Monday, December 11, 2023

holidays 2023

 Dear Everyone,

I hope this note finds you as well as possible. For some, this year has given my circle and me reason to celebrate: New jobs and promotions. Pregnancies and births. Romance and weddings. Travel. Connection. I have enjoyed some deepening connections with longtime and newer friends and travel to various places, often primarily to see them: Berlin. Boston. Chicago. Copenhagen. Culpeper. Denver. Portland, OR. Savannah. Seattle. Many trips to NYC to visit friends and family, and my annual trip to Lubec, ME for Summer Keys.

Unfortunately, this year has also given people in my circle reason to grieve: Physical and emotional health problems. Fractured relationships with partners, parents, and children. Job losses and career frustration.

And losses. So many losses. For a while, about every week a friend’s parent or elderly relative was passing. A dear friend’s mother just passed away a few weeks ago. A colleague lost his brother last week. And some loved ones, such as spouses and siblings, lost much too soon.

In my broader community of Washington, DC, to date over 250 homicides, a third more than last year (more on that, below). And in the larger world, violence just inciting more violence. My thoughts with all who are grieving.

As most (if not all) of you know, I lost my own sister, Emily Hoffenberg, this past January. It was also too soon: She was fifty-eight. For the first time in my life, I became all too acquainted with the lonely and strange journey of grief that the loss of such a close relative begins.

One friend noted, soon after Emily passed, that my sister was now in a better place. My friend was right. Emily had been a troubled soul from when she was young. Naturally pretty, she struggled with her weight from an early age, descended from stout women on both sides of the family. She had difficulty getting along with peers, and, while no one likes getting teased, she held grudges against those who had teased or mistreated her far beyond what seemed merited. She was not interested in school. She had volatile relationships with boyfriends which usually ended with drama.

As she got older, she developed behaviors consistent with obsessive-compulsive disorder: Vacuuming the carpet to a pulp; taking multi-hour showers; and engaging in other bizarre rituals to manage her anxiety. Into adulthood she continued having trouble getting along with others and worked only for a few years after barely graduating college. She spent the better part of her adult life indulging her compulsions and watching TV.

My mother, her husband, and I all tried to caution her about the impact of her behavior. Unfortunately, she would not listen and had a defiant, perversely libertarian attitude towards her rituals and lack of employment. I can still hear her defenses: “Why should I change just because society says I should?” “You’re my younger brother: Don’t lecture me.”

Years of multi-hour showers, and who knows what other behavior, had worn away at Emily’s skin, and left her vulnerable to infection. And given her excessive tendency towards doing things her way, she usually waited till the last minute to seek medical care. After Emily developed skin rashes covering much of her body in October 2022 (not the first time in her life), two doctors told her she needed to go to the emergency room. She refused until the pain became intolerable.

After that, Emily spent the few months left of her life between stints at home, bedridden, and trips to the emergency room and hospitalization. Her body, after years of self-abuse, began to shut down. She became unable to walk and her throat closed to the point she couldn’t swallow food. Doctors were preparing to insert a balloon in her esophagus the days before she passed at Long Island Jewish Hospital, with her husband and sister-in-law by her side, on January 18, 2023. I take some comfort in that I had been able to take my parents to visit my sister, one last time, a few days prior. It was the last time we saw her alive, and the four of us were together.

In her last few months, Emily acknowledged the damage she had done to herself, yet even then, it was not around getting the mental health care she long had needed. Alas she talked about needing “try harder” to stop her compulsive behavior. Unfortunately, she never got the chance.

My mother (still here in mind, if not in body), my brother-in-law, and I are left with some guilt. (My father, not so much: I’ll save him for a future holiday letter.) My mother took Emily to counseling when she was younger, yet Emily was not engaged, and it was ineffective. My sister carried that skepticism of counseling into adulthood.

In hindsight, I could have sought guardianship, yet even that outcome was uncertain, especially as she was married, and her husband, even with his own illnesses and limitations, had rights over me. At best, she would have ended up institutionalized, medicated against her will, a quality of life different yet not higher than the one she achieved left to her own devices.

The way my sister thought and behaved, I couldn’t have as close a relationship with her as I would have liked. Yet we spoke on the phone a few times a month, and my parents and I would visit with her and her husband when I was in Queens. Childlike, she mostly wanted to talk about movies and our favorite animals. I miss those conversations, and the prospect of a sibling, however troubled, for company in old age.

I am continually appreciative of the support I received right after my sister passed: The phone calls. The texts. The donations. The shiva visits, both in New York and in Washington, DC. The food -- SO much food, and the food sent to my parents’ home, especially appreciated. My mother and I sent thank you notes to all who we could, yet I wanted to acknowledge this kindness again.

Still, outside my friend circle, part of my own, undeclared journey has been finding myself in professional and social milieu with people who largely come from more affluent and less troubled families than mine, and who could not relate to my situation. I remember, once over a meal at Cornell, a friend asked, “Why didn’t your sister go to Cornell?” I didn’t imbue her with bad intentions, and frankly don’t remember how I responded. Yet the question left me feeling embarrassed.

Years later, at lunch one day at the Census Bureau, the subject of families arose. A young woman in my lunch group asked about my sister, and this time I remember I was more forthcoming about her condition. My colleague paused, uncomfortably, and changed the subject to the song playing in the cafeteria.

Over the years, I came to see that my own sister was not an “appropriate” topic of conversation with people I did not know well. Indeed, many of my well-educated research-oriented colleagues at Census would only come across someone like my sister and her husband in a row in a public use data file, which they might be analyzing using the latest techniques for a conference presentation or journal article.

As one colleague observed, many (not all, but many) people with advanced social science degrees look at life "through a window." For them, research is not intended to solve the plight of poor or otherwise marginalized people; rather, the data of troubled people mainly serve as fodder to advance their careers.

On the one hand, I can't begrudge others their lived experiences. On the other hand, I can't help but wonder if many of our larger social problems -- those which, in theory, our various academic institutions teach students how to address, and which governments and other helping institutions hire these students to solve -- remain unfixed, among other reasons, because the people we've hired to solve them don't have actual experience in the lives of the people they are supposed to help. And, even when these professionals do create policies and programs, in the design they may be overestimating the resources and capabilities of the people of interest, projecting their own resources, capabilities, and aspirations onto the target population. As I learned from my sister, not everyone wants or is able to work.

Living and working in the nation’s capital, I don’t have to look far to see this obtuseness. Earlier this fall, the Justice Department organized a conference celebrating "Fifty Years of the National Crime Victimization Survey" just as Washington, DC was experiencing the highest level of homicides in two decades and more than twice as many carjackings as last year, often committed by teens. This summer my neighbors and I were afraid to leave our homes. Later this fall, Census organized a two-day conference on “Advancing Research on Race, Ethnicity, and Inequality”, as if we haven’t been studying these subjects for decades, with, at best, a mixed record on improvement. Just more admiring problems, looking at the world through that safe analytic window.

I came to realize I’m so sensitive to this because I went into public service to solve problems, not merely to study them, especially coming from a family with such pressing needs. My concern with those in need is not removed or merely academic. And as I am squarely middle aged, it's disenheartening to see yet another generation mired in social problems which only seem to promote another generation of research. I get equally weary of conflicts, like those in the Middle East, which never seem to get resolved. People hating and killing each other because of what someone wrote on stone tablets centuries ago.

I found myself wading in this sort of futility for much of the year, yet having given myself the time to stew has helped me recently be more open to light. A blog by Bill Gates remind of our progress and innovations to reduce carbon emissions, among other achievements.

On a smaller, yet no less important scale, a former colleague has helped open a sanctuary for abused and neglected animals. It won’t bring back the megafauna which I wish we humans hadn’t killed off – I imagine a giddy world with woolly mammoths and glyptodons roaming the streets of Manhattan or the Champs-Élysées -- or reverse more recent species extinction. Yet it's something, and it's refreshing to see an effort not mired in analysis paralysis.

And I think of the dedication of the nurses and staff who helped my sister in her final months. The last time I saw her alive, a few days before she died, her hospital bedstand was covered in napkins and cups filled with water to the brim. She was bedridden, barely sentient, with IV tubes in both arms. Yet at least the staff had given her what she wanted, however bizarre it might seem to others, to relieve her anxiety.

When I am feeling at my worst about the state of the world, I try to remember all the people who are working very hard to make the world a better place, even if not always succeeding. Things would probably be worse if it weren’t for them. As George Eliot wrote at the end of Middlemarch, "That things are not so ill with you and me as they might have been, is half owing to the number who lived faithfully a hidden life, and rest in unvisited tombs.”

Here's to a 2024 with less loss.

Love,

Rich