Of Crime and Punishment

It’s playoff time in the NBA. A time when I force my family to forsake primetime television for professional basketball.  A time when I am continually forced to ponder one of the deeper questions in life… Why does the last three minutes of a basketball game take half an hour?

The answer to anything more than a casual basketball fan is clear.  The culprit is the intentional foul.  To those less familiar, this technique is when the trailing team will intentionally foul the other team in an effort to force them to “work for their points” by hitting foul shots.  By percentages as well as anecdotes, this strategy can work by forcing more of the game to take place with the clock stopped (lengthening the game, much to my wife’s chagrin), as well as putting the onus on the leading team to make foul shots.

There is a deeper question here, however.  One that we often ignore, perhaps because it is just too hard to answer.  Merriam-Webster defines a foul as “constituting an infringement of rules in a game or sport.”  That is clearly the case in basketball, where impeding an opposing players ability to move in an unimpeded fashion or to take a shot (or to sometimes even remain standing) is universally considered an infringement of the rules.

It becomes clear then, that in the almost universally popular sport of basketball, players are encouraged to break the rules of the game on a regular basis simply because the punishment they endure is more advantageous to them on the whole than following the rules of the game.

Would this action be allowed anywhere else in society?  Would we condone a homeless man partaking in a violent crime, simply to get free room and board (albeit in a jail)?  How about the man with a severe illness who robbed a bank so that he might go to jail and get taxpayer funded healthcare?

Are rules and laws in society at large only applicable to those for whom following them is advantageous?  If so, by analogy of the NBA, it should be perfectly acceptable to tell a child to rob a bank, because even if he/she gets caught, they will only spend a few years in jail, but the potential upside is tremendous.  If rules are only meant to be followed when they are to our advantage, they cease being laws and become merely guidelines.

There are many examples of sports mirroring life, and bringing out the best in us through healthy competition and fair play.  But a society, such as the NBA, where rule-breaking is universally condoned when it is advantageous to the offender sends the wrong message to our children about acceptable behavior in society as a whole.  The NBA seriously needs to consider rule changes to make the punishment fit the crime, and to make playing by the rules advantageous to all parties.  (My humble suggestion, a shooting foul on a missed basket should be worth three free throws)

NOTE: This is not meant to be a “crotchety old man” essay (though lately I feel more and more like one).  Rather, a serious look at the moral and ethical implications of the concept of an intentional foul.  I would welcome any and all feedback to these rhetorical questions from basketball fans and non-fans alike.

Open House, Open Mind

LA Masjid

Our new masjid… Just part of the Mohammedi Center Complex

Friday, May 5th 2012 was a red letter day for the Dawoodi Bohra Community of Los Angeles–my religious community.  Our new masjid (mosque), under planning and construction for over a decade, had finally been finished.  On Friday, we hosted multiple civic, interfaith, and community leaders to visit with a reception, tour, and a lunch.  After that program, we opened up the masjid complex for the entire local community and neighbors by way of an open house, and guided tours.

To understand the significance of this event, consider this: I am forty years old and have been a Muslim all of my life.  This will be the first masjid I have ever belonged to as a member.

The event was also important in that it was out of the ordinary for the Bohra community.  We tend, for better or for worse (and I feel, mostly for worse), to be a tremendously private and introverted community.  The upside to this is that we do not concern ourselves about what others do or say about us, manifesting a communal self confidence that belies our small numbers and minority opinions.  The downside of this is that we are also unconcerned with spreading the  goings-on within our community to the outside world.  I am not talking about proselytizing, I am talking about simple neighborly sharing.  While we have nothing to hide, it becomes the natural perception that we do.   And there is little more frightening in America than a Muslim with something to hide.  This event went a long way towards changing that introverted attitude within our community as a whole, and our leadership in particular.

Time will be the only true arbiter of whether opening up our community to outside scrutiny was truly a beneficial decision.  After all, increased visibility can be a double edged sword.  But if the outpouring of support and positive media coverage we received are any indication, the favorable ramifications promise to be manifold.

From a personal perspective, this was a vitally important day as well.  As a physician, I live largely in the public eye; interacting with a large swathe of the local population from all occupations, socioeconomic classes, creeds, cultures, and races.  I live locally, and as such my personal lives and professional lives often intertwine (ie: hypertension advice in the bread aisle at Pavilions).  As my mosque is also local, it was inevitable that my religious life (a large component of my personal life) would eventually intersect with my professional life.  I was long dreading that day, however, and working hard to avoid it.  Perhaps I was partly motivated by insecurity over my clothing and customs; but mostly I was pessimistic about the non-Muslim population’s ability to accept Muslims as anything other than crazy nut-job terrorists as their default opinion.

The experience I had in this regard pleasantly surprised me.  Multiple people from my professional life, including patients, hospital administrators, colleagues, referring doctors, and sales representatives attended our function.  In interacting with them, though dressed in my traditional Muslim outfit, I was able to easily summon the professional confidence that I project in any other situation.  Far from the embarrassment I predicted I would feel, I felt comfortable and able to be taken seriously and treated with respect.

Likewise, the implicit distrust and default skepticism which I thought would greet us in the countenance of our visitors never materialized.  Their support for our community was clearly genuine, and not just the thin veneer of politeness I expected.  Their joy at our successful accomplishment, their welcoming of us as part of the local community, and their willingness to learn about Muslims and Bohras with a truly open mind was evident.  Obviously, there is a clear selection bias at work, as those who harbor fear or resentment of us were unlikely to attend our event.  But the number of people who did attend, and who were genuinely encouraging clearly indicated that my previous pessimism was at least over-rated (though unfortunately probably not totally unfounded).

Last Friday represented a “coming out party” for our community as a whole; as well as for me as an individual.  Both were long overdue.  In a sense nothing concrete has changed, however.  Those who hate us or fear us still will, this event did not involve them by their own choice.  Those predisposed to an open mind may have developed a positive attitude towards us.  I am not planning to start going to work wearing my traditional topi and kurta or otherwise advertising my personal beliefs.  The only thing that has palpably evolved is perceptions– ours, theirs, and mine.  Perhaps that means everything has changed after all.

Notes from the Heart…

Having just returned from the American College of Cardiology Sessions in Chicago, my mind is swimming in the latest and greatest in cardiac care and treatment.  I arrive at my place of work armed and ready to apply these principles to caring for my patients.  What I learned, however, surprised even me.

As an interventional cardiologist, I firmly believe in the power of simple interventions, such as balloons and stents which I use routinely, to impact the length and quality of life.  But, in the end, everyone knows that these therapies close the barn doors after the horses have left.  They are helpful, but if you need them, then in many ways you have waited too long.

What impressed me most was the emphasis in the cardiology community on prevention, and some of the new and impressive research that is looking at non-medical interventions.  Here are some of the latest and greatest news, in layman’s terms:

  • Meat is Murder? Much has been made of the recent paper in Archives of Internal Medicine on red meat consumption being linked to early mortality.  While impressive, it still remains one article.  At the ACC however, a host of supportive data was presented which bolsters this paper, and transforms it from an interesting single study to a major cog in a big wheel of diet modification.  While I am most definitely NOT ready to advocate a vegan lifestyle, I think a universal recommendation opting for greater incorporation  of plant products into our diets with fewer meats is absolutely appropriate at this point.  I was impressed not just with the breadth of research, but of the quality and scientific rigor which went into many recent studies in this field–something that had previously been sorely lacking.
  • Size Does Matter.  A major boost for obesity surgery at this meeting was the study looking at its effects on diabetes.  While it was well known that bariatric surgery (particularly the gastric bypass) could improve the state of control of cardiac risk factors, this study compared it to medications, and it came out better.  This is no surprise, really.  By treating the underlying cause (truncal obesity) of insulin resistance, you will achieve better results than by masking or compensating for the insulin resistance that causes Type II diabetes.
  • Blood pressure drugs got you down? Not to worry, for too much longer anyway.  A simple, catheter based treatment called “renal denervation” which affects the various complex neural pathway causing hypertension has shown very promising results at treating hypertension with minimal side effects.  Its use as a routine treatment is still years off, but look for a fast-track approval process for patients with very severe high blood pressure beginning sometime in 2013.
  • Stents are not the work of the devil.  Over the past five years, oversimplified analysis of the COURAGE trial had led many to feel that coronary stenting had no role in the management of blocked coronary arteries causing chest pain.  A recent major study (FAME II) was stopped early, however, because stents showed so much benefit.  The difference? In the second study, the operator had to objectively prove a stent was necessary first.
  • Neither are surgeons.  As interventional cardiologists such as myself take over everything from clogged arteries to aortic valve replacement, many prematurely mourned the death of the field of cardiac surgery.  Not so.  Recent registry data showed that in many patients good old bypass surgery led to better outcomes than even the newest stents.  In addition, newer questions have been raised about the outcomes from minimally invasive (catheter based) aortic valve replacement.  These need to be answered before rapid, widespread adoption of this procedure.
  • Don’t believe the hype: I have received countless phone calls already this week asking for the newest cholesterol medication which promises to be a “wonder drug.”  This is truly shocking to me, because usually when I want to start cholesterol medication, I am met with a lot of resistance.  To top it off, the newest drug is an injectable medication studied in only a small fraction of the patients that the other therapies have been studied in.  This medication may indeed have an eventual role in management of severely high cholesterol, but its rapid demand reeks of pharmaceutical company influence in everything from clinical trial design and presentation, to the timing and tone of press releases.  High cholesterol is a big money industry, and let’s get something straight: these companies are only interested in selling you their product.  If you happen to get better while using it, well that’s OK too.

Medicine continues to change on an almost daily basis, and cardiology changes faster than most other fields.  These are but a few of the new and exciting perspectives that I gained at the annual American College Conference.  And I’m sure by next year, they’ll all be wrong again.

Good Grief

Moslem Tov?

Recently, I had the opportunity to attend a bar mitzvah ceremony at a conservative temple here in Los Angeles.  I am well known to many in the congregation due to my profession and I was greeted with warmth and acceptance, despite my Muslim faith.  Although this was not my first temple service, it was the first I attended that fell on Shabbat.  As such, it was the first time I participated in the full religious ritual.  The result was a transformative experience in many ways.

The similarities were eerie, almost like practicing Islam in another dimension.  The sermon was basically about a favorite Muslim topic–tawhid (but as it related to Moses and Aaron, a different subject for a different time).  The head coverings, the segregation of men and women (though not as strict), and the bowing during prayer all evoked images of Muslim services.  Since we share a common heritage, it will come as no surprise to those versed in history or theology that our services have so much in common.

At first, one thing I found a little surprising was the emphasis on holocaust remembrance.  While I am reasonably familiar with the inhuman atrocities committed during the holocaust, I was initially taken aback by the emphasis placed on the holocaust during the services.  After all, my thoughts went, this happened seventy years ago in a far away land, and most of the younger people in the room had never actually met a victim.  Did they really need to perseverate on it so much?

Three words  from my wife caused perspective to crash down upon me, however, as she whispered to me “It’s their Karbala”.

Karbala, of course, refers to the infamous massacre at Karbala, Iraq perpetrated 1400 years ago on Husain ibn Ali, grandson of the Prophet Mohammed (SA).  It is commemorated regularly to this day by Shi’as (such as myself), especially during the Islamic month of Muharram.  It is mentioned at almost every Shi’a service, and often evokes almost uncontrollable expressions of grief, even today.

The power of grief to unite and galvanize a community is second to none.  The massacre of Karbala and the holocaust share this trait in common.  Both are grotesque acts of violence, willfully perpetrated on innocents.  Both of these events are used to unite, and indeed define, their respective communities.  Most historians consider the massacre at Karbala to be the coalescent moment of the Shia movement, which had actually begun a generation earlier.  Similarly, while the modern Zionist movement was in existence long before World War II, the holocaust served to coalesce the movement into a definable and concrete entity.  Even the events of 9/11 can be understood in a similar fashion, as they served to unite the country like very few times in our history. Unfortunately, along with the patriotism, they also awoke the xenophobia which long lived under the surface of the American psyche.

Grief is the ultimate expression of love.  Without love, there can be no grief.  And thus expressions of grief help us to realize the love we harbor inside ourselves.  The grief that we feel serves a true barometer of our internal value for the lost, a barometer immune even from self-delusion.  In this way, grief serves as a true reflection of our soul.  To grieve with someone is thus to share a special bond with them, a bond between the souls.  In this way, shared grief can unite a community like no other single experience.

The holocaust is a trauma on the Jewish experience which will never, and should never, heal.  Much like the effect of Karbala on the Shi’as, the holocaust unites the Jewish people, and even defines them in a very real sense.  Thus, it will very likely be remembered and commemorated 1400 years hence, much as Karbala is today.  The critical observer will find many differences between these events, however.  They would be correct in doing so.  But I would endeavour to focus on the similarities instead, as collective grief is one of the common bonds of humanity which unite us.  With my wife’s simple but profound sentence at that moment, I was privileged to share in that grief; and at least for a moment I became one with my Abrahamic brothers.

 


Calling a Spade a Spade

Recently, a US soldier in Afghanistan left his base at about 3 AM.  He walked about half a mile to a nearby village, entered three different homes, and shot dead at least 16 Afghani civilians (at least twelve of whom were women and children).  In the first home, where eleven of the victims were located, he gathered the bodies to burn them.  He then returned to base and turned himself in to authorities.  At the current time, his motives are unclear.  Much information about the killings and the killer has not yet been released.  What is known is that many of the victims were asleep at the time of the killings.

The US Government has issued a necessary but predictable statement of remorse, assuring that an investigation will soon be undertaken, and appropriate legal actions will be pursued (US soldiers in Afghanistan fall under US legal jurisdiction).  The question remains, exactly what crime was committed here?  Was this act part of the “fog of war” and thus representative of collateral damage?  Perhaps the shooter is not guilty by reason of insanity, due to PTSD and a possible history of previous brain trauma?  The killing may represent first degree murder (based on the premeditation inherent in walking a mile to the nearest town).  But, intriguingly, the news media has yet to use the word “terrorism”.

The first two, more lenient, possibilities also seem the least likely to be successful.  The shooter clearly had not been engaged actively by an enemy at the time of the shooting, and collateral damage can only be claimed if he had targeted a real or perceived enemy.  The insanity defense is very likely to be used and is already being used in the media, where all sorts of excuses (ranging from stress to alcohol to a bad marriage) are being floated for his actions.  It is interesting that these same excuses would be considered absolutely inadequate if the killings had occurred against an American town on American soil.  However, this strategy is unlikely to succeed legally and politically, as the shooter clearly knew what he did was wrong (he immediately turned himself over to authorities), and because the government will want to show swift and severe judgment in order to avoid unrest and backlash.

The question then becomes, is this  US soldier a terrorist?  Here is a person who has targeted innocent civilians and killed them in cold blood.  If his motivations were motivated by pure psychopathy then he is nothing more than a deranged cold blooded mass-murderer.   If, however, his motivations included any element of religious or political ideology, then his actions must be considered an act of terrorism.

When Major Nidal Hasan (also a member of the US Military) opened fire at Fort Hood, he was immediately branded a terrorist.  He had, after all, murdered innocents (sort of–members of the military industrial complex are considered reasonable targets by the Geneva Convention) and was motivated by political ideology.  But, when Joseph Stack flew his plane into the IRS building (sound familiar?), clearly motivated by a political ideology, he was branded a deranged anti-government crusader and some Americans even considered him a hero.  In fact, in an official statement “government officials were quick to rule out any involvement of terrorism in the incident.”

Let us hope that we have not devolved so much as a society as to believe that the definition of terrorism is inherently related to one’s own religion, or the nationality of the victims.  While this seems clearly to be the case with the news media,  the FBI official definition of terrorism includes no such reference:

“the unlawful use of force and violence against persons or property to intimidate or coerce a government, the civilian population, or any segment thereof, in furtherance of political or social objectives” (28 C.F.R. Section 0.85)

While it is a major tenet of US law that the accused is innocent until proven guilty, it is a painful fact that if in fact our soldier was motivated by any religious or political objective then he has committed an act of terrorism.  If we are to maintain consistency with our rule of law, not to mention any semblance of credibility in the global community, then we must have the strength to call a spade a spade.

RELATED: The Daily Beast editorial board had a very interesting internal discussion on what they should call terrorism, related to the Joseph Stack incident.  They also had the courage to post it online in its entirety.  It is worth a read.

Be Careful What You Wish For

Rick Santorum has shown incredible perseverance so far in this GOP primary season.  Initially considered as a bit player, he has rocketed to national prominence on the strength of some strong primary and caucus wins, and now deserves at least legitimate discussion as a GOP nominee.  Anyone (including Mr. Santorum) who claims to have predicted his degree of relevancy this late in the race should seriously have their honesty questioned.  And yet, here he is.

It is true that Mr. Romney, his main rival and the current frontrunner, is a deeply flawed candidate.  His shifting stances on hot-button issues such as abortion and universal health care are well documented.  His wealth leads to a potentially very accurate and thus lethal charge of being “out of touch”.  And his recent campaign strategy of “vote for me, I’m inevitable anyway” reeks of defensiveness and pushiness at the same time.

Mr. Santorum, however, is arguably no better–and perhaps worse off.  He is a staunch conservative, but his views on most social issues steer far right of the majority of the American populace.  His economic credentials are questionable, as is his foreign policy experience.  His last foray into politics ended in an 18 point shellacking in his home state.

Perhaps a reason for his surprising success can be found in the contests so far.  I have neither the time nor the expertise of great political (and baseball statistician) Nate Silvers, but some trends are too clear to miss.  If one evaluates the states that hold primaries (as opposed to caucuses) and separates them according to open (anyone can vote) v. closed (only registered republicans can vote) primaries, we have the following results:

Date State Type of Primary State Results Santorum v. Romney National Polls Santorum v. Romney

10-Jan

New Hampshire Closed

-30

-9

21-Jan

South Carolina Open

-11

-16

31-Jan

Florida Closed

-33

-13

7-Feb

Missouri Open

30

-17

28-Feb

Arizona Closed

-20

2

28-Feb

Michigan Open

-3

2

6-Mar

Ohio Open

-1

-10

6-Mar

Oklahoma Closed

6

-10

6-Mar

Tennessee Open

9

-10

6-Mar

Vermont Open

-16

-10

(For the sake of simplicity, I have only compared Santorum and Romney and removed states where one or the other was not on the ballot, or that any major candidate claims as their home state.  National polls are from RCP polling data (average of polls) on the date of the primary).

In states with open primaries Santorum tends to outperform his national polling data significantly–in fact, by an average of 11.5 points.  In states with closed primaries, he tends to underperform compared to national polling by an average of 11.75 points.  That is over a 23 point swing!

Although this is not a complete analysis (accounting for regional differences, etc), the magnitude of the difference is clearly significant.  The difference in the type of primaries is entirely comprised of the ability of Democrats and Independents to vote.  It is not a stretch to surmise that Mr. Santorum and his extreme right wing views on social issues, his vitriol towards President Obama, and his radical  religious rhetoric does not embody significant crossover appeal.

It thus stands to consideration that the Democrats (and perhaps independents) are using the open primaries to help nominate Mr. Santorum.  In their eyes, this is a win-win situation–they either succeed in propping up a “straw-man”, who (at least in their estimation) is an easier candidate for Mr. Obama to beat in November, or they help deplete Mr. Romney’s war chest by using Mr. Santorum as a surrogate with which to attack the front runner.

A similar strategy was espoused by Rush Limbaugh in 2008 and dubbed “Operation Chaos” as he urged his listeners to participate in open primaries to drag out the Democratic nominating process, and it has been reborn this year by the Daily Kos, and dubbed “Operation Hilarity.“  The scary thing is, such tactics may actually work.

The Democrats who are doing this are playing a dangerous game.  By swinging for the fences, they are hoping for a home run–ie, President Obama walking to re-election against who they see is an inferior candidate.  But if they succeed in influencing the nomination, they will have helped nominate an extreme social conservative and religious radical, and given him the confidence that no race is out of reach.  At that point, all it would take is one damning picture or quote released at the right time to help create… President Santorum.  And then, perhaps, President Romney wouldn’t look so bad to these Democrats.

Compromise, and Other Four Letter Words

A firestorm of debate has opened recently about the Obama administration’s handling of an interesting conundrum regarding birth control.  The debate purportedly posits the rights of free practice of religion with the rights of women to make choices regarding their health.  An interesting by-product of the Patient Protection and Affordable Care Act (PPACA, Obamacare) is a provision which would have forced employers to provide (purchase) health insurance for their employees which covered the costs of contraception, including “emergency contraception” (felt by many to be abortion-inducing pills).  Many faith-based employers took umbrage at their being forced to directly subsidize actions which they feel are morally reprehensible; however many of their own employees demand the right to make those choices for themselves rather than have them made by their employer.  While the shrill tones of the debate have been amplified by the current election year politics, the crux of the debate is made all the more interesting by the issues and cogent arguments it raises.

Many on the religious right, particularly in the Catholic church, see this issue as one of religious freedom.  Their religion takes a strict line on contraception, especially “emergency contraception”; though this strict stance is seldom shared by their adherents.  As such, they consider enabling such action through direct subsidy or purchase to be as morally unacceptable as engaging in the practice itself.  This is a point that I, for one, can understand.  Islam has similar rules regarding paying for, storing, gifting, or otherwise enabling the use of alcohol; and I would be just as dismayed if the federal government mandated that I had to participate in such tasks.  Clearly, the people in these institutions have a right to abide by their religion and stay true to their faith.

There is, however, another side to this story.  Each employee of each of these institutions (and every person in general) has a right to make personal decisions about their own healthcare, regardless of their faith or the faith of their employer.  This right is as close to sacrosanct in American culture as can be.   Decisions regarding contraception, even emergency contraception (by virtue of its status as a legal and accepted form of medical practice), should be left to an individual alone and availability of these culturally accepted healthcare options should not be determined by a persons employer, this is a central provision of PPACA (providing guidelines for acceptable basic health coverage).  Clearly, these individuals have a right to personal liberty in their healthcare choices.

The challenge of America is to reconcile these rights and freedoms which are seemingly in direct opposition to one another.  This has been the root of America’s greatness as well.  However, it will be impossible to do so without compromise.  Lately, compromise has unfortunately been related in political spheres to weakness, but truly the ability to compromise to find solutions for a such a vastly diverse nation is essential, and is a source of strength.  The unwillingness to compromise leads to an unwillingness to tolerate diversity, and this is a trend which leads to various forms of xenophobia which are evident in today’s political culture.

The PPACA was put into place partially to assure that employers were providing a certain degree of basic health insurance for their employees (the merits and drawbacks of the act can be debated ad nauseum, but we will currently consider it as it stands).  This basic insurance must include contraceptive care, as oral contraceptives have multiple potential uses besides the prevention of pregnancy (use in dysmenorrhea, endometriosis, and even as chemical castration for sex offenders).  So, if we take the PPACA at face value, how shall we endeavor to provide such care for employees of Catholic institutions, regardless of their religious affiliation?  A reasonable compromise must be obtained.

In order to prevent these institutions from disturbing their moral sensitivities, a compromise solution was arrived at, whereupon such care would be covered free of charge by the insurance companies (thus nominally not being subsidized or enabled by said employers) for employees of these institutions.   Obviously, the costs need to be borne somewhere; the one thing all Americans can agree on is that health insurers are not in the business of charity.  This cost would then be spread over the pool of employers, increasing the incremental cost of each customer of that insurance company slightly but equally.  Yes, this small increase spread over all customers can be considered indirectly subsidizing (to a much lesser extent) such care.  No, it is not perfect.  However it is an imminently reasonable attempt to compromise, and to find comfortable ground for both employees/patients and those financing their insurance premiums.

Those shrieking dismay at this latest attempt at compromise by the Obama administration are motivated at least as much by election year politics as by true concern for religious freedom.  After all, if freedom was truly their main concern, they would be concerned about freedom of those on both sides of the equation.  It is time to remove this issue from the grotesque distortions of the kaleidoscope of election year politics and view it as calm, rational adults.  Doing so would soon reveal that while Obama’s compromise is not perfect for all parties, no compromise ever is–by definition.  His attempts, however, are laudable and imminently reasonable.

A Sharia By Any Other Name…

“We have civil laws, but our civil laws have to comport with a higher law– God’s law.  As long as there is discordance between the two, there will be agitation. [And] Not just any god, but the God of [our prophets]“

A quick multiple choice for the reader.  The words above were spoken by:

A) Osama bin Laden

B) Aiman al-Zawahiri

C) Mullah Omar

D) Rick Santorum

For those of you who answered Rick Santorum, you are correct.  And these are not just words from many years ago spoken by a young, brash idealist who didn’t know he’d someday be running for president, these words were spoken by him on Thanksgiving Day 2011, in the heat of a presidential campaign.  (for the sake of accuracy, the words “Abraham, Isaac, and Jacob” were what he said instead of “our prophet”, I left that part out for suspense)

Mr. Santorum has mounted a suprisingly successful bid for the presidency of our nation.  However, his underlying themes are contradictory.  Like most insurgent bids, his message preys on our basest instincts instead of the “better angels of our nature.”

Mr. Santorum is evidently blind to the hypocrisy that his candidacy entails.  He fights tirelessly against the implementation of Sharia law (something that he has yet to produce the slightest shred of evidence as actually occurring), because “Sharia law is not just a religious code. It is also a governmental code. It happens to be both religious in nature an origin, but it is a civil code.” (March 2011) In his view, thus, the separation of church and state is imperative as long as it does not include his church, which should be the basis for the state’s laws (otherwise uprising would be warranted in his view).

This fundamental hypocrisy is evident through other veins of his campaign as well.  Mr. Santorum is a major supporter of individual liberty, especially berating governmental efforts to interfere with an individual’s choice to purchase healthcare or not (does that make him “pro-choice”?).  He argues, at least credibly, that the government has no right to interfere with the choices an individual makes about how to spend money.  He then turns around and supports a ban on individuals who are receiving welfare from going to strip clubs.  While he rails about government involvement in individual healthcare decisions, he was one of the first to sign on to the contemptible actions of Congress in intervening in the Terri Schiavo case, and to limit contraception and abortion choices to women.

I highlight Mr. Santorum, not because he has a realistic path to the presidency, but as a particularly egregious example of the culture wars that the Republicans have chosen to base their 2012 campaign upon.  None of the current or past candidates are immune, though Mr. Romney and Mr. Paul have fallen less into demagoguery than some of their peers in this regard.  While the economic policies of the current Republican party focus on smaller government with less government intrusion into one’s private life and choices, their social policies almost completely focus on morality legislation, with missives against contraception, abortion, gay marriage (actually, often sodomy in general), pornography and Muslims.

The Republican candidates need to take a moment from their (necessary) base-pandering to understand a fundamental truth (one they should hold dear being in charge of congress).  Since every government action involves expenditure of money, it is fundamentally impossible for the government to be larger morally, but smaller fiscally.  To a large extent, morality stems from religion in American (we are unique in that regard), so it is fundamentally un-American to legislate morality, as it is impossible to do so without legislating religion.

Over the past decade or more, the Republican party has sought out the support of Christian Fundamentalists/Extremists as a necessary voting bloc.  Perhaps this made sense in the short term (running against a tremendously popular but morally questionable president).  However, their long term interests may have been better served by adopting a strict secularist, governmental-minimalist stance as a foil to the traditionally over-reaching Democrats.  At least this way, the voters would have a real choice.  As it stands, the American public is forced between two ideologies which both want to intrude on our lives tremendously, albeit in different ways.

All-American

For many generations, Islam lived under the surface of the American psyche.  It was long recognized as a presence in the United States, but it was content to ignore and be ignored.  Its adherents were never  singled out simply because there was no need to know who was Muslim and who was not.  This was America so why should it matter, after all?

All of that changed on the fateful morning of September 11, 2001.  There were other terrorist incidents before that day, and there were others after.  But none rival the events of that day in their sheer grotesqueness.  Islam suddenly became equated with terrorism, murder, and general “otherness”.  Numerous discussions ensued about whether the Muslim faith was even fundamentally compatible with Western Civilization.  With rare exceptions, these discussions were spearheaded by non-Muslims and ignored the fact that for many generations Muslims had already proven by example that their faith was compatible with the “West” by living and thriving here.

During those crucial days, the American Muslim community had a responsibility to stand up and lead those discussions as the most qualified people to do so.  Out of fear of retaliation and ostracization, we shirked that responsibility and let that narrative be driven by others with their own agendas.

No longer.  I am honored to be a contributing author to a  new book entitled All American: 45 American Men on Being Muslim (White Cloud Press, 2012).  This work is the follow up to the wildly successful I Speak for Myself: American Women on Being Muslim.  The book, like its predecessor, is a collection of essays by real Muslims who have real, practical stories which incontestably demonstrate by experience that being Muslim is compatible with being American.  The best part about it is that each of these authors has shown this in a different way.  That is, there is not just one way to be Muslim and American; the areas of intersection are so vast, there are in fact many ways.

My own essay deals with my extensive positive interactions with the Jewish people.  I am honored and humbled to be included in the same book with the likes of Congressman Keith Ellison,  accomplished author Wajahat Ali, and prominent blogger (and dear friend) Aziz Poonawala.  But mostly, I feel gratified that my voice is being heard and hopefully helping to drive the discussion to more realistic ground.

The book can (and most definitely, should) be pre-ordered on Amazon to ensure availability.

I Do… Sort of

The issue of gay marriage, rightly or wrongly, has once again played an important role early on in this election cycle.  While the president actually has little control over the specific implementation of policy regarding this issue, it is a convenient litmus test, and an excellent “wedge issue,” designed to excite both bases and increase voter turnout.

Proponents of gay marriage argue about civil rights and government sponsored discrimination based on sexual orientation.  Opponents most often cite Judeo-Christian law as defining marriage as between one man and one woman.  As a peace offering (and a vote pandering) gesture, however, they often offer “civil unions” as a method of assuring civil rights.

There are two major flaws in these arguments opposing gay marriage.  First, in 1954 the Supreme Court of the United States decided the landmark case of Brown v. the Board of Education.  In this ruling, the court ruled in a unanimous decision that separate institutions (in this case, in education) were inherently unequal.  The same can be easily applied to the current question.  A separate institution (of civil unions) must be considered inherently unequal to marriage; even if the same civil protections were to apply.  However, proponents of civil unions will reluctantly admit that the real reason they oppose actual gay marriage is to give themselves cover at withholding specific civil protections (notably, the ability to adopt).  Thus, the gay civil union (or domestic partnership, or whatever the fashionable euphemism of the day is) is inherently unconstitutional even with the purest of intentions, which admittedly do not even apply in this situation.

Second is the question of the Judeo-Christian definition of marriage.  The problem comes when one tries to reconcile the definition of marriage as a religious institution with the definition of marriage as a civil institution.  If one considers marriage a predominantly civil institution, then this argument has no bearing.  If one considers marriage a predominantly religious institution, then the government has, in effect, recognized and condoned an official religious viewpoint regarding a fundamental institution.

For much of the United States’ history, this problem went undetected but has now been brought to the forefront.  The only logical solutions to this paradox are for marriage to become either entirely civil (and thus defined any way the government sees fit), or entirely religious; the latter is the only feasible one, as churches and other religious bodies will not, cannot, and should not cede the institution of marriage.  Thus, in the name of fairness and equality, the government must stop recognizing marriage as a civil institution altogether.  Rather, all couples (including heterosexuals) who chose to “marry” religiously would need to establish a civil union as well (indistinguishable from a civil marriage currently) in order to qualify for the government rights and benefits of a committed couple.  Only then can we move forward as a society to decide rationally which types of unions (in addition to traditional heterosexual couples) should qualify for this institution.  In this way, and only this way, can the government endeavor to treat all of its citizens fairly, maintain control over its own institutions, and not offend hundreds of millions of religious taxpayers (and voters).

My personal views on homosexuality and homosexual  couples/marriage are irrelevant to this discussion, which is entirely about fairness, constitutionality, and the separation of church and state.  There is too much water under this bridge, and this issue will not go away as long as one side stands to benefit from its discussion (even if it becomes settled law).  Personally, regardless of my own views, I am convinced that someday in the future, the history of gay marriage will be looked upon much as the history of interracial marriage is today.  Every public figure would be wise to choose prudently which side of history they want to be on.

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