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HTML
741 lines
81 KiB
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<meta content="width=device-width, initial-scale=1.0, user-scalable=yes" name="viewport"/>
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<title>30 July, 2021</title>
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<title>Daily-Dose</title><meta content="width=device-width, initial-scale=1.0" name="viewport"/><link href="styles/simple.css" rel="stylesheet"/><link href="../styles/simple.css" rel="stylesheet"/><style>*{overflow-x:hidden;}</style><link href="https://unpkg.com/aos@2.3.1/dist/aos.css" rel="stylesheet"/><script src="https://unpkg.com/aos@2.3.1/dist/aos.js"></script></head>
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<body>
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<h1 data-aos="fade-down" id="daily-dose">Daily-Dose</h1>
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<h1 data-aos="fade-right" data-aos-anchor-placement="top-bottom" id="contents">Contents</h1>
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<ul>
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<li><a href="#from-new-yorker">From New Yorker</a></li>
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<li><a href="#from-vox">From Vox</a></li>
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<li><a href="#from-the-hindu-sports">From The Hindu: Sports</a></li>
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<li><a href="#from-the-hindu-national-news">From The Hindu: National News</a></li>
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<li><a href="#from-bbc-europe">From BBC: Europe</a></li>
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<li><a href="#from-ars-technica">From Ars Technica</a></li>
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<li><a href="#from-jokes-subreddit">From Jokes Subreddit</a></li>
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</ul>
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<h1 data-aos="fade-right" id="from-new-yorker">From New Yorker</h1>
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<ul>
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<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>The Trial of Chesa Boudin</strong> - Can a young progressive prosecutor survive a political backlash in San Francisco? - <a href="https://www.newyorker.com/news/annals-of-inquiry/the-trial-of-chesa-boudin">link</a></p></li>
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<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>The Radical Courage of Simone Biles’s Exit from the Team USA Olympic Finals</strong> - Biles’s decision not to compete on Tuesday is, to many spectators, a heartbreak. It is also a welcome example of an athlete setting her own limits. - <a href="https://www.newyorker.com/sports/replay/the-radical-courage-of-simone-biless-exit-from-the-team-usa-olympic-%20finals">link</a></p></li>
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<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>How the Head of the N.R.A. and His Wife Secretly Shipped Their Elephant Trophies Home</strong> - The couple had their names removed from the shipment, and placed an order for the animals’ feet to be turned into “stools,” an “umbrella stand,” and a “trash can.” - <a href="https://www.newyorker.com/news/news-desk/how-the-head-of-the-nra-and-his-wife-secretly-shipped-their-elephant-%20trophies-home">link</a></p></li>
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<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>A Year of Avoiding Eviction in Tennessee</strong> - For one family, the C.D.C. moratorium has been essential. It’s about to expire. - <a href="https://www.newyorker.com/news/us-journal/a-year-of-avoiding-eviction-in-tennessee">link</a></p></li>
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<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Donald Trump Would Have Made a Great House Republican</strong> - Will the performative confrontation of the former President and his congressional allies overwhelm Joe Biden’s Senate style? - <a href="https://www.newyorker.com/news/letter-from-bidens-washington/donald-trump-would-have-made-a-great-house-%20republican">link</a></p></li>
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</ul>
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<h1 data-aos="fade-right" id="from-vox">From Vox</h1>
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<ul>
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<li><strong>Is it a HIPAA violation for your employer to require vaccines?</strong> -
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<figure>
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<img alt="" src="https://cdn.vox-cdn.com/thumbor/BR-
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oeQSTuwRv4O1udVDAlMGeisw=/454x0:2587x1600/1310x983/cdn.vox-
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cdn.com/uploads/chorus_image/image/69154998/hipaa_final.0.png"/>
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<figcaption>
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Amanda Northrop/Vox
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</figcaption>
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</figure>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
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You probably don’t know what HIPAA really means. Let’s fix that.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="avHTuP">
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="q3O61x">
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Wo1zuY">
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The first thing you should know about HIPAA is that it’s HIPAA, not HIPPA. There is only one P, and that P doesn’t stand for “privacy.”
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="AJy1vy">
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“People make up what that acronym stands for,” Deven McGraw, co-founder and chief regulatory officer of the medical records platform Ciitizen and former deputy director for health information privacy at the Department of Health and Human Services (HHS) Office for Civil Rights (OCR), told Recode.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="WXYbOD">
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“More often than not, [they think it’s] Health Information Privacy Protection Act: HIPPA. Yeah, that law does not exist.”
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="XWStAa">
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And yet, when reporters have asked whether an individual has been vaccinated, people at the top levels of government (Georgia Rep. Marjorie Taylor Greene, a repeat offender) and sport (Dallas Cowboys quarterback Dak Prescott) have invoked HIPAA. Greene has even claimed that just asking the question was somehow a “violation” of her “HIPAA rights.” As more <a href="https://www.vox.com/recode/22598911/google-facebook-
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covid-19-vaccine-employee-mandate-vaccination-office-work">employers</a> and <a href="https://www.nbcnews.com/health/health-news/colleges-universities-covid-vaccination-mandates-facing-
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pushback-n1273916">schools</a> mandate that their employee and students get vaccinated, the HIPAA question is coming up again.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="vc03aT">
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So let’s get one big question out of the way first:
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</p>
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<h3 id="ZsVwM8">
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Is it a HIPAA violation for your employer to require vaccines?
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</h3>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="1hSFMb">
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No.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="KaKbNd">
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Nor is it a HIPAA violation for them to ask for proof that you have been vaccinated, though many people seem to think that providing or even soliciting any sort of health information automatically becomes a HIPAA issue.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="tP7PPy">
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Employers do have to keep their employees’ vaccination statuses confidential, but that’s because of the <a href="https://www.eeoc.gov/wysk/what-you-should-know-about-covid-19-and-ada-rehabilitation-act-and-other-eeo-
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laws">Americans with Disabilities Act</a> — not HIPAA, which, again, doesn’t apply here.
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</p>
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<h3 id="I1gVr4">
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Why HIPAA is so misunderstood
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</h3>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Ld4gS2">
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Both the misspelling and the widespread belief that HIPAA confers a strict set of privacy protections to any and all health data — and that everyone is subject to those laws — are common and understandable mistakes: HIPAA is pronounced like “hippo” but with an “a,” and most patients only come across it when signing the notice of privacy practices that the law mandates their health care providers have them sign. Plus, most people consider their health information to be very sensitive and assume their lawmakers have put the appropriate guardrails in place to keep it as private as possible. But HIPAA’s privacy rules are more limited than they may realize.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="jII1a8">
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“HIPAA has great branding because everyone knows it, even if they spell it wrong,” Lucia Savage, chief privacy and regulatory officer at Omada Health and former chief privacy officer at HHS’s Office of the National Coordinator for Health IT, told Recode. “What is not well understood is its limits. It’s very specifically a law that regulates information that is collected because a person is seeking health care.”
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="V9m7m8">
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Normally, the misunderstanding would be an innocuous if annoying one. But the pandemic has helped bring health privacy issues to the fore. As with many other things over the past year, we’ve moved many of our health interactions online. Some of those may not be covered by HIPAA, but many people simply assume they are. And as the pandemic became increasingly politicized, many people cited HIPAA as an excuse to get out of mask mandates and to declare vaccine passports and mandates to be illegal. Neither of these assertions is true, but that hasn’t stopped many people from making them — even though using them to avoid public safety measures could be harmful to everyone.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="9k3Kyt">
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“It sure seems to have gotten worse in the Covid era, because the misinformation that’s being promulgated through social media channels is wildly off-base and yet asserted with such a high level of confidence that people believe it,” McGraw said.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="aiJURa">
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The perception that HIPAA is solely a health privacy law that everyone is subject to has become so common that there’s now a Twitter account to document it.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="cCNBju">
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A few months into the pandemic, <a href="https://twitter.com/BadHippa">Bad HIPPA Takes</a> — the misspelling is an intentional nod to how often people who claim to know the law get the acronym wrong — emerged. It was created by an anonymous former health care provider who told Recode they were sick of seeing rampant misinformation about HIPAA and concerned that it could cause harm.
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</p></li>
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</ul>
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<div id="3BbiaE">
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<blockquote class="twitter-tweet">
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" dir="ltr" lang="nl">
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HIPA, HIPPA, HOORAY <a href="https://t.co/1fhvDNVtZr">pic.twitter.com/1fhvDNVtZr</a>
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</p>
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— Bad HIPPA Takes (<span class="citation" data-cites="BadHippa">@BadHippa</span>) <a href="https://twitter.com/BadHippa/status/1380163887442526210?ref_src=twsrc%5Etfw">April 8, 2021</a>
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</blockquote>
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</div>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="tmolGs">
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The Bad HIPPA Takes account creator says some of the most common HIPAA inaccuracies over the past year have been about wearing masks, contact tracing, mandatory temperature checks, and, now, vaccine passports.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="LxPHwq">
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“There is a massive amount of confusion about who and what HIPAA actually applies to,” they said. “The sheer volume of bad information about it is nearly insurmountable.”
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</p>
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<div id="TH56WW">
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<blockquote class="twitter-tweet">
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" dir="ltr" lang="en">
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In other news, your doctor can’t ask you health questions because of HIPAA. <a href="https://t.co/dTx0CC3r8n">pic.twitter.com/dTx0CC3r8n</a>
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</p>
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— Bad HIPPA Takes (<span class="citation" data-cites="BadHippa">@BadHippa</span>) <a href="https://twitter.com/BadHippa/status/1382386895636766722?ref_src=twsrc%5Etfw">April 14, 2021</a>
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</blockquote>
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</div>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="UtxJKj">
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Suffice it to say, Bad HIPPA Takes has plenty of material to draw from for its nearly 20,000 followers. But actually informing the general public about what HIPAA does is another matter.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="YvEc89">
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“Trying to get people to understand what a Covered Entity or Business Associate is in 280 characters is not an easy task,” the person who runs the account said. “I can write the words, but of course this platform doesn’t lend itself well to considered, nuanced discussion.”
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</p>
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<h3 id="QvrpQ0">
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What HIPAA actually does
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</h3>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="DkliGP">
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So what does that one P stand for if not privacy? Portability, obviously.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Fv5kIS">
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HIPAA is short for the Health Insurance Portability and Accountability Act. The 1996 law’s origins lie in creating federal standards for digitizing medical claims data and records (“accountability”) and allowing employees to have health insurance coverage, including for preexisting conditions, when they changed jobs (that’s the “portability”) — rights they did not have before the Affordable Care Act.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="KNco4G">
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The privacy provision that most of us associate HIPAA with today wasn’t actually the focus of the law at the time.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="11ZXWf">
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“When Congress was passing this law, they realized that there was going to be this massive digitization of health data, and there might need to be privacy protections for that,” McGraw said.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Fi56PW">
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It took a few years to work those out, so HIPAA’s privacy rules weren’t issued until the end of 2000, and didn’t fully take effect until 2002. They were most recently <a href="https://www.hipaajournal.com/2013-hipaa-guidelines/">updated</a> in 2013.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="oqXis4">
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There are several elements to HIPAA, including provisions to prevent health care fraud, simplify and standardize medical records, rules for pre-tax employee medical savings accounts, and to ensure continuous health insurance coverage for employees who lost or changed their jobs. For the purposes of this explainer, we’re focusing on the privacy rule, which falls under its <a href="https://www.hhs.gov/sites/default/files/hipaa-simplification-201303.pdf">administrative simplification</a> section.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="uJnMqN">
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HIPAA only applies to what are called “<a href="https://www.hhs.gov/hipaa/for-
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professionals/covered-entities/index.html">covered entities</a>.” Those are, essentially, health care providers (doctors, hospitals, and pharmacies, for instance), health insurers, and health care clearinghouses (which process medical data). It also covers their “business associates,” or contractors who have to handle medical records in some way to do work for those covered entities. Those parties are required to follow certain protocols to keep your protected health information secure and private.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="07PfbH">
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And that’s why your health care provider or insurer might require you to communicate with them through secure, HIPAA-compliant channels and patient portals, or take other steps to verify your identity before discussing protected health information with you. HIPAA’s privacy rule also requires that health care providers give you, the patient, a <a href="https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/npp_layered_hc_provider.pdf">notice of their privacy practices</a> and allow you to access your own medical records. In fact, a lot of HIPAA complaints from patients aren’t about privacy violations but about lack of access to medical records.
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</p>
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<div id="gpD78u">
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<blockquote class="twitter- tweet">
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" dir="ltr" lang="en">
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Better yet, tell him you did then we he asks to see your car card as proof, hit him with a HIPPA lawsuit.<br/><br/>College for free!!!
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">— I am going to upset to drive self inflections (<span class="citation" data-cites="JASONWI72430456">@JASONWI72430456</span>) <a href="https://twitter.com/JASONWI72430456/status/1382451011789406214?ref_src=twsrc%5Etfw">April 14, 2021</a></p>
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</blockquote>
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</div>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="r1XYBf">
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If you think your HIPAA rights have been violated, you can complain to the HHS <a href="https://www.hhs.gov/hipaa/index.html">Office of Civil Rights</a>. But — and this is another common misconception, as indicated by the above tweets — you can’t sue the alleged offender yourself. The Office of Civil Rights takes action, if warranted, for instance by issuing fines or even criminal penalties to offenders.
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</p>
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<h3 id="BSUNVn">
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What HIPAA doesn’t do
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</h3>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="FFs4aP">
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It’s important to note that medical privacy didn’t begin with HIPAA, and it’s not the only health privacy law out there. There are other laws that protect <a href="https://www.aidslawpa.org/alpp-
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services/confidentiality-of-hiv-related-
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information/#:~:text=State%20and%20federal%20laws%20prohibit,with%20HIV%20is%20still%20pervasive.">certain</a> types of health information: Some <a href="https://consumercal.org/about-cfc/cfc-education-foundation/cfceducation-
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foundationyour-medical-privacy-rights/confidentiality-of-medical-information-act/">states</a> have their own stricter medical privacy laws, or things like the Americans With Disabilities Act, which mandates that employers must keep disability-related medical information about their employees confidential. And the concept of doctor-patient confidentiality has existed for a long time — it’s part of the Hippocratic Oath (which is not a law) — and that trust is a necessary part of good medical care.
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="gomRKV">
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“If I’m the doctor and you’re the patient, you come to me, you might tell me some really secret things,” Savage said. “And I need to know that to give you the right care and diagnose you properly.”
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="2AVjFl">
|
|||
|
|
At the same time, many of us freely give away our health information to <a href="https://www.healthit.gov/sites/default/files/non-covered_entities_report_june_17_2016.pdf">all kinds of places</a> and people who have no real legal obligation to keep that information private or secure. With the internet, there are more ways to do that than ever.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="6tLSx0">
|
|||
|
|
“I think generally, when you’re talking about interactions with the health care system, the likelihood that they’re protected by HIPAA is very strong,” McGraw said. “Now, where those things break down: Obviously, if you’re recording your steps on a Fitbit or you’re using a nutrition app, that’s not going to be covered by HIPAA.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="VM0hWx">
|
|||
|
|
That therapist appointment you tweeted about? Your vaccine Instagram selfie? Your membership in a Facebook support group for people who have herpes? The period tracker app on your phone? The heart rate monitor on your wrist? Browsing WebMD for information about your recent lupus diagnosis? The mail-order DNA test? The Uber trip you took to the emergency room? That’s all health information, most of it is directly tied to you, it can be sensitive, and none of it is covered by HIPAA<strong> </strong>(unless protected health information is shared with a covered entity, as is the case with <a href="https://news.bloomberglaw.com/health-law-and-business/health-
|
|||
|
|
care-provider-apps-are-private-but-fitness-apps-not-so-much">some digital health services</a>).
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="RpHmkD">
|
|||
|
|
And then we’ve got the organizations that handle health data but aren’t covered by HIPAA, including most schools, law enforcement, life insurers, and even <a href="https://www.hhs.gov/hipaa/for-individuals/employers-health-information-
|
|||
|
|
workplace/index.html">employers</a>. They may be covered by other privacy laws, but HIPAA isn’t one of them.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="AHyyZB">
|
|||
|
|
And right now, even some things that actually are covered by HIPAA have been given a temporary enforcement waiver due to the pandemic. The Office of Civil Rights will <a href="https://www.hhs.gov/hipaa/for-
|
|||
|
|
professionals/special-topics/emergency-preparedness/notification-enforcement-discretion-telehealth/index.html">not be enforcing</a> its rule requiring health care providers to use HIPAA-compliant portals for telehealth, <a href="https://www.hhs.gov/about/news/2021/01/19/ocr-announces-notification-enforcement-discretion-use-online-web-based-
|
|||
|
|
scheduling-applications-scheduling-covid-19-vaccination-appointments.html">nor will it require</a> covered entities to use HIPAA-compliant systems to schedule vaccines — an issue that arose when some health services’ sign-up portals crashed and the services <a href="https://www.vox.com/recode/22213913/florida-vaccine-eventbrite">turned to Eventbrite</a>. Eventbrite is a good service for getting a lot of people signed up for an event in high demand, but it’s <a href="https://www.eventbrite.com/security/">not HIPAA-compliant</a>. The Office of Civil Rights told Recode that enforcement discretion will remain in effect “until the Secretary of HHS determines that the public health emergency no longer exists.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="CP7Af7">
|
|||
|
|
All this is to say that if you go to Starbucks (not a covered entity) and refuse to wear a mask because you say you have a health condition, it is not a HIPAA violation if the barista asks you what that condition is, nor is it a HIPAA violation if Starbucks refuses service to you.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="YDNr94">
|
|||
|
|
If your doctor were to walk into that Starbucks and broadcast your health information to anyone within earshot without your permission, <em>that</em> would be a HIPAA violation. It would also be a good time to consider changing doctors. Fortunately, HIPAA allows you to request your medical records and bring them to a new provider. And if someone else happened to record your doctor’s outburst and put it on TikTok, that’s not a HIPAA violation, even though it does include information that was once protected by HIPAA.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="eY47vs">
|
|||
|
|
“The protections don’t cling to the data and protect it all the way downstream,” McGraw said.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="s2VBRn">
|
|||
|
|
Additionally, someone asking if you’ve been vaccinated is not a HIPAA violation. In fact, it’s not a HIPAA violation for anyone to ask about any health condition you may have, though it might be considered rude. A business requiring you to show proof that you’ve been vaccinated before you can enter is not a HIPAA violation. Your employer requiring you to be vaccinated and show proof before you can go to the office is not a HIPAA violation. Schools requiring that students get certain vaccinations before they’re allowed to attend is not a HIPAA violation.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="iFYCar">
|
|||
|
|
Oh, and vaccine passports — which the Biden administration has <a href="https://www.vox.com/recode/22349266/vaccine-passports-vaccination-record-commpass-walmart-walgreens">already said</a> it has no plans to mandate and which have been around for decades, <a href="https://www.npr.org/2021/04/08/985253421/the-history-of-vaccine-passports-in-the-u-s-and-whats-new">if not longer</a> — are also not HIPAA violations. Let’s look at New York’s Excelsior Pass. To use it, you are voluntarily giving the app permission to access your health records, and, as the app’s disclaimer <a href="https://epass.ny.gov/terms">clearly states</a>: “[T]he website is not provided to you by a health care provider, so, as such, you are not providing protected health information for health care treatment, payment, or operations (as defined under Health Insurance Portability and Accountability Act (HIPAA)).”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="SHNEmF">
|
|||
|
|
That’s not to say there might not be other, non-HIPAA violations at play here. Certain anti-discrimination laws limit what medical information employers and businesses can require their employees or customers to provide, and they are mandated to make reasonable accommodations for qualifying health conditions. But even those other laws do not, as we’ve seen, mean that businesses <a href="https://www.justice.gov/opa/pr/department-justice-warns-inaccurate-flyers-and-postings-regarding-use-face-
|
|||
|
|
masks-and">have to allow unmasked people</a> in their establishments or that they can’t require employees to get vaccinated (unless they have a medical or religious reason why they can’t be).
|
|||
|
|
</p>
|
|||
|
|
<h3 id="5Iwkzy">
|
|||
|
|
Closing the health privacy law gap
|
|||
|
|
</h3>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="HvWpsG">
|
|||
|
|
So HIPAA isn’t the all-inclusive health privacy law so many people assume it is, but that mass assumption suggests that such a law is both wanted and needed. HIPAA has a lot of gaps that a privacy law can and should fill. The pandemic has only made this more apparent.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="uazrAJ">
|
|||
|
|
“People are fairly protective of their health information,” Caitriona Fitzgerald, deputy director of the Electronic Privacy Information Center (EPIC), told Recode. “They just assume it would be covered because it’s absurd that it’s not.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="2Iw80x">
|
|||
|
|
Experts believe this coverage must come from comprehensive federal privacy laws that include provisions for sensitive information, like health data, or for what could be considered sensitive uses of data.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="SVYcqg">
|
|||
|
|
“What we need is for Congress to pass a comprehensive privacy law that sets limits on what the companies can use this data for, how long they can keep it, who they can disclose it to, and doesn’t put the burden of dealing with that on the individual,” Fitzgerald said. “The burden needs to be on the company that’s collecting the data to protect it and to minimize its use.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="WWDitW">
|
|||
|
|
Savage said people who are concerned with health privacy laws might find a more productive use of their time in contacting their legislators to advocate for the health privacy laws they believe they are entitled to.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Q6T3hr">
|
|||
|
|
“For individual legislators to move on something, they have to understand why it’s important,” Savage said. “And that’s where the human stories come in. Even just an email to your legislator saying, ‘I had this thing happen and I was really worried, it made me vaccine-hesitant. Can you please fix this?’”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="G5W9qg">
|
|||
|
|
Rep. Suzan DelBene (D-WA) is one of several lawmakers who have pushed for better health privacy protections during the pandemic, including as a co-sponsor of the Public Health Emergency Privacy Act, a bill that was introduced in both houses of Congress in 2020 and <a href="https://www.vox.com/recode/22251118/vaccine-health-data-privacy-laws-
|
|||
|
|
philadelphia">reintroduced</a> in early 2021. It would protect digital health data collected for the purpose of stopping the pandemic (for instance, by contact tracing apps or vaccine appointment booking tools) from being used for unrelated purposes by the government or private businesses.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="KAPtbo">
|
|||
|
|
“HIPAA provides some protections for our health information, but technology has advanced must faster than our laws,” DelBene told Recode. “The Public Health Emergency Privacy Act shows how we can protect consumers’ information during the pandemic, but I believe we need to go further since this issue permeates every part of our digital lives.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="0E84UC">
|
|||
|
|
DelBene <a href="https://www.vox.com/recode/22301174/federal-privacy-bill-suzan-delbene">recently introduced</a> the Information Transparency and Personal Data Control Act, which includes added protections for sensitive information like health data. It’s one of what will likely be several consumer privacy bills introduced this session, any one of which could give Americans better health privacy protections. That is, of course, assuming any of them actually pass.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="JlCHfy">
|
|||
|
|
In the meantime, well, at least we have the Federal Trade Commission (FTC), which can — and has — gone after apps and websites that violated their own privacy policies, <a href="https://www.ftc.gov/news-events/press-
|
|||
|
|
releases/2021/01/developer-popular-womens-fertility-tracking-app-settles-ftc">including a period tracker app</a>.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="b1fvxC">
|
|||
|
|
And while Bad HIPPA Takes is no fan of how the law has been misinterpreted to erroneously declare that vaccine passports are illegal, they are concerned with where individual privacy (not HIPAA) rights stop and where a business’s property rights begin when it comes to those passports.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="6wAD7X">
|
|||
|
|
“If you live in rural America and Walmart is your only grocery store, do you just have to shop online forever, at additional cost and expense, because they decide to require vaccination to enter their stores?” they asked. “What if you are in that situation and are unbanked? The so-called digital divide could make things worse for a lot of people in the short term if implementation of a vaccine passport system is done recklessly.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="UHgcdi">
|
|||
|
|
That’s not a HIPAA take, but it is a take worth considering.
|
|||
|
|
</p>
|
|||
|
|
<ul>
|
|||
|
|
<li><strong>America’s mental health moment is finally here</strong> -
|
|||
|
|
<figure>
|
|||
|
|
<img alt="Three panels showing swimmer Michael Phelps in the water, gymnast Simone Biles upside-down on
|
|||
|
|
the vault, and tennis player Naomi Osaka making a backhand return." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/5-ZBhB21OS2CjBUkAlC3dop6wJA=/197x0:2864x2000/1310x983/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_image/image/69655478/headshots_1627586582096_copy.0.jpg"/>
|
|||
|
|
<figcaption>
|
|||
|
|
Getty Images
|
|||
|
|
</figcaption>
|
|||
|
|
</figure>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
|
|||
|
|
Young Black women athletes like Simon Biles and Naomi Osaka are leading the way.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="vuFBFo">
|
|||
|
|
On Tuesday, <a href="https://www.vox.com/22596910/simone-biles-withdrawal-olympic-gymnastics-
|
|||
|
|
team-finals-results">Simone Biles</a> did something revolutionary: She walked away.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="pIieDR">
|
|||
|
|
“I have to focus on my mental health and not jeopardize my health and well-being,” Biles explained when she <a href="https://www.cnn.com/2021/07/27/sport/simone-biles-tokyo-2020-olympics/index.html">pulled out of the women’s team gymnastics final</a> at the Tokyo Olympics. It was a move that surprised fans who had expected the 24-year-old gymnast, widely regarded as the <a href="https://www.washingtonpost.com/sports/olympics/2021/07/27/simone-biles-mental-
|
|||
|
|
health/">greatest of all time</a>, to lead her team to the gold.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="AY2VvK">
|
|||
|
|
Biles’s decision is part of a larger cultural moment. In recent months, multiple high-profile athletes — many of them young Black women — have been open about prioritizing their mental health over someone else’s definition of success. Before Biles, the most prominent was <a href="https://www.vox.com/22534957/naomi-osaka-french-open-wimbledon">tennis star Naomi Osaka</a>, who stepped away from press conferences and then from tournaments earlier this year out of a need to protect her mental health. “It’s O.K. to not be O.K., and it’s O.K. to talk about it,” she wrote in <a href="https://time.com/6077128/naomi-osaka-essay-
|
|||
|
|
tokyo-olympics/">a July essay at Time</a> explaining the move.
|
|||
|
|
</p>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt=" " src="https://cdn.vox-cdn.com/thumbor/IpZnFJQ9-SJyvUvtGzA5DR0dRcM=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22749247/GettyImages_1330976021_copy.jpg"/> <cite>Jean Catuffe/Getty Images</cite>
|
|||
|
|
<figcaption>
|
|||
|
|
Simon Biles speaks to IOC President Thomas Bach after the gymnastics artistic women’s team final on July 27.
|
|||
|
|
</figcaption>
|
|||
|
|
</figure>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Jd8VH5">
|
|||
|
|
Athletes like <a href="https://www.nbcnews.com/news/nbcblk/young-black-athletes-are-launching-mental-health-revolution-rcna1490">sprinter Noah Lyle and swimmer Simone Manuel</a> have also spoken publicly about mental health treatment or challenges. So have other public figures like Meghan Markle, who <a href="https://www.elle.com/culture/celebrities/a35747520/meghan-markle-
|
|||
|
|
mental-health/">said in an <em>Oprah</em> interview</a> earlier this year that she experienced suicidal thoughts as a result of media scrutiny but was told by the royal family that she couldn’t seek help.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="mUgOnn">
|
|||
|
|
And it’s not just famous people who are done staying silent. Record numbers of workers from retail to restaurants to offices have <a href="https://www.vox.com/22545398/jobs-quitting-retail-workers-pandemic-sales">left their jobs this year</a>, often <a href="https://www.cnbc.com/2021/06/24/workers-are-quitting-their-jobs-to-prioritize-their-mental-health.html">citing mental health</a> as a factor. In <a href="https://www.forbes.com/sites/chriswestfall/2020/10/08/mental-health-
|
|||
|
|
leadership-survey-reveals-80-of-remote-workers-would-quit-their-jobs-for-this/?sh=274bffdc3a0f">one 2020 survey</a>, 80 percent of workers said they would consider quitting for a role that offered better support for mental well-being.
|
|||
|
|
</p></li>
|
|||
|
|
</ul>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="550o4p">
|
|||
|
|
Some of this new drive to be proactive — and public — about psychological wellness may be a generational shift. Generation Z — the cohort <a href="https://www.pewresearch.org/fact-tank/2019/01/17/where-millennials-end-and-
|
|||
|
|
generation-z-begins/">born after 1996</a> — “is more open than prior generations to both seeking mental health care and disclosing their experiences,” psychologist B. Janet Hibbs told Vox in an email. And some of it may also stem from the pandemic, a time that inspired many Americans to reevaluate their lives and focus on what was really important to them. The events of the last year and a half “allowed people to sit with themselves” and “assess how to make things right in a way that is true to them and not just please everyone else,” Elyse Fox, founder of the mental health nonprofit Sad Girls Club, told Vox.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Fa5Y8F">
|
|||
|
|
Whatever the cause, it’s become more mainstream in recent months to prioritize self-care rather than self-denial. For decades, Americans have been laboring under a play-through-the-pain mentality — “there’s this overall sort of ethic in our society around grinning and bearing it, taking it on the chin,” Michael Lindsey, a professor at the NYU Silver School of Social Work who studies mental health, told Vox. But in recent months, more and more people have hit their breaking point and are committing to caring for themselves — even if it means stepping away from something as big as the Olympics or the Grand Slam. For Biles and Osaka, “although this was a move for themselves, it’s also a step for the entire world,” Fox said.
|
|||
|
|
</p>
|
|||
|
|
<h3 id="dkc3yE">
|
|||
|
|
Gen Z is taking a lead on mental health
|
|||
|
|
</h3>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="T0kXAq">
|
|||
|
|
America asks a lot of its athletes. They train, often from very young ages, at sports that risk their health and sometimes their very lives — just prior to the Olympics, Biles <a href="https://www.nytimes.com/2021/05/24/sports/olympics/simone-biles-yurchenko-double-pike.html">completed a vault</a> so dangerous that no other female gymnast had even tried it. They endure constant pressure to win, and constant scrutiny when they falter, even for a moment. They also have to show up at press conferences and be personable and relatable, all while holding themselves to a different standard of behavior than ordinary people — by, for example, <a href="https://www.vox.com/22565419/shacarri-richardson-olympics-marijuana-ban-war-on-drugs">never smoking marijuana</a>. During the pandemic, they’ve also had to travel without family and friends and submit to a life in <a href="https://apnews.com/article/europe-sports-tennis-health-coronavirus-pandemic-1eca0e1a9fe0606e45853be137ccae9e">a series of isolated bubbles</a>, making a difficult situation all the more stressful.
|
|||
|
|
</p>
|
|||
|
|
<div class="c-float-right c-float-hang">
|
|||
|
|
<aside id="miH7we">
|
|||
|
|
<q>It’s become more mainstream in recent months to prioritize self-care rather than self-denial</q>
|
|||
|
|
</aside>
|
|||
|
|
</div>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="4aG29x">
|
|||
|
|
And the requirements for Black female athletes, historically, have been even more taxing, with <a href="https://www.vox.com/22534957/naomi-osaka-french-open-wimbledon">players like Serena Williams</a> subjected to endless body-shaming, racism, and disparate treatment by sports’ governing bodies. These athletes are still expected to be stand-ins for American greatness on a world stage, even when America — from <a href="https://www.cnn.com/2019/08/08/us/simone-biles-usa-gymnastics-one-job/index.html">sporting officials</a> to the <a href="https://www.vox.com/2015/3/11/8189679/serena-williams-indian-wells-racism">media</a> — has often been far from great to them. Such factors make it all the more remarkable — or perhaps, all the more overdue — that Black female athletes have been some of the first to stand up on a national stage and say: enough.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="RkfS91">
|
|||
|
|
In many ways, Osaka jump-started the current national conversation around mental health when she announced in May that she would not participate in mandatory press conferences ahead of the French Open. She later withdrew from the tournament, <a href="https://www.vox.com/22534957/naomi-osaka-french-open-wimbledon">explaining</a> that “I am not a natural public speaker and get huge waves of anxiety before I speak to the world’s media” and that she had faced “long bouts of depression” since 2018. In order to care for herself, she said, “I’m gonna take some time away from the court now, but when the time is right, I really want to work with the Tour to discuss ways we can make things better for the players, press, and fans.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="67zCi9">
|
|||
|
|
While she faced <a href="https://www.insider.com/naomi-osaka-hit-back-megyn-kelly-
|
|||
|
|
criticism-media-appearances-2021-7">some criticism</a>, she was also met with an outpouring of support, with <a href="https://www.everydayhealth.com/emotional-health/why-naomi-osakas-french-open-withdrawal-is-a-mental-health-
|
|||
|
|
win/">experts</a>, commentators, and even <a href="https://apnews.com/article/meghan-markle-naomi-osaka-osaka-french-
|
|||
|
|
open-tennis-ff9a4ed6166c3845efc14e3e6152804a">corporate sponsors</a> praising her honesty. Other athletes have spoken out about mental health in recent months, too, from Lyle, who <a href="https://twitter.com/LylesNoah/status/1290032724992876544">described taking antidepressants</a> as “one of the best decisions I have made in a while,” to Manuel, who <a href="https://www.si.com/olympics/2021/07/13/simone-manuel-tokyo-
|
|||
|
|
olympics-50-freestyle-overtraining">missed three weeks of training</a> earlier this year due to overtraining syndrome, which can cause fatigue and depression. Meanwhile, <a href="https://www.nytimes.com/2021/07/01/sports/olympics/shacarri-
|
|||
|
|
richardson-suspended-marijuana.html">sprinter Sha’Carri Richardson</a>, who was suspended in June after testing positive for marijuana, said she’d used it to cope with grief after her biological mother’s death. “It sent me into a state of emotional panic,” she <a href="https://www.nytimes.com/2021/07/01/sports/olympics/shacarri-richardson-suspended-
|
|||
|
|
marijuana.html">said in an NBC interview</a>, “I didn’t know how to control my emotions or deal with my emotions during that time.”
|
|||
|
|
</p>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt=" " src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/2ixmVP0GYmjoukuQxbbV8_cIPN4=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22749254/GettyImages_1324597938_copy.jpg"/> <cite>Patrick Smith/Getty Images</cite>
|
|||
|
|
<figcaption>
|
|||
|
|
Sha’Carri Richardson seen after winning the Women’s 100 Meter final on day 2 of the US Olympic Track & Field Team Trials in Eugene, Oregon.
|
|||
|
|
</figcaption>
|
|||
|
|
</figure>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="wgSCtj">
|
|||
|
|
Then came Biles, who withdrew both from the team final and from the <a href="https://www.espn.com/olympics/gymnastics/story/_/id/31902290/simone-biles-withdraws-individual-all-competition-
|
|||
|
|
tokyo-olympics-focus-mental-health">individual all-around competition</a> in Tokyo this week. “This Olympic Games, I wanted it to be for myself when I came in — and I felt like I was still doing it for other people,” she <a href="https://www.vox.com/22596910/simone-biles-withdrawal-olympic-gymnastics-team-finals-results">told reporters</a>. “At the end of the day, we’re human too so we have to protect our mind and our body rather than just go out there and do what the world wants us to do.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="CtxdhL">
|
|||
|
|
The movement among athletes to prioritize caring for their health above competing at all costs — and to share their mental health challenges openly — is emblematic of something bigger, many say. Between athletes like Osaka and Biles and ordinary Americans on social media, we’re seeing “more people speaking openly about mental health issues and how they’re impacting their work,” Betty Lai, a professor of counseling, developmental, and educational psychology at Boston College, told Vox.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="o5QRQq">
|
|||
|
|
Most visibly,<strong> </strong>that change is being driven by Black<strong> </strong>women in their 20s or younger — Osaka, Biles, Manuel, and Richardson are all under 25. “Black women have always had a sort of leading presence” when it comes to social change “in a way that they have not been historically given credit for,” Lindsey said. The young Olympians speaking out today about their need to care for themselves are “yet another example of how Black women are leading.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="z7rlPo">
|
|||
|
|
It’s also not surprising that young people are at the forefront of a mental health revolution, since they appear more adept than their elders at recognizing mental health problems. Members of Gen Z in general report worse mental health than their elders, with just 45 percent saying their mental well-being was good or very good in <a href="https://www.wgu.edu/blog/stress-mental-health-generation-z1906.html#openSubscriberModal">a 2019 survey</a>, compared with 56 percent of millennials. The pandemic has also taken an outsize toll on young people, with 62.9 percent of 18- to 24-year-olds reporting symptoms of anxiety or depression in <a href="https://www.nytimes.com/2020/08/24/well/family/young-adults-mental-health-pandemic.html">a 2020 CDC survey</a>, the highest of any age group.
|
|||
|
|
</p>
|
|||
|
|
<div id="e8ANvz">
|
|||
|
|
<blockquote class="twitter-tweet">
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" dir="ltr" lang="en">
|
|||
|
|
Recently I decided to get on antidepressant medication. That was one of the best decisions I have made in a while. Since then I have been able to think with out the dark undertone in mind of nothing matters. <br/>Thank you God for mental Health
|
|||
|
|
</p>
|
|||
|
|
— Noah Lyles, OLY (<span class="citation" data-cites="LylesNoah">@LylesNoah</span>) <a href="https://twitter.com/LylesNoah/status/1290032724992876544?ref_src=twsrc%5Etfw">August 2, 2020</a>
|
|||
|
|
</blockquote>
|
|||
|
|
</div>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="XiTw9k">
|
|||
|
|
At the same time, people in Gen Z are also more likely than their elders to seek help for mental health problems, with 37 percent saying they had gotten therapy or other professional treatment in <a href="https://www.apa.org/monitor/2019/01/gen-z">a 2019 survey</a>, compared with 35 percent of millennials, 26 percent of Gen-Xers, and 22 percent of boomers.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="i3kTBw">
|
|||
|
|
This is likely because<strong> </strong>Gen-Zers have been exposed to more outreach on mental health by colleges and universities, as well as more awareness of these issues among parents, than older generations, Hibbs said. “They’ve been encouraged to talk about their feelings more,” she added. “There’s much more self-awareness of what’s going on for you.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="qFNOp8">
|
|||
|
|
Peers and social media likely play a role, too — mental health has emerged as <a href="https://www.mic.com/p/mental-health-tiktok-is-vast-daunting-here-
|
|||
|
|
are-5-actually-helpful-accounts-to-follow-68026714">a popular topic on TikTok</a>, for example, where <a href="https://www.nytimes.com/2021/01/12/well/mind/tiktok-therapists.html">professionals</a> and ordinary people share experiences and advice. “I learn so much through TikTok,” said Fox, who launched Sad Girls Club as a way to provide mental health resources to underserved communities, especially women of color and young people. The rise of mobile therapy options like Talkspace may also have helped, allowing young people to get help on their phones without going into an office.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="qTotGV">
|
|||
|
|
Overall, among younger Americans, “everyone’s kind of awakened” when it comes to mental health issues, Fox said. “It’s like, ‘We know this exists. Why are we living like this? We can’t live like this anymore.’”
|
|||
|
|
</p>
|
|||
|
|
<h3 id="PvqJQI">
|
|||
|
|
The pandemic has brought mental health challenges — but also raised awareness
|
|||
|
|
</h3>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="EvMohM">
|
|||
|
|
In addition to the influence of high-profile people, the pandemic has sparked a larger interest in mental health across society. In her work with school administrators on supporting students during this time, for example, Lai has noticed that “talking about mental health has really been at the forefront of people’s minds.”
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="oicqg1">
|
|||
|
|
“More people are raising these issues and are raising them earlier,” Lai explained. “Ten years ago, we really had to make the case that we should be thinking about mental health outcomes for kids after disasters.” Today, it’s more of a given.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="zB3f4p">
|
|||
|
|
And that awareness around mental health extends to adults as well, with more people recognizing the importance of caring for themselves during a time that has been traumatic for so many. The pandemic has led many people to <a href="https://www.vox.com/first-person/22188641/life-changing-
|
|||
|
|
decisions-2020-pandemic">reevaluate their lives</a>, which can include prioritizing what’s best for themselves rather than living up to external demands. For some, that can extend to walking away from a job, with many of those quitting as part of the so-called <a href="https://www.cnbc.com/2021/06/29/more-people-plan-to-quit-as-return-to-work-plans-go-
|
|||
|
|
into-effect-.html">Great Resignation</a> doing so at least in part for their psychological well-being. Twenty-one-year- old Stephanie Becker, for example, <a href="https://www.cnbc.com/2021/06/24/workers-are-quitting-their-jobs-to-
|
|||
|
|
prioritize-their-mental-health.html">told CNBC</a> in June that she left her job at a dog boarding facility after the stress started to make her physically ill. “If [work] is affecting you so much, it’s not worth working yourself so hard and not feeling good that you aren’t able to enjoy yourself at home,” she said.
|
|||
|
|
</p>
|
|||
|
|
<aside id="VHzUPj">
|
|||
|
|
<div>
|
|||
|
|
|
|||
|
|
</div>
|
|||
|
|
</aside>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="eXZTgD">
|
|||
|
|
“This past year was definitely the hardest for so many people, but what’s coming out of it is very beautiful” when it comes to “the voices that are speaking up in support of mental health and taking time,” Fox said.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Rg66yp">
|
|||
|
|
“I don’t want to be a gymnast,” she added, “but I’m also very inspired by someone actually ditching the biggest game or the biggest thing in their career to focus on their mental health.”
|
|||
|
|
</p>
|
|||
|
|
<h3 id="hU5vIS">
|
|||
|
|
America has a long way to go to support people
|
|||
|
|
</h3>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="O2vy87">
|
|||
|
|
Biles’s stepping away is especially inspirational since the stigma around mental health still prevents too many Americans from getting help. “The person who is ‘experiencing a mental health problem’ is sort of cast aside or thought to be different,” Lindsey said, when “the reality is, we all are struggling with mental health issues and challenges in our lives.” Black Americans can experience disproportionate stigma around getting help for mental illness, which may help contribute to the fact that just <a href="https://dworakpeck.usc.edu/news/why-mental-health-care-stigmatized-black-communities">one in three Black people experiencing mental health problems</a> ever get appropriate treatment. Men can also feel <a href="https://www.nami.org/blogs/nami-blog/march-2018/5-myths-that-prevent-men-from-fighting-depression">stigma around mental health issues</a>, making them less likely than women to get help.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="VwLV9V">
|
|||
|
|
But even if Americans are ready to prioritize mental health, it does not mean they will come by support easily. As of 2019, <a href="https://www.healthaffairs.org/do/10.1377/hblog20201007.502559/full/">14.5 percent of non-elderly Americans</a> lacked health insurance, and that number has likely <a href="https://www.healthaffairs.org/do/10.1377/hblog20201007.502559/full/">risen during the pandemic</a>. Black, Latinx, and Indigenous Americans are <a href="https://www.kff.org/racial-equity-and-health-policy/issue-brief/health-coverage-
|
|||
|
|
by-race-and-ethnicity/">disproportionately likely to lack health insurance</a>, as are young adults, making it especially hard for many people in these groups to get treatment for mental health needs.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Co3thF">
|
|||
|
|
Even with insurance, therapy can be unaffordable and therapists difficult to find. Moreover, the country needs more culturally competent therapists who understand the needs of people from historically marginalized groups, from Black Americans to LGBTQIA people, Lindsey said. Without such competence, therapy can end up “creating an experience whereby someone feels further villainized or marginalized because of how they identify.”
|
|||
|
|
</p>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt=" " src="https://cdn.vox-cdn.com/thumbor/646CDieWlhJj8_YV5IM7-VO0Cas=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22749380/GettyImages_1174968293_copy.jpg"/> <cite>Joe Giddens – WPA Pool/Getty Images</cite>
|
|||
|
|
<figcaption>
|
|||
|
|
Prince Harry, Duke of Sussex, visits a community recording studio in in Nottingham, England, to mark World Mental Health Day on October 10, 2019.
|
|||
|
|
</figcaption>
|
|||
|
|
</figure>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="VddgU6">
|
|||
|
|
Meanwhile, companies aren’t always understanding about their employees’ psychological well-being. “I’ve done a lot of consulting with brands and companies” whose employees’ mental health is suffering — “but then they have a full-on campaign on World Mental Health Day,” Fox said. It’s not enough just to talk about the issue on corporate social media channels. Companies need to let workers know that “there are no repercussions if you need a mental health break,” Fox said. That’s especially important since many workers today say they don’t feel comfortable <a href="https://www.nytimes.com/2021/07/29/well/mind/mental-health-day.html">asking for a mental health day</a>.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="mhKhtm">
|
|||
|
|
And if people do decide to leave a job to care for their psychological well-being, there’s not always a safety net to help them. With health insurance tied to a job, many Americans risk losing access to therapy if they quit. Many say that bigger systemic changes, such as a <a href="https://www.vox.com/22321909/covid-19-pandemic-school-work-
|
|||
|
|
parents-remote">universal basic income</a> and universal health care, are needed to truly decouple people’s well-being from their jobs.
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="wnQHIN">
|
|||
|
|
These are big asks for a country more accustomed to telling people to pull themselves up by their bootstraps no matter how bad they’re feeling. But the time may be ripe for a revolution in American mental health and greater well-being — and the generation represented by Biles and Osaka may be the best one to push for it. Young people today have “a more balanced ability to use the leverage of their generation to ask for changes,” Hibbs said, “and I think that will be healthier for an entire generation.”
|
|||
|
|
</p>
|
|||
|
|
<ul>
|
|||
|
|
<li><strong>Why school lunches feel like they’re frozen in time</strong> -
|
|||
|
|
<figure>
|
|||
|
|
<img alt="An illustration of a school lunch tray with soda, fries, pizza, and half a banana." src="https://cdn.vox-cdn.com/thumbor/n55dCnqxR1E4jFHuaO4DS8wjW74=/375x0:2626x1688/1310x983/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_image/image/69602895/lede_copy.0.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
|
|||
|
|
The fascinating history behind why students today are still eating square pizzas, crinkle fries, and cartons of milk.
|
|||
|
|
</p>
|
|||
|
|
<div class="c-float-left">
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt=" " src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/YYgW4HsU995yniG4Y5QuEoQvF0Y=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/21899595/VOX_The_Highlight_Box_Logo_Horizontal.png"/>
|
|||
|
|
</figure>
|
|||
|
|
</div>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="eRAU2A">
|
|||
|
|
Part of <a href="https://www.vox.com/e/22344648"><strong>The Schools Issue</strong> </a>of <a href="https://www.vox.com/the-highlight"><strong>The Highlight</strong></a>, our home for ambitious stories that explain our world.
|
|||
|
|
</p>
|
|||
|
|
<hr class="p-entry-hr" id="JoTHHq"/>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="A tray of lunch foods
|
|||
|
|
including square pizza, milk, and crinkle fries: Remember school lunch?" src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/3IWjuGDbzmdq_WWNtO6JOwo8Ai8=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726140/1_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="A
|
|||
|
|
cafeteria with students lining up for lunch: The concept probably conjures up images of plastic trays, mystery meats,
|
|||
|
|
syrupy fruit, and square pizza. Unhealthy meals, served daily." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/9gZtyJnssfidQzCPytJ_0ZcYusk=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726464/2.jpeg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="A
|
|||
|
|
cafeteria worker in front of a school lunch menu including pizza, fruit and milk: If you haven’t visited an American
|
|||
|
|
school cafeteria in a while, you might be surprised to find today’s menus are awfully similar to that quaint stereotype
|
|||
|
|
of the school lunch." src="https://cdn.vox-cdn.com/thumbor/5WCceguYvgwQD1c2vw980PCU-
|
|||
|
|
js=/800x0/filters:no_upscale()/cdn.vox-cdn.com/uploads/chorus_asset/file/22726145/3_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="A timeline of school lunches all including pizza drawn on a composition book: But how
|
|||
|
|
did school lunch develop into that classic tray of kid cuisine? And why haven’t students’ meals evolved the way other
|
|||
|
|
educational trends have? The history of how our school lunches came to be reveals the huge, complicated task of feeding
|
|||
|
|
our nation’s children — and why it’s so difficult to make a change." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/zjdLejjmRPV2ozYXA-d0_jlVnfY=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726146/4_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="Late
|
|||
|
|
19th century school setting, admins discussing: American schools first started serving meals at the turn of the 20th
|
|||
|
|
century, when education became compulsory. Man 1: “We are in a unique position to provide meals to our children. We
|
|||
|
|
shall teach them healthy eating habits!” Man 2: It will help them physically and mentally! Such a simple concept." src="https://cdn.vox-cdn.com/thumbor/s9WKvsiuWacfOR4H9Xw1TUYmmyQ=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726147/5_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="A
|
|||
|
|
bowl of chowder and baked beans: Philadelphia and Boston were the first to offer such programs, with the help of women’s
|
|||
|
|
groups, welfare organizations, and home economics students. The response was so positive that the programs expanded. By
|
|||
|
|
1912, there were more than 40 voluntary school lunch programs nationwide." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/nREr5vGptfKdKW1wv0TWiyAi1UY=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726148/6_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="A
|
|||
|
|
farmer, a laborer, and a child. FDR is in the center, observing them then turning to his left. On the right side of the
|
|||
|
|
panel, a meeting with a blackboard with “New Deal Ideas” chalked on it: Spurred by the Great Depression, the federal
|
|||
|
|
government got involved in the 1930s. Farmer: I have too many crops! Laborer: I’m out of work! Child: I’m hungry! FDR:
|
|||
|
|
Hmm … Let’s buy up the surplus crops and employ laborers to cook and serve them in schools! " src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/M2kEOrZwyEO8m5ARyc6Jo-4zO3c=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726150/7_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="Row
|
|||
|
|
of lunch workers offering out trays, including chipped beef, rice &amp; bacon, puddings, fruit shortcake, scrapple,
|
|||
|
|
boiled carrots: By 1941, federally supported school meals were being served in every state, the District of Columbia,
|
|||
|
|
and Puerto Rico." src="https://cdn.vox-cdn.com/thumbor/WpE_eN5YsR3DALUkZ-_1viuJflc=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726152/8_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="WWII
|
|||
|
|
war scene, where a general is on a field telephone: With pressure from military leaders, who equated healthy kids with
|
|||
|
|
strong potential soldiers, Congress passed the National School Lunch Act in 1946. It established a program to provide
|
|||
|
|
low-cost or free lunch to qualified students through school subsidies. About 7.1 million children participated in the
|
|||
|
|
NSLP that year. General: Tell Washington we need to feed our future soldiers. It’s a matter of national security!" src="https://cdn.vox-cdn.com/thumbor/fdlrKFyKiMhWjYZF8wzfgZueD9A=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726154/9_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="Back
|
|||
|
|
at the school lunch counter, breakfast of oranges, whole wheat bread, peanut butter, milk is being served: From there,
|
|||
|
|
federal meal programs expanded. The Child Nutrition Act of 1966 increased subsidies and started a pilot program to offer
|
|||
|
|
breakfast, which became permanent in 1975." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/l_yrHRofFtiXOYBz3RllVvtWlBQ=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726155/10_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="Array of food items, like cornmeal rolls and breaded meats: Much of the food being served came from the same source
|
|||
|
|
as FDR’s New Deal lunches: surplus from farms. Dairy farm with cows being loaded off a trailer: The USDA bought the
|
|||
|
|
surplus cows for meat, what was called the “Whole Herd Buyout.” This excess meat and dairy led to more cheeseburgers,
|
|||
|
|
tacos, and pizza on school menus. The fat content in school lunches skyrocketed." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/FYA1pZoMOzAw-Msel301NHTrxkU=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726157/11_12_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="Reagan, in meeting with staff, at a table with some food items in front of them: This was happening right as the
|
|||
|
|
Reagan administration was looking to cut government spending. In 1981, the school lunch budget was slashed by $1.46
|
|||
|
|
billion. Reagan: Schools can reduce portion sizes, right? Staffer 1: What about nutritional standards? Staffer 2: Does
|
|||
|
|
ketchup count as a vegetable? Staffer 3: How about pickle relish? " src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/6GAqnjWJYjlonz_rJ6h8YZQYNO4=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726159/13_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<div>
|
|||
|
|
<div id="2nSgg9">
|
|||
|
|
<div>
|
|||
|
|
|
|||
|
|
</div>
|
|||
|
|
</div>
|
|||
|
|
</div></li>
|
|||
|
|
</ul>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="A tractor trailer pulled up to a school carrying stacks of pre-made heat-and-
|
|||
|
|
eat meal boxes. The superintendent is signing for the delivery: The spending cuts also meant fewer children were
|
|||
|
|
eligible for free or reduced lunch. To compensate, districts turned to privatized meal solutions, which typically meant
|
|||
|
|
cheap, processed foods. Teacher: What is this? Superintendent: It’s what we can afford. " src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/-yOfhUHU7ExeKinmiLga6Wfn10A=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726160/14_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="A
|
|||
|
|
USDA worker flips through a report. The same superintendent with stacks of processed foods: Childhood obesity rates
|
|||
|
|
climbed. In 1990, the government tried implementing new dietary guidelines, but schools already had a supply of high-fat
|
|||
|
|
foods that were more cost-effective than nutritious options. USDA: Only 1% of schools are complying with the new
|
|||
|
|
guidelines! What happened to teaching healthy eating habits? Superintendent: What’s more important: nutrition, or
|
|||
|
|
feeding as many kids as we can? " src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/zxfrOeaO1HmZXWostApqqjN3shw=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726161/15_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="One
|
|||
|
|
student is holding a tray with a fast food chicken sandwich on it, another is buying a soda from a vending machine:
|
|||
|
|
Convenience also played a role. Fast food suppliers contracted with schools, and vending machines started to appear in
|
|||
|
|
their halls and cafeterias. Student: If we don’t like the lunch options, we can buy stuff from here!" src="https://cdn.vox-cdn.com/thumbor/CPzn5kINUcC85TOGxa7LNt1RUrQ=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726162/16_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="1%
|
|||
|
|
milk, veggies, turkey hot dogs: Health and nutrition remained a huge concern. The Obama administration attempted the
|
|||
|
|
next big overhaul: the Healthy, Hunger-Free Kids Act of 2010. This allowed for another USDA revision of school dietary
|
|||
|
|
standards and funding for free breakfast and lunch in high-poverty communities." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/idh-Dx4GYJD7YS4v3u9gA8b91Xk=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726163/17_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="People lined up, protest-style: The new guidelines led to backlash from Republican lawmakers, dairy and fast food
|
|||
|
|
lobbyists, and even from the students themselves. Lawmaker: It’s another example of Washington’s regulatory excess!
|
|||
|
|
Parent and a lobbyist: Bring back our whole milk! Student: The meals aren’t big enough! I’m hungry again an hour later.
|
|||
|
|
" src="https://cdn.vox-cdn.com/thumbor/18QfgpFRo-8hEoXLMNdfh4LbYgw=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726164/18_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="Children at a lunch table, looking disgustedly at their food: Many districts found that the healthier meals didn’t
|
|||
|
|
appeal to every student. Kids would rather throw out the meals than eat food they considered boring or unappetizing.
|
|||
|
|
Food Waste Warrior, a project funded by the World Wildlife Fund, estimated in 2019 that total food waste in schools
|
|||
|
|
costs as much as $1.7 billion per school year." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/d-Xis0i41HRfIzGNA92ayNKOXRw=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726165/19_20_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="William J. McCarthy, professor of public health and psychology, University of California Los Angeles, holding up a
|
|||
|
|
quinoa salad: Several food service directors, while recognizing waste as a problem, say the answer is to wait it out.
|
|||
|
|
Research shows that children may need to be exposed to vegetables 10 to 12 times before they will eat them on their
|
|||
|
|
own." src="https://cdn.vox-cdn.com/thumbor/gbTvul5uL94yObPF2oP27F93gLM=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726166/21_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="Quinoa salad, lentil cutlets, pad Thai, vegetable curry: In Los Angeles County, that meant continuing to serve the
|
|||
|
|
vegetarian menus they had introduced as part of the Healthy Hunger-Free Kids Act." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/2xAbs0fA1Q7Fq9DQMDG_xWTcbxI=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726167/22_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="A
|
|||
|
|
lunch person serving a slice of whole wheat pizza, panned out to show empty lunch room: When the district started seeing
|
|||
|
|
fewer and fewer students eating in their cafeterias, they tried healthier versions of lunch room standards. That didn’t
|
|||
|
|
work, either. Lunch person: Whole-wheat pizza, anyone? " src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/lLfSuxCv-q7Tt2Plmf0j1jrPMgo=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726169/23_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<img alt="Students eating tacos and pizza: So, they went back to serving some familiar items. This was typical of school
|
|||
|
|
districts across the country and was made easier by the Trump administration when, in 2017, they rolled back some of the
|
|||
|
|
sodium, milk, and whole-grain standards implemented by the Healthy, Hunger-Free Kids Act." src="https://cdn.vox-
|
|||
|
|
cdn.com/thumbor/gQpPFuKpqp67Fol3vdzjpqUbAGs=/800x0/filters:no_upscale()/cdn.vox-
|
|||
|
|
cdn.com/uploads/chorus_asset/file/22726170/24_copy.jpg"/>
|
|||
|
|
</figure>
|
|||
|
|
<figure class="e-image">
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><img alt="Now
|
|||
|
|
it’s 2021. Roughly 30 million children rely on the USDA’s National School Lunch Program. What does their typical school
|
|||
|
|
lunch look like? &nbsp;Portion sizes have fluctuated and produce appears more frequently…but we still see some menu
|
|||
|
|
mainstays. Over the past century, the goal of the American school lunch hasn’t changed: have nutritious food be a
|
|||
|
|
regular part of a child’s day. But it still seems we’re falling short. Until we check all the boxes, some meals are most
|
|||
|
|
likely here to stay." src="https://cdn.vox-cdn.com/thumbor/WSbbpJx-
|
|||
|
|
zjfoiaU1qYmmN4po9Ts=/800x0/filters:no_upscale()/cdn.vox-cdn.com/uploads/chorus_asset/file/22726173/25_27_copy.jpg"/></p>
|
|||
|
|
</figure>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="y0376O">
|
|||
|
|
Sources:
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="Gmsdlb">
|
|||
|
|
<a href="https://highline.huffingtonpost.com/articles/en/school-
|
|||
|
|
lunch/">Revenge of the Lunch Lady</a>, HuffPo<br/><a href="https://time.com/4496771/school-lunch-history/">An Abbreviated History of School Lunch in America</a>, Time<br/><a href="https://blog.advancementcourses.com/infographics/school-lunches-america-infographic/">School Lunch infographic</a>, Advancement Courses<br/>Revolution at the Table: The Transformation of the American Diet, Harvey Levenstein<br/><a href="https://www.pbs.org/food/the-history-kitchen/history-school-lunch/">PBS The History Kitchen: History of School Lunch</a><br/><a href="https://www.politifact.com/factchecks/2021/jun/07/lorraine-lewandrowski/whole-
|
|||
|
|
milk-prohibited-being-offered-new-york-schoo/">Is whole milk illegal in New York?</a>, PolitiFact<br/><a href="https://www.nytimes.com/2012/10/06/nyregion/healthier-school-lunches-face-student-
|
|||
|
|
rejection.html?pagewanted=all">No Appetite for Good-For-You School Lunches</a>, The New York Times<br/><a href="https://www.fns.usda.gov/nslp">USDA on NSLP</a>
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="MF0YDv">
|
|||
|
|
<em>Ally Shwed is a cartoonist and visual journalist whose work has appeared in The Boston Globe, The Nib, and The Intercept. She lives in Belmar, NJ with her cartoonist husband and their two cats.</em>
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="LV4kWg">
|
|||
|
|
</p>
|
|||
|
|
<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom" id="tD67QF">
|
|||
|
|
</p>
|
|||
|
|
<h1 data-aos="fade-right" id="from-the-hindu-sports">From The Hindu: Sports</h1>
|
|||
|
|
<ul>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Tokyo Olympics | India beats Japan 5-3 to end pool engagements on a high in men’s hockey</strong> - India finished second in Pool A behind Australia with four victories out of five Games</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>‘I want to win even if I am fighting with a broken hand,’ says Muhammad Ali fan Lovlina</strong> - The Assamese boxer says she regularly watches the boxing legend’s videos and picks up some aspects of his game</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Tokyo Olympics | Vishnu finishes 20th; Nethra 35th in sailing</strong> - The former stuns the fleet with a third-place finish in race 9</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Baromukhia village celebrates its favourite daughter, Lovlina Borgohain</strong> - Twenty-three year-old Lovlina Borgohain brings cheer to the country, especially her hometown in Golaghat district, as she nabs a medal for boxing at the Tokyo 2020 Olympics</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Djokovic loses to Zverev at Olympics, ending Golden Slam bid</strong> - Djokovic was attempting to become the first man to win all four Grand Slam tournaments and Olympic gold in the same year.</p></li>
|
|||
|
|
</ul>
|
|||
|
|
<h1 data-aos="fade-right" id="from-the-hindu-national-news">From The Hindu: National News</h1>
|
|||
|
|
<ul>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Farmers make time for social media to network, share and solve</strong> - ‘From knowing about different PVC pipes to discovering innovative farming methods, it is all easy through social media’</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>CBSE exam results: 99.83% of students in Bengaluru region clear class 12</strong> - In 2020, the figure was 98.23% of students</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Baromukhia village celebrates its favourite daughter, Lovlina Borgohain</strong> - Twenty-three year-old Lovlina Borgohain brings cheer to the country, especially her hometown in Golaghat district, as she nabs a medal for boxing at the Tokyo 2020 Olympics</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>IndiGo signs pact to explore potential of using sustainable aviation fuel in aircraft</strong> - The carrier is yet to reveal the details of the fue provider.</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Nitish has agreed to take up caste census issue with Centre: Tejashwi</strong> - The Centre’s recent statement in the Parliament that a caste-based census would include only the Scheduled Tribes and Scheduled Castes has triggered a fresh demand for inclusion of the OBCs</p></li>
|
|||
|
|
</ul>
|
|||
|
|
<h1 data-aos="fade-right" id="from-bbc-europe">From BBC: Europe</h1>
|
|||
|
|
<ul>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Turkey fires: Blazes threaten Marmaris and other coastal resorts</strong> - Villages and hotels are evacuated as firefighters attempt to put out dozens of blazes.</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Esther Dingley: Remains confirmed as those of missing hiker</strong> - Esther Dingley disappeared in the Pyrenees mountains in November.</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Tokyo Olympics: Alexander Zverev beats Novak Djokovic to reach final</strong> - Novak Djokovic’s hopes of winning a ‘Golden Slam’ are over after losing to Alexander Zverev in the Olympic tennis semi- finals.</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Lewis Hamilton and Sebastian Vettel speak out over Hungary anti-LGBTQ+ law</strong> - Formula 1 drivers Lewis Hamilton and Sebastian Vettel speak out against Hungary’s new anti-LGBTQ+ law before this weekend’s grand prix.</p></li>
|
|||
|
|
<li data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Daphne Caruana Galizia: Malta responsible for journalist death - inquiry</strong> - The results of an inquiry say officials could have prevented Daphne Caruana Galizia’s 2017 murder.</p></li>
|
|||
|
|
</ul>
|
|||
|
|
<h1 data-aos="fade-right" id="from-ars-technica">From Ars Technica</h1>
|
|||
|
|
<ul>
|
|||
|
|
<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Software downloaded 30,000 times from PyPI ransacked developers’ machines</strong> - Expect to see more of these “Frankenstein” malware packages, researchers warn. - <a href="https://arstechnica.com/?p=1784124">link</a></p></li>
|
|||
|
|
<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>New bank-fraud malware called Vultur infects thousands of devices</strong> - Screen sharing courtesy of VNC mirrors device screens to attacker-controlled servers. - <a href="https://arstechnica.com/?p=1784095">link</a></p></li>
|
|||
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<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Rocket Report: Ariane V returns after long layoff, Rocket Lab’s tough culture</strong> - “Pete told us that key contributors would be driving Ferraris to work in a year.” - <a href="https://arstechnica.com/?p=1783940">link</a></p></li>
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<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>Russian module suddenly fires thrusters after docking with space station</strong> - “Until you exhaust all your contingency plans, you’re not really starting to worry.” - <a href="https://arstechnica.com/?p=1784020">link</a></p></li>
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<li><p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"><strong>This 3D-printed soft robotic hand beat the first level of Super Mario Bros.</strong> - The hand has integrated fluidic transistors, so it only requires one pressure input. - <a href="https://arstechnica.com/?p=1782874">link</a></p></li>
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</ul>
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<h1 data-aos="fade-right" id="from-jokes-subreddit">From Jokes Subreddit</h1>
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<ul>
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<li><strong>Was having dinner with the in laws and the MIL said ….</strong> - <!-- SC_OFF -->
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<div class="md">
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
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….’How many potatoes would you like?’
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
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I said ‘Ooh, I’ll just have one please.’
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</p>
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
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She said ‘It’s OK, you don’t have to be polite.’ ‘Alright,’ I said, ‘I’ll just have one then, you stupid cunt”
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</p>
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</div>
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<!-- SC_ON -->
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"> submitted by <a href="https://www.reddit.com/user/StyleAdventurous1531"> /u/StyleAdventurous1531 </a> <br/> <span><a href="https://www.reddit.com/r/Jokes/comments/ouaj3s/was_having_dinner_with_the_in_laws_and_the_mil/">[link]</a></span> <span><a href="https://www.reddit.com/r/Jokes/comments/ouaj3s/was_having_dinner_with_the_in_laws_and_the_mil/">[comments]</a></span></p></li>
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<li><strong>Group of guys at the pub. One says, “My missus is charging me $50 a time for sex”</strong> - <!-- SC_OFF -->
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<div class="md">
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
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The other guys look at each other and say, “That’s not bad mate, she charges us $100.”
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</p>
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</div>
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<!-- SC_ON -->
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"> submitted by <a href="https://www.reddit.com/user/littleboy_xxxx"> /u/littleboy_xxxx </a> <br/> <span><a href="https://www.reddit.com/r/Jokes/comments/ou47yi/group_of_guys_at_the_pub_one_says_my_missus_is/">[link]</a></span> <span><a href="https://www.reddit.com/r/Jokes/comments/ou47yi/group_of_guys_at_the_pub_one_says_my_missus_is/">[comments]</a></span></p></li>
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<li><strong>My wife told me we should split up because I keep pretending to be a detective</strong> - <!-- SC_OFF -->
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<div class="md">
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
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I said good idea, we can cover more ground that way
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</p>
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</div>
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<!-- SC_ON -->
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"> submitted by <a href="https://www.reddit.com/user/ReeZedd"> /u/ReeZedd </a> <br/> <span><a href="https://www.reddit.com/r/Jokes/comments/ouhoaf/my_wife_told_me_we_should_split_up_because_i_keep/">[link]</a></span> <span><a href="https://www.reddit.com/r/Jokes/comments/ouhoaf/my_wife_told_me_we_should_split_up_because_i_keep/">[comments]</a></span></p></li>
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<li><strong>Which month do men jerk off the least?</strong> - <!-- SC_OFF -->
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<div class="md">
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
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February. Because it’s the shortest
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</p>
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</div>
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<!-- SC_ON -->
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"> submitted by <a href="https://www.reddit.com/user/Lin3e"> /u/Lin3e </a> <br/> <span><a href="https://www.reddit.com/r/Jokes/comments/oty6p2/which_month_do_men_jerk_off_the_least/">[link]</a></span> <span><a href="https://www.reddit.com/r/Jokes/comments/oty6p2/which_month_do_men_jerk_off_the_least/">[comments]</a></span></p></li>
|
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<li><strong>In an alcohol factory the regular tester died and the director started looking for a new one to hire.</strong> - <!-- SC_OFF -->
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<div class="md">
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom">
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A drunkard with a ragged, dirty look came to apply for the position. The director of the factory wondered how to send him away. They tested him. They gave him a glass with a drink. He tried it and said,”It’s red wine, a muscat, three years old, grown on a north slope, matured in steel containers.” “That’s correct”, said the boss. Another glass.”It’s red wine, cabernet, eight years old, a south western slope, oak barrels.” “Correct.”The director was astonished. He winked at his secretary to suggest something. She brought in a glass of urine. The alcoholic tried it. “It’s a blonde, 26 years old, three months pregnant, made inside the office. And if you don’t give me the job, I’ll also tell who’s the father!” The boss collapsed!!.
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</p>
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</div>
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<!-- SC_ON -->
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<p data-aos="fade-left" data-aos-anchor-placement="bottom-bottom"> submitted by <a href="https://www.reddit.com/user/the_improviser1"> /u/the_improviser1 </a> <br/> <span><a href="https://www.reddit.com/r/Jokes/comments/ou9pfr/in_an_alcohol_factory_the_regular_tester_died_and/">[link]</a></span> <span><a href="https://www.reddit.com/r/Jokes/comments/ou9pfr/in_an_alcohol_factory_the_regular_tester_died_and/">[comments]</a></span></p></li>
|
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</ul>
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