In France, they say the impetus for it isn't so much to erase people, endorse racism, or homophobia, but to preserve the republican ideals of liberty, equality and fraternity that are supposed to put everybody on the same ground as everyone else, neither higher or lower.

Frankly, most of us could get behind that idea. The failure of it has emerged as a main theme of French rappers who use this quintessentially black American form to assert their Frenchness and take on the myth.

I wasn't exactly taking notes Sunday when I stopped to watch the video countdown, but I was struck by one from a North African rapper rhyming about how even if he left the place, he was born here, the cité was his, and France would always be his home. It was too sweet for me with sun shining, green grass growing, and a beautiful brown woman getting black and brown men to shake hands, but nevertheless he was claiming space.

Another video had some white-looking guy getting incensed about a hip-hop song playing with the idea of France profound or the real France of the countryside. The song is playing on one radio and he turns it off, then it's coming from a car below and he leaves his apartment to go downstairs and turn it off there. After that, someone walks by with it playing on his headphones, which he grabs and smashes.

Then it's on a little radio that the women turn off when he approaches, but after a split second of silence, the women themselves begin singing. Then it's playing again in the taxi. And so on and so on. The "listeners," white and black and brown, finally sing, if I understood correctly, that they were the real France profound and that the bottom line was respect.

Some gay people turn to the U.S., too. The French assaulted American academics with Lacan and Derrida, and we return the favor with Judith Butler and "queer" studies. After seeing a couple of shows this week at the queer film festival I wasn't sure the French had come out ahead.

If you can set aside (try to) the homophobia and misogyny, and endorsement of random violence, what hip-hop offers is a mode of defiance, pride, a built-in attitude that encourages the disempowered to take on the powerful. It may not lead anywhere in the long run, but it's readymade, and anyone can tap into it.

All French people get with "queer" is some uprooted English word, apparently conveying the vague idea that there could be liberation and equality on the margins of society.

Some of the films in the "queer" festival were powerful (Black Nations, Queer Nations). Most were not. They were almost all old, and taken together, positively dusty. Worse, everything I like about the word got lost in the cultural translation.

Like with hip-hop, "queer" carries with it, or used to, flamboyance, shock value, energy, defiance, even joy, because it was rooted in a homo-identity like dyke or fag or drag queens that we built in the streets, risking our necks sometimes to be ourselves.

Queer was not a department of study in a university, an area of research, a retrospective. Look forward, or not at all.

Visit Kelly Sans Culotte at http://kellyatlarge.blogspot.com.

Tuesday, March 13, 2007

Wearing the Mask of Diversity

Kelly Jean Cogswell

806 words

Fred Phelps has one message and he sticks to it. When the bastard holds a demo, he ignores casinos, distilleries, oral sex and the hundred other things that his puritanical god probably hates as well, and keeps right on declaring "God hates fags." I almost admire him.

Why can't the Left do that? Stick to one point, I mean, until we get our message across. Last fall in New York, I went to a demo for the International Day Against Torture, and while a few speakers mentioned Abu Ghraib and Guantanamo, they mostly rambled on about low-income housing, hurricane Katrina, the stolen election, the war for oil, even Cuba.

I'd hoped for better here. After all, this is Paris, the subdividing, overanalyzing, hair-splitting capital of the world. There are seventy-five different kind of checking accounts you can sign up for, all with separate branded names. When it comes to human rights, you'd think they could focus on one issue at a time.

But no, when I went to an International Woman's Day march last week I found such a hodge-podge of messages that if you didn't know what the march was for from the get-go, you'd never figure it out. What and who were you supposed to be pulling for? Palestine? Iraq? Better immigration laws? Are American soldiers raping the women of France?

Why the mess? Some confusing desire for inclusion? Or something more troubling? Back at home, I started to wonder if the organizers didn't actually feel that demonstrating simply as a "woman" was something to be ashamed of.

It's an embarrassment, in fact, to feature only "women" when you can up the ante and talk about poor women, immigrant women, indigenous women, or women with AIDS, as if the actual word, "women" was a blank slate that needed a few qualifiers to give it meaning. Better yet, ignore women altogether and bash Bush.

One sign read, "No Feminism Without Anti-Imperialism," forbidding us to even talk about sexual politics without broadening the discussion. Apparently, the battle for women's rights by themselves is over and done with in France.

I wish somebody had told me. I would have hung up the crepe paper streamers and had a party. I'd have shot off firecrackers and bought eyeglasses instead of running my finger down the masthead of newspapers looking for women's names, or a woman to sit next at President Chirac's fancy desk.

I must've been imagining the problems with the maghreb men in my neighborhood who seem to think women shouldn't be on rollerblades. At least they use the opportunity to insult my friends or knock them to the ground. White French men do their sneering more politely, though at home they've been known to swing a hard fist.

Bourgeois little French girls are the worst of all. They look at a poster of presidential candidate Segolene Royal and shudder, "You can tell just by looking at her that her politics are awful. I'd never vote for her."

Next year I'll hold the march myself, dump half of the men that looked bored and weren't doing anything useful, but I'll leave all the same women there, the Iranian women in head scarves, the prostitutes and dykes, the immigrant moms, even the annoying white chicks with Palestinian schmattas.

Look closely. What's the tie that binds? To my eyes, the female experience is not eclipsed by race or class or nationality. You're vulnerable on the street. You're vulnerable in the home. Religions would rather burn you at the stake than embrace you, and when you immigrate with your family and things go wrong, you're the scapegoat.

Abroad, your rights are the first ones the U.S. trades when it needs to. Laura Bush promised great things for the women of Afghanistan and Iraq, but who got tossed overboard like Jonah when the going get rough and Bush had to court his mullahs?

Who is the surrogate victim in war? Who gets raped and murdered when things fall apart in Haiti or Darfur or New Orleans or post-World War II Berlin? Who always pays?

Differences are easy to see, all those skin colors and flags. Without ever really respecting them, we've begun to use them as kind of mask to hide what really pulls us together.

For women, it's our bodies, the grim reality of misogyny. People take one look at us and know we're evil, or merely incompetent. We're definitely expendable.

Queers do it, too. With so much emphasis on diversity, we forget what we have in common. Maybe we want to.

After all, some of us have begun to escape homophobia. We're safe -- as long as we don't leave our neighborhoods, get a flat tire on an unfamiliar road, speak to strangers, lose our jobs, or seek god.

Each blow comes as a surprise.

Monday, February 12, 2007

Send An Email, Save the World

By Kelly Jean Cogswell

805 words

So John Edwards hitched his cybercampaign to a couple of unknown mules and found himself yanking on the reins in horror. I'm not surprised. The internet is supposed to be the next big thing in democracy, but when it comes down to it, U.S. candidates really only see it as another fundraising and advertising tool.

Hence the outcry about bloggers Amanda Marcotte and Melissa McEwan. They were hired for their popularity and democratic cred, then had to issue a bushel of mea culpas for pre-historic, pre-hiring comments on abortion, queers, and the "Christofascist" Catholic Church.

Don't you know you should wipe your feet, ladies, before you come in the door?

The internet is a lot of things, but the blogosphere more than any other part of it is one big intimate invitation into somebody else's brain. People don't mince words or go salt-free all worried about the neighbors.

American politics needs more of that. There's so much pressure on candidates to sanitize themselves that in '04 we ended up with a Kerry so wooden he made Pinocchio look spry.

As candidates get more pre-fab, they look for ways to seem more hip, more current, accessible even, so they put up a site, hire bloggers and scream, "I'm on the internet. Visit my site."

But just what are we really invited to do? Watch their videos. Read their press releases. And give, give, give. Howard Dean's glorious and doomed assertion, "You have the power," has largely been transformed into, "You have the money, hand it to me." Even votes seem like an afterthought.

Not to say there isn't window dressing. The Take Action page of Hillary Clinton's "exploratory" site promises an open blog that is "a crucial part of our exciting national conversation about the direction of our country and the place to go to learn more about Hillary." Whoopee.

Mostly though, her Take Action page is about money. Giving it yourself, or getting someone else to.

Ditto for Barak Obama and the embattled Mr. Edwards whose Take Action page tells us that, "If we want to live in a moral and just America tomorrow, we must act today. Please donate using our secure online form." Rad, man.

McCain, who's had his own blogging controversies, doesn't even pretend. His action page asks supporters to "join our team here. Then choose actions on the right to help raise money, recruit your friends, and help get others involved in this effort." That's it.

In this internet age, we've mistaken information for participation. In their January report on the use of the internet in the 2006 elections, the Pew Research Center rightly touted the increasing importance of the internet, but if you look at what they're actually saying, it seems almost all of the activity goes one direction.

A small, but significant, percentage gave money. Most users just sucked up information about candidates' positions on the issues or voting records, or tried to confirm what they'd already learned. Twenty percent shockingly relied on the candidate's own site for the info.

Plenty of people forward emails or sent links to articles, but only eight percent posted their own political commentary. One percent created and posted their own political video or audio.

What that means to me is that the internet creates a false sense of involvement. Send an email, save the world. Even Pew fell into the trap, defining 23 percent of "campaign internet users" as "activists," not only people that came up with their own opinion, but anybody who hit forward on their email program.

Sure, informing yourself is an important prelude to participation, but passing on an email is just a kind of online gossip, barbershop and beauty parlor stuff. You feel connected, create community, but that's only the appetizer to democracy. There's nothing terribly active about it.

Frankly, there's only one presidential candidate using the internet to empower voters. And she's running in the wrong country.

In France, Segolene Royal, the Socialist candidate has used internet organizing from the beginning, in part to sidestep the old boy (elephant) network of the Socialist Party, but more importantly to get feedback and organize real world meetings to ask people what they think are France's most significant problems, and, get this, found out what they think should be done to address them.

The big question in the press has been if she would actually incorporate all this feedback, all these opinions. From her definitive policy speech on February 11th, the answer is "Yes."

As the people demanded, she promised to boost pensions of poor people, raise minimum wage, support job creation for young people, and institute "citizen juries" to evaluate the work of local and federal government.

Win or lose, she's already made a difference just by raising expectations, and redefining political debate as something that should include us all.

Visit Kelly Sans Culotte at http://kellyatlarge.blogspot.com.