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Posts published in “Day: October 21, 2021”

Changing the face of policing

meador

Darian Greene wants to be a cop. With the abundance of action movies and television shows focused on law enforcement, Darian’s curiosity isn’t surprising. At 15 years old, Darian (not his real name) is just starting to consider his future and, like a lot of teenagers, law enforcement has some appeal. But Darian isn’t a typical teen, at least in the sense of his career interest. Darian is Black. A Black teenage youth considering law enforcement for a career is not common in 2021. If Darian was white, his aspirations wouldn’t even be noticed. But as a Black male youth thinking about law enforcement as a career, Darian is a rarity. Frankly, this situation is shameful.

I want to be clear I am not anti-police. My father wore a badge in Southern California when I was a child. In retirement, he got recertified and once again wears the badge of a sizable sheriff’s office. My cousin wears a badge and my uncle serves as chaplain to a mid-sized municipal police department. All three are honorable men who hold themselves to the highest standard.

But I could list thousands — yes, thousands — of incidents that have removed law enforcement from potential career options for Black kids.

When the phrase “defund the police” started appearing a little over a year ago, most people with level heads recognized it as ludicrous — at least taken literally. Any orderly society needs the police. Only the most optimistically naive could believe we could get along without law enforcement. Nonetheless, I am convinced we desperately needed to hear that phrase.

“That phrase woke people up,” says Janie Schutz, a longtime law enforcement officer who currently serves as relationship manager for the Center for Policing Equity. Schutz held numerous street-level and supervisory positions in law enforcement before heading up the police departments in Wadesboro, North Carolina and Forest Grove, Oregon. “Both the public and the law enforcement community needed to hear those startling words,” says Schutz.

Law enforcement is possibly the most difficult, thankless job on the planet — I’ve said it more than once. Every move a police officer makes is subject to immediate and ongoing scrutiny. Every incident is second-guessed by people who weren’t there and do not understand police training and the law. Cops are jeered, criticized, spat upon, mocked and assaulted yet the public (correctly) expects them to exercise an inhuman level of self-control. We also expect them to evaluate life-threatening situations and react properly in a split second every time. Almost no job comes with these enormous expectations.

I believe the majority of police officers are good men and women. I believe most work hard to uphold the law while supporting the communities they serve. But I do not believe “just a few bad apples” are giving the profession a bad name — it’s more than a few. Far too many egregious examples of misconduct continue to happen, every week, too often followed by cover-up actions. It’s time for meaningful change.

Where do we start? The way I see it, most police problems can be loosely sorted into two impossibly broad categories: training and personnel. Chief Schutz agrees. In addition to her long experience, she has put a great deal of research and thought into the matter, culminating in the Oregon Policing Equity Plan (OPEP). “The plan focuses on proper recruitment and then emphasizes training and policy,” says Schutz.

To help illustrate the two categories, consider the events at Hobgood Elementary School in Murfreesboro, Tennessee back in April 2016. Three uniformed police officers arrested and handcuffed four Black girls: a sixth grader, two fourth graders and an eight-year-old third grader. Their crime? They failed to stop a “fight” between two first-grade-age boys and a slightly older boy. It was barely even a schoolyard fight in the traditional sense.

Proper training would’ve ensured any intelligent officer knew that handcuffing a little Black girl in pigtails was outrageous — a wildly inappropriate reaction against a child who didn’t commit any kind of crime. Worse, none of the three officers apparently recognized the moral depravity of their actions — this problem can be mitigated by tightening the standards of who can wear a badge.

When it comes to policing in America, the first thing we need to do is get rid of the mall security guards. What I mean is that the not-too-bright white guys who desperately need to wear a badge have no place in our justice system. Well, no place outside of that mall I mentioned.

Compared to other professions, law enforcement is a no-fail mission. More specifically, police officers have the power of life and death over the public — they’re expected to be highly disciplined and able to correctly act in a split second during deadly situations. It is crucial that departments hire men and women of a caliber able to take on this deadly serious task.

The purpose of Schutz’s Oregon Policing Equity Plan is to engage in meaningful, unified, state-wide police reform. The plan addresses officer recruitment, education, training, department policy and community engagement. Schutz correctly places a very heavy emphasis on communication, recognizing its crucial place in law enforcement.

Let’s take a closer look at the plan.

Refreshingly, OPEP’s first objective will increase the working knowledge law enforcement officers have of the racial, economic and systemic barriers that deeply impact community relationships with police. The plan outlines detailed instruction the Oregon Department of Public Safety Standards and Training (DPSST) will conduct on historic race relations in Oregon and America. It will cover structural racism in society and the justice system — it will highlight cultural beliefs toward law enforcement and even get into the physiology of generational poverty. Perhaps nothing else is as important as cops understanding the communities they serve.

Addressing personnel issues, OPEP recognizes the unique and potentially deadly nature of split-second decision making in high stress environments. Thus, benchmarks for hiring are standardized across the state, emphasizing screening for maturity. The plan also creates an educational pathway and internship for prospective law enforcement officers. This mandatory pathway provides additional opportunities for screening and ensures candidates are educated in the above topics in addition to psychology, sociology, social work and law. It also requires completion of Black, Latino and Native studies. Finally, candidates will complete an internship at a community-based organization serving at-risk youth, communities of color, foster care, domestic violence victims or any other population with high law enforcement contact to gain meaningful experience.

One of OPEP’s most important goals is to decrease disproportionate contacts law enforcement officers have with communities of color. To this end, an outside agency will review data and develop comprehensive action plans. Another third party will monitor a department’s progress.

Related to all this, the plan outlines steps to increase transparency, accountability and the voice of the community, relating to policing. It establishes community advisory councils, which will be given a clear set of roles and parameters in addition to annual reviews of OPEP.

Enacting the Oregon Policing Equity Plan should be a priority with lawmakers and community leaders across the state.

Darian Greene wants to be a cop. There should be nothing special about a Black youth like Darian looking at law enforcement as a career. If we can enact meaningful police reform across Oregon, kids like Darian might be commonplace one day. Police departments should reflect the communities they serve — in other words, it shouldn’t be the exception for officers to look like those they’re policing. When kids like Darian become cops, we are literally changing the face of policing in America. When many kids like Darian become cops, we know our efforts at reform are working.
 

Professional discipline

schmidt

The Idaho Medical Association has asked the Idaho Board of Medicine to look into sanctioning Dr. Ryan Cole. He is a dermatopathologist who was recently appointed to the Ada County Public Health Board by Ada County Commissioners. The IMA’s gripe against Dr. Cole is based in their reading of the statutes that prescribe lawful patient care.

But the gripe is also based on the public claims Dr. Cole has made, that he has treated patients “from California to Florida” with the questionable Covid drug, Ivermetin. So, their point: if he’s being honest, he has violated the lawful standards for Idaho physicians. It’s up to you, The Idaho Board of Medicine to investigate and determine if he has in fact broken the law, or he’s just a braggart.

I wish the IMA good luck. I also wish the best to Dr. Cole, though I disagree with his self-proclaimed actions. How can you treat such a wide expanse of patients and have a relationship with them? And just how does a pathologist, with no training in patient care have that skill? Is it any different than selling drugs online? Oh yeah, that’s mostly legal too.

But that equivocation I voiced right there is what makes policing myself and my colleagues in the medical profession so difficult for the Idaho Board of Medicine. We rarely confront each other when we see a fellow colleague straying from the “Community Standard” of medicine.

Maybe that’s because we physicians don’t spend much time establishing or reviewing that peer standard anymore. I’m pretty long in the tooth and I can’t say I have ever seen that practice in the community. It should be.

We did it in medical school and residency. We presented our “cases” (sick people) to each other with an older doc in attendance and we critiqued our diagnoses, our care decisions. I had thought this was how the medical culture would be once I got out into the community practicing. But it just didn’t happen. I wish it would.

I have some real community experience with this. I was the Chief of Staff for our local hospital. Any doctor who practiced in the hospital came under the review of the medical staff. But now a days, with the proliferation of “hospitalists”, employed by the hospitals, many doctors never see their patients in the hospital. And the possibility of reviewing their level of care is lost.

But the clinic, the office practice of medicine has never been subject to much scrutiny. The main driver of sanctions has been malpractice suits, civil litigations usually brought by patients unhappy with their treatment. You can see the pressure on physicians to make the patient happy. And then opioids became widespread and “nonaddictive” and doctors made many demanding patients happy; and some dead.

So, the Idaho Board of Medicine is in a difficult position here. They can investigate Dr. Cole, but I’ll bet those “thousands” of patients he has written Ivermectin prescriptions for are pretty happy with his “care”. At least those that are alive will swear by the treatment. Those who succumbed may think the mask-wearing nurses and doctors in the crowded hospitals didn’t give them enough hydroxychloroquine. Can you see the bind our profession has created for ourselves? And for you?

I doubt Dr. Cole has clinical partners who he presents his “cases” to. Remember, he’s a pathologist who is in the business of running lab tests, vials of blood, serum, or urine. There are few colleagues to review one’s care in that setting.

Idaho’s medical practice “Community Standard” is a sham. The medical profession loves it because it makes doctors harder to sue. Idaho’s medical malpractice premiums are very low. To prove negligence the plaintiff must get some other local doc to testify against the defendant. So, like some Idahoans prefer, we are the medical wild west.