The past six-month period has been one of the worst for us that I can recall in years in terms of the number of friends who have suffered, some of whom have died. All this suffering that I’ve witnessed has brought home to me a tremendous short-coming in our modern medical system or structure. It’s simple enough. In prolonging life, especially in treating some forms of cancer, in saving wounded soldiers and victims of accidents who surely would have died in earlier times, in fact as recently as a decade or two ago, we have created a massive problem and source of suffering – a huge increase in people suffering agonizing pain.

So many forms of medical treatment can now keep people alive, but at the cost of continual pain. According to the National Institutes of Health, 17% of all Americans suffer severe pain intermittently, and 65% of those – 11% of the U.S. population – suffer daily, chronic, and severe pain. Yet while we have relatively effective forms of pain control for mild pain, the only substances currently effective for severe pain are opioid-based, and the problem with these is that with continued use, they become both addictive and less and less effective. So those in pain take more and more, and often mix those painkillers with alcohol, just so they can dull the pain and sleep, which is another reason why there are so many deaths as the result of combining alcohol and painkillers.

Yet this problem is scarcely recognized by most people. Nor is there any real recognition of why this pain problem has occurred. I certainly didn’t grasp its magnitude until recently, when more and more people I know ended up with excruciating pain. Instead, there’s an incredible push to stop the “overuse” and “abuse” of opioid painkillers. In my home state of Utah, the LDS Church effectively blocked even a modest piece of legislation that would have allowed the medical use of cannabis products and extracts [all specified as non-hallucinogenic]. The upshot of all these efforts appears to be that even terminally ill people are often being denied painkillers adequate to mitigate their suffering, but if they’re terminally ill, why worry about whether they’ll become addicted?

I’ve seen reports on promising new developments in non-addictive and non-hallucinogenic painkillers, but it will be years before any of them are widely available. In the meantime, what are we going to do for the more than 25 million Americans dealing with severe pain on an on-going basis? [And, no, I’m thankfully not one of them.]

Just tell them to hold on because we don’t want them addicted to opioids or marijuana?

Just as people have different tastes in food, they have different tastes in the “art” they enjoy and appreciate, and, for the most part, people tend to rate more highly art and food that they enjoy. I will submit that, while people should be allowed to enjoy what they enjoy in food and art, there are food dishes that are markedly superior to what most people would claim is “the best” and there are books, paintings, performances, and musical compositions that are superior to what is popular.

This past weekend I saw two performances of the opera Little Women [and, yes, there is such an opera] as performed by the local university’s opera theatre, which, in the interests of full disclosure, I must admit was produced and directed by my wife the professor. The opera was commissioned roughly twenty years ago by the Houston Opera, and when performed by the Houston Opera in 2000, was recognized as a masterpiece by The New York Times and other critics, and a television production was then done by the Houston Opera for the 2001 PBS Great Performances series. A few hundred people saw the university production, and the audience was very receptive and enthusiastic. The professional musicians who saw it rated it highly.

Three weeks before, some of the same singers participated in a choral extravaganza in the same theatre – and the music was all 1970s rock and roll. More than a 1,000 people filled the theatre, and the audience went wild. The professional musicians thought it was “fun,” but quite a number questioned why a university’s classical music program was putting on a rock and roll concert. The chorus director replied that it was to build support for the music program, and to increase attendance, despite the fact that the music program is designed for two groups of students – those who will teach the basics of music in secondary school and those who will play or sing professionally, either classically or semi-classically.

The vast majority of the people who attended the rock and roll concert did not attend the opera. I have no problems with that. Nor do I have problems with rock and roll concerts.

What I have a problem with is the tacit admission by the Music Department, by putting on both concerts, that rock and roll is on the same level of expertise and excellence as operas, symphonies, oratorios, art song, or chamber music. While I will admit that there are actually a handful of popular rock and roll and country music performers with excellent classical training, the vast majority couldn’t do vocally or instrumentally what most graduating seniors in the good music programs across the country do on a daily basis.

Liking what you like is fine, but popularity is not excellence, and that’s something that is getting lost more and more in a culture that rewards the bottom line far more than excellence.

As some of my readers might recall, way back last August, I made the observation that both Bernie Sanders and Donald Trump would do far better than people realized, although at that time, I did express doubt that Trump would be able to capture the Republican nomination. While I had a better feel than most for the depth of anger, what I didn’t realize was how many Republicans would become literally too angry to think and how much they wanted to lash out at all politicians, regardless of what it might do to the country. The attitude of these voters is literally that they don’t care, that the country and the rich have screwed them, and that they’ll be damned if they’re going to vote for any “professional” politician.

I spent close to twenty years in politics, largely in Washington, D.C., and I loathe the “Mr. Smith goes to Washington” myth, the idea that all politicians are either up to something illegal or incompetent. In fact, most politicians are very good at voting what their constituents want. What almost no one wants to think about is that such lock-step voting is exactly what’s caused the current gridlock in Washington. Politicians who want to keep their jobs are well aware that voting against their constituency is likely to cost them their job. So they don’t. And no one can afford to compromise. And political views are polarized with enough strength on either side that not much can get done without compromise. The less that gets done, the angrier people are and the more likely they are to punish politicians who show the slightest hint of moderation. Yet with all the anger, a huge number of people react by becoming more extreme, totally failing to recognize that they – not the politicians – are the cause of the problem. In general, the politicians fall into one of two categories, those who are ambitious and unscrupulous in exploiting that extremism, or those who are true-believing extremists who glory in that extremism.

Along with this failure of recognition is that too many of these angry voters also fail to realize Donald Trump is in fact a consummate politician who has read the public mood far better than any of the “professional” Republican politicians and who is exploiting the wide-spread anger by appealing blatantly to those angry people and promising to do things that are either physically or financially impossible, unconstitutional or illegal, or just plain stupid – and the anger of those supporting Trump is so strong that his supporters either just don’t care, are truly ignorant of the impossibility of any of Trump’s promises being enacted, or believe that what Trump says is merely rhetoric to get him elected.

But then, being angry and venting makes so many of us feel better. The difficulty is that all that venting doesn’t solve the underlying problems, and, in this case, will only make them worse.

Absolutist moral pronouncements may be good guidelines for personal behavior, but they make very bad laws. And there’s a very good reason why this is so: absolute moral pronouncements are simple, and neither the universe nor society is. Equally important is the fact that human society has never been able to agree on exactly which moral codes should be enforced and how. Secular laws are by necessity a compromise between conflicting moral codes and beliefs based upon points of agreement [at least, ideally].

One of the basic principles behind the structure set up by the Founding Fathers of the United States was the idea that laws were to be legislated by a civil body, not by religious authority, and that those laws should recognize fundamental civil rights as superior to religious doctrine and rights. The reason for this was basic. They had seen and often lived through a time when people were tortured, killed, or otherwise persecuted for what they believed, and those acts were enabled by laws enacted pursuant to religious authority.

Yet today, we have tens of millions of Americans who are demanding laws to enforce their religious beliefs on others under the guise of religious freedom, effectively repudiating the idea of civil rights through their determination to enact and enforce laws restricting the rights of others based on religious beliefs.

One of the great ironies I see in today’s political debates and often hate-filled rhetoric is that the same people who are so deathly afraid that President Obama or others might impose Islamic Sharia law upon the U.S. are all too often those same ultra-conservative evangelicals who want to impose the “Christian” equivalent of Sharia on the United States – effectively limiting rights for women, legal recognition of religious practices, and the arrogation of religious beliefs over civil rights. Yet those individuals cannot see that what they want is essentially the same structure as ultra-traditional Islamists, but a structure supporting their own ultra-conservative beliefs and enforcing those beliefs on those who do not share them.

I’m very much in favor of civil rights, the right of an individual to do what he or she pleases so long as those acts do not physically harm others – and that includes forms of indirect harm. You should not have the freedom to pollute the air others breathe or the waters others must drink. I have great problems with laws that effectively marginalize others under the guise of religious freedom. I also have problems with those who wish to eliminate laws that protect health and the environment on the grounds that such laws restrict the freedom to do business. Obviously, no law can be perfect, but legislating absolutes is the route to tyranny, not morality.

Almost invariably, the majority of mail that we receive is from charitable organizations, the preponderance of it from so-called charities to which we do not contribute nor most likely never will. There are some, I admit, that once received a contribution in a moment of weakness on our part, but never will again. The unanswered telephone solicitations are even more disturbing, because we have never contributed to anyone or anything based on a telephone solicitation.

It appears, in fact, that everyone and everything has its own charitable organization. While this perception is in fact erroneous, it still feels that way to me, perhaps because there are over a million and a half charitable organizations in the United States alone. And after the scattered revelations of the past few years about the compensation of those running charitable organizations and the fact that, in all too many cases, far too much of donated funds to legally permitted 501(c) (3) organizations goes to anything but the purposes for which they were ostensibly founded. From what I can tell, there are foundations for almost every form of ill-treated or endangered species, particularly mammals, land-based and aquatic, and large avians, not to mention scores of foundations dealing with social ills, justice, discrimination, civil rights, conservation and environmental improvement – the list is truly endless.

The problem, of course, is that a great many of them address very real problems. Far fewer do so efficiently and cost-effectively. Some address problems that don’t seem to be problems to me, such as the “need” to “return” federal lands to either the people or the states [not that either ever held those lands], and some spotlight problems that cannot be solved by greater application of resources.

If people wish to give money to these causes, so be it, but should all these donations be considered tax-deductible? For that matter, should donations to religious organizations be tax-deductible? Such deductions add to the federal deficit and, in essence, require higher taxes on everyone.

Now, I know that many conservatives feel that government attempts to do too much in social programs and believe that private charity is more suited to dealing with many of these problems, but isn’t providing tax deductions for charitable and religious organizations effectively the same as a government subsidy? And all too often, the cost of subsidies is far greater than anyone knows because it’s essentially hidden. The more than one and a half million U.S. charities spend 1.5 trillion dollars every year, an amount equivalent to the 40% of the federal budget. Given the billions poured into charities, if charity were that effective, shouldn’t we be seeing better results?