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Ruth Lubic CNM, EdD,is a nurse midwife and applied anthropologist, MacArthur Foundation “genius” grant recipient, and founder of the  DC Birth Center at the DC Developing Families Center.  FHBC/DFC’  is located in the lower-income northeast quadrant of the District of Columbia and consists of a birth center, a case management and social support organization and an early childhood development center. This low-income area in the District of Columbia has high rates of infant and maternal mortality. FHBC/DFC’s core principle is treating women and their families—regardless of race, class or background—as fellow human beings.

They now have a hip hop song produced to shout -out to the world that this health care model works. Recently released, New Dawn for Ruth Lubic is directed by Chad Harper, shot and edited by Johwell St-Cilien for Negusworld film. Chad Harper is the founder and CEO of Hip Hop Saves Lives, a New York nonprofit that writes and sells songs to raise money for clean drinking water in Africa and Haiti.

 

[youtube=http://www.youtube.com/watch?v=syJHSaJota0]

Ruth Lubic CNM, EdD,is a nurse midwife

Daliah Heller

Daliah Heller

Former NYC Assistant Commissioner Daliah Heller, PhD, MPH, joins the Center for Health Media and Policy (CHMP) at Hunter College this year as a Visiting Scholar. She is initiating a project, entitled SHIFT – Shaping Health Initiatives For Transformation (SHIFT) on drugs and alcohol – to promote opportunities for mainstreaming substance use services in health care and public health systems.  This fulltime position is funded by a grant from the Open Society.

Over the year, Dr. Heller’s work will involve two main activities. First, she will be interviewing and organizing doctors and nurses from around the country to build support for integrating substance use into health care systems and improving drug and alcohol policies. Second, she will be exploring and advocating health policy approaches for substance use services.

Heller sees this work as crucial for helping people with drug and alcohol problems. “The negative health and social consequences of drug use can be devastating for individuals, families, and communities. To change this, we must shift from treating it as a criminal problem to recognizing it as the health and public health problem that can be prevented and managed.”

Daliah Heller has worked at the intersection of public health and substance use for the past fifteen years in New York City. Her work spans leadership roles in both the governmental and not-for-profit sectors, and includes developing and managing community-based programs, conducting epidemiologic research and program evaluation, implementing system-wide initiatives, and analyzing and advancing public policy. Most recently, until November 2011, she served four years as an Assistant Commissioner at the New York City Health Department, responsible for the Bureau of Alcohol and Drug Use Prevention, Care, and Treatment.

[caption id="attachment_10216" align="alignleft" width="300"] Daliah Heller[/caption] Former NYC

A "refusal of treatment" form from o...

This weekend, my husband and I finally sat down to review advance health directives. It’s something we should have done years ago, but kept putting off. No one likes to confront his or her own mortality. Or what would happen if….

Discussing living wills and health proxies with your spouse and family may be one of the most vital conversations you will ever have. Yet, it seems my husband and I are not the only ones putting off this task – a 2011 poll conducted by the Associated Press- LifeGoesStrong showed that 64 percent of baby boomers (b. 1946-1964) and 70 percent of all US adults do not have a living will, health proxy or other advance directive. A search of current media stories on this topic showed a similar lack of emphasis.

A health proxy is a necessity in today’s complex health environment. It gives a person of your choosing (your agent) the authority to make specific care decisions on your behalf, if you are unable to do so. This may encompass anything from surgery, to medication, to a do-not-resuscitate (DNR) order. Medical practitioners are obligated to follow those instructions.

A living will spells out your general wishes regarding your health care. For example, you might state something like “I do not wish to be kept alive by artificial means, such as a feeding tube,” or “I only wish to have medication to ease pain and suffering.” This points physicians and family in the right direction about care, and helps avoid conflicts about your treatment, if you are unable to express your own desires.

The state of New York provides free downloadable health proxies and living wills. As an aside, it was good to note that health literacy was factored into the writing – medical terms are explained in plain language – and the what, how, and why of these documents are laid out step by step.

If you live outside of New York, check with the health department in your state for current information and requirements – this is especially important if you reside in more than one state during the year. A lawyer is not necessary, although it may be wise to have a copy of your directive and proxy on file with him or her. The agent, and a backup, should also have copies of your proxy and living will.

This was one of the most difficult – yet totally necessary — conversations my husband and I have ever had. The only one that may be harder is having it with our family, especially our 20-year old. Yet should the time come when these directives are needed, I know that our healthcare decisions will be made according to our wishes, not someone else’s.

Living wills and health proxies are vital