Friday, September 11, 2009

The Madison Miracle

As you probably know if you live in the midwest, Madison, Wisconsin is our most left leaning city. Detractors sometimes called it the "People's Republic of Madison," or "The left coast of the midwest" and it is the home of "The Progressive." I've only been there once or twice, and so I'm just passing along rumors about its reputation. Personal observation here. A recent issue of JAMA had an interesting CDC study on Dane County (Madison) on the the Infant Mortality Gap. JAMA itself is editorially a very liberal journal (with almost all the advertising from pharmaceutical companies), so it's important to remember that "gap" is the key word here--it's what liberals care most about--especially academicians and researchers paid by government grants. Never the individual, or even the group, but the GAP. It doesn't matter one bit if a second generation Hispanic family lives in a home with 3 bedrooms, 2 baths, 3 color TV sets, and a 2 car garage, because if a 5th generation white family has 6 bedrooms, 3.5 baths, 4 HDTV sets, and a 3 car garage, you have a terrible gap problem that only demonstrates the evils of free market capitalism.

Well, somehow, the Infant Mortality Gap has disappeared in Dane County, and they can't figure out why--obviously, someone has miscalculated, because this just can't happen, not even in liberal Madison. I was a little puzzled too, reading through the stats
    Of a population of 472,000 in 2007, only 4.8% is black

    black women giving birth in Dane County have a median household income of $28,103 compared to white women giving birth with a household income of $50,927

    77% of the black women giving birth are unmarried, compared to 19% of the white women (That ought to clear up the household income problem, right? Two incomes instead of one--duh!)

    71% of the black women giving birth in Dane County have a high school diploma or less versus 21% of the white women (This is a very awkward way to say the white women are more likely to be college educated--the University of Wisconsin is located there.)

    and

    62% of the black mothers are on Medicaid, but only 13% of the white mothers in Dane County.
Despite poverty ($28,103 is called poverty in this study), out of wedlock births, and incomplete education, the gap has disappeared. So they're looking for all sorts of possibilities since 2002, the first year of the decline--increase in graduation rate, reduction in smoking, improved prenatal care, better record keeping, broader health insurance coverage, targeted public health programs, better neighborhood safety, advocacy for black women and their families and other variables. For now it will remain a mystery, because anything good that happened during the Bush Administration will have to be debunked, especially in Madison.

2 comments:

Marfis said...

The goal seems to be how to improve infant mortality throughout the state. Do you see that as an unworthy goal?

More of the article
( http://www.capitalcityhues.com/090309HoorayfortheChildren1.html):

“What contributed to this is exactly the question we ask ourselves every day,” said Dr. Tom Schlenker, director of Public Health – Madison & Dane County. “How did it happen? It’s going to take a while to figure out. But
some of the things that we’re noticing already is that there is a real different mood and attitude and feelings among African Americans in Dane County. The kind of positive response we heard so often when we were talking to
moms and dads who had babies recently in Dane County is not the experience in other parts of the state. It begs the question ‘Well why is that?’ That is something that is making a big presence.”
Perhaps the narrowing of the gap in infant mortality rates is reflective of a narrowing of a gap in the perceptions of young African American parents and a mainly Euro-American medical system.
“I think the gulf of perceptions between African American pregnant women and doctors and nurses has narrowed,” Schlenker said.
“It is perception. It is attitude. There is a difference in the generations. That was a very moving part of this video where the mother talked about what it was like for her growing up and sitting next to her daughter on the couch who has a very different experience. I think there is a lot to be said for that as a causative factor.”
Thomasina Clay, an African American mother who participated in the making of the video, is enthusiastic about the results. “This thing has been a great experience,” Clay said. “I really hope this gets the word out. We
want to figure out what is going on right here that might not be going right in other places. Racine was four times worse than we are. They might be doing everything they can right. What can we help them with?”
Next issue: Exploring the causes for the shifts in attitudes

Norma said...

Saving the lives of children is very important to me, including the lives of those not yet born. It will be interesting to see if they later "debunk" this miracle because it doesn't fit the liberal template. Right now, they are still combing through the numbers and possibilities. GAP is a key for liberal writers for JAMA and they won't let it die easily.