The Dark Side of a Once Respected Organization: WHO’s Guidelines on Sex Education in Europe Pose a Genuine Threat to Children

Many people are increasingly mistrustful of local or national government over abuses regarding free speech, excessive spending, corruption, or other misdeeds, and may naturally be even more skeptical of global agencies seeking to influence or control multiple nations, especially when those agencies seem to be aligned with forces or nations that oppose the principles of freedom enshrined in the US Constitution. But how can any of us maintain any trust in the once-respected World Health Organization in light of what they are pushing regarding sex education for our children? Their new standards seem to undermine parent-child relationship and urge adult educators to indoctrinate children in their earliest years (0 to 4) with teachings about the childhood masturbation, gender identity, and sexual rights that may be completely counter to the desires of marginalized parents.

The WHO Collaborating Centre for Sexual and Reproductive Health on their page, “Standards for Sexuality Education,” has links to their new PDF document in multiple languages on sex education guidelines for Europe. The link to the English PDF is at https://www.bzga-whocc.de/fileadmin/user_upload/BZgA_Standards_English.pdf.

Here is some explanation from “Standards for Sexuality Education“:

The framework Standards for Sexuality Education in Europe (Standards) presents the concept for holistic sexuality education and includes information on the themes relevant for children and adolescents in the various age groups.

The Standards provide practical guidance for preparing proper curricula. They can also be used to support arguments for introducing holistic sexuality education in the European countries of the WHO Region.

Target groups: political stakeholders, healthcare authorities, and professionals working in the fields of education and healthcare.

Parents are not listed among the target groups, possibly because most parents would be shocked to see what the elites behind this document think is appropriate for young children.  While may be some good ideas in these standards, there are dangerous elements that may be harmful for children. Let’s look at the “matrix” provided for the youngest age group, zero to four years.  The portion of the “matrix” on sexuality for ages zero to four years comes from page 40 of the English PDF document, “Standards for Sexuality Education in Europe“:

I’ll also show three more sections from pages 40-41, again for the very youngest group of children:


Here is a table with three of these sections in case the image is hard to read (emphasis mine):

0-4 [Years]

Information
Give information about

Skills
Enable children to

Attitudes
Help children to develop
Sexuality
  • enjoyment and pleasure when touching one’s own body, early childhood masturbation
  • discovery of own body and own genitals
  • the fact that enjoyment of physical closeness is a normal part of everyone’s life
  • tenderness and physical closeness as an expression of love and affection
  • gain an awareness of gender identity
  • talk about (un)pleasurable feelings in one’s own body
  • express own needs, wishes and boundaries, for example in the context of “playing doctor”
  • a positive attitude towards one’s body with all its functions = positive body-image
  • respect for others
  • curiosity regarding own and others’ bodies
Sexuality, health and well-being
  • good and bad experiences of your body/what feels good? (listen to your body)
  • if the experience/feeling is not good, you do not always have to comply
  • trust their instincts
  • apply the three-step model (say no, go away, talk to somebody you trust)
  • achieve feelings of well-being
  • an appreciation of their body
  • the awareness that it is ok to ask for help
Sexuality and rights
  • the right to be safe and protected
  • the responsibility of adults for the safety of children
  • the right to ask questions about sexuality
  • the right to explore gender identities
  • the right to explore nakedness and the body, to be curious
  • say “yes” and “no”
  • develop communication skills
  • express needs and wishes
  • differentiate between “good” and “bad” secrets
  • an awareness of their rights which leads to self-confidence
  • the attitude “My body belongs to me”
  • the feeling that they can make their own decisions

 

Notice how many times parents are mentioned in these guidelines. Noticed how many times educators are encouraged to tell children to turn to their parents for guidance and help.

So the WHO wants various strangers in schools and perhaps other institutions talking to toddlers about masturbation? And their “right” to explore various gender identities? Do we want random adults to teach our kids that the standard for what is good or bad is what feels good? That’s how you tell right from wrong and decide when to say yes or no? Do we want these adults telling little kids that “physical closeness” from someone else (say, a coach, teacher, or other authority figure) is just a healthy expression of love and affection? And that they “do not always have to comply” IF it doesn’t feel good?

When I quoted a couple of these items to an alert mother I trust, her immediate response was, “They’re groomers!” She was outraged. And that’s when it hit me: these guidelines are hard to fathom as just accidental foolishness from over-educated elites who don’t understand the threats our children face, which was how I was tempted to view it initially. Rather, the guidelines make more sense if they are coming from people who are disconnected from the challenges and joys of family life and parenthood, who think the State needs to take over the role of parents to transform and reprogram children, unaware of the harm to children that such an approach can bring. It’s also possible some of the people behind this effort may sense some kind of benefit from corrupting children, whether they are groomers, profiteers, Marxist radicals seeking to destroy religion and middle-class opposition, or just bitter sociopaths. These are not the things that normal healthy people with a respect for the institution of the family would push onto children. Something is very wrong here.

One of the things that is wrong is downplaying the role of parents, if not overriding the duty of parents to shape and guide their children. On page 40, the document recognizes the “informal role” of parents in sex education and also note their general inability in Europe to opt out of sex education for their kids, which is fine for parents, we are told, because they aren’t comfortable doing it themselves. The existence of parents is acknowledged in several places, mostly to indicate their need to be supportive, but the “matrix” of guidelines for various age groups essentially ignores their fundamental role and rights in sex education. It’s obvious that this document is all about other adults, all tools of the State, shaping the views and behavior of children in all aspects of sexuality from their earliest days into adulthood. Of course, this is already happening in many parts of the world and in the US. Do parents understand that adequately? Do they understand what can go wrong?

One of the key tools for actual groomers and pedophiles is to encourage children to keep secrets from their parents and to trust other adults rather than mom and dad. Here we have guidelines that totally leave parents out and will obviously go against the wishes of many parents. The instructors are being told to help kids know that there are “good secrets” that they can have with respect to sexuality — no need to tell parents about any of this, right? They are told to turn to “somebody” that they trust when they have questions or concerns, say some non-parental authority figure, perhaps? After all, it’s their body and they can make their own decisions at ages 3 or 4 (like deciding if one is a girl or boy — again, no recognition of parents having any role in such vital decisions). They tell children that masturbation and physical closeness with others (adults other than parents?) is normal and pleasurable and that the standard to follow is not any form of absolute morality, rules from parents, or principles from one’s faith, but whether something feels good or not. But no need to worry about groomers, for the kids will also be told that if something doesn’t feel good, they don’t always have to comply. Not always! So there’s that safety valve.

Parents are right to wonder what a molester or groomer could do with these guidelines. But even if the schools only hire moral, decent teachers and coaches, if they follow these guidelines, great harm can still done through what is taught and how it’s taught. Having kids at age three or four learn about masturbation is sick. Having them get used to talking to random adults other than mom or dad about sexuality is wrong. The guidelines read like a handbook for groomers. Is there a more charitable but accurate way to put it?

No, I am not saying anything about any alleged conspiracies of pedophiles, but there is such a thing as pedophiles, and there is such a thing as danger to children, and when what is being taught to children undermines the protective principles that wise parents want to teach, then something very ugly is taking place. I am also not saying that any of the motivation for the WHO to support the push to have young children question their gender has anything to do with powerful companies that make huge profits by convincing young people that they need drugs or surgery for the lengthy and expensive process of transitioning, though that is probably something worth exploring. I don’t know the motives behind the guidelines — that may be the field of wild conspiracy theorists — but I can see what the guidelines are and can recognize that there is great evil and danger in what they are doing. No conspiracy theories about vile secret societies are needed. The public actions of this vile public organization are enough for all of us to object.

Perhaps some corruption and greed or perversion is behind these guidelines and some of the movements that all seem aligned along a common deviant direction. Perhaps we need to explore the funding of the WHO and who influences it. But just because, say, a rich billionaire with some ties to, say, Jeffrey Epstein or other perverts could theoretically be a WHO influencer and major funder absolutely does not mean that some secret shenanigans were at play. Nor does the involvement of people associated with the abortion industry such as the International Planned Parenthood Federation (IPPF), who provided some of the sexual “rights” alluded to in the document, mean that the interests of that industry are being served. But there may be fruitful data somewhere to help us understand why such troubling agendas are being pushed from so many angles.

Many parents in schools across the country have become alarmed at the content their children are being exposed to, whether it’s from once-trusted entertainment sources, “family friendly” activities with gyrating drag queens, classroom and media indoctrination regarding sexuality, encouragement for little kids to identify as the opposite gender without letting parents know, and teaching such blatantly unscientific doctrines as “doctors just guess your gender at birth.” It seems like many aspects of our society, from the schools to movie makers to the US government are suddenly supporting radical doctrines on sexuality that can have harmful effects on young people. Now we see WHO coming out to push nations to accelerate the efforts to change the mindset of children in ways that will make parents less influential in the crucial area of preparing children for their roles in life. For those villains who genuinely delight in corrupting children, these standards may play into their desires or lusts. There is genuine cause for concern.

But wait — this document is for Europe. This kind of thing, woke sexual ideology being pushed on kids without the ability for parents to opt out, that isn’t about to happen in the US, right? Tell that to the parents of, for example, Montgomery County, Maryland, where Muslim and Christian parents, including Latter-day Saints, found that the school district rescinded the right to opt out when too many parents objected to the pro-LGBTQ ideology was being pushed on very young children. A broad coalition of parents sued, claiming that their freedom of religion and parental rights were being threatened, but a Federal judge didn’t see any problem and upheld the power of the school district to trample parental rights. It’s a telling example of the use of the power of the State to compel objectionable ideology being imposed on children against the wishes of patents. It’s going to get worse if you remain silent and inattentive. Why has this become such a huge movement in the West? Is this just a random fluctuation in social norms, or is something deeper going on? That’s a topic for further research and study, but it’s not a healthy sign.

One step for today is to prepare your children for the indoctrination they will face. Make sure they understand the importance of families, the sanctity of life, the divine gift of sexuality that God has given us, and the sorrows and loss that sexual immorality brings. Give them the tools to resist the teachings of the world and to understand the importance of morality, of turning to parents rather than strangers to get answers about some of the most vital and sensitive issues in life. Talk to your children about the unscientific lies and distortions they will hear in years to come and give them knowledge and faith to resist. For those of you who share my faith as a member of The Church of Jesus Christ of Latter-day Saints, teach them frequently from the inspired principles in “The Family: A Proclamation to the World.”

Being involved in your community can also make a difference. Speaking out, teaching, and sharing information can help.

Let’s not despair and do more to support that which is good and resist that which is evil. But wow, I never thought I’d see such vile material coming from the once-respected WHO. Who’s running the show over there?

By |2023-09-02T17:04:53-07:00September 2nd, 2023|Categories: Education, LDS, Relationships, Religion, Safety, Scams, Society, Surviving|Tags: , , , |0 Comments
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The Thunder of China’s Quiet Second Revolution: How a Few Starving Farmers Brought an Economic Boom by Abandoning Collectivism

The following essay was originally published as “Desperate Heroism and the Thunder of a Quiet Revolution: The Rise of China’s Economy and IP System” on Nov. 11, 2021 on the intellectual property site, IPWatchdog.com.

 

On October 16, 2021, as I contemplated lessons from my nine years in China, the Financial Times broke a story that rocked the world—especially the U.S. military: “China tests new space capability with hypersonic missile.” China’s recent launch of a nuclear-capable rocket that circled the globe at high speed “took US intelligence by surprise.” Military experts quickly noticed that Chinese innovation in hypersonic weapons “was far more advanced than US officials realised.” As I’ve seen happen many times in coverage on innovation in China, our mainstream media is now downplaying China’s achievement (“not much of a surprise,” per the New York Times, and nothing but old Russian technology per Foreign Policy). It’s similar to the objections raised for decades about IP and innovation in China: low quality, just copying, nothing to be worried about. Yet in industry after industry, China is taking a leadership position in technology and its international patents that can’t be won by copying. It comes from leading.

Downplaying Chinese innovation may make the West feel more secure, but it is a security based on illusion. Whether one likes China or not, its leadership role in innovation and IP cannot be wisely ignored, as we should learn from their hypersonic missile surprise, and surprises in hundreds of fields ranging from nanotech to paper straws.

My nine years in China taught me that China is serious about innovation and serious about leading in many areas. As I learned in many experiences, the capabilities of Chinese engineers, scientists, programmers, manufacturers, architects, designers, physicians, artists, financiers, and entrepreneurs can far exceed what the West thinks it knows about China. China’s accomplishments happening before our eyes or above our skies can catch us off guard,  whether they are in technical fields like biotech, green energy, transportation such as high-speed rail, solar power, mining technology, or nanomaterials, or in the realm of intellectual property (IP) and innovation itself, or in business strategy, political strategy, and numerous other areas. How did this happen? What changed in an impoverished, hungry nation to defy all expectations?

Part of the answer might be found in the heroic defiance of a few desperate farmers in the small village of Xiaogang who helped transform China. Their story teaches us old lessons about property rights and economic liberty that we may need to reconsider for our own future. Xi Jinping visited that village in 2016 and declared, “The daring feat we did at the risk of our lives in those days has become a thunder arousing China’s reform, and a symbol of China’s reform.” I believe you cannot understand China’s journey from poverty to leading the world in IP without knowing this rarely told story.

My Road from Shanghai to Xiaogang

My wife and I began our adventure in China in 2011 when I joined Asia Pulp and Paper as Head of Intellectual Property for what was supposed to be a one-year assignment in Shanghai, followed by a return to be part of North American operations. Fortunately, it became a much longer stay in a beautiful country and the most exciting city I’ve lived in. I wondered how Shanghai and much of China could be so prosperous, free of the economic problems of Cuba, Russia, the former East Germany, North Korea, and other lands that had embraced Marxist-Leninist ideology. Obviously, the economic reforms launched by Deng Xiaoping in the late 1970s and 1980s had succeeded, but there was a backstory that touched me deeply when I learned of it. It would lead my wife and I to make a pilgrimage to an obscure little village in Anhui Province.

My first hint of the Xiaogang (pronounced like “shao gong”) story came while reading Michael Meyer’s In Manchuria: A Village Called Wasteland and the Transformation of Rural China (New York: Bloomsbury Press, 2015). Meyer briefly recounts the story of how China overcame the problem of starvation and transformed to economic success. He first reviews the challenges China faced in the 1950s, when the visions of socialism met the reality of poverty and hunger and over 20 million, perhaps over 40 million, died of starvation during the “Great Famine.” Part of the problem was collectivism (Meyer, pp. 214–5). When farmers have their food confiscated and have to live off small rations, a painful reality sets in: there is no incentive to produce more. In fact, hard work burns more calories and will just make you hungrier. The abuse of the system by those with power over redistributing wealth also led to more discouragement and misallocation of resources. Entrepreneurs and those who were relatively successful would be punished for being “rich,” resulting in the loss of much talent and capital that China needed. The misallocation of resources and the crushing of incentives to make products was not just a theoretical nuisance: it led to the starvation of tens of millions.

Lest defenders of communism think such claims come only from hostile partisans, consider the memoirs of a loyal supporter of Mao, Ji Chaozhu, the man who stood at Mao’s side on many occasions as his translator. His book is The Man on Mao’s Right: From Harvard Yard to Tiananmen Square, My Life Inside China’s Foreign Ministry (New York: Random House, 2008). Though a loyal communist, his tales of the disaster of the Great Leap Forward and the Cultural Revelation incidentally reveal the chaos and starvation that occurred before China’s communism added its essential “Chinese characteristics.” Reading it, I could only mourn for the farmers who were given yellow dirt instead of the fertilizer they needed during the Great Leap Forward, and whose vital iron tools were sometimes sacrificed and turned into worthless scrap metal as villages tried to meet ridiculous quotas for collective steel production.

Meyer’s In Manchuria continues with the story of a secret and illegal scheme that would eventually lead to the overthrow of pure collectivism and bring the economic salvation of China. The scheme was forged in the embers of desperation in the tiny village of Xiaogang in Fengyang County, Anhui Province, not far from the large city of Bengbu. My wife and I with two friends would make a pilgrimage from Shanghai to Xiaogang. Few foreigners have ever heard of the village.

In 1978, China was still reeling from the Cultural Revolution, though that came to an end with the death of Mao in 1976. For the villagers in Xiaogang, it was obvious that something besides collectivism was needed, for the harder one worked, the faster one starved. Twenty-five percent of their county had starved to death during the Great Famine from the Great Leap Forward, and over 67 of the 120 villagers in Xiaogang had starved during that time. Now they were starving again. One man, Yan Hongchang, a 29-year-old father of four and deputy leader of the village work team, decided to make a change that would put his life on the line. Meyer describes the scene:

On the night of November 24, Mr. Yan summoned the heads of the village’s twenty families to a secret meeting. The village accountant was deputized as a secretary, and on paper torn from a child’s school exercise book transcribed a seventy-nine-word pledge to divide the commune’s land into family plots, submit the required quota of corn to the state, and keep the rest for themselves. “In the case of failure,” the document concluded “we are prepared for death or prison, and other commune members vow to raise our children until they are eighteen years old.” The farmers signed the document and affixed their fingerprints.

Thus began China’s rural reform.

Today a large stone monument to the pact greets tourists to the village. But in the spring of 1979, a local official who learned of the clandestine agreement fumed that the group had “dug up the cornerstone of socialism” and threatened severe punishment. Thinking he was bound for a labor camp, Mr. Yan rose before dawn, reminded his wife that their fellow villagers had promised to help raise their children, and walked to the office of the county’s party secretary. But the man privately admitted to Mr. Yan that he knew, since the pact had been signed, the village’s winter harvest had increased sixfold. The official told Mr. Yan he would protect Xiaogang village and the rebellious farmers so long as their experiment didn’t spread. (Meyer, pp. 215-216)

But other villagers saw something unusual was going on and made inquiries. The system quickly spread from village to village, leading to a boom in Anhui Province’s agricultural production, with a 600% increase in production, maybe more. Yan Hongchang’s heroism came at just the right time. Rather than being punished as a criminal, Yan would be ultimately be recognized as a hero who inspired Deng Xiaoping. The voice of a few farmers became a thunder, as Xi Jinping said, that roared across China, catalyzing a transformation from poverty to abundance.

It would take time for the political obstacles to be overcome, but the unmistakable success of this second revolution in China could not be denied. Deng Xiaoping would face criticism, but had the courage to bring about new policies over the next few years formalizing the Household Contract Responsibility System, often called da baogan, which allowed families to farm their own allocation of land. They had to give a portion to the state, but the rest they could eat or sell at unregulated prices. Fifteen-year leases to farm plots were introduced in 1984 and then became 30-year leases in 1993. Agricultural taxes were abolished in 2006. (Meyer, pp. 215-217). For details on the rapid changes that took place, see chapter 5, “Disbanding Collective Agriculture,” in Jonathan Unger’s book, The Transformation of Rural China (New York: Routledge, 2002). Also, see the recent interview with Yan Hongchang recorded by Ni Dandan in “The Farmer Who Changed China Forever“ (SixthTone.com, Aug 21, 2018).

The signing of the Xiaogang contract

The signing of the Xiaogang da baogan contract is captured in a painting displayed at the spacious Da BaoGan Memorial Hall in Xiaogang, a short walk from the easily-overlooked home of Yan Hongchang, which is the key place to visit if you go there. The original of this painting is in a museum in Beijing.

Soon the principle of “household management” would become enshrined in the Chinese Constitution, Article 8:

Working people who belong to rural collective economic organizations shall have the right, within the scope?prescribed by law, to farm cropland and hillsides allotted to them for their private use, engage in household sideline production, and raise privately owned livestock. [emphasis added]

This recognition of a form of property rights for farmers was a vital step in China’s economic resurgence. What is today proudly called “socialism with Chinese characteristics” has traits that seem to resonate with principles of economic freedom and property rights. That economic revolution not only replaced famine with abundance, but has lifted China in many ways, opening doors for intellectual property rights, which also got a foothold in 1984.

The home of Yan Hongchang, where the Xiaogang contract was signed on Nov. 24, 1978.

The home of Yan Hongchang, where the Xiaogang contract was signed on Nov. 24, 1978.

The windowless room where the Xiaogang contract was signed.

The windowless room where the Xiaogang contract was signed. We must never forget the courage and desperation of that tiny group of farmers huddled together in a small room with no windows – an important detail, for it meant that local government informants could not walk by and listen to the meeting. The contract they signed specified that if any of them were caught, the others would raise their children. But they would rather risk death by execution than stand by and watch their families continue to starve. I’m so grateful for what they did.

From Agricultural Reform to the Rise of Intellectual Property

Allowing people to control and purchase property, even if still formally owned by the government, and to prosper from their work and their investment of capital, created an environment of relative economic liberty. As collective communes were finally discarded in favor of letting farmers control their own allocations of land and profit from their work, the recognition of property rights also began spreading to the realm of intellectual property. An overview of the early rise of China’s patent law is told by Bonan Lin, Jon Wood, and Soonhee Jang in “Overview of Chinese Patent Law,” 35th International Congress of the PIPA, Toyama, Japan, Oct 19–22, 2004.

China passed its first patent law in 1984 and then created its Patent Office in 1987 under the leadership of a man I deeply admire, Dr. Lulin Gao. Drawing upon his familiarity with the German IP system, he paved the way for the creation of the Patent Office and became its Commissioner, serving from 1987 to 1998. Then he led the way in establishing the State Intellectual Property Office (SIPO) and served as its first commissioner. While the patent system in its infancy had weaknesses, China has steadily strengthened its IP laws, IP awareness, and IP training. What I saw year after year in China was an urgent effort to strengthen IP laws and IP enforcement, including the establishment of specialized IP courts and programs across the country aimed at helping companies and officials strengthen IP. Patent quality is steadily improving, as is innovation.

China’s IP activity and achievements have come at a nearly hypersonic pace, catching the West off guard. China now leads the world in Patent Cooperation Treaty (PCT) patent applications. These expensive international applications are usually presumed to be a sign of quality innovation. When China’s domestic patents began to climb rapidly and surpass the filings of many nations, Western voices often suggested that China’s relatively low number of PCT filings revealed that innovation in China was nothing to take very seriously. That argument now lacks any merit. But it still seems to be “common knowledge” in many corporate and government circles that innovation in China is weak and that China relies on copying. A little patent searching will show that China’s patent filings in so many areas, from graphene to paper straws, exceed those in the United States and other nations by such great margins and with such interesting advances that copying utterly fails as an explanation. Yes, copying has occurred, but it’s the value-added innovation on top of learning from others that makes China such a powerhouse. This can no longer be ignored or be downplayed, and hopefully China’s recent hypersonic shot-over-the-bow will help strategists reconsider the power of China to lead, not just copy, in numerous critical areas—including the IP system itself.

Copyright © Jeff Lindsay, 2021

By |2023-01-31T10:33:28-07:00April 27th, 2022|Categories: Books, Business, China, Industry, Patent law, Photography, Society, Surviving|Comments Off on The Thunder of China’s Quiet Second Revolution: How a Few Starving Farmers Brought an Economic Boom by Abandoning Collectivism
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My Failed Health Share Experience: Liberty Healthshare

Free at last! Escaped Liberty Healthshare

Free at last! I escaped Liberty Healthshare

When I came back to the US after nearly a decade in China, one of my first steps was trying to get health insurance. After calling multiple health insurance specialists and finding that none of them wanted to talk to me and that the only way, it seemed, to get insurance was to go to the government portal and register there, I decided I had to comply and so tried signing up for insurance under the Obama Care program by going to Health.gov to register.

To my surprise, even though I had maintained a U.S. address (the house we rented out while away) that was used on the tax returns we filed every year while in China and for many years before we left, the Health.gov system could not identify me. My address, social security number, prior addresses, and other information it required were not enough to verify that I am a US citizen able to register for health insurance.

After trying many times to register with the system, I finally called their tech support and spent two more hours on the phone as the technical support agent walked me through various attempts, all of which failed. Finally he said, “Yeah, sometimes this just happens.”

For a law-abiding citizen trying being denied insurance after many attempts, being told that “this just happens” to some people is not very satisfying. I asked what I could do. “Well, I guess I could try calling the developers at Experian.” “Yes, please do.” So he put me on hold as he attempted to call the developers. A few minutes later — those familiar with the health care industry in the US will see the punchline coming — the line went dead. That was the end of my quest for US insurance.

Fortunately, I still had coverage for a while as long as I could be treated in China, but when we moved back for good to the US, I definitely needed some kind of coverage. Having been abandoned, so I felt, by Obama Care, I considered some of the “health share” programs out there. The first one I tried, Medishare, required its subscribers to agree to a specific declaration of religious belief regarding the nature of God that wasn’t really in line with my version of Christianity, so I was excluded. Then I learned about Liberty Healthshare which was referred to me by a friend. They also were a “ministry” and thus required a religious statement, but it was one I was comfortable with. The program sounded like it would provide catastrophic coverage and some other benefits that was in line with my needs, so my wife and I joined. After about 19 months, we were realizing that it didn’t work as promised. My annual health care exam, part of which was covered, took over 8 months to pay when they had promised it would be within 6 months. And then I found that having Liberty Healthshare made medical care cost more, not less. I needed to get an echocardiogram, for example, and after carefully pricing it because I knew it would be paid out of pocket (“self-pay”), I was surprised to be billed for a much higher level than I had been quoted. It was because the health care provider views health share programs as a form of insurance and so bills you are the regular inflated rate, not the self-pay rate, even though Medishare instructs us to tell the provider it will be safe pay and that we don’t have insurance, since they are not an insurance company. But it looks like insurance to the provider when they note our enrollment in some database they use, so we pay high rates. Meanwhile, a real insurance company can negotiate the rate, and Liberty tried to by quoting the Medicare-approved rated for the procedure, but the provider does not recognize Liberty Health as a valid insurer or someone they have a contract with, so we get the high rate for looking like we have insurance and can’t get the negotiated reduced rate because we don’t have actual insurance. A 44% discount evaporated because I had that nearly worthless health share program.

That’s when we realized it was time to try again to get real insurance. My wife was able to find an agent who could help us, and as of January 2022 we began real insurance again. I called Liberty in November to cancel. They sent me an email saying that the only way to cancel is to send an email to [email protected]. I did this, but did not hear back. So I sent it again. Eventually I would learn that this email address was broken, at least for a while, so my request was never received. Fortunately, Liberty did call me on Dec. 21 to ask if I still wanted to cancel. I was shocked that they had not received my emails, but upon searching saw I had received an error message indicating that the account did not exist! But I was able to cancel over the phone then, and was assured I would not be billed in January.

On Jan. 2, I saw that I had just been billed again by Liberty. I called on Jan. 3, a Monday, and complained. It took a couple of hours bouncing around, but they finally admitted they had made a mistake and that I should receive a refund to my credit card in 3 to 5 days. Initially they said they would issue a check, but I knew what that meant: 8 months or more, so I insisted they make a refund directly. Took some doing, but they agreed.

One week later, still nothing, so I called again on Jan. 10. “Oh, it’s the holiday season. We’ve had delays, but now you’ll get your refund in 3-5 days.”

One week later, still nothing. Called again and was told a manager would call me back that day. Never happened. The next day I called again and learned that they had just submitted my refund request, which had not happened as promised on Jan. 3, or as reiterated on Jan. 10. For over two weeks they had me believing that my refund request has been submitted and my reimbursement was about to show up, when that was all fiction somehow. Now can I expect that the refund actually will happen in a few more days? Not holding my breath.

A big mistake in this was relying on an acquaintance’s recommendation. To be more thorough, I should have checked Liberty’s reputation at TrustPilot.com: dismal! 100% of the reviews are negative. In spite of all the reviews giving just 1 star, TrustPilot mercifully gives them an average og 1.6 stars.

By the way, after explaining the failure of their email for cancellations several times, I was assured that it was probably just a temporary glitch. So a few minutes ago,  sent them a message again at [email protected] (the address you are told you must use to cancel your service) and quickly got this error message back when the email bounced: “Diagnostic-Code: smtp; 550 permanent failure for one or more recipients.”

“Permanent failure for one or more recipients” — that’s about the most appropriate automated response I can think of for this company.

By |2022-01-20T13:38:05-07:00January 20th, 2022|Categories: Finances, Health, Products, Scams, Shopping, Society, Surviving|Comments Off on My Failed Health Share Experience: Liberty Healthshare
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Coping with the Corona Virus (SARS-CoV-2): Can Glucosamine from Shrimp, Mushrooms, or Other Sources Help Reduce the Danger of Pneumonia?

SARS-CoV-2-COVID-19-virus

Illustration of SARS-CoV-2 virion from the CDC.

Millions of people around the world are worried for China and hope there is soon a full recovery from the dreadful disease, COVID-19. Few things sounds more dreadful than being trapped in a locked-down city where thousands are infected and almost everything is shut down. Pray for the success of Wuhan in conquering this pandemic.

While I expressed my concerns about the severity of these rapidly spreading disease and the impact it is having on so many people, one acquaintance who wishes only to be known as C.T. shared with me some of her tentative findings about the impact of several factors on the death rate of pneumonia found across the world.

Her investigation examined  factors that may affect how severe pneumonia becomes in once healthy patients. I find her proposal interesting and potentially valuable enough that I’d like to invite feedback from experts to see if there is any merit to her thinking. If her work could help alleviate some of the suffering that COVID-19 is causing, and specifically decrease the mortality rate, that would be fantastic. Perhaps there’s nothing there. Intelligent feedback is what I am looking for.

Please note that I am not making any medical claims or suggesting that nutrition or nutritional supplements can directly reduce the risk of coming down with or dying from COVID-19 or pneumonia in general. I am not seeking to spread rumors about the disease (spreading rumors is strictly illegal in China, especially rumors or incorrect information about sensitive issues such as COVID-19 and its management, and I strive to abide by the regulations), but am inviting experts to review a tentative possibility that could be helpful to China and other nations.

C.T.’s hypothesis deals with the possible role of glucosamine and other aspects of nutrition in reducing the risk of pneumonia. Glucosamine is a natural material found in cartilage and in the shells of shrimp, crabs, etc. and the skeletons of marine animals. It is also present in China’s abundant and delicious mushrooms and other fungi (see “Dietary Sources” below). It is an antioxidant that our body can produce, though it is also commonly sold as a dietary supplement said to help treat osteoarthritis and reduce pain in joints (see an overview of reports on glucosamine at ScienceDirect). In what follows, I’ll add some comments to C.T.’s points and  mix a few finds from my searching with some of the things she has found.

The relationship between glucosamine and cartilage health has a reasonable basis (though for relieving pain, as the BBC reports, it’s not clear that glucosamine supplements actually do more than a good, full-strength placebo), and cartilage is present in several vital parts of the lungs, from the trachea through the bronchi. C.T.’s hypothesis is that viral disease may infect chondrocytes, cells that product cartilage, and that our own immune system in response may then attack those cells and lead to tissue damage that allows naturally present bacteria to cause severe infection. But could there be a relationship between glucosamine and pneumonia mortality? C.T. proposes a mechanism involving the SOX-9 protein and its role in driving a “cytokine storm” where dangerous cycles can lead to severe illness. She argues that dietary influences that inhibit or enhance the effect of SOX-9 (i.e., down regulate or up regulate) may help explain significant differences in pneumonia mortality among nations, with tea and perhaps pomegranate juice being likely to up regulate SOX-9 while diets high in shrimp and cartilage may provide the glucosamine that can may regulate SOX-9.  You can see her recent comments on the Coronavirus and the crisis in Wuhan in her post of Jan. 31, 2020, “My two bits about the novel coronavirus from Wuhan,” which points to her earlier post with the key information she wishes to share.

Whether or not C.T.’s proposed mechanisms and dietary considerations are correct, there are peer-reviewed studies suggesting that glucosamine can in fact reduce mortality from respiratory illness.

The scientific literature on glucosamine tends to focus on its role in cartilage formation and in alleviating problems with joints and bones. But there are some surprising finds related to other effects. Here are a few to consider (the first and fourth were pointed out by C.T. in her original work):

1. Griffith A. Bell et al., “Use of glucosamine and chondroitin in relation to mortality,” European Journal of Epidemiology, 27/8 (2012): 593-603; https://www.jstor.org/stable/23272500.

Abstract: Glucosamine and chondroitin are products commonly used by older adults in the US and Europe. There is limited evidence that they have anti-inflammatory properties, which could provide risk reduction of several diseases. However, data on their long-term health effects is lacking. To evaluate whether use of glucosamine and chondroitin are associated with cause-specific and total mortality. Participants (n = 77,510) were members of a cohort study of Washington State (US) residents aged 50-76 years who entered the cohort in 2000-2002 by completing a baseline questionnaire that included questions on glucosamine and chondroitin use. Participants were followed for mortality through 2008 (n = 5,362 deaths). Hazard ratios (HR) for death adjusted for multiple covariates were estimated using Cox models. Current (baseline) glucosamine and chondroitin use were associated with a decreased risk of total mortality compared to never use. The adjusted HR associated with current use of glucosamine (with or without chondroitin) was 0.82 (95 % CI 0.75-0.90) and 0.86 (95 % CI 0.78-0.96) for chondroitin (included in two-thirds of glucosamine supplements). Current use of glucosamine was associated with a significant decreased risk of death from cancer (HR 0.87 95 % CI 0.76-0.98) and with a large risk reduction for death from respiratory diseases (HR 0.59 95 % CI 0.41-0.83). Use of glucosamine with or without chondroitin was associated with reduced total mortality and with reductions of several broad causes of death. Although bias cannot be ruled out, these results suggest that glucosamine may provide some mortality benefit. [For links to references cited by Bell et al., see the Springer page for this article.]

2. Kun-Han Chuang et al., “Attenuation of LPS-induced Lung Inflammation by Glucosamine in Rats,” American Journal of Respiratory Cellular Molelcular Biology, 49/6 (Dec. 2013): 1110-9.

Abstract: Acute inflammation is often observed during acute lung injury (ALI) and acute respiratory distress syndrome. Glucosamine is known to act as an anti-inflammatory molecule. The effects of glucosamine on acute lung inflammation and its associated mechanisms remain unclear. The present study sought to address how glucosamine plays an anti-inflammatory role in acute lung inflammation in vivo and in vitro. Using the LPS intratracheal instillation-elicited rat lung inflammation model, we found that glucosamine attenuated pulmonary edema and polymorphonuclear leukocyte infiltration, as well as the production of TNF-α, IL-1β, cytokine-induced neutrophil chemoattractant (CINC)-1, macrophage inflammatory protein (MIP)-2, and nitric oxide (NO) in the bronchoalveolar lavage fluid (BALF) and in the cultured medium of BALF cells. The expression of TNF-α, IL-1β, IFN-γ, CINC-1, MIP-2, monocyte chemotactic protein-1, and inducible NO synthase (iNOS) in LPS-inflamed lung tissue was also suppressed by glucosamine. Using the rat alveolar epithelial cell line L2, we noted that the cytokine mixture (cytomix)-regulated production and mRNA expression of CINC-1 and MIP-2, NO production, the protein and mRNA expression of iNOS, iNOS mRNA stability, and iNOS promoter activity were all inhibited by glucosamine. Furthermore, glucosamine reduced LPS-mediated NF-κB signaling by decreasing IκB phosphorylation, p65 nuclear translocation, and NF-κB reporter activity. Overexpression of the p65 subunit restored the inhibitory action of glucosamine on cytomix-regulated NO production and iNOS expression. In conclusion, glucosamine appears to act as an anti-inflammatory molecule in LPS-induced lung inflammation, at least in part by targeting the NF-κB signaling pathway.

3. Yuh-Lin Wu et al., “Glucosamine Attenuates Cigarette Smoke-Induced Lung Inflammation by Inhibiting ROS-sensitive Inflammatory Signaling,” Free Radical Biology and Medicine, 69 (April 2014): 208-18; DOI: 10.1016/j.freeradbiomed.2014.01.026.

Abstract

Cigarette smoking causes persistent lung inflammation that is mainly regulated by redox-sensitive pathways. We have reported that cigarette smoke (CS) activates a NADPH oxidase-dependent reactive oxygen species (ROS)-sensitive AMP-activated protein kinase (AMPK) signaling pathway leading to induction of lung inflammation. Glucosamine, a dietary supplement used to treat osteoarthritis, has antioxidant and anti-inflammatory properties. However, whether glucosamine has similar beneficial effects against CS-induced lung inflammation remains unclear. Using a murine model we show that chronic CS exposure for 4 weeks increased lung levels of 4-hydroxynonenal (an oxidative stress biomarker), phospho-AMPK, and macrophage inflammatory protein 2 and induced lung inflammation; all of these CS-induced events were suppressed by chronic treatment with glucosamine. Using human bronchial epithelial cells, we demonstrate that cigarette smoke extract (CSE) sequentially activated NADPH oxidase; increased intracellular levels of ROS; activated AMPK, mitogen-activated protein kinases (MAPKs), nuclear factor-κB (NF-κB), and signal transducer and activator of transcription proteins 3 (STAT3); and induced interleukin-8 (IL-8). Additionally, using a ROS scavenger, a siRNA that targets AMPK, and various pharmacological inhibitors, we identified the signaling cascade that leads to induction of IL-8 by CSE. All these CSE-induced events were inhibited by glucosamine pretreatment. Our findings suggest a novel role for glucosamine in alleviating the oxidative stress and lung inflammation induced by chronic CS exposure in vivo and in suppressing the CSE-induced IL-8 in vitro by inhibiting both the ROS-sensitive NADPH oxidase/AMPK/MAPK signaling pathway and the downstream transcriptional factors NF-κB and STAT3.

4. Jean-Noël Gouze et al., “Exogenous glucosamine globally protects chondrocytes from the arthritogenic effects of IL-1β,” Arthritis Research and Therapy,  8 (2006), article #R173; https://doi.org/10.1186/ar2082. (PDF also available.)

Abstract

The effects of exogenous glucosamine on the biology of articular chondrocytes were determined by examining global transcription patterns under normal culture conditions and following challenge with IL-1β. Chondrocytes isolated from the cartilage of rats were cultured in several flasks either alone or in the presence of 20 mM glucosamine. Six hours later, one-half of the cultures of each group were challenged with 10 ng/ml IL-1β. Fourteen hours after this challenge, RNA was extracted from each culture individually and used to probe microarray chips corresponding to the entire rat genome. Glucosamine alone had no observable stimulatory effect on the transcription of primary cartilage matrix genes, such as aggrecan, collagen type II, or genes involved in glycosaminoglycan synthesis; however, glucosamine proved to be a potent, broad-spectrum inhibitor of IL-1β. Of the 2,813 genes whose transcription was altered by IL-1β stimulation (P < 0.0001), glucosamine significantly blocked the response in 2,055 (~73%). Glucosamine fully protected the chondrocytes from IL-1-induced expression of inflammatory cytokines, chemokines, and growth factors as well as proteins involved in prostaglandin E2 and nitric oxide synthesis. It also blocked the IL-1-induced expression of matrix-specific proteases such as MMP-3, MMP-9, MMP-10, MMP-12, and ADAMTS-1. The concentrations of IL-1 and glucosamine used in these assays were supraphysiological and were not representative of the arthritic joint following oral consumption of glucosamine. They suggest, however, that the potential benefit of glucosamine in osteoarthritis is not related to cartilage matrix biosynthesis, but is more probably related to its ability to globally inhibit the deleterious effects of IL-1β signaling. These results suggest that glucosamine, if administered effectively, may indeed have anti-arthritic properties, but primarily as an anti-inflammatory agent.

In light of these studies, there seems to be reason to believe that glucosamine may be helpful in reducing the mortality of pneumonia. If so, being prepared to have a diet with some glucosamine sources or to have some glucosamine on hand might be reasonable should COVID-19 become a serious threat in your community, or if you are traveling under conditions where you may be exposed to the SARS-CoV-2 virus. Your intelligent feedback on this is welcome — but anonymous trolling comments that I too often tolerate will be deleted here in order to increase the chance of readers finding intelligent comments that help us better understand the issues raised here.

C.T.’s Proposals on Mechanism and Diet

C.T. wrote the following a few days ago:

Hi, Jeff, I know it sounds presumptuous, but I think I figured out which environmental triggers are involved in making it so people exposed to this virus do/do not become symptomatic and how severe the symptoms are.

1) Damage to the hyaline cartilage (by the immune system targeting infected cartilage cells) is much less likely to happen where the diet contains glucosamine (in shrimp paste and cartilage), where there is no exposure to dry and cold air, and where there is not bleach being sprayed in the air (seriously, have Hubei’s bureaucrats never heard of chemical pneumonia?).

2) The cartilage cells, if damaged, think they have to rebuild the hyaline cartilage matrix and so secrete chondroitin sulphate and other cartilage matrix molecules; the gene SOX9 is very instrumental in doing this, but if it is overly active it can cause there to be too many such molecules building up in the lungs. Voila! Viral pneumonia. What gets SOX9 going? EGCG appears to “stimulate exuberant cartilage matrix secretion” (see https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247298/), and EGCG is THE special molecule in tea leaves. What did the poor people of Wuhan ingest in their apartment quarantines: rice, veggies, legumes, and tea–no meat or shrimp. What else affects SOX9? Turmeric (curcumin decreases SOX9 activity–lucky Thailand), Fluoride (also helps decrease SOX9 activity–lucky India), Pomegranate (increases SOX9–unlucky Iran, where they drink pomegranate juice when sick). This hypothesis holds up even in Italy, where they drink wine and coffee all the time except when they’re trying to lose weight or fight a cold–then they drink green tea. And it utterly refutes all the stupid internet trolls who were going on and on about how “Chinese people have horrible hygiene.”

C.T.’s original post on the relationship between glucosamine and mortality in pneumonia and the possible mechanisms involved is “Glucosamine to protect cartilage during influenza infection,” Petticoat Government, Feb. 5, 2018. Here is an excerpt with the key arguments she makes:

1) The flu infects chondrocytes, the cells in cartilage. They are the only cells in hyaline cartilage, which type of cartilage is coincidentally found in places–joints, rib ends, nose, larynx, trachea, bronchi–that are among the hardest hit by influenza. (https://www.britannica.com/science/cartilage)

2) Influenza-infected chondrocytes don’t seem to actually experience obvious damage until the body’s immune system goes on the attack. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC422866/; http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2567.2003.01621.x/full) [Edited 2/17/2018: Someone pointed out to me that chondrocytes are within an extracellular matrix that has no blood vessels, so other cells, including attacking immune cells, can’t reach them. I looked more into that issue and found a 2015 cartilage transplant study which found that cartilage isn’t as immune-privileged as it used to be believed it was (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522233/). I suspect that chondroblasts–the immature chondrocytes next to the blood-vessel-containing perichondrium–are the first chondrocytes which the immune system cells attack, and then due to their destruction the cartilage matrix becomes compromised; if that compromised state becomes severe enough, immune cells can then gain access to the mature chondrocytes within, as well.]

3) Cytokines are part of the immune system’s attack arsenal. The cytokine IL-1beta is a critical component of lung inflammation during infection with influenza type A H1N1. (http://onlinelibrary.wiley.com/doi/10.1002/jmv.24138/abstract; https://www.ncbi.nlm.nih.gov/pubmed/27714503)

4) Glucosamine–a natural compound found in cartilage–happens to protect chondrocytes by being a potent inhibitor of IL-1beta. (https://link.springer.com/article/10.1186/ar2082)

5) Damaged cartilage in the trachea/bronchi could allow for more penetrating infection by viruses/bacteria that normally would not be able to do much harm and in that way make flu sufferers much more susceptible to pneumonia. Most of the people who died from the 1918 flu died because “bacteria that normally inhabit the nose and throat invaded the lungs along a pathway created when the virus destroyed the cells that line the bronchial tubes and lungs.” (https://www.nih.gov/news-events/news-releases/bacterial-pneumonia-caused-most-deaths-1918-influenza-pandemic)

6) People who take glucosamine (it’s a common supplement for arthritis) are much less likely to die of respiratory illnesses than their peers. (https://link.springer.com/article/10.1007/s10654-012-9714-6)

So if you’re worried about influenza, it might be worth it to buy some glucosamine and take it when you’re exposed to influenza so you can protect your hyaline cartilage and thus make yourself less likely to develop pneumonia….

Eat well cooked, or non-manufactured source- glucosamine rich foods (like shrimp) to help the cartilage stay strong, and stay away from tea plant and pomegranate for a second. (Pomegranates are healthy, but are rich in natural SOX9 stimulants… Which is good… But on a viral, over-production level ((what happens with this virus)) you get to much in the lungs too fast, and therefore pneumonia.)

By the way, I have worked with nearly pure EGCG as part of my consumer products research work in the past and was often surprised by how reactive it is. Dissolve a little white EGCG in water and combine with baking soda or other alkaline material and find out what strange, ugly stains you can create on materials such as tissue paper or fabrics after allowing it to sit for a few hours. It has many effects in the body, some clearly positive, but I can imagine that there are situations where this reactive material isn’t helpful. Can it play the role that C.T. suggests? I don’t know, but would like to learn more. Is it possible that giving tea to the ill might not be a good idea? I don’t know, but it may not be helping in Wuhan, though so much of what’s happening there remains opaque. If you have additional useful information, please let me know.

Dietary Sources

C.T. points to shrimp as an important dietary source of glucosamine. I should add that it appears that the glucosamine of shrimp comes from the shell, not the flesh. In Asia, many people eat the shells, or so it seems to me, especially small shrimp where the shell is quite thin and, in fried shrimp, can be tasty and easy to eat. She also mentions gristle, which is commonly consumed, especially chicken gristle. Another source may be soups in which the bones of animals have been stewed for a long period of time. Bone-rich soup, at least in China, especially when stewed long enough to create a white broth, is widely held to be very nutritious and ideal for those who are ill, and probably supplies some glucosamine. I find it delicious, too.

There are also options for vegetarians. Mushrooms contain chitin, the widespread natural polymer found in the shells of shrimp, crabs, insects, etc., and glucosamine is one of the building blocks of chitin and I believe it can be released when digested. See Tao Wu et al., “Chitin and Chitosan–Value-Added Products From Mushroom Waste,” Journal of Agricultural Food Chemistry, 52 /26 (Dec. 29, 2004): 7905-10;  DOI: 10.1021/jf0492565. Also see Pin Zhang et al., “Kinetic Models for Glucosamine Production by Acid Hydrolysis of Chitin in Five Mushrooms,” International Journal of Chemical Engineering, 2020, article ID 5084036 (2020); https://doi.org/10.1155/2020/5084036.

Unfortunately, for those in Wuhan, there are reports that the diet is now necessarily simple and thus there may be less meat (bone and cartilage included) and less shrimp than usual, so the protective effects of glucosamine, if real, may be less available than normal. C.T. worries that the combination of cold, stress, and confinement, coupled with a low-glucosamine and high-tea diet and even the occasional exposure to bleach or other harsh chemicals in the effort to kill the virus in many places might make a perfect storm for elevated pneumonia risk for those infected with the virus. If C.T.’s proposal is correct, then bringing glucosamine or glucosamine-rich foods to Wuhan and other affected areas may be a helpful step to help reduce loss of life.

One of China’s great blessings when it comes to food is the richness of its fungi, with numerous wild and domesticated mushrooms and other fungi that are so delicious. Some are far too expensive for me, but there are many varieties that are relatively inexpensive but very nutritious, especially the black wood ear fungus called mu er (literally wood ear). It’s more expensive than rice or common vegetables like carrots, onions, or cabbage, but it’s still quite cheap and has also been touted for its immune strengthening benefits. I order some much of the time when I’m in Chinese restaurants in China. Perhaps adding this to the diet of the people in Wuhan and other afflicted cities could help?

Is Glucosamine Safe for Those Allergic to Shrimp?

Finally, one important issue is whether those with seafood allergies, including shellfish allergies, should take glucosamine since it is often made from the shells of shrimp. Please consult with your physician and don’t take crazy risks based on random bloggers. However, something to consider as you discuss such matters with competent medical authorities is that several studies suggest that commercially available high-quality glucosamine may not contain the allergens that are harmful to some people. Here are a couple studies to consider:

J. Villacis et al.,  “Do Shrimp-Allergic Individuals Tolerate Shrimp-Derived Glucosamine?,”  Clinical and Experimental Allergy, 36/11 (Nov. 2006): 1457-61;  DOI: 10.1111/j.1365-2222.2006.02590.x.

Abstract

Background: There is concern that shrimp-allergic individuals may react to glucosamine-containing products as shrimp shells are a major source of glucosamine used for human consumption.

Objective: The purpose of this study was to determine whether shrimp-allergic individuals can tolerate therapeutic doses of glucosamine.

Methods: Subjects with a history of shrimp allergy were recruited and tested for both shrimp reactivity via a prick skin test and shrimp-specific IgE by an ImmunoCAP assay. Fifteen subjects with positive skin tests to shrimp and an ImmunoCAP class level of two or greater were selected for a double-blind placebo-controlled food challenge (DBPCFC) using glucosamine-chondroitin tablets containing 1,500 mg of synthetically produced (control) or shrimp-derived glucosamine. Immediate reactions, including changes in peak flow and blood pressure, and delayed reactions (up to 24 h post-challenge) via questionnaire were noted and assessed.

Results: All subjects tolerated 1,500 mg of both shrimp-derived or synthetic glucosamine without incident of an immediate hypersensitivity response. Peak flows and blood pressures remained constant, and no subject had symptoms of a delayed reaction 24 h later.

Conclusion: This study demonstrates that glucosamine supplements from specific manufacturers do not contain clinically relevant levels of shrimp allergen and therefore appear to pose no threat to shrimp-allergic individuals.

Heather C. Gray, et al., “Is glucosamine safe in patients with seafood allergy?,” Jounral of Allergy and Clinical Immunology,  114/2 (August 2004) 459–460; DOI: https://doi.org/10.1016/j.jaci.2004.05.050 (PDF also available).

Excerpt:

Six subjects participated in the study. All 6 had a history consistent with a systemic reaction to shellfish. All 6 had positive skin prick test responses to shrimp, crab, lobster, or a combination of these. All 6 had negative skin test responses to the glucosamine extract (Table I) and uneventful oral challenges with glucosamine, with no change in skin, vital signs, or spirometry….

Approximately 600 patients must be recruited to ensure that the chance of rejecting an allergy rate of at least 0.5% is less than 0.05. This pilot study, which indicates that glucosamine is probably safe for patients with shellfish allergy, emphasizes the need for further investigation, with larger studies looking at different shellfish allergens and the consistency of glucosamine formulations.

Further research is needed on this issue and others raised above. If you have other information on the food safety issue or other issues raised here, please share. Thanks!

I welcome your civil, thoughtful feedback.


Other Related Resources:

Theodore M. Brasky, “Use of Glucosamine and Chondroitin and Lung Cancer Risk in the VITamins And Lifestyle (VITAL) Cohort,” Cancer Causes and Control, 22/9 (Sept. 2011): 1333-42.

Jody Braverman, “Nutritional Value of Bone Gristle,” LiveStrong.com, September 30, 2019.

 

Update, 2/28/2020: There’s one study C.T. mentioned suggesting that chondroitin, which is often combined with glucosamine in supplements, can cause pneumonia rather than prevent it, based on a single patient. See Takeshi Satomura et al., “A Case of Drug-induced Pulmonary Disease Considered to be Caused by a Supplement Containing Chondroitin,” The Journal of the Japan Society for Respiratory Endoscopy,  37/2 (2015): 214-18; DOI https://doi.org/10.18907/jjsre.37.2_214.

Abstract 

Drug-induced pulmonary disease can be caused by a variety of drugs including supplements. We examined a case of drug-induced organizing pneumonia induced by a supplement containing chondroitin. Case. An 80-year-old man had been taking supplements for knee pain since early July 2013 and subsequently developed a cough and fever. A chest radiograph demonstrated infiltrative shadows, and he was admitted to our hospital. His condition did not improved with antibiotic treatment and bronchoscopy was performed for diagnostic purposes. A transbronchial lung biopsy specimen showed organizing pneumonia, and the patient’s condition was ameliorated with steroid therapy. We established a diagnosis of drug-induced pulmonary disease based on the results of a lymphocyte stimulation test for a supplement containing chondroitin. Conclusions. We conclude that the use of supplements containing chondroitin may result in drug-induced pulmonary disease.

That single case may not be meaningful, but if you’re concerned and want more glucosamine after consulting with medical personnel, you can just use glucosamine alone or a diet with glucosamine. Chondroitin tends to me relatively more expensive anyway. Consult your physician and don’t rely on bloggers.

By |2020-02-28T13:45:51-07:00February 28th, 2020|Categories: China, Food, Health, Safety, Shanghai, Society, Surviving, Travel tips|Tags: , , , , |Comments Off on Coping with the Corona Virus (SARS-CoV-2): Can Glucosamine from Shrimp, Mushrooms, or Other Sources Help Reduce the Danger of Pneumonia?
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Views on the Corona Virus Pandemic in China

As I write, I have been out of China for over 3 weeks and am past the incubation period for the dreaded Corona virus that has been sweeping China. We were away in Vietnam on a  trip just before the Chinese New Year when the pandemic started looking serious, and were able to adapt our plans to stay out of China for a while. It has become a difficult place to be, even for those fortunate enough to avoid the virus.

We hope that the unprecedented efforts to contain the Corona virus in China will bring rapid containment, but the impact of the virus will also bring hardship to millions. The complete lockdown of many large cities like Wuhan can make life very difficult.  Even in  beautiful, modern metropolises like Shanghai and Hangzhou, where relatively few cases of the virus have occurred, life can be difficult. People coming home from travel, like two American friends of mine who just returned to Shanghai from Australia, or a European friend who just got back to Hangzhou from a visit in Shanghai, are finding that strict regulations make them prisoners in their own apartment as the government requires quarantine for travelers. That’s if you are lucky enough to get home at all — my friend in Hangzhou said that she got home just one day before a ban on travelers entering the city went into effect. I don’t know how accurate that is, so I’m just reporting what she understands.

In Shanghai, people returning on Sunday and hoping to start work on Monday are in for disappointment and frustration. It may be one or two weeks before they can go back to work, depending on local rules. After that quarantine period, apartment complexes will only allow you to leave once every other day. Martial law comes with much uncertainty and some hardship, but perhaps this is needed. But hats off to those with the wisdom to have stored basics like food and other supplies to be ready for a time of trouble. People aren’t going hungry as far as I know, but it’s probably much harder to get what you might be used to now.

One man in Shanghai desperately needed to get his new passport that was sent by DHL to Shanghai, but had not been delivered to him for a number of days because DHL was largely shut down due to virus fears. It was only by going to DHL offices and “crying” for hours in front of the building that he finally got the attention of workers there who dug  into a pile of undelivered packages and found his passport, giving him time to get to the airport barely in time. Without that, he would have been in violation of Chinese law with an expired visa. You don’t want to violate visa rules!

Such accounts, though, may pale in comparison to the woes of those who are trapped in places they don’t belong, without resources and friends. Or even local Wuhan residents struggling with the challenges of living life under a lockdown with so much uncertainty, in spite of valiant efforts now to provide support and services. An American trapped in Wuhan did manage to get a seat on a plane out organized by the US government, but the problem was getting to the airport, some 30 miles away from his home. A few weeks ago that would have been easy: just take a taxi. But taxis in Wuhan have been shut down except for a handful dedicated to taking patients to the hospitals, but this requires a complex process of getting approval from the local government committees for each region of town and there’s no chance of getting a ride to the airport. With no feasible way to get to the airport, the man missed the flight and his seat was given to someone else. Fortunately, he had a second passport with Germany, and was able to get on the evacuation flight for Germany, a nation that kindly sent a bus to give German citizens rides to the airport. (Congratulation to those of you who recognize the many virtues of having a second passport. When things go crazy in your home country, it’s nice to have another option.)

In spite of China now going all out to contain the virus, there seems to be international anger toward China and the Chinese people. There are accusations that China did not act quickly enough or is not doing enough. Individual Chinese people are also experiencing blame and anger. Hotels, shops, and restaurants in some areas are turning away Chinese people. Rudeness and xenophobic hysteria abound. As I left Asia a few days ago, after a two-week virus-free exile in Vietnam before I began a business trip to the US for a research project in Minneapolis (I just love the University of Minnesota, by the way!), I read a front-page article in the New York Times on my flight from Hanoi to Seoul and was pained to see further evidence of the worldwide anger toward China. Motoko Rich’s Feb. 1-2, 2020 article, “Global Xenophobia Follows Virus.” See also MarketWatch’s “‘No Chinese allowed’: Racism and fear are now spreading along with the coronavirus” from Feb. 3.  This is a tough time to be Chinese. The video below from a Chinese man in Florence, Italy reminds us of the humanity of those facing prejudice because a virus originated in their country.

Some say there’s a deja vu sense to this virus, which is causing so much hysteria around the globe. But there’s reason for the hysteria: the virus has left China, and now has killed people elsewhere in the world, including (as of Feb. 4) Hong Kong (1 death) and Philippines (1 death), etc., etc., etc., for a total of, well, three deaths so far outside of China. But in China, nearly 500 people have died, so the death toll is on its way to reaching that of the worldwide 2009 influenza pandemic with the H1N1 virus. Well, on its way to some degree, I suppose. The H1N1 virus that started in the Americas spread worldwide and ended up killing over 200,000 people (maybe as many as 500,000). Not 200, not 500, but over 200,000.

Do you recall the the draconian measures taken by the US government to contain that virus in 2009 and 2010? And do you remember the worldwide hostility toward North Americans for that North American virus? The shunning of all things American, the refusal to allow Americans to stay in hotels or enter restaurants, the locking down of New York, Miami, and LA? The martial law, the quarantines, the months of delayed school and the crushing of the US economy? The inability to fly, travel, or even leave your apartment? My memory must be fading, because I don’t remember any of that. I remember encouragement to get flu shots then and warnings about the virus, but not the massive, painful disruption of travel, work, school, and normal life, nor escalation in anti-American sentiment.

China is responding to the crisis by locking down many cities, stranding over 60 million people, with martial-law measures in many other cities with tough regulations forcing many to be quarantined and hindering travel, work, and normal life. There is also the cessation of much public transportation or blockades on roads in and out of many cities, the shutting down of thousands of tourist attractions, delayed operations for millions of employees, delayed school for millions, and so forth. Such extreme measures to contain this virus, and yet there is still international hysteria and blame. Outside of China, two have died, a few hundred are affected. It may get much worse, but right now, it’s noting compared to seasonal bouts of influenza and nothing close to our own H1N1 pandemic that generated hardly any hysteria and resulted in a government response that was not exactly aggressive (I’m not saying it should have been — I really don’t know what should have been done). My point is, do we really need to shun China and be angry at the Chinese people for this one?

Yet the virus has unusually dangerous characteristics and may merit the extreme measures to control it. I’m not sure. But I hope we’ll keep this in perspective relative to the thousands of deaths the US experiences every flu season from related though perhaps less severe viruses. And I pray that we’ll remember China and recognize the great burdens the Chinese people are bearing, and not add to their burdens unnecessarily. Keep China and the Chinese people in your prayers, and thanks to those who are taking steps to help rather than to blame.

By |2020-02-10T12:55:17-07:00February 10th, 2020|Categories: China, Health, Safety, Shanghai, Society, Surviving, Travel tips|Tags: , |Comments Off on Views on the Corona Virus Pandemic in China
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Dangerous Professions in China

Air conditioning repair in Shanghai

Air conditioning repair in Shanghai

Be grateful for some of the overlooked workers in China who put their lives on the line everyday for our benefit. The people who carry out some seemingly basic services like window washing, air conditioning repair or installation, welding, and construction are often overlooked and looked down upon because these are jobs that don’t require advanced education and may not have high salaries. Many of the people doing these jobs come to China’s big cities as migrant workers from outside provinces, and may not fit in with local society. But they deserve a great deal of respect and gratitude.  Something as seemingly mundane as an air conditioning repair may involve breathtaking skills and dangers most Westerners might not expect.

In the photo above, a daring worker has climbed out onto the ledge of our apartment building to repair a problematic air conditioner. He has a rope connected to a railing if he should fall, but I’m not sure the rope looks all that safe and wonder if the railing would hold. On a second occasion, the man came alone and I was the one holding his security line for a while. His life was in my hands for a few moments. I was humbled to realize that this good, hard-working man takes on deadly risks every day to help people have a service that he may not enjoy in his own dwelling place.

 

By |2019-11-09T17:45:10-07:00November 9th, 2019|Categories: China, Safety, Shanghai, Society|Tags: , , |Comments Off on Dangerous Professions in China
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Accepting a Job in China? Some Questions to Ask (and an Exercise for English Teachers)

After nearly 8 years in China, I’ve met a lot of foreigners and heard many surprising stories of some of the challenges they face in their jobs, especially when working for Asian companies. In most cases, the employee made assumptions about their job and their employer based on their experience with Western companies. Others didn’t fully understand what was expected of them and what they would have to do. This can lead to pain, frustration, embarrassment, and financial loss. Please don’t make lots of assumptions and assume that everything will be like it is back home.

You need to ask a lot of questions! If you find yourself saying, “I’m sure it will be OK” or “I trust it will be fine,” you may have a problem. In a very foreign culture with different laws and different levels of compliance with those laws, it’s much better to be asking, “What could go wrong?” Some of the questions you might want to ask may seem a bit bizarre, such as “Do I need to bring my own mop?” It’s a fair question, though tongue-in-cheek in most cases, as explained below.

Here are some suggested questions to ask:

  • Can I see the contract(s) you want me to sign before I resign my current job and show up for work in China? Sometimes the “standard” contract your company will give you when you show up for work will be a shocker. You may find the salary you agreed upon is not what is in your contract, that the benefits that were promised are not in the contract, and that troubling provisions are in the contract, such as a rejection of many of the normal employee rights provided by China’s generous labor laws, and even a requirement that portion of your income will be withheld for some period of time and perhaps only given to you if certain goals are achieved that you may not be able to control and achieve on your own. When you ask about the benefits or other terms you have negotiated, the response may be, “Of course! But that’s just verbal. Trust us.” Realize that the HR person saying that may be totally sincere, but several years or weeks later he or she may be gone (HR turnover is intense in China) and the new person will not believe you when you bring up the verbal agreement that supposedly was made. Contracts may not always mean a lot in China, but verbal agreements with people who are no longer around mean even less.
  • Can you put that in writing? Don’t assume that any of the benefits and other terms you have negotiated will be put into writing in your contract. Be prepared for that, which is usually something that we gullible foreigners have not even imagined as a possible risk. I suggest that you insist that everything is in writing. At a minimum, have emails confirming the terms before you accept an offer and keep copies, copy other witnesses, etc., to create a paper trail, and have dated and signed printouts of those terms witnessed and notarized as a defense (get them notarized in China also, if you can, or at least signed by Chinese witnesses), but also realize that the paper trail may not do all that much for you if you don’t get those terms in the contract.
  • Will there be more than one contract to sign with potentially inconsistent, conflicting, or generally problematic terms? This is likely if you end up with a split income, as described below, or if you are a high-end employee subject to a non-compete agreement or other special terms in addition to a standard employee contract. The additional contract(s) may have terms that undermine or exacerbate portions of your basic contract, or that create serious problems in other ways. Be ready for careful analysis and outside legal guidance and recognize that you can propose alterations. The worse thing to do is say, “Well, I trust that it will be OK.” Remember, the key question is, “What could possibly go wrong?”
  • Will I have a legitimate work permit and a work visa? Sadly, many companies bring people here on a tourist visa and have them work illegally. This can get you detained, fined, and deported. If the company is not actively working to get documents needed for a visa long before you come to China, they may be planning to rely on your tourist visa, even if they promise they will get you a visa once here. Sadly, I know too many English teachers who get into awkward situations when some of the companies that bring them here don’t properly provide work visas for them. Sometimes the company tries their best but the Chinese side (a company or school) takes short cuts and put the teachers at risk. Ask lots of questions. If there is uncertainty, be sure to try out the bonus exercise I give at the end!
  • How will the taxes due to China be paid? Ex-pats are typically told that the company will handle all Chinese taxes. Make sure this is in writing. Also make sure the company will pay taxes on your full income, which leads to the next question:
  • Are you going to split my income to evade taxes? Sadly, some companies use a practice of splitting a foreign employee’s pay, with part of the salary being paid to a Chinese bank account, and another part being paid to a bank in the employee’s home country, typically using some foreign (non-Chinese) agency to wire money to the home country. That system is convenient for getting money to your home bank account, but the problem is that the employer typically doesn’t report the foreign income to China and only withholds Chinese taxes for the China income. Ex-pats generally don’t understand that taxes aren’t being paid on the foreign income when this happens, and it can be a devastating shocker to eventually learn what might have been going on and how much risk and gargantuan penalties you potentially face. There are cases where an employee in China may do genuine work for oversees entities that may justify offshore income, but you should check carefully into this matter and get legal advice before accepting split income arrangements. Do not risk getting into trouble in China, and do all you can to respect Chinese law. If you find your company is not respecting Chinese tax laws, it’s time to resign. For some good guidance, see these articles by Dan Harris at the China Law Blog: “China Expat Pay: Splitting with Hong Kong is 100% Illegal and 200% Dangerous (Part 1)” and Part 2.
  • Will you respect Chinese Labor Law or will my work contract say I have essentially no rights (e.g., no severance pay, etc.)? Some contracts say that there will be no benefits or rights except for what is mandatory under China’s labor laws. That means no severance pay, for example, and other potential disappointments.
  • When I leave, how much notice do you require? If you are asking me to give, say, three months of notice, will you respond to my resignation notice by exercising your right to terminate me with 30 days’ notice with no severance pay? Yes, this absolutely can and does happen, even for employees who have seemingly been loyal and valuable workers for many years. It’s an ugly way to treat an employee, but there are often incentives for some people in the company to lay off a certain number of people, so they might jump at the chance to turn a voluntary resignation into a lay-off that gets them credit for their own KPIs, so I’ve been told by a China expert. The employer will always retain the right to fire you with 30 days notice (some will give less and dare you to sue), so if you are asked to give more notice than that, point out that this is unfair and either change the contract to require 30 days or consider a provision that gives you compensation if they refuse to respect your advance notice and respond by giving you 30 days notice in return.
  • How much cash will I need to bring to get started with housing and everything else in China? Many people don’t understand that the company is not going to help you with housing at all or that at most they will provide some monthly stipend toward housing, but only after you have found your apartment and paid the huge fees and deposits required to get started, and then present your company with an official receipt for your first month’s rent. If you are renting, say, a 15,000 RMB/month apartment, you may have out-of-pocket expenses from paying your first month’s rent plus a deposit of two-months’ rent, plus a rental agent fee of 35% of a month’s rent, adding up to a little over 50,000 RMB, or nearly $7,400 in cash before you receive your first paycheck and long before you’ll get your first housing stipend for some portion of your monthly rent. It’s expensive to start working in China. Are you ready?
  • Will housing benefits and other benefits begin as soon as I start, or is there some minimum term of service required before they begin? Which ones actually begin on day one? And can you put that into writing? One friend relied on the promised housing stipend in selecting a nice apartment, more expensive than he might want if paying for it on his own, but only later found out that the significant housing benefit would only begin after several years of service. Ouch.
  • To begin my job in China, will you bring me through China customs in the normal legal way, or will I be smuggled in by, say, crossing a mountain along the Vietnam border? If your employer turns you over to a smuggling team and requires you to march through the jungle or scramble over a mountainous border to sneak into China, or even if you come through a legal port but are just whisked into China through a “special lane” without your documents being checked and entered into China’s system, you are entering illegally and will have a world of trouble to face, especially if your employer takes away your passport, making you almost like a slave. This usually doesn’t apply to people coming here to work for higher-end jobs that require college degrees, but often applies to those coming to be maids or “ayis,” as is the case for many women from the Philippines. They are often taken advantage of in many ways due to their lack of legal status and their fear of seeking legal protection when they are cheated or abused. Don’t enter China illegally!
  • Will my health insurance actually help if I need surgery? And will it help my family or just me? Health care is fairly inexpensive in China, unless you want care provided by Western-style clinics or hospitals. Even if you rely on less expensive local hospitals (I love Shanghai East and it’s inexpensive VIP clinic, for example), you may be disappointed with how little your corporate health insurance covers. And insurance packages usually just apply to the employee, but may offer an option to purchase a plan for your spouse or children. Learn early what you are getting, if anything.
  • Will I be required to work on Saturday and Sundays? Can you put it into writing that I will have my weekends free? Sometimes corporate leaders launch campaigns to increase productivity, or the appearance of productivity, by requiring employees to start coming in on Saturdays or weekends. That’s really hard on ex-pats who come here hoping to experience China. Hard to experience it when you are trapped in an office all week long. Those coming here to teach also often find that there are school shows and performances held on weekends that they are required to be at. Unexpected duties tend to crop up with little notice, after people have purchased plane or train tickets, or even during holidays. Keep your weekends free and try to get something in writing to that effect. Even then, you will see that big national holidays often involve turning a Saturday or Sunday into work days to add more vacation days to a holiday. This can be frustrating.
  • Will critical corporate announcements all be in Chinese? Will there be any translation help for me? Even large multinational companies will tend to have at least some important email and documents sent to employees in Chinese only, and many won’t take any pains to provide translation. If you are not a Chinese speaker, this can make life difficult. Learn Chinese, make friends with Chinese speakers who can help you, and find ways to cope.
  • What documents do I need to bring to get my work permit? The rules have evolved on this critical issue, but have long been surprising. For example, when I came in 2011, I learned that I needed to bring my ORIGINAL diploma from BYU. In the US, people often don’t care about the diploma. It’s just a pretty document that we don’t really care about, but it’s a big deal here. You may need to contact your school to get a notarized physical copy of your diploma to work in China. And there may be a number of other original documents you need: your wedding license, your birth certificate, a letter from your former employer, etc. One friend of mine is unable to get the promotion he has long deserved because the small college that issued his diploma long ago has failed and is no longer, making it impossible to get a physical diploma now. A disaster for him, I’m afraid.
  • Jeff Lindsay holding two mops

    Reporting for duty!

    Do I need to bring my own mop or broom? OK, joking, of course, but there’s a point here: sometimes wonderful sounding jobs with lofty titles turn out to be painful and rather menial. You might think you are in charge of something major, and find out that in reality you are just mopping up after someone else. The best way to prepare is to talk to people in the company or who once worked for the company to understand what the job is really likely to involve. I talked with several former and current employees before making my decision, and that was really helpful, though I still had some surprises. But many pleasant surprises as well. I’ve had a wonderful 8 years here without too much mopping, and a lot of excitement that has swept me away at times.

No matter how much you try to pin things down, understand that things tend to change rapidly in China, so be prepared to be flexible. (Also be prepared to walk away if things turn out to be really shady.) In my case, for example, I was supposed to work here for one year, and then I would be brought back to the US to be part of a US expansion team. That sounded perfect. About one year later, as I wondered why I wasn’t hearing anything about the US expansion team, I asked around and learned through the grapevine that the U.S. expansion team had been fired and no longer existed, and all plans for my return to the US had been dropped. It was a surprise, but a very fortunate one in my case because one year would not have been long enough. Whew! I’m so grateful for that unexpected change. But in Asian companies, as many ex-pats have found, you may have to ask and inquire persistently to learn of these big changes or upcoming problems because communication to employees might not be a strong point of your particular company, nor will it be one of the KPIs for HR.

“What Foreigner?” An Exercise Useful for Some English Teachers

Now, for those coming here as English teachers, one of the jobs with a relatively high risk of trouble, here’s a physical exercise that may prepare you for your day-to-day work, especially if your company is not going to arrange for a legal work visa for you before you arrive. (If they tell you that all you need is a “student visa” and that you will be a student just doing “volunteer work” as a teachers, you might need this exercise, especially if you are being paid anything and especially if you are in a more developed city like Shanghai.) It’s a fun exercise, even a game, called “What Foreigner?” It’s something you should play a lot to be prepared so when you play it here for real, you’ll be ready. It takes 3 people to play, but you can get by with only two players if one does double duty.

You are the foreigner, and you need to begin by standing in a room in your home, school, church, or other facility with multiple rooms. We’ll call that facility “the school.” That room will be “the classroom.” You will hold a textbook or other objects that help you feel like you are in the middle of teaching a class. Act like you are teaching.

Have Friend #1 and Friend #2 go to the front door of the building. Friend #1 will step outside the door and pretend to be the police while Friend #2 will stay inside and pretend to be a school administrator. Have them wait a few minutes. When Friend #1 feels ready, he or she knocks on the door. Friend #2 looks through a window, peephole, or crack to see who it is, then turns and shouts toward you, “Police!” Friend #1 comes in and then begins walking to the classroom. As soon as you hear the shout, your job is to drop everything and escape out a back door or side door before you are spotted, and then to run as fast as you can until you are far from “the school.” Meanwhile, when Friend #1 arrives in the “classroom,” he or she asks, “Where is the foreigner?” Friend #2 then tries very hard not to laugh and says, with a sense of indignation, “What foreigner?”

Did you get out in time? Whew! Congratulations! Now do it again. Best to practice now so you’ll be ready. And yes, for those who don’t get US-style humor, I am making a joke here. I do not support violation of law in China, and recommend that you do not accept illegal work in China! Those who end up teaching in questionable English programs, working illegally as teachers, end up in lots of difficult situations where they have to run or pretend to be students. If you are teaching a class for pay, you are working and need a work visa. China is increasingly rooting out these illegal operations. I suggest you don’t take risks and strive to diligently adhere to Chinese law.

Even if you do all you can to be legal and everything looks good, you may find that your company or agency has done something illegal that may affect you. For example, a couple of teachers we knew thought they were completely legal, teaching for pay with a legal work permit in Shanghai, but it turns out that a local agency had falsified their application for a work permit in order to meet Shanghai’s strict requirements and claimed that they had advanced degrees and more years of experience than they really had, which is a serious crime that can get you deported. When the US company that brought them here as teachers learned of this, they realized that the couple was in grave danger and had to rush them out of the country without even a chance to say good-bye to their students. If you can, look at the documents being submitted for your work permit and visa and make sure that nothing has been falsified.

If you are coming to China, congratulations! It’s the most exciting and wonderful place I’ve ever been. Working here has been the most exciting (though occasionally the most painful and frustrating) part of my career so far. But ask lots of questions and do all you can to be legal and to respect China’s laws.

By |2019-11-09T17:46:48-07:00April 13th, 2019|Categories: Business, Career, China, Education, Housing, Safety, Society, Surviving, Travel tips|Tags: , , , , , , , |Comments Off on Accepting a Job in China? Some Questions to Ask (and an Exercise for English Teachers)
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Coping with Suicidal Thoughts in Shanghai? Local English- and Chinese-Speaking Resources Can Help

Foreigners living in China can sometimes feel very isolated, which might make depression or other mental health challenges even worse. It’s important to know that if your or a loved one is struggling with suicidal thoughts or the trauma of someone else’s suicide, there are resources to help. One resource is located right here in Shanghai for English speakers: Lifeline Shanghai (China; English only), phone: (021) 62798990. If calling from outside China, use the country code of +86. For Chinese speakers, a resource is HopeLine: 4001619995 (Chinese speakers; 24/7 toll-free access within China).

According to the Lifeline Shanghai website (http://www.lifeline-shanghai.com/):

Lifeline Shanghai serves the English-speaking community with free, confidential, and anonymous emotional support via telephone 10AM to 10PM, 365 days a year. Our helpline offers an emotional support service that respects everyone’s right to be heard, understood, and cared for. Lifeline Shanghai helpline assistants are ready to listen and support, helping you to gain another perspective and connecting you with other support services as needed. Trained volunteers offer emotional support and assist you to clarify options and choices that are right for you. ​

This service is for those with a wide variety of difficulties, not just suicidal thoughts. Appears to be a valuable addition to Shanghai’s expat resources.

Since many of my friends and some of my readers in Shanghai are part of my LDS religious community (The Church of Jesus Christ of Latter-day Saints),  will also mention the excellent resources and list of external resources provided at the Church’s official page, “Suicide Prevention and Ministering Understanding and Healing from the Pain of Suicide” (https://www.lds.org/get-help/suicide/?lang=eng).

Although Shanghai is a prosperous and wonderful place, the problem of suicide is serious. Suicide rates are painfully high and is even a serious problem among children, perhaps due to the high pressure they face in school. See “Child suicides high in Shanghai” at the Christian Science Monitor (an old 2004 article). But suicide rates have been increasing in many parts of the world, including the US. Rates among young girls have actually tripled in recent years, a terrible development. See “Suicide rate triples among young girls: How can we stem the ‘silent epidemic’?,” also from the Christian Science Monitor.

If someone you know is showing signs of suicidal thoughts, take it seriously and lovingly work to support them and get help. Turning to outside expert help may be vitally important.

By |2018-08-17T17:53:13-07:00August 17th, 2018|Categories: Education, Health, Relationships, Religion, Safety, Shanghai, Society, Surviving|Tags: , , , |Comments Off on Coping with Suicidal Thoughts in Shanghai? Local English- and Chinese-Speaking Resources Can Help
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Xiaogang, Anhui: Can You Hear the Roar of Prosperity from China’s Quiet Revolution?





One of the most touching and courageous moments in China’s recent history is depicted in the painting shown here of a secret meeting of farmers in a tiny village that few people have ever seen or heard of. It was the beginning of a quiet revolution, what one might call China’s Second Revolution, whose roar continues to inspire and strengthen this land. These farmers are gathered in a hut in a dark side room free of windows to keep the meeting hidden from spies. As the mostly illiterate farmers touched the red ink pad to sign an illegal contract with their fingerprints, they were putting more than ink onto paper: they were putting their lives on the line. That moment in 1978 marks the birth of a revolution that has changed the world and blessed hundreds of millions in this land. It’s a story rich in basic lessons that the West may need to relearn in order to survive.

Xiaogang Signing

The village is called Xiaogang (pronounced like “Shau Gong”). It’s a tiny dot on the map in Anhui Province about an hour away from the major city of Bengbu, a city most Westerners have never heard of because, of course, it only has the population of Chicago. But Xiaogang Village is really small, I’d guess around a thousand people or less, and that’s counting the outsiders who work here to staff their gargantuan tourist buildings that commemorate the economic revolution that began here. After learning about the dramatic but not frequently shared story, I finally made a pilgrimage in 2017 to what is now a sacred spot.

The story basically is that the village of Xiaogang had been suffering from the effects of the Great Leap Forward and then the Cultural Revolution, along with some bad weather, perhaps. The old system of that day left people with relatively little incentive to work hard and produce more. They were starving. Whether they worked hard all day or just slept, they would still get inadequate food and risk starvation. Why bother? But they suspected there was a better way. Led by a brave man, the farmers met and agreed to implement a bold new (but actually very ancient) system. The contract they signed agreed to give a portion to the government and then they would get to keep the surplus for themselves. In the article “Xiaogang, Anhui,” Wikipedia describes the Xiaogang miracle this way:

During the Great Leap Forward, Fengyang County, along with much of the rest of the country, experienced a period of famine. A quarter of the county’s population, 90,000 people, died of starvation. In Xiaogang village alone, 67 villagers died of starvation out of a population of 120 between 1958 and 1960.

In December 1978, eighteen of the local farmers, led by Yan (NPR’s name is a typo, there is no YEN in Chinese romanization) Jingchang,[2] met in the largest house in the village. They agreed to break the law at the time by signing a secret agreement to divide the land, local People’s Commune, into family plots. Each plot was to be worked by an individual family who would turn over some of what they grew to the government and the collective whilst at the same time agreeing that they could keep the surplus for themselves. The villagers also agreed that should one of them be caught and sentenced to death that the other villagers would raise their children until they were eighteen years old.[2][3] At the time, the villagers were worried that another famine might strike the village after a particularly bad harvest and more people might die of hunger.

After this secret reform, Xiaogang village produced a harvest that was larger than the previous five years combined.[2] Per capita income in the village increase from 22 yuan to 400 yuan with grain output increasing to 90,000 kg in 1979.[3] This attracted significant attention from surrounding villages and before long the government in Beijing had found out. The villagers were fortunate in that at the time China had just changed leadership after Mao Zedong had died. The new leadership under Deng Xiaoping was looking for ways to reform China’s economy and the discovery of Xiaogang’s innovation was held up as a model to other villages across the country. This led to the abandonment of collectivised farming across China and a large increase in agricultural production. The secret signing of the contract in Xiaogang is widely regarded as the beginning of the period of rapid economic growth and industrialisation that mainland China has experienced in the thirty years since.

This is dramatic stuff, and it’s been recognized by the Chinese government as a key moment in China’s history. Wonderfully, Deng Xiaoping embraced the Xiaogang miracle, which was vital inspiration for the economic reforms he introduced. The timing was just right, and as a result, when local police came knocking on the door of the main farmer behind the conspiracy, it was not to take him to his death as he expected, but to ask for help in expanding their illegal system across many more farms in China. He came away from the police station as hero, not as a criminal, and China awoke to a revolution that continues to roar. Some of you will call that capitalism and an abandonment of Chinese socialism, but over here I think it’s more officially viewed as an important modification in socialism, part of the unique Chinese approach, that overcomes empty “bubble talk” and lack of commitment to work that many faced. However you want to package it, it was a huge step for China. I have seen the burden of poverty in this country and yearn for China’s economic success, and applaud the brave farmers who started the revolution and the policy makers who recognized and learned from their wisdom. What a revolution it has been.

I hope you’ll consider a trek to Xiaogang someday. (I might even join you if you give me advance notice.)

Getting there wasn’t too difficult from Shanghai. It required two or so hours in a high-speed train, often reaching 300 km/hr, to reach Bengbu, and then about an hour in a taxi to reach the village. The town is pretty much just one side road on the main highway. But it has a big arch as you enter, and then a giant tourist center, and then you find that the tourist center is not about the historical event that should make this town famous, but about its current geography, agriculture, climate, etc. Not what IO came for, but nice to have, I suppose.

Only after inquiring did we learn that the place celebrating the key historical event is on an even bigger building about one kilometer down the only side road off the main highway the the town seems to have.

When my wife and I with two other Western friends finally arrived at the primary building about the Xiaogang miracle, I was amazed at how large it was. And what a thrill to finally be there! But where were all the crowds? The place was obviously built with the expectation of big tour groups, but it seemed rather vacant on the Saturday when we showed up. Never mind, I was so excited to finally be here.

As we entered and paid a small fee, it was about 11:50 AM, and the staff informed us that it would be lunch in 10 minutes and we would have to leave until lunch was over at 1:30 PM. Since we had a 3 PM train to Nanjing for additional plans and would need to leave by 2 PM, waiting until 1:30 would be a huge set back. I politely pleaded our case: “We are foreigners who have traveled a long way to see this vitally important site in Chinese history. We have looked forward to this for so long and now are here on a tight schedule. We have to go to Nanjing this afternoon and would not be able to see all the museum if we wait until 1:30. We won’t cause any trouble and don’t need any help. Can we please just stay and look around during your lunch? Please?” No, sorry, we are closed at noon. Come back at 1:30. We didn’t get anywhere with diplomacy, so we rushed in and started looking and shooting photos. A friend suggested we just stay and keep looking. But soon a staff member came to escort us out and right at 12:00 the lights went out. China has made huge progress in customer service attitudes during my six years here, but sometimes there is still room for progress. Tourist sites that close in the middle of a Saturday for lunch (or naps) represent an opportunity for progress, IMHO.

The memorial had some frank information though it was very tactfully presented and balanced with reminders of the positive impact of officials over the years that greatly cheered and motivated the workers.  But repeatedly we can see hints about the excesses of the Cultural Revolution. The scene below from the museum is of a landowner being harassed for having taken the “capitalist road.” Those scenes could be very tragic.

During our 10 minute spree through the building, we realized it was just a museum and didn’t look like it housed the site where the economic revolution began. On our way out, though, we asked some more questions. “Oh, you want to see the old hut? It’s just down the street, about 200 meters, and it’s open during lunch.” Ah hah! Glad we didn’t spend all our time in the museum to miss the most important site. There was the hut where it all began, and the side room with the table where the contract was signed. We sat there and put our fingers to the pad and thought of the brave farmers, tired of watching loved ones die of starvation, risking their lives for the right to keep a reasonable chunk of what they produce. Economics 101, but forgotten by too many in our world.

The result of the conspiracy was a sudden boom in prosperity. About a 600% increase! It went viral and lifted one of the poorest parts of China. Farmers rose out of poverty and could afford luxuries like a television, a ceiling fan, and a sewing machine.

The leader of China today, Xi Jinping, paid tribute to Xiaogong with a 2016 visit. Of that moment in history and of those brave farmers, he said this:

“The daring feet that we did at the risk of our lives in those days has become a thunder arousing China’s reform, and a symbol of China’s reform.” 

Whatever you think about the politics of China and the revolution that gave us the nation of China, I think all of us Westerners can embrace and learn from this second revolution of China that has lifted so many of its people and brought so much opportunity and hope. At this time of thanksgiving, the courage of those who brought about the Xiaogang miracle is one of the things that I am grateful for. And how grateful I am that I could visit that site and meet some of the locals of Xiaogang. Sadly, I was the first foreigner they had seen there for months, one worker told me. Wish more of you would come by and experience the spirit of this place.

By |2018-06-17T18:50:26-07:00June 17th, 2018|Categories: Business, China, Politics, Relationships, Society, Surviving, Travel tips|Tags: , , , , |Comments Off on Xiaogang, Anhui: Can You Hear the Roar of Prosperity from China’s Quiet Revolution?
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Expats in China, Be Sure to File Your Tax Report (WeChat Can Help)

The Shanghai City government has sent out notices to employers reminding them to have foreigners who make over 120,000 RMB per year to file a tax report with the government. It’s due March 31. Foreigners typically need the help of HR or someone else to do this. Not a simple process if you haven’t done it before. In Shanghai, you can use the “fabu” site on WeChat (search for and follow 上海发布, which can show up just by searching for “fabu” I think). Enter that site, click on the second icon on the lower left corner (市政大厅), and then you click on the red and white icon at the bottom of the screen in the center (个税查询), which deals with individual taxes. From there, you’ll need to enter your ID, name, create a password, and enter other information including a recent tax payment level. When done, it will give you access to your past tax payments. Please see HR or a competent Chinese friend for the details.

I’m not sure what problems arise if you don’t file this report, but China is a place where you don’t want to ignore laws, especially those that affect how the nation’s detailed computer records view you. This one feeds right into those records, so don’t skip it.

 

 

By |2018-03-28T16:43:21-07:00March 28th, 2018|Categories: China, Finances, Shanghai, Society, Surviving|Tags: , , |Comments Off on Expats in China, Be Sure to File Your Tax Report (WeChat Can Help)
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Jimmer, the “Lonely Master,” Might Be Doing Better and Doing More in China than the Deseret News Thinks

In the state of Utah, Salt Lake City’s Deseret News recently carried a touching but slightly downbeat article about China’s most popular basketball player, Jimmer Fredette, the impressive star who once stunned American crowds while playing for Brigham Young University. The article is “Lonely Master: From March Madness to Shanghai, the Unlikely Journey of Jimmer Fredette” by Jesse Hyde, published March 12, 2018. It has a lot of positive things to say about Jimmer and his accomplishments in China, but the general tone of the article is that Jimmer has missed out on his US dreams and thus has settled for something painfully inferior by coming to China, a grim and gritty place. I think there’s another perspective that ought to be considered.

Yes, the CBA is a far weaker competitive field than the NBA, and yes, it is disappointing that his NBA career did not give him the opportunities and satisfaction he sought. But don’t shed too many tears for Jimmer: things might not be as grim as the article implies.

The negative picture painted of China is quite disappointing. It’s a beautiful, exciting place where Jimmer is visible and influential to millions of people in ways that would not be possible in Europe or the US. I have met Jimmer and chatted a few times but don’t know him well nor can I speak for him. But what he is doing here is remarkable and has touched many people. His goodness, his honesty, his humility, and his high standards have also helped him touch people beyond what his athletic skills alone could do. For someone who possibly may have a sense of a mission higher than personal temporal success alone, coming to China brings many opportunities to achieve greater good, while also benefiting from a shorter season and excellent pay. Win/win from my perspective. His presence in China is part of something big, at least in the minds of many of his BYU-related fans here.

One of those fans, a Communist Party official, requested a chance to meet Jimmer last year. I was honored to be part of the little gathering where introductions were made. Jimmer with his characteristic class and humility brought gifts for the Chinese men who had come — framed photos of him as keepsakes. They were thrilled. Before Jimmer showed up, one man in the small group, a business leader in charge of the large complex where we rent some beautiful space to hold LDS services, chattered excitedly about Jimmer and quoted statistics from Jimmer’s games when he was at BYU and in China. Kid in a candy shop when Jimmer arrived. The official had gifts also, a terrific album of Chinese postage stamps. It was a beautiful souvenir for each of the foreigners at this event, which I’m proudly holding in the photo below.

With typical Jimmer class, Jimmer noticed a couple of keenly interested staff members from the little cafe where we met and invited them to get their photos taken also. It was a big day for all of us.

The Deseret News article makes numerous references to the pollution of China and Jimmer’s depressing situation here. The lead paragraph suggests he can’t see much of the skyline in Shanghai due to pollution (yes, we have pollution and some days visibility is noticeably reduced, but we have a lot of beautiful days too and air quality is improving). His apartment is “empty, lonely, a place he just crashes, so devoid of personal effects….” Regarding some reminders of his wife and daughter in his apartment: “Sometimes he needs those reminders. Like when he’s in Shanxi, a gritty industrial city where the gray dust blows from the cement factories and the grime is so thick he could scribble his name on the windows of parked cars.” And when he’s in Shanghai, in spite of the wealth and good food here, “even here, the air carries a slight whiff of chemicals you can almost taste. It’s hard not to want to be somewhere else.”

At this point in reading the article, I wondered if the staff of the Deseret News have ever been in Salt Lake City during the winter months, when the winter inversion traps air in the Salt Lake Valley and leads to painfully high levels of particles, nitrogen oxide, and other pollutants? Of if they have ever been near operations of the massive copper mine that scars the Valley? Or drove through Utah County in the days when the Geneva Steel works were cranking out massive whiffs of chemicals into the air? Or if they have lived near a paper mill in the United States? Shanghai air can get smoggy and is typically worse than most places in the US, but apart from an occasional painter using oil-based paint or a vehicle burning too much oil, as in almost any city, noticeable “whiffs of chemicals” are something I generally don’t experience here, unless those chemicals include the cinnamon aromas coming from Shanghai’s amazing Cinnaswirl bakery with world-class cinnamon rolls, or from the intoxicating smells of any of the hundreds of different cuisines available in Shanghai. OK, we do have stinky tofu, which does have a noticeable smell from its unusual natural chemistry — maybe that’s what the writer encountered here. But you can just take a few steps and be free of that.

China has pollution, certainly. There are spots that are gritty or grimy, just as in America. But it’s also one of the most beautiful and exciting places to live, especially Shanghai. For me personally, my respiratory health during my nearly seven years in Shanghai has been much better than it was in the US, where I would often get bronchitis or other issues in winter. Here it’s been great and I’ve almost never had to miss work due to illness. One or two days for an injury, but my health has been terrific. Part of that is from the food, which is high in fresh produce and generally quite healthy.

Come give China a chance. It’s one of the nicest places in the world, in my opinion. Anyplace is grim when you are away from family, but with such a short playing season, we hope that Jimmer can continue to thrive here and increasingly experience the beauty and wonders of China while here.

As a reminder of the surprising beauty and sometimes even miraculous nature of life in Shanghai, here are images of one of Shanghai’s secrets: its impressive angels rising from the ground to watch over this city. May Jimmer continue to be among them.

Finally, here’s a couple views of one of Jimmer’s favorite Shanghai spots.

Shanghai Disney Castle

The Shanghai Disney Castle

 

Cinderella’s Castle.

 

 

By |2018-03-17T07:24:37-07:00March 16th, 2018|Categories: Business, Career, China, Food, Health, Photography, Relationships, Religion, Restaurants, Safety, Shanghai, Society, Surviving|Comments Off on Jimmer, the “Lonely Master,” Might Be Doing Better and Doing More in China than the Deseret News Thinks
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Your Shanghai Apartment and Construction Noise

One of the surprises many foreigners have after moving to Shanghai is how noisy things can be when a big construction project starts. That quiet vacant lot across the street o your building may turn into a volcano of noise that slowly rises one story after another, or the once silent or vacant apartment next to you may become a source of constant pounding and drilling as the owners remodel it over a period of weeks.

Before you select a place, it’s good to look around and see if adjacent lots or buildings look like construction will soon take place. The worse situation is an old vacant building that will be demolished prior to rebuilding. Demolition in China is not a sudden event. It involves endless hours of a giant mechanical woodpecker pounding at stray blocks of cement to break them into tiny chunks. This is one of the most annoying sounds. Much better is the constant grinding sound that occurs when foundations are being dug or poured, for it sort of becomes like white noise that you can sleep through.

Fortunately, Shanghai has strict laws on noise requiring crews to become silent at night, I think by 11 PM, and to stay quiet until about 6:30 AM, giving you a chance to sleep. But these laws apply to ordinary companies and private owners, not to government projects like building a subway. We have a subway site under construction next to our house. Loud grinding and clanking noises will keep going until about midnight and then they are at it again at 3 or 4 in the morning. Pretty much noise all day long. How does one cope?

Make sure you have an apartment where your sleeping quarters will be away from the most likely construction site. That makes a huge difference. Also, consider adding some noise shields over your window at night, like foam board to completely cover the window. Or consider buying a white noise generator to mask the street noise. Ear plugs might also help.

But the real key is knowing what you are in for, as much as you can, before you select your apartment. Then prepare appropriately. Good luck!

By |2018-03-12T16:30:21-07:00March 12th, 2018|Categories: Health, Housing, Shanghai, Society, Surviving|Tags: , , |Comments Off on Your Shanghai Apartment and Construction Noise
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