Showing posts with label womens_health. Show all posts
Showing posts with label womens_health. Show all posts

Friday, March 10, 2023

The Day After

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I don't have a good cover photo, so here's a relaxing picture I took of a beach in the Maldives. 


A pretty strong content warning on this. I'll be talking about hate speech by transphobes on the right and left. Suicide comes up. If that's not something you want to be around right now, I will never know and never care if you choose to skip this post. In fact, I'll respect you for your choices regarding your own wellbeing.

I also want to clarify that I know I'm not saying anything new. Trans activists have been talking about these issues for ages; it's just that I still see transphobia popping up around me, so maybe someone will read this and re-think. All I can really do is speak from a cis woman's perspective, so I try to keep to that. If you want to hear trans perspectives, I thoroughly enjoy the podcast Cancel Me, Daddy.


* * *

International Women's Day was this past Wednesday, and I really want to have cared.

I remember a time when Lao Ren Cha was specifically aimed at foreign women -- especially, but not exclusively, Western women in Taiwan. The experiences of that demographic most closely matched my own; it was an easy and frankly needed angle to take. At that time I would have written up something from that angle for something like International Women's Day without hesitation. 

At times I think about going back to that narrower focus. But, over the last decade-plus, as life in Taiwan has become simply life, not some exciting new immigrant or expat journey, what I have to say isn't always categorizable by gender. I'm also no longer sure that my experiences are similar enough to the average foreign female newcomer.

Of course I remain an ardent feminist even as my blogging focus has shifted: there isn't much about my personality that is reducible to my gender, and I believe as any reasonable person does that everyone should be considered as individuals, not an agglomeration of stereotypes about how "men" or "women" should think or act. 

When I came here as a starry-eyed twentysomething who believed that women, who bear so much sexism from society, could all come together in solidarity to end it. I believed then that valuable and meaningful discussions are possible with those I don't always agree with or like.

I still want to believe that's true. To some extent, I do: the idea that everyone is set in every belief is too simplistic. People can and do say things in the moment that, on further reflection, they realize are problematic, don't reflect their core values, or that they don't truly believe. I've certainly done it! Some people aren't open to new ideas, but many are.

And yet, there I sat two days ago -- a feminist blogger simply unable to write a single thing on International Women's Day. I don't generally attach great importance to specific days, but at the very least I believe that day should be one of raising each other up, not woman-on-woman conflict.

That does feel like women's rights discourse has become, however. We've always had to deal with reactionaries shouting down the concept of women having full human rights (like, say, the right to all forms of health care, including abortion), or treating women like human beings rather than some gaggle of mysterious sirens whose primary role is ornamental.

Now, however, it's clearer than ever that some of the misogyny has always come from inside the house. It feels impossible to simply engage with other feminists without having to listen to some trash talk about who is and isn't a woman (according to them), portraying some women as enemies or worse, predators, based on zero evidence -- simply because they were not assigned 'female' at birth. 

In short, I'm sick of transphobes shouting about how feminism is necessarily transphobic. This is a perspective I thoroughly reject. In fact, I find that ideology embarrassing in its hatefulness, and I hope everyone clinging to it is thoroughly abashed just like so many anti-gay folks who sure panicked a few years ago, but now realize they sounded like particularly bigoted turnips. (Not all of them have repented, but there has been a change in the overall discourse.) 

On International Women's Day, I seethed about it. I can really only speak from a cis perspective, but I felt genuine anger at the idea of women celebrating that day, but including only the women they deem "acceptable". I tweeted, but I didn't really write. The day after that, I started to question whether I could still truly justify that lofty ideal of solidarity. 

The day after, I decided that perhaps it was time to be clear about the fact that Taiwan, at least among Western women, has a TERF problem. 

I don't just mean transphobia, but specifically women who think of themselves as feminists, but exclude trans women from any discussion of women. To me, that's not feminist at all. It's not empowering; it's just exclusionary. The problem isn't limited to Taiwan expat communities: if you've listened to any of the rhetoric coming out of the West, it's everywhere. But it exists here too, and I live here, and I do not like it one bit. 

Certainly, transphobia also exists in local society as well. I don't think one post can really address that, nor do I think I'm the best person to do so. Perhaps it's because my primary language of communication is English, but when I go online most of the Taiwan-based anti-trans vitriol I see being spewed is from other Westerners. There are more of them than I would have guessed, and they're difficult to avoid if one wants to participate in feminist spaces.

Transphobic cis women will insist that women's spaces should segregate on the basis of...I'm not sure really. Genitals? Chromosomes? All sorts of things that are not always clear at birth? Something. They seem to truly believe that cis women are in general consensus on this, and "women's spaces" should therefore be for cis women only. 

I reject this. As a cis woman, let me be clear: there is no such consensus.

I as a cis woman refuse to be a part of any "women's space" that excludes trans women. If a group, event, meeting, club, activity, discussion or anything else is meant for only cis women, the creators might think it's for women like me, but it's not. I will not dignify the existence of spaces that claim to be for all women, but exclude some women regardless.

At that point, you don't have a "women's space" or a "feminist space", you have a transphobe space. Cis women like me who believe in inclusion for all women want nothing to do with you, so it's really just the TERFs who remain. 

And why would I want to be a part of any space that claims it must exist as it does to keep women "safe", as though trans women are inherently dangerous? (They are not.) Why would I want to be around people who talk big about that safety, but don't care at all about the safety of an entire demographic of women -- the ones they seek to exclude?

I won't awkwardly smile and try to make the best of it. I won't check my disgust at the door. I won't legitimize it with my presence. I won't pretend that these are just "differences of opinion" when the TERFs sound indistinguishable from the right-wingers and their ideology does real harm. 

It positions trans people as criminals when they're more likely to be the victims of crimes. It results in bullying, harassment and assaults on trans people. That, in turn, drives attempted suicide among trans people. It allows for the dissemination of disinformation targeted as "they're trying to trans your kids!", which can lead to the restriction of age-appropriate affirming care due to incorrect beliefs about such care. It allows essential care for women to deny access to some women.

All of it is in service to exactly one belief: that the problem is the penis and women with vaginas are therefore justified in excluding women with penises. 

Although penises are hilarious (have you seen them? What the hell?) I just don't think a body part is the problem. Patriarchal systems are the problem, and patriarchal systems are inherently anti-trans. They are cruel to trans people, as they are cruel to cis women. Perhaps the details differ, but the cruelty remains the point. So, hey, if you want to support the patriarchy, by all means continue to be a transphobe! 


That's not a difference of opinion. These are human lives. Trans people are more likely to die because of the way society treats them. I think beliefs that perpetuate this treatment are, in a word, sick.

I won't pretend that harm is acceptable in any feminist space I participate in. I will never agree that to be safe for me, a "women's space" must include only cis women. No, I don't feel unsafe in restrooms, because I have no reason to. In fact, being committed to inclusive women's spaces, I'm more interested in keeping them transphobe-free. At least then, we're telling people they're not welcome based on their ideology, not their fundamental personhood. 

I'm a liberal because I care about all people, even those who aren't like me. I'm a feminist because I care about equal opportunity for all women. I'm not interested in so-called liberal or feminist ideas that sound exactly like the right-wing reactionaries with whom I so profoundly disagree. 

Are you really a feminist if you sound just like the guy at CPAC who called for transgender people to be "eradicated from public life entirely"? Because the end goals are the same: restrict gender-affirming care, make it unacceptable to be publicly trans (especially a trans woman), make it very acceptable to demonize and bully trans people.

You can tell because the same "they're trying to steal our kids!" panic is prevalent in both the conservative and "feminist" forms of this ideology. And you can tell because even when the reactionaries say something that even the TERFs know is truly ridiculous ("trans people have no hobbies") or post memes alluding to trans suicide, the "feminists" never call it out. They're too busy screaming at trans people to stop for a moment and say "hey that meme is shitty and cruel". 

Why would I want to be included in "feminist" discourse or spaces where they sound exactly like Michael Fucking Knowles talking to Republicans?

And where does that leave me, a cis woman in Taiwan?

Well, it's hard to know where to find that coveted solidarity. I want no solidarity with bullies. I can't just assume something billed as "for women" will necessarily include and support all women; it's important carefully check every women's group, meetup or event to confirm. I've lost "friends" over it; that's fine, I broker no peace with disinformation-spewing transphobes posting cherry-picked predator memes. It's extremely hard to know when a transphobe-y comment is some thoughtless crap that can be challenged with some hope of success, or indicative of a deeper worldview that legitimizes exclusion and promotes bullying.

I also watch out for transphobes welcomed into otherwise inclusive spaces. I understand the impulse to welcome everyone, and I do think it's possible to change some minds with interaction. However, they are part of an effort to push transphobia into feminist spaces in Taiwan, and I just can't countenance that. I only participate if I think my presence as a cis woman trying to be a trans ally will turn that tide. 

It's important as well to keep an eye on the guys. Every once in awhile I hear a well-meaning dude in the Taiwan foreignersphere say or retweet some anti-trans garbage thinking he's being supportive of "women" because transphobic women he respects have told him so. The only way to counter that is to push back and be clear that not every cis woman agrees; some of us believe that respecting women means respecting all women.

As the moderator of an inclusive Facebook women's group, I have had no issues with trans women causing problems, but I must always keep an eye out for transphobes spewing hate against our very welcome trans members.

And finally, as the author of a long-running blog that once focused on women in Taiwan and now focuses on whatever I please, I feel that there is not enough trans-affirming discourse among Western residents of Taiwan. 

Certainly, the wider media landscape seems to be pushing an anti-trans narrative: you hear a lot about controversy over what transphobes say -- they seem to love interviewing transphobes all het up that kids are being dipped in hormone tanks without counseling, or whatever moral panic tropes they're buying into this week -- but not much at all on what it's like to just be a normal trans person living one's life. The exposure to the idea of trans individuals just being seems so rare. You hear a lot of "ARE THEY SALIVATING OVER MY KIDS???" talk, presented as Just Asking Questions but clearly seeking to terrify, and not nearly enough "oh hey I met her at a party, she was cool". 

I'm small potatoes media. Lao Ren Cha is literally just my blog that I do for free and for fun, on Blogspot of all godforsaken places because I'm too lazy to move to a better platform. So sure, this is like a warm, friendly piss in an ocean of ice-cold hate. 

But I can try, so here it is: as a cis woman, I reject anti-trans bigotry and discrimination. I reject right-wing talking points presented as somehow revolutionary and left-wing. They are not. I reject transphobe-welcoming spaces. This may mean I reject solidarity. This is unfortunate, but acceptable: I may not know how to bridge the divide, but I do know what my feminism stands for, and it stands for inclusion.

One final plug: if you are a woman or nonbinary (basically, not a man) and want to be part of an inclusive women's group that leans explicitly feminist and trans-welcoming, check out Super Awesome Taiwan Women. There is also the Feminist Study Group Meetup (I'm not in this, but I have it on good authority that they are inclusive). 


Sunday, February 19, 2023

Blood Sugar Hex Magic

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Yes, it's a punny title, but I won't change it. 

It felt like magic when I began losing weight without trying. Several months out from COVID recovery, I'd changed exactly one habit: I was drinking an average of two liters of water per day. Before COVID I had a small water bottle for going out; by the time I'd sipped it dry I could usually find a place ot refill it. Now, I could down that thing in three gulps, and was instead bringing a full liter everywhere I went. I'd have to refill that as well. I assumed that my wholesome new drinking habit was the driver of the weight loss. 

I had to have pants taken in and shirts re-tailored. I bought a belt. Even my shoes fit a little looser. From July to November, I lost a dress size. By January, it was a size and a half. As of now, it might be two.

I won't lie: it felt great. I didn't have any other issues or symptoms, so I just kept on assuming it was all that water. It's no secret that I'm -- what are we calling it these days? Curvy? -- and it was thrilling to be dropping pounds. Who wouldn't want that, especially with very little effort? 

Most cultures these days seem to be weight-conscious. People will say it's about health but it's really not. It's straight-up "NO FATTIES" judgmentalism. If you're fat and healthy that's still insufficient. If you're thin and sick, you should handle that, but it's ultimately better than being fat. There are people who will argue with the idea that this is totally fucked up, and that's fucked up too. 

Taiwan is no different. Taiwanese society's obsession with weight isn't even unique: you'll find pills and horrible diets and people -- mostly women -- taking on unhealthy habits and getting surgery in every other Asian country and many, if not most, places beyond. Although the country of my birth is somewhat fatter on average, all of these things exist there too. If you needed any evidence that none of it works, there it is: the United States has the juice cleanses, the disgusting powders, the gross teas and the weird contraptions too, and Americans aren't getting any thinner. 

The main difference I've found is that Taiwanese standards for being thin are far stricter: you have to be a stick to even fit into the clothing sizes available. Large-size stores exist, but they don't work for me as I'm too tall for the hemlines and the cuts don't take curves into account.

People (usually women) who are average or even slender have told me that they're regularly called fat. One told me a guy walked away because he believed he should be able to wrap his hands around her waist and have his fingers touch, which is some eating-disorder level bullshit.  I've heard far too many people commenting on weight as though it's a moral failing in an infuriatingly matter-of-fact way, and include people who are simply not fat in that definition (not that it would be any more acceptable if they didn't). 

If you're a foreign woman, it's unlikely that you'll meet these size standards. Even thin Western women I know have said they feel like giants here. Trust me, it's even harder when you're a Big Foreign Sasquatch. In addition to local messaging, there's a big community of misogynist Western dudes who have the "no fatties!" mindset. Fortunately, they mostly ignore expat women they deem overweight. They don't seem to realize they're handing us a gift.

It's to the point that seeing a doctor can be an exercise in stress, when medical professionals ought to focus on treatment. It felt like being cursed, or hexed: presenting for care, being told to lose weight and possibly receiving substandard care from a doctor who assumed weight loss was the only possible treatment, feeling like trash about it, and avoiding seeking further care. People say being overweight can lead to lower life expectancy, but I wonder if seeking medical treatment less often, and receiving insufficient treatment when one does, might lead to medical conditions spinning out of control that didn't need to be life-threatening in the first place.

Although I don't really want to speak Mandarin when there's a contraption that looks like a wine key stuck up my vagina, I quit one English-speaking OB-GYN and sought out another, because her only suggestion for treating my cystic ovaries was to lose weight. Of course, the cystic ovaries probably contribute to the weight in the first place. 

When I got COVID, I asked for Paxlovid as I was feeling weird in the general heart area, which is generally not considered to be a good thing. I have a family history of heart problems (though as far as I know, I'm fine), but that wasn't enough. The telemedicine doctor said it didn't qualify. So I said "oh, but I'm fat!" and got the drugs: having a likely predisposition to vascular issues was insufficient, but weight was. The doctor also said that heart problems were associated with obesity, and I didn't have it in me to reply my family members with heart issues were not fat, with no exceptions. 

I don't want to single out Taiwan, though. Fat people are treated like crap by society and medical professionals around the world. A doctor in the US whom I saw because I tested positive for tuberculosis exposure (I never developed the disease) exhorted me to lose weight, in college, when I wasn't fat. The main difference is that in the US people will talk about "fatties" (or "fat chicks", because this is mostly aimed at women) in derogatory ways to no-one in particular. In Taiwan they'll be more straightforward about it, but are more likely to say it to your face. 

In Taiwan, my tailor and one doctor congratulated me on my weight loss. Foreign friends said I should get checked out as my water consumption was atypical, others didn't see a concern: drinking that much of a calorie-free substance is a common weight-loss tactic!

Here's the truly unhealthy part: I didn't want this to be a problem. Of course no one does, but specifically I was quite happy to continue slimming down. A tiny voice in the back of my head kept prodding me -- you know they're right. Water or not, my rate of weight loss wasn't normal or healthy. And yet, as much work as I've done to simply love myself and focus on being a person rather than a number on a scale, I wanted to keep losing it. Going to the gym hadn't worked. Eating better never worked either. Why not take this gift being handed to me?

It gets worse: walking around in my slimmer body, I didn't just feel better about myself, I felt healthy. After all, losing weight is healthy, right? Slimmer people are healthier, no?

This was in fact extremely dangerous. I was not healthy. But when society tells you that dropping a size or two is good for you, it's extremely hard to break away and say no, something's wrong.

I visited the US recently, and it took an old college friend to really hammer it home: I needed to see a doctor. Excessive water consumption and unexplained weight loss were the most common symptoms of high blood sugar and diabetes. Even then, thinking back on years in Taiwan being matter-of-factly told I was fat, with insane diets and life-consuming exercise regimes suggested as a "cure", I secretly hoped that I would be able to "keep" the weight loss.

And yes, I did find the anti-fat messaging in Taiwan more damaging. That could just be me: it's easy to ignore Internet chuds in the US screeching about "fat chicks", usually with some assumption that said fat chicks would be single forever. Who cares? I'm not single!

It's harder to not let oneself be affected by a straight-up proclamation that you are fat and that is bad. The advertising affected me more too. It's harmful enough that the US has re-vamped all its weight-loss marketing as "wellness" or "health" (I'm sorry but nasty drinks and no food are not healthy, period). In Taiwan, well, you are fat and that is bad.

For someone who's worked hard to break free of mindsets like these, it really shows how deeply this societal messaging runs, and how damaging it can be. I came very close to not seeking care because I thought of weight loss as an unequivocal good! 

I should have known better. You know who else lost a lot of weight because she was sick? My mother, just before the cancer came back. She's no longer with us.

I did make an appointment with an endocrinologist after returning to Taiwan. You know what it took to do that? A friend treating my new body as a warning sign rather than something to be congratulated. I should not have needed that hard a push. I also massively cut down my sugar intake and reduced my carbohydrate intake, although it's hard to sustain that with no clear diagnosis. It was especially hard as my first week doing this was in Mexico, where the chocolate and the churros are delicious. 

You know what? Even then, I fretted about it the day before and morning of, simply because I wasn't in a good mental place to be told yet again that I am fat and that is bad, with the implied message that I'm a moral failure, or lazy, or a bad person because I am fat, which is what I suspect a lot of people truly believe. 

Nobody should have to feel that way when doing something as normal as going to the doctor. Everybody, in every country, should feel empowered to present for care without judgment. 

This story has no ending, as I'm still waiting for my blood sugar results. I can't imagine I'll be told I'm fine. 

There is one happy conclusion, however: unlike so many doctors before her, the endocrinologist didn't say a word about my weight. I told her I'd had COVID about six months ago, and the symptoms began immediately after. I'd had my blood sugar checked before I got sick, and there was no issue. She pointed out that there is some evidence that COVID can actually cause diabetes in rare cases, so I was right to be spooked. She asked me if I had a family history of diabetes, which I do.

She did not exhort me to exercise or eat less. That's a good thing. There is no overweight person in the world who is unaware of it, who hasn't already been told this, who doesn't know. It's never new information. It's not helpful. 

She did her job: ordered the necessary blood tests and told me how to fast and eat before each one. We'll discuss the results next week. 

I only wish every other doctor in my life had approached it that way.

If I had to offer any general advice, it would be the same for Taiwan as for the US: stop. Just stop. Leave people alone. You don't know their lives, you don't know their health, and the "I'm just concerned about your health" concern trolling is actively harmful -- but you knew that. Treat health issues as health issues in and of themselves, and don't tie moral rectitude or assumptions about health to weight. Every single thing you want to say, everyone already knows, and it does not help. Listen to Maintenance Phase and just...stop. 

Wednesday, July 6, 2022

Do people actually leave the United States because they're angry about politics?

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One cold morning in 2004, I walked into work to find my colleagues congratulating each other. We're talking clinking coffee mugs, back pats, louder greetings ("HEY!"). I was crestfallen, but alone. In a financial services office, most employees voted Republican. Of course, the back-patters were the managers, the people with offices; as a twenty-something administrative assistant in a cubicle who took the bus to work and struggled to make rent, I most certainly had not. 

It wasn't just that the much-touted tax cuts hadn't helped me at all, or that the excellent Afghan restaurant in Georgetown closed despite hanging a huge American flag over the door; the new rah-rah-America-stop-the-Muslims ensured few customers. Of course it wasn't just about that one Afghan restaurant; it was a whole culture of bullying and distrustfulness that I could not stomach.

Having lived abroad before and already starting to feel that America being the richest country in the world did not necessarily equate to it being the best. There were other places I might live. Perhaps not China, where I'd recently lived. India didn't seem to have any job openings for me. Taiwan, however, looked intriguing.

I was frustrated with my coworkers but held my tongue. It seemed unprofessional, and besides, the one time I had implied I didn't agree with them my supervisor asked me not to talk about politics at work. 

"But they talk about politics," I pointed out.
"Yes but..."
"But..?"
"I mean, but the office is...most people are...there's no disagreement."
"So, it's okay to talk about politics here if you are a conservative because enough people in power agree with you, but if you are a liberal you shouldn't? That's blatantly unfair. Either it's okay for everyone, or no one. So maybe go talk to them."
"But they're senior managers."
"So?"

She just sighed. It didn't matter. I was on my way out anyway.

Then the election came around and I lost my head all the back-patting. I snarked that I was gonna leave the US and go live somewhere else as soon as I could, because I was done with a country that would re-elect George W. Bush.

A manager laughed at me, and said I probably wouldn't. I wonder if he thought I simply couldn't afford it, or that I was young and naïve but soon I'd see that the US was the greatest country in the world, or something. A few months later, the same guy said "I thought you were planning to leave?"

"Yeah, it takes some time to plan these things." 

He walked away. I guess he didn't know what to say.

So I got a second job, started saving my cash, found a job at some cram school in Taipei, quit my job and left. 

* * * 

This story is true, but contains a massive lie of omission. 

I did indeed snark at a manager. I did leave after the 2004 election, though it took me until 2006 to make it happen. I was broke, after all. Bush-era American culture -- the culture that had helped close my favorite restaurant and "cancelled the Dixie Chicks" -- was one reason for that. But the truth is, I was kind of trolling my coworkers. I was annoyed with them, and if they thought I left only because I didn't like W (and they did), then that suited me just fine.

The whole truth is that I was coming to realize that I'd preferred being abroad, though I wasn't sure why (there was certainly a huge amount of unexamined white privilege in there. I apologize. It was 2004 and I wasn't even 25.) I was figuratively sick of exhaustingly inefficient public transit. I was literally sick from not seeing doctors when I should have about chronic back pain, because even with a good company insurance plan I still couldn't afford the co-pays. Even then, I was sick of people trying to expand rights for guns but reduce them for women, expand savings for the rich but reduce social welfare for those who needed it, and sick of how much the United States tolerated that -- encouraged it, even. I was sick of people pretending centrist (or generously, center-left) Democrats were "on the left" when that's never been true. 

There were also positives, too: I wanted to explore and understand a new culture, try living abroad for longer, practice Mandarin in a country where it's a lingua franca. 

So, do people actually leave the United States because they are angry about politics? 

Sometimes, yes. Or at least, that's one of the reasons more often than I think Americans in general want to accept. 

I had a list of reasons, but politics was definitely on it. I've met people for whom it played an even bigger role. Couldn't afford health care, one expat told me in those early years. It was actually cheaper to pack up my life and move to Taiwan than to pay what they wanted to charge me. Another cited fear of mass shootings, but also fear that the people Americans elect don't do a thing about it. She was sick of the thoughts and prayers. These issues aren't directly about Republicans or Democrats -- except when they are -- but they are indirectly political.

Often, people move for similar reasons to mine: politics is part of it, but a combination of not having any strong feeling about (or actively disliking) the USA, coupled with a desire to learn more about another culture or study a foreign language bring a bit of weight to the desire. Frankly, if someone isn't interested in learning a new language or living in a different culture, they probably won't move -- "politics" or not. 

For others, politics might give a nudge to all the other reasons they were interested in living abroad in the first place. 

Of course, let's not forget that these stories come from people with some mobility: they're native English speakers, they have whatever degree or job prospects they need to move abroad. They have the ability to save enough money to leave, and enough freedom from whatever other constraints might keep people in place to do it. Fundamentally, we're talking about a privileged group. Myself included, despite being broke as a joke when I actually left. 

Regardless, my experience picking up 16 years ago -- in part because of politics -- has me scratching my head at some current social media discourse. 

"What's stopping Americans from picking up and moving to Europe?" one massive Twitter thread asked recently, in the wake of Roe v. Wade.




The answers people gave for not leaving straight-up scrambled my brain. Seriously guys, some of them were bonkers.

Apparently, in the wake of many American women losing not just abortion rights but basic bodily autonomy, some big reasons for staying included "bigger cars", "big lawns", "better coffee" and "monolingualism" (America isn't actually monolingual, but alrighty). All of these, to me, are downsides of America -- yes, even the big lawns, because they create communities that necessitate driving and exclude anyone who won't drive, or can't for whatever reason -- and it only got more bizarre from there. Someone complained about beans on toast being bad. 

First of all, my grad school experience is screaming that beans on toast are not bad, if you add some nasty cheese slices and a squirt of hot sauce. But secondly, I will gladly eat beans on toast in a country where I can get a fucking abortion, Chadston. 

When you live in a place with a variety of food available, you can cook whatever you want in your own kitchen. It's not like you move to the UK and suddenly the Beans On Toast Police come to your house and ask why you are not making the legally required beans on toast. 

The same goes for coffee. Maybe you don't like tiny European coffees. Fine. Buy an American drip coffeemaker, a French press, a goddamn Turkish ibrik. Nobody cares. It's your house. You're not on tour. You aren't restricted to six overpriced cafes near the Eiffel Tower. When you actually live in a place you can make your own coffee any goddamn way you want, but crucially, you do not have to do your own abortion. Which is kind of the point. 

My final shock regarding these threads was how so few people brought up the obvious reason why many don't leave: work and visas. We were lucky that we wanted to live in a country that made it fairly easy to come here, and as teachers, we wanted to do the jobs that were available to us. Mostly, it's quite difficult getting a work or residency visa. It might be easier if you're privileged, but it's not just something you can do. You can't just move to Paris, get any old job and legally work at that job with no issues. Do people assume that you can? Is "I don't like the coffee" too big a barrier but "I literally cannot get a work visa approved" not?

Just as bad, however, were all the people saying it was silly to think about moving, or just dismissing it all with "eh, you won't move and you know it! Don't be childish!"

As someone who did move, I can say that this is also wrong. America isn't some unique paradise in comparison to a world where everyone walks around caked in mud with their thumb up their ass, or heaven forbid, drinks coffee you don't like.

Sixteen years in Taiwan and I do not feel like I've lost anything significant by moving here except for time with my family. People cite "freedom" as a reason to stay, but that's not a uniquely American thing. Taiwan is a free society, too. Or they cite "quality of life", but in this advanced Asian democracy, quality of life seems pretty similar to me, if not somewhat better thanks to the great healthcare. And that's not just me: though Taiwanese do leave (some percentage of any population is going to), my friends generally say they stay because they want to. 

Sure, I don't have a lawn in Taipei (though if I moved to the countryside, I might). But I can afford to see the doctor and even get an abortion if I need one. Taiwan has freedom of speech, freedom of assembly and a free press -- though that doesn't always equate to a high-quality press. Taiwan also has democratic government, good public transportation and offers a reasonably normal life in a reasonably safe country. I can walk down the street as a woman alone at any time of night and not worry about my safety. I've learned a language and built a career and community of good friends. It's not a lonely life. Finding food I like is not difficult; it helps that I enjoy local cuisine, but there are options if I'm feeling international, though that wasn't always the case. 

With the exception of good bagels and voting rights (for me specifically, as I'm not a citizen), I can't think of a single positive thing the US offers that Taiwan does not. There are negatives to life in Taiwan, but I doubt they'd be much different elsewhere.

In other words, the bad things about the USA seem uniquely bad by developed-economy standards. But the good things about it -- and there is some good! -- aren't particularly unique to it. 

There are indeed plenty of reasons to stay. Aside from the obvious barriers to leaving (not enough money, can't get a visa), people may have family obligations, jobs they actually want to keep, or their own personal reasons. Some may not think voting, donating and contacting one's representatives is sufficient activism, and want to stay and fight. I respect that a lot, though honestly I think it's unfair to insist that any woman worried about being affected by an abortion ban who can leave should actually stay and have her rights stripped away as she fights back. It's admirable to stay and fight, but it's wrong to demand of anyone.

I'm sure someone will read this and think, if someone can pick up and move to another country, surely they can afford to get an abortion in another state?

That is true. But with right-wingers talking about finding ways to ban that -- I'm not sure how it would be possible, but that doesn't seem to stop them -- it's honestly unclear if a year from now a woman will be prohibited from crossing state lines if it's suspected she's trying to get reproductive healthcare. If you're worried about being treated like a trussed-up incubator, you may want to get out now.

And yes, I do believe anyone who gets stroppy enough to imply women shouldn't leave even as they're being accorded fewer human rights than corpses in some states probably just hates women. The guys going off about how "oh but the coffee is bad" perhaps don't realize that this question isn't about coffee but basic humanity; they don't have a uterus so it's easy to forget. Those that think anyone who can get pregnant should sit tight and wait to be told to what degree they are considered mere egg sacks -- that leaving is "silly" -- are simply misogynists.

For me, the overturning of Roe v. Wade has tainted my impression of the United States, possibly irrevocably. Now, leaving in part because I didn't like George W. Bush feels almost quaint. How young, how naïve. I could still think of things to like or even love about the US, even as I chose to build a home in Taiwan. 

Now, thinking about the US is like mistaking salt for sugar when making cookie dough. It doesn't matter if the chocolate chips are still fine; the whole thing is ruined. Maybe some of the other ingredients are right, but the wrongness is pervasive and the result is inedible.

If you are thinking of leaving and able to do so, don't let the naysayers get you down. Don't let them convince you that nobody actually leaves for these reasons. People kind of do, and not just to Europe. Some of us have been gone for the better part of two decades, and aren't moving back. 

I don't have a statistical breakdown or a study to show you. I'm not sure anyone has actually researched expat populations to see how many left for political reasons. All I can say is I've met such people. To some degree, perhaps I am one (though again, I'm overstating the degree to which it was politics compared to all the other reasons.)

If you join us abroad, I promise you can make your coffee any way you want. 

And if you're a woman afraid for the security of her basic bodily autonomy and are thinking about moving to Taiwan, feel free to ask me for any advice. 

I'm also curious about foreigners in Taiwan reading this. Did you leave because of "politics"? Why did you leave the countries of your birth?

Monday, December 6, 2021

From all sides, the treatment of Kao Chia-yu has been deplorable

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I don't have an appropriate cover photo so here's a picture.


"I was married before," she told me once. 

What followed was one of the most horrible stories to cross anyone's lips. I try not to tell too much of anyone else's story here, but this past week an old account hit the memory stratosphere, burning on re-entry.

Her boyfriend had been abusive while they were still dating, and threatened to kill her if she wouldn't agree to marry him. She didn't want to, and went to her father for advice. 

"Then you should marry him," he said, "because that must mean he really loves you."

She did. 

Of course it escalated. One day she simply had to leave. They divorced, and the whole town gave her the cold shoulder. She couldn't get a job or rent an apartment because she was a divorcée. Her family barely helped -- they didn't like the stigma, either. Even people who didn't know her would find out soon enough, she said, and it was usually the same:

"A man doesn't beat a good woman. What did you do to make him so violent?"

She didn't have the connections to legally change her household registration and set up a new life in a new town, and didn't want to try her luck as a domestic migrant worker without many legal rights.

Looking for any way out of her situation, she married my coworker, a foreigner who didn't care about her past. Or much of anything at all, it turns out: he'd crow proudly that she'd never leave him no matter how often he cheated on her (which was often -- he was well-known at the teahouses and barbershops). He'd announce his intentions to do just that and wander off while we (the only other foreigners in town, and we barely filled a four-top) stayed put at the riverside bar like respectable drunks. 

I told his wife what was up. She sighed and said she knew.

This happened in China -- a different country -- twenty years ago. I shouldn't have expected similar details to pop up in a story from the past week: Taiwan is a more progressive country than the one where this took place, and it is 2021. We know better. 

Why did I remember this story from so long ago?

Last week, legislator and former city councilor Kao Chia-yu 高嘉瑜 told the public her (presumably ex) boyfriend, public figure Raphael Lin 林秉樞, had subjected her to unconscionable abuse.

I won't recap Kao's account in this post. You can read about it here and here. There are a few things the English-language media mostly missed, however -- only the Taipei Times seems to have picked up some of it. First, that Lin made a concerted effort to silence Kao, saying "you know, I know and God knows, so...it doesn't exist" and threatening to derail her political career, using his network of business and political giants willing to "vouch for him". 

When it became clear she would not be silenced, he called up one of the political talk show hosts who frequently had him on the air, saying that people will forgive a person who apologizes and shows contrition, but won't forgive a "scumbag". Kao is not the first woman Lin has threatened.

That's not the only reason I remember this story, however. Another public figure in Taiwan had the audacity to say this:




The person saying it? KMT Central Committee member Huang Jinwei 黃覲偉. His more complete remarks can be found here (in Mandarin). Here's a screenshot from FTV:





My translation: "a woman who makes a man so angry he physically beats her really is such an ignorant person [this is also slang for a deliberate troll, troublemaker or drama-stirrer, especially online]. Especially her cheeks [slang for an irritating person]. But a woman named Tsai [that's President Tsai] who has never been hit by a man, isn't qualified to support her. A woman that no man wants is disgusting enough."

Of course, Huang was roundly criticized for his remarks. No emotionally healthy person could think they were anything other than deeply unacceptable as well as a sign that Huang is, bluntly, a misogynist.

How did he respond? By saying that she "deserved to be beaten".

This all happened about a week ago. Lin has been taken into custody. The KMT has come out to denounce Huang's remarks and insist that disciplinary action will take place. Huang himself has "apologized", saying his remarks were inappropriate and fully his responsibility and not in keeping with "the current state of gender relations" in Taiwan. He neither mentioned his misogynist treatment of Kao or Tsai specifically nor clarify what was unacceptable in his remarks. Nor did he express any sort of deeper understanding of why he was wrong. Essentially, it was an apology only in the most literal sense of the term (in which he issued a statement that contained vague language of regret and took personal responsibility, likely because he'd been ordered to do so). 

I couldn't help but think back to that time in the early 2000s when I met another woman who was told by an entire town that women get beaten only if they "deserve it". It was inappropriate then as now, and in the decades before. People knew that. 

This isn't a recent social revolution or some great change. It's not a culture difference either. In the mid-20th century, domestic abuse wasn't considered a crime so much as a "family matter" or even "therapeutic" (not joking) in the US, and presumably in Taiwan and China as well. The women it happened to generally knew it was wrong. 

Most people know it is wrong, and they have for awhile. There's nothing "current' about these fundamental social evolutions, in all countries. (I also note that Huang mentioned that "the two genders" should get along, but I don't exactly expect this sort of person to have a more enlightened view of gender identity). 

If the person I knew who suffered similar backlash from a less progressive society twenty years ago knew it was wrong then, then Huang should have known before he opened his big jerk mouth that it's wrong in Taiwan now. And it always was.

There is no apology that can erase that. There's nothing that makes it okay. It shows a fundamental problem with how he sees the world and specifically his attitudes towards women.

The only possible outcome is that Huang be dismissed. There's no forgiveness here: his remarks reveal a belief system totally out of sync with Taiwanese society and certainly not in tune with what his party needs to even begin to rehabilitate their image. I've been keeping my eye on the local news, and so far I've seen no evidence that any disciplinary actions have taken place. Promises, yes. Sent to the disciplinary committee? Sure. Action? Nothing yet. That man should not be on the central committee of any political party. I know one must be patient, but that man should already be gone.

What's worse, it seems the KMT's promise that such remarks do not reflect the party's own stance and are wholly Huang's responsibility don't mean much to other members of the KMT. 

As reported by FTV, KMT Youth League director and member of the Central Standing Committee of the KMT Tian Fang-lun 田方倫 asked "whether the case could be considered domestic violence if the couple is not married" and implied that a cohabiting intimate relationship was somehow different in terms of what and was not abuse.

Tian Fang-lun brands himself on Facebook as a "different kind of youth", which I guess is true in a sense.

City Councilor and all-around superwoman Miao Po-ya 苗博雅 shot back with something to the effect of "if you don't know what you're talking about maybe just shut up" (she said it a bit more diplomatically), and that these sort of "sloppy" comments actually target the victim even more, which perpetrates verbal abuse. 

I am extremely happy that Miao is one of the councilors from my district.

What I want to know, however, is why both Huang and Tian still appear to have jobs. It's unlikely that Huang will face any serious repercussions, as the KMT central committee is sending the case to the party's examination committee.

It's heartening that their comments have been met with near-universal condemnation. Taiwan is not a country where the social consensus is that domestic abuse is acceptable or a mere 'family matter' (although it does happen, at a rate higher than you'd likely expect from a country that seems so otherwise safe). 

But the fact that they could make those comments and -- despite promised disciplinary action -- drop out of the news cycle while perhaps getting a finger-wag from some buddy in their own party, shows there's a lot more progress to be made. 

I'm also somewhat pleased -- and a little surprised -- to see that most of the local media I've read on Kao's ordeal has reported it fairly straight, by local media standards. Including commentary that points out the way people like Huang and Tian engaged in victim-blaming and further harm to Kao is frankly kinder than I've seen the media be to her in some time, although I certainly won't be calling for any journalism awards.

The Internet commentariat, on the other hand, has been an entirely different beast. Yes, the worst offenders such as Huang were slapped down, but there's an entire board on PTT dedicated to treating Kao like garbage. I don't know whether that falls under 'free speech' or not, but despite most Taiwanese believing domestic violence is a problem in their country, that such ideas still fester in its underbelly (much as they do in the US) is its own problem.

In the past, they spent a lot of time dallying on really unimportant aspects of her political career, which Donovan Smith of Taiwan Report covers in more detail here (it starts after the pig innard extravaganza, about 2/3 of the way through) and here. She's also been one of the people targeted with deepfake porn. I'd like to say more about media and personal representation of Taiwanese women in politics here, but I think that's fodder for another post.

This past week has been perhaps a little better in terms of responsible media coverage, but that's quite a low bar to hop over. Nobody is vaulting.

Kao deserves better, the voters deserve better, the media can do better, and Taiwan knows better. 

Saturday, May 15, 2021

Self-funded vaccine program suspended: here's everything I know



Update 5/19/2021: Every person who has reported back to me has said they are being turned away for vaccine appointments. This is true for every hospital I've heard reports about. This is to be expected, and in my opinion nothing to be upset about. The vaccines are being redistributed to where they are needed, and we should support this. As of now, if you have a vaccine appointment before June 8th, you may as well assume it is cancelled. If you are not sure or want a clear confirmation, call the hospital where you made the appointment.


Update 5/17/2021: According to the Liberty Times, even people with vaccine appointments before June 8th are "strongly encouraged" to reschedule them for after that date. Hospitals are also beginning to suspend all non-essential medical clinics.


At least two people have reported to me that people they know either showed up for a previously-booked vaccine appointment today and were turned away, or had their appointments cancelled by the hospital. For those with appointments after June 8th, we'll just have to wait and see. 

Do you have a vaccine appointment between now and June 8th? Leave comments here or on my Facebook page to tell me your experience, especially if you tried to actually get the shot. Were you turned away? Was it cancelled by the hospital?



It's not often that I go into "basically translate an article in Mandarin-language news into English" mode, but I think this is important. Some of it, however, is my own commentary.

As the number of new cases increased exponentially today, the CECC has suspended self-funded AstraZeneca vaccine appointments (previously you could get one "with a reason", but pretty much anyone could claim one, with no need to prove it).

Health Minister Chen Shih-chung announced a few hours ago that the self-funded appointment systems would be suspended, however, anyone who already has an appointment can keep it and will get their shot. I do recommend you check with the hospital where you booked, however. This is true for dose 1 or dose 2. 

With new vaccine shipments arriving soon, Chen said that while the self-funded program would be suspended for at least a week -- in other words, those seeking appointments can't make them this week, but may be able to try again next week -- they do believe they will have enough vaccine supply to ensure everyone with an appointment can get a shot, and "not to worry". 

If you are in one of the categories who is eligible for the publicly-funded vaccine program, you can still make appointments. If you are eligible, I suggest you attempt to do so.

This surely means that all those healthcare and emergency workers who'd thought there was no rush to get vaccinated are going to be lining up now, and the elderly and those with medical conditions may still qualify (as I don't qualify, I never looked very deeply into the tiered eligibility system). This is good policy, and it should be supported without complaint. 

To this end, although Chen himself should be getting his second dose next week, he's not intending to, saying he'll wait for the next shipment. This is surely a PR move intended to calm those who are worried about the escalating situation. 

The big question is the dose 1/dose 2 appointment system. The issue is that it's different for every hospital. 

In Taipei, at NTUH I was handed automatic appointment for 8 weeks later to return for dose 2, and other friends had a similar experience. If you have such an appointment, by all accounts you should be able to keep it.

However, not every hospital follows this protocol: friends in Taitung or who had appointments at Mackay Memorial Hospital (in Taipei) were told by the hospital there to make an appointment for the 2nd dose on their own. It wasn't done automatically. Operators on the 1922 hotline also reported that they simply did not know. 

There is no news on whether such people will be able to book their 2nd appointments, and I suppose the government itself doesn't know yet. If the government intends for the suspension to last one week, it should be quite possible but, as one friend put it, the situation is...well, "dynamic". 

There is a silver lining to this stormy cloud: people will take vaccination seriously, and accept the shot they can get, not the shot they want. When the locally-made vaccine becomes available in large quantities, it should be quite easy to convince residents of Taiwan to come get their shot in a fashion about as orderly as a night market line -- that is, there will be a shape and order to it, despite very high demand and quite some wait time. 

What I want to know is this: what are your vaccine and vaccine appointment experiences like? Are you getting an appointment for a 2nd dose automatically, or not? If not, has anyone offered up answers on whether or not you'll be able to get an appointment? Are you eligible for the publicly-funded vaccine, and if so, how was it to navigate that? How are the wait times?

I'm not fishing for comments -- well okay, I am, but for a good cause! -- I just think more anecdata will help paint a clearer picture of what's going to happen in the next few weeks regarding vaccines and how we get them. 

By the way, there's been some question about the Level 3 restrictions in Taipei and New Taipei, and what they mean. Here's a slightly edited version of what I said about that on Facebook:

Taipei and Xinbei have announced Level 3 restrictions as there have been 180 new confirmed domestic cases in a day. (that's in the whole country, not one city). 

That's a huge escalation from the teens, to 29 (yesterday) to more than 6 times that number today. Most of these seem to be in the tea house/Novotel/China Airlines clusters but still that's a huge uptick. The coronavirus going around now is the UK variant, not the original strain. 

This Level 3 is unique as it does not apply to work or school, which are still in session (though I bet most workplaces are online now). Cram schools can also remain open. While travel is allowed, Taipei and Xinbei residents are urged not to travel unless absolutely necessary. You must wear a mask at all times when you leave your home, and you should wash/sanitize your hands as much as possible.

Level 3 is not a lockdown, but it's close. Public venues and adult entertainment will all close (sports centers, libraries, bars, KTVs) and essential businesses can remain open but need to register visitors. I was outside earlier, and even non-essential businesses were still open. Grocery and convenience stores are all open, but night markets and traditional markets seem to be closing for the time being.

Indoor gatherings are limited to 5, outdoor to 10. Masks must be worn at all times outside the home. Restaurants may remain open but open businesses must register customers. 

So you can still go to the grocery store and leave your house, 711 will still be there etc. Even cram schools may remain open. But if you are in Taipei or Xinbei, you should stay home as much as possible and try not to travel.  

There may be restrictions on movements of people in certain areas such as the Wanhua 萬華 Trapezoid of Doom where outbreaks have been clustered, but I'm not sure yet. 

The new regulations are in effect until May 28th.


I'd like to add that there is truly no reason to panic. The Ministry of Health and Welfare has clarified that there are sufficient medical supplies, including masks. Because businesses can remain open, you don't need to rush out and pick the supermarkets clean. Although there is a possibility that there will be a stronger lockdown in the future, it's highly unlikely to be tomorrow, or even the next day. Even in the strictest lockdown, I am fairly sure essential services such as grocery stores will still be open, though they'll surely have strict entry policies. 

Stay home as much as you can, don't freak out, and you can still go out for now, just mask up. I trust the government to get us through this unprecedented escalation (although I'm quite mad that they didn't quarantine pilots carefully enough for business concerns). I still think this is a safer country to be in than pretty much any other right now.  

Although it does feel like we're just now experienced what has terrorized rest of the world for a year, let's remember that the actual situation is not as terrifying as it is or was in many other countries. 180 cases seems high for Taiwan, and does demonstrate how this particular crisis can blossom at an exponential rate, but it's actually a fairly small per capita number. If we actually take the Level 3 warnings seriously and stay home, we can get through this. Plus we have a year of knowledge and incoming vaccine shipments on our side. 

In other words, this is bad. It sucks. But don't freak out. 

Although I do want to explore the various ways coronavirus in Taiwan has impacted women in particular, I do promise that my next post won't be about this. How about some lovely pictures of my trip to Green Island, or a book review of A New Illustrated History of Taiwan? Something like that.

Thursday, May 13, 2021

What it's like getting vaccinated the day after the community transmission scare



Two weeks ago, we made the decision to sign up for self-paid AstraZeneca vaccines in Taiwan. We'd held off in the beginning, figuring that would give everyone with a more urgent need than us time to sign up. Although we have good reasons -- most of our close relatives in the US are over 70, so flexibility to return for family reasons matters -- we felt that there would surely be others with more urgent travel needs than ours. 

The government had also made it clear that you needed a "reason" to get the vaccine, stated orally or on a form, before getting the self-paid option.

Soon, however, we started hearing reports of the opposite problem: lots of AZ doses and not enough people signing up for them: there was a fear that many doses would expire before they could be used.

Anecdotally, it seemed people didn't want the AZ vaccine when seemingly more "effective" (or at least more popular) options such as Moderna and Pfizer are going to be available soon. With low coronavirus risk in Taiwan, it felt to many that they had the luxury of waiting. 

We decided at that point to go for AZ. That we were not stepping on anyone's toes, a real travel need, and the looming prospect of long waits for more "popular" vaccines all informed our choice. Plus, this informative video linked by Kerim Friedman dispels myths that it's worth waiting for a "better" vaccine: all are good at preventing serious coronavirus symptoms, the kind that kill you. The best shot is the one you can get, and my main aim here is to not die.

By the way, you can try to sign up at any of the hospitals linked here. It doesn't need to be in your city. I recommend choosing your hospital carefully -- perhaps be willing to go out of your way, though how far you want to travel when community transmission is a reality is up to you -- and trying at exactly midnight, when the system refreshes. 

I've heard some reports of hospitals who refresh their appointments at 9pm, so that's another time to try.

People are saying women who have taken oral contraceptives in the last 28 days are currently being turned away. The forms they give you say it's "not recommended", but only mention oral contraception. In theory, if you have an IUD or some other form of contraception, you should be fine. Be aware, however, that there are healthcare professionals in Taiwan who don't necessarily understand that there is a difference. 

Anyway, all of that was two weeks ago, when appointments were still fairly easy to get. 

In the meantime, many of our friends got vaccinated, and reported short wait times, staff that was not overly rushed, being asked for reasons but not pressured for proof of intent to travel. It seemed very much like a "no big deal" situation.

Then Tuesday happened, and Wednesday after that.  Community transmission was announced in Taiwan, and yesterday there was discussion of entering Level 3 restrictions due to a record-setting number of new infections. Level 3 is fairly close to lockdown (we are currently at Level 2). As there is community transmission in my neighborhood which made the news, if this happens we are likely to be restricted from leaving the immediate area. Heath Minister Chen Shih-chung's repetition that this was "critical" and "not a joke" has elicited anxiety and a sense that we need to keep fighting.

I had never been more overjoyed that I'd booked my appointment two weeks ago! I felt lucky to have an appointment at National Taiwan University Hospital, because it's not particularly far from my home. 



So here was what it was like: 

Forget everything you've heard about there not being crowds. It was packed. The healthcare professionals making it all run smoothly were absolute heroes. People seemed nervous, and you could tell the recent announcements were having an effect. 

This is entirely rational, of course. A week ago everyone thought they had the luxury of waiting, so many chose to wait. Many weren't even sure they could get a self-paid vaccine, as they didn't have a "reason". Now, the situation is more serious and people are changing their thinking accordingly. They'll take the vaccine they can get. This is smart, as I keep hearing that once other options arrive, one will not be able to choose which vaccine they receive: this is a public health drive, not a hat boutique. 

And it makes sense that now more than ever, any pretense of needing a "reason" to get vaccinated no longer matters. What Taiwan needs is shots in arms, as fast as possible, before things can get truly serious. Your vaccine is not selfish; you're helping to control the potential spread. 

I showed up at the main entrance of NTUH, and the workers checking everyone's ID there directed me to an information desk, where a friendly volunteer led me to the vaccination area. Once there, someone at the front will give you the forms you need, and there are English speakers who can tell you what to do (I'm perfectly capable of doing all of this in Mandarin but it was easier to just let it happen in whatever language the workers chose.) 

You are given a number which is not the same as your registration number -- that's only for making it easier to identify registered individuals. I was happy I printed out my online registration as it made finding my registration easy. Then they take your blood pressure and temperature. Mine was a bit high because I was, well, nervous! You have to sign a few things, but they mostly fill out the forms for you. You do have to check that you "agree" to receive the vaccine and sign that part.

Then you're asked to take a seat, and you just wait. They call people in groups of 5 or so, and it took about an hour and a half for my number to come up. 

I was led into a comfortable seating area with my 'cohort' (the five people whose numbers were called with mine). A friendly Italian man who seemed to be a senior citizen said he had not registered online; he'd just shown up after reading the news and was able to get a spot! I have no idea if it actually does work that way or he was an exception, or you can do that if you're over a certain age. I'm not judging him, of course -- in his shoes, I would have done the same.

At no point was I asked about my "reason" for getting the vaccine, despite my having one! I don't know if this is an NTUH thing or, with new community transmission announcements, perhaps hospitals are dropping the pretense of requiring a reason they would never follow up on. All I can say is that for NTUH, it seems to be shots in arms, no questions asked. Get one if you can. 

Of course, I'm an obvious foreigner. It's possible they didn't ask me because foreigners are assumed to have reasons to travel. I don't know what they asked locals, and I only saw 3-4 other foreigners among hundreds of people waiting. 

The actual procedure first takes you into one room where they scan your NHI card and prepare your yellow "vaccine passport". You're handed an appointment date and number for the next shot in eight weeks so you don't have to sign up on your own, and an information sheet (English is available) for what to expect after getting vaccinated (all the usual symptoms, and they tell you to drink a lot of water).

Then you're taken into the next room where it's all business: they sit you down and the shot goes in. I think they asked me to sit still, but honestly it happened so fast that I don't remember.

Then I was up and out, and the next person was getting their shot before I'd even reached the register. 

Obviously, it would be this way. Who could expect different? But after a year-plus of coronavirus horror stories, the dramatic rollout of vaccines, the race to contain the virus before it can mutate again -- it has all been very cinematic (not in a good way). With all that high-stakes drama, I suppose the final stage, where you step in and finally get the vaccine turns more ceremonial in one's brain. But of course, there was never going to be a symphonic accompaniment. 

It's just a shot. It hurts a little. Most shots do. 

Because the power plant malfunction happened just before I got the shot, the hospital computer system wasn't working well. But, of course, being a hospital they did not lose power. To keep everyone moving, I paid my NT$600 and agreed to receive a receipt later, once they got the right systems running again. 

To ensure that you stay for 30 minutes after getting vaccinated, they don't give you your 'yellow book' immediately. 30 minutes later they'll call your name and hand you your book. Someone brought me a receipt for my payment, as well. 

Once you have the book, you can go! Just remember to bring your yellow book, NHI card and appointment sheet on the date you are given. 

It's been a few hours now and I feel fine. I thought at first that my arm was a bit sore, but it doesn't hurt now. I feel perhaps a bit fatigued, and I bet you anything my prose is wooden and I'll cringe at this post later. I'm drinking lots of water and planning to take tomorrow off. My husband is getting his shot tomorrow; hopefully if we both experience after-effects it will be a day apart and we'll be able to take care of each other. 

It's also a psychological burden lifted. There's still worry for the country and the world, but it helps a little to ease personal stress. I know one shot doesn't confer sufficient immunity, but the news this week had me on edge. I hadn't turned to anti-anxiety medication in months but found myself taking it these past few days. Knowing that I still have to take all the usual precautions but I'm on a path to immunity has helped me calm down. 

Update: I felt more tired than usual after dinner and draining my water bottle. I refilled it and went to bed, only to wake up around 4am with aches, cold-like symptoms (something weird going on in the area behind my nose and mouth) and a headache. No fever, if anything I wanted the room cooler. I took some ibuprofen, rubbed on some Tiger Balm and drank down my water bottle again and managed to fall asleep for a few more hours. 

I woke up with a sore arm, fatigue and another headache. I took more medicine and have been resting. Ice packs help. It feels more or less like a hangover, and not as severe as I expected. 


Monday, December 28, 2020

Taiwan needs to change its abortion laws, but will it?

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As usual I don't have a great header image, but I thought a memorial temple to five women who were screwed over by the patriarchy in Taiwan's distant history was fitting enough (from Tainan's Five Concubines Temple)



News broke early in December that Taiwan's the Health Promotion Administration is planning to propose changes to Taiwan's abortion laws. Specifically, they hope to eliminate the requirement that married women seeking an abortion require the consent of their spouse, as this infringes on a woman's bodily autonomy and reproductive freedom, is discriminatory towards women. The proposal also includes changing the title and some of the language in the law (problematically called the "Genetic Health Act", yikes) for being discriminatory.

I didn’t write about this when it happened partly because I was simply too busy, but also partly because I wasn’t sure I had much to say about it. Of course the law should be changed; that's obvious. But it rattled around in my head long enough to come out in written form, so here we are. 

I think it's a good entry point to revisit the debate over liberalism and conservatism in Taiwanese society, which I will do in a subsequent post, but it deserves its own investigation first.

To my mind, the double standard that unmarried women can exercise reproductive rights fairly easily (anyone can claim that carrying a pregnancy to term would harm their 'mental health' or 'family life') but married ones are subject to the approval of a spouse seems to be built on several assumptions. First, that a husband -- this law was enacted when same-sex marriage and trans rights were not even under consideration -- has the right to make decisions about his wife's body without her agreement. Second, that a woman needs to give a 'reason' for terminating a pregnancy. Third, that a single woman has rights which they lose when they get married,  meaning that married women are still seen in a sense as property. Finally, that children in households with married spouses were usually desirable to society but unmarried pregnant women were not. In fact, if you read the law carefully, the "[if the pregnancy will] affect family life" provision makes it fairly easy for a married man's affair partner to get an abortion, but not his wife.

Read between the lines: it was never about giving single women a way out while respecting the "partnership" of marriage, and those who say it is are full of crap. It was always about protecting men who got women pregnant out of wedlock, but valuing a married woman's children and her male partner's right to them over the woman herself. While some architects of the law might have hoped it would ultimately improve women's rights, it was never fully about that: it was always about which pregnancies were desirable -- to society, not the women carrying them -- and which weren't. There's a reason why some people translate the Genetic Health Act as the "Eugenics Act". That's basically what it is. Just look at one of the very first phrases in the act, which references the "upgrade" of "population quality". 

It's worth discussing abuse of the law's marital status loophole by some clinics: I've heard stories from multiple sources -- which I'm keeping confidential for obvious reasons -- that there are clinics that ask for "the father's" approval to those seeking an abortion, even if the patient is not married. I have mostly heard of this happening to foreign women who may not know the law, but also of Taiwanese women being treated this way. (I don't know whether it actually happens less often to them as they're more likely to know the law, or being a foreigner here, I hear fewer of those stories).

Focus Taiwan points out that the past 20 years were marked with attempts to change the language, in 2006 and again in 2013. That places the initial attempt to amend the law near the end of Chen Shui-bian’s presidency. The 2012-2013 attempt (when the Executive Yuan ordered the HPA to amend the law, which never happened) would have been just before the Ma Ying-jeou presidency caved in on itself. The legislative change that allowed abortions was promulgated under KMT dictatorship, but had also been illegal under that same dictatorship for decades as they promoted traditional gender roles. This means that such initiatives could be proposed and pass or fail regardless of the party in power.  

I'm not sure that will hold up, however. The KMT seems to be swinging toward social conservatism and appears to be unable to attract young supporters despite some members' warnings. The DPP seems to be swinging away from it, with the future of the party looking to new generations as older members, well, storm off in huffs that few pay attention to. 

Will the law ultimately be amended? I think so; though some are trying to bring the Culture Wars to Taiwan and the KMT appears to be receptive, they haven't been quite as successful as their counterparts in the US or elsewhere. The government that passed same-sex marriage and appointed the first openly trans woman to a highly public position is likely to also welcome changes that broaden access to reproductive rights. The court that made same-sex marriage an issue of immediate legislative importance and ended the criminalization of adultery is fairly likely to keep up the trend, if it goes to the courts. Public opinion doesn't seem to favor these changes, but neither do people seem eager to re-hash previous battles. Changes happen, culture adapts, and society moves on.

However, opposition to improving access to abortion rights is likely to ramp up in coming months, led by the same people who screeched about marriage equality. As these groups not only appear to study US Republican strategies for inducing outrage but in some cases work openly with the American right wing, you'll probably hear a lot of the same facetious arguments you hear in the US. 

There will surely be some who scream that it's not in Taiwanese (or Chinese) traditional 'culture' to allow this, because of a cultural emphasis on 'family values'. Of course, name one culture whose 'traditions' are not said to 'emphasize family', and I will buy you a beer. 

This argument will conveniently forget that most laws propagated in Taiwan until the 1990s were created under foreign dictatorship, so it's not clear how Taiwanese laws actually relate to Taiwanese culture. If you want to make the "Chinese culture" argument, please go talk to the People's Republic of China where abortion has been easily accessible for quite some time, and in many cases was actually forced on pregnant people

This is all likely to come to a screaming, frothing head, with the KMT most likely playing a role. There will be protests, those who already hate President Tsai are going to use this as another reason to attack her (even though it's not directly her doing, I would imagine she supports it), and public opinion polls will once again show that Taiwan is in many ways a more conservative society than some factors indicate, but also more liberal than the world often believes. Then it will pass, and things will go quiet-ish until the next round of battles.

All of that leads us to the ultimate question: given Taiwan's recent achievements and changes to abortion access likely, is Taiwan a 'liberal' or 'conservative' society?

Of course, as with any debate that attempts to posit a clear dichotomy, the answer is 'both' and 'neither' -- a discussion for the near future.

Edit: here it is!

Thursday, November 21, 2019

The KMT are intentionally morphing into "family values" conservatives - has anyone else noticed?

Untitled
Why is the Han campaign so obsessed with what goes on below the waist? 


It's a common refrain among foreign political geeks in Taiwan to say that the political cleavages in Taiwan don't map exactly onto those in the US. That the KMT has not always been the more socially conservative party on domestic issues - their main thing is that they are all some flavor of China unificationist (Full-Fat Unification Now or Diet Unification - that is, unification at some point in the future). Or that the DPP has not always been the more liberal party despite having "progressive" in their name.

A quick primer for those who don't know why this is a popular analysis: the KMT passed a spate of laws improving women's rights in the 1980s and 1990s, including legalizing abortion and criminalizing marital rape. Explicitly requiring gender equality in the workplace by law, on the other hand, didn't happen until 2002, when the DPP was in power. The two most prominent women's rights activists of the late 20th century were Annette Lu (yes, that Annette Lu) and Lee Yuan-chen. From what I understand, they were otherwise on two different teams politically: women's rights had no party 'color'. The KMT also used to be the party that was more open to immigration (though this has changed). The DPP, on the other hand, had to push its own people - many of whom are pro-independence social conservatives - to pass same-sex marriage. There are conservative Christians who hold lots of influence in both parties. Neither party favors abolishing the death penalty - although the Chen administration leaned in that direction, they never quite got around to eradicating the practice in Taiwan. Executions have taken place under the Tsai administration, as they did under Ma.

I know socially liberal people who vote for the KMT due to either family identity or some sort of sentiment for ROC symbolism and ideology. I also know socially conservative people who vote for the DPP, many of whom voted only reluctantly for Tsai - not because they disagreed with her, but because she's a woman. At the end of the day their choices were driven by identitarianism, and views on China.


This is still mostly true - I don't intend to challenge orthodox beliefs here. But I do want to argue that that's changing, the change is intentional, and we need to pay attention. 

I think the 2020 campaign has now reached a point where there is clear evidence that, while the DPP doesn't quite want to embrace its (mostly) newfound social progressivism yet, the KMT is trying to paint them as degenerate liberals, while actively attempting to court the socially conservative vote, many of whom have been traditional DPP supporters. 

It became obvious right around the time that Lee Chia-fen - Han Kuo-yu's wife - started up with her Moralizing Mom schtick. First it was "The Megaport festival makes mothers cry" - straight-up patriarchal garbage that could have been spouted by any number of pearl-clutching Republican women. Then it was the fearmongering and easily refuted "children are being taught anal sex and orgasms in schools" (they aren't). She also made vague statements that the new same-sex marriage law was "exploiting" gay Taiwanese and should be "reviewed" if her husband is elected, though she didn't clarify how or why.

To me, such remarks are not only a blatant attempt to scare socially conservative voters into siding with the KMT, but they're also a crude re-enactment of the old gendered conservatism of the authoritarian era. While Chiang Kai-shek symbolized all the militaristic ROC hoo-haa about "defeating the Communists and retaking the Mainland", his wife, Soong Mei-ling, headed up several women's associations and clubs, including the Kuomintang Women's Departmentthe Women's League, the Chinese Women's Anti-Aggression League and the Taipei International Women's Club, all of which were founded with the goals of upholding KMT rule in Taiwan and restricting women's movements to the traditional, domestic spheres.

Since Martial Law, I can't think of any wives of prominent male leaders, or female leaders themselves, who have taken up that mantle of old-school patriarchal conservatism...until Lee Chia-fen.

Both women seek/sought to secure KMT power through the restrictiveness of the patriarchy. Soong Mei-ling did this with the subtle polish and promise of prestige of clubs and organizations that restricted women's political power and segregated them based on social class (some of her clubs and leagues were specifically for educated women - the TIWC required an English fluency test - whereas others taught "basic skills" like sewing and typing and were aimed at working class Taiwanese women).

Lee is doing it much more directly, with pearl-clutching moral panics about Scary Sex Things being learned by The Children (!!!)


You know, just like socially conservative Republicans do. If they can't grab you with visions of being some sort of cosseted upper-class housewife who doesn't get involved in the dirtier aspects of politics, they bash you over the head with a moral panic.

Of course, it didn't start with Lee.

In this campaign cycle, it seems to have begun with the anti-gay, church-backed activists being welcomed by the KMT, including at Han Kuo-yu rallies, all the way back to 500 years ago when the 2018 elections took place. It was clear then that someone in the blue camp was studying the tactics of US Republicans and trying to turn same-sex marriage into a partisan wedge issue in Taiwan, when it hadn't been one before. They had some success: while I don't think the KMT actually cares that much about who can and can't get married, they sure seemed to act like they cared when it came to a vote. And yet Chiang Wan-an, one of their young faces, whom they will probably run for Taipei mayor in the next election, rode up to the marriage equality vote, voted for one provision and left - probably so he can say he did the right thing when marriage equality becomes normalized in Taiwan without going wholly against the party line. There's no way that wasn't a deliberate strategy.

To keep up the anti-gay signaling until that normalization happens, the one KMTer - Jason Hsu - who wholeheartedly supported marriage equality was recently left off the party list for the next election.


And now, with same-sex marriage mostly moving to the past, we have a pincer move with Lee with her scare tactics on one side, and Han offering up big fat slices of money cake with a scoop of Family Values on the other. It's quite clear he's positioning himself as the "family" candidate, with all the soft, cuddly family stuff coming from him and the attacks on the other side - liberal degeneracy, Scary Sex Stuff, Scary Gay Stuff, you know - coming from her so it isn't quite so closely associated with him.

First, Han proposed that pregnant foreign women moving to Taiwan should be immediately covered under National Health Insurance. This is actually a good idea, except it doesn't go far enough. Pregnant women do have special health care needs that others don't, but lots of people have specific health needs. The reasonable thing to do is cover all new immigrants upon arrival, not just pregnant women. Han's policy is a lovely-sounding proposal that will cost almost nothing (I can't imagine it's extremely common for foreign women to move to Taiwan while pregnant).  Of course I believe families should have state-funded resources available to them, but not in a way that idealizes motherhood and leaves child-free couples or singles out.

In addition, Han has proposed to raise the childbirth subsidies that Taiwanese families get. I honestly can't find any clear information on the national subsidies, and what I can find doesn't quite match what the KMT press release stated. What's more, cities and counties also tend to offer subsidy programs to help defray the costs of child-rearing, so how much you can claim in lump sums, annual payments and monthly payments differs based on where you live. None of the amounts are huge, but for lower-income families they do help.

If I'm reading the vaguely-worded press release correctly (and I may not be - they need to fire whoever writes these things) Han is proposing an NT$30,000 lump sum for all firstborn children. Second-borns and onward will get NT$60,000 lump sum payments plus an extra NT$60,000/year until each child reaches the age of six. (And yes, he's calling it the "666" plan, let's not even bother mocking that.)

The idea isn't bad in itself, though it doesn't attack the real problem when it comes to people deciding whether to have kids -  low wages. It struck me, though, how much more money you can get for having additional kids. The goal isn't to support Taiwanese families per se - a program that supported families would pay the same subsidy per child regardless of birth order, and would also take care of non-nuclear and non-traditional families, for example, subsidies to care for one's grandparents, fertility treatment coverage for those who have trouble conceiving - including same-sex couples - or subsidies to pay for raising adopted children. It would include a labor policy aimed at increased wages and lower working hours so parents would have more time to spend with their kids, the latter of which South Korea has managed to make strides in achieving. It would fund developmentally-appropriate after-school and summer programs so that parents wouldn't feel compelled to use cram school as a stand-in for daycare if Grandma isn't available.

I don't see Han proposing any of these - in fact, his plan to 'protect workers' doesn't include any of it, and doesn't address low wages It does increase maternity leave, which I support, while not increasing paternity leave, which is negligible in Taiwan - again, idealizing motherhood specifically, not focusing on families.  


For him it seems to be just 'have more kids, get more money'. For traditional families only. Also, no foreigners (none of these subsidies is ever made available to families with two foreign parents).

His proposal, then, is to encourage women to have more babies (the press release even states this obliquely). It's to idealize motherhood, not help families. It's to position himself as the traditional family man candidate in contrast to that mean, frosty, single, child-free, technocrat professor. I don't think he'll go so far as to dig up old rumors that Tsai is a lesbian, because his strategists must know that that could backfire (it's also stupid, but I don't think that would stop them). But he'll imply it clearly enough, mark my words.


Before you read about Han's proposals and are inclined to think that he actually cares about women's issues and there's nothing sexist about it, consider his most recent remarks about gender


男人的生命是下半,女人的生命是上半 - A man's life is the second half, a woman's life is the first half (translation mine). 

I suppose (?) he is implying that the best part of a woman's life is her youth (i.e. when she is pretty), and the second half is worthless, whereas the first half of a man's life is an immature period of figuring himself out, but he becomes more valuable as an older man - that is, looks don't matter as much for him.  

And this: 


男孩子站衛兵可以一站2個小時,但女孩子站2個小時受不了;但女性在梳妝台上,可以化妝2個小時手不會酸,換作男孩子,手可能會斷掉 - A boy can stand guard for two hours, but a girl can't stand it. Yet a girl can sit and do her makeup for two hours, if a boy does that his arm might fall off (translation mine). 

Do those sound like the words of a man who genuinely cares about women as autonomous human beings, or the words of a man who thinks of us as prettily-decorated egg sacks?


While all this is happening, the crazy Christians are at it again trying to get a referendum on the ballot making abortion in Taiwan effectively illegal. They probably won't succeed, but such a proposal could be dangerous in an election year where the KMT is taking a hard social-conservative turn. 


And whose strategy does all this sound like?

If your answer is Western-style social conservatives, especially American Republicans, ding ding. You win.

I don't know that the strategy has quite come to fruition yet. The biggest cleavage is still Taiwan/China, or ROC vs. "our country is Taiwan". But it's clearly on the back burner and it seems obvious to me that they're going to be doing more with it as the campaign progresses.

The only question is why. If they already have a cleavage to exploit, why not just do that?

Personally, I think it's because they know that the old ROC nationalism is a long-term loser. The youth don't generally think of themselves as Chinese. Many don't explicitly reject the ROC framework so much as they don't care about it. Ask them what their country is, and they'll say "Taiwan". Even older people have been turning this way for awhile. The KMT is basically now a bunch of unificationists, but they must know that "let's sell Taiwan to China" is a losing platform, or at least it will be in the near-to-medium future.

Social conservatism, especially regarding families and "family values" on the other hand? That has a strong pull in Taiwanese culture. They can still get a few votes out of that. You know, like this: "Hey voters, don't worry your pretty little heads about all that China stuff, focus on how we're the party that loves families and Chin--- we mean traditional culture. Unlike those Megaport-going, gay-marriage-doing, anal-sex-teaching people who want to ruin our social fabric, especially that ice-cold single childless woman who runs the show! But Han, he's married and has a kid! You can trust him, he's a real family man!"

And frankly, if you're not noticing the change, perhaps it's time to pay attention. Nothing about it is unintentional.