Category Archives: Paul DeMarco

DeMarco: What We Can Learn from Jimmy Carter’s Time in Hospice

The Op-Ed Page

By Paul V. DeMarco
Guest Columnist

As a general internist who also does hospice part-time, I have been interested in Jimmy Carter’s experience since he entered hospice in February of 2023. When I read the news, I expected he would die in a few months. But more than a year and a half later, Carter is still with us, and he is still imparting wisdom.

Public figures such as Carter help us understand aging and dying in a way our close family members often can’t. Most of us see our aging relatives frequently enough that their decline is gradual and sometimes invisible. But our connection with the famous is generally more intermittent. I have three sets of mental images of Carter – the handsome Georgia governor-turned-president with the endless smile, a slightly older but still vigorous 60-something climbing on roofs with Habitat for Humanity, and the most recent image of a ghostly centenarian being wheeled into his wife’s funeral.

A lucky few of us will live as long as Carter. But if we do, we are guaranteed to undergo that same decline. Some people still die suddenly, but most of us senesce. Like old cars, we roll along on wobbly tires, faulty suspensions, and sputtering engines until one day, the wheels stop turning.

Carter’s choice to enter hospice and announce it publically was a final act of service to his country. In choosing hospice, he acknowledged that he was near death, something that is difficult but essential. I have seen much unnecessary heartache in homes where everyone knew death was coming but no one was willing to admit it.

Carter’s tenure in hospice demonstrates that hospice is not a place. It is a type of care which is rendered almost exclusively in a residential setting, either someone’s home or a nursing facility. There are hospice houses for the small minority who prefer not to die at home, but most don’t want or need them.

Without hospice, dying can be a daunting task. Most of us are only closely involved in a few deaths in our lifetimes, and we get only one chance at our own death. There is a steep learning curve. Having caring and competent help through dying can make what is always a sad and difficult experience worlds easier.

Every family in hospice is surrounded by a circle of loving support. The team that cares for them always includes a physician, a nurse, a social worker and a chaplain. It can also include an aide if needed. Hospice aides are sometimes the most important part of the team, since they provide intimate, hands-on care that physically expresses the love the rest of the team has for the patient. My hospice team meets weekly to discuss our patients. During that meeting, we discuss how to best manage their symptoms such as pain and shortness of breath, and also how to comfort and sustain families through their loved one’s dying process. Although the patients’ needs are paramount, those of the caregivers are also always in focus.

Carter is not unusual in defying his physicians’ prognosis. Their assessment in February 2023 was that he would die within six months, which is one of the admissions criteria for hospice. However, prognosis is as much an art as a science. In a career of estimating prognosis, I have missed the mark many times. Sometimes patients enter hospice with a prognosis that seems months long but die quickly and unexpectedly. In a few cases, they improve or stabilize to the point that their prognosis is no longer less than six months, and they are discharged.

I tell medical students who rotate through my office to consider hospice sooner than later when they begin their own practices. Waiting until the last week of patients’ lives to accept they are dying creates a chaotic end. Hospice rushes in, the nurses do their best to relieve symptoms and educate the families about what’s coming, but patients are gone before anyone is prepared.

Hospice works best with long stays like Carter’s. When he dies, there will be no chaos. At the very end he will comfortable and unconscious. His family will be ready. They will have been able to say bittersweet goodbyes and express all their love and gratitude. There will be no hurrying, no regrets, nothing left undone or unsaid. Whatever your political leanings, whatever you thought of his presidency, we can all celebrate Carter’s extraordinary life and find inspiration in his courageous death.

A version of this column appeared in the November 20th edition of the Post and Courier-Pee Dee.

DeMarco: To All the Baptist Ladies

The Op-Ed Page

President Jimmy Carter addressing the SBC in Atlanta in 1978. In 2000, Carter would break with the SBC over its position on the status of women.

By Paul V. DeMarco
Guest Columnist

Although I am a United Methodist, I have known many, many sweet and skillful Baptist women in my time. My children went to Marion Baptist Kindergarten prior to entering 5K in the public schools and were taught by two of the sweetest, a pair of beloved elderly sisters. Baptist women can organize church events, cook the best caramel layer cakes you have ever tasted, and I’m going to wager that most are smarter than their husbands (that’s no crack on Baptist husbands; it’s true in all denominations and certainly in my household).

I expect that most Baptist ladies of a certain age will stay put and keep doing important work for their congregations and communities. But after the Southern Baptist Convention’s recent annual meeting, I’m not sure how the SBC thinks it’s going to hold onto young women.

Since 2000, the SBC has had a nonbinding statement of faith banning women from the pulpit. At the annual meeting this past June in Indianapolis, the SBC came close to formalizing that ban into the denomination’s constitution.  The ban received support from 61% of the delegates, but it failed to achieve the required two-thirds supermajority. Still, the vote demonstrated that more than half of the delegates hold this outmoded view.

I remember watching my mother struggle with the restrictions placed on women by the Catholic church in which she was raised and educated.  I think she might have been the first doctor in our family if Fordham, the Jesuit university she attended, had allowed her to major in chemistry. However, in the early 1960s, Fordham’s chemistry degree was offered only to men.  As opportunities expanded for women in the secular world, the idea that women could not be priests or use birth control became insupportable to her. Eventually, she and my father found a happy home in the Episcopal church, where men and women are treated equally.

I remember as a teenager meeting a brilliant Mormon high school senior. She had been selected as a Presidential scholar, one of only 100 young people in the country to receive that annual award. To my surprise she was already engaged to be married. She had been admitted to college and had a bright future ahead. But when I asked how she would respond if her husband wanted her to stay home with the children they were sure to bring into the world, she said without hesitation that she would drop out.

My point is not that staying home with children is a bad choice. It’s a wonderful choice. I am grateful to my wife for choosing to stay home with our two when they were young. As a brilliant master’s prepared nurse, she could have decided she wanted to pursue a high-profile academic or administrative position.  How could I have denied her that?  Using a few verses from the Bible, a book written two millennia ago exclusively by men at a time when women were considered property?

The Bible contains great truths, but it must be interpreted (and whether we want to admit it or not, every reader of the Bible interprets Scripture. There is no objective reading of a text so voluminous, complex, or contradictory). As a physician, one of my favorite examples of bringing a modern interpretation to the Bible concerns the Gospel writers’ descriptions of Jesus casting out demons. Today we would diagnose the afflicted as having epilepsy or perhaps psychosis. Building a church infrastructure around exorcism of demons would be foolish based on today’s understanding of the brain.  Likewise, building a church infrastructure to uphold another antiquated idea, that woman are not men’s equals in the work of the church — including, teaching, preaching, and leading — is similarly foolish.

The SBC was founded in 1845 by men who wanted a denomination that would allow its members to own slaves, twisting the message of the Bible to accommodate that view.  It took 150 years for the SBC to formally apologize for that. Ladies, I am confident that at some point in the future, the SBC will recognize that it has made a similar mistake with its treatment of women. But why wait a century and a half for the apology?

If you’re a young or young at heart Baptist woman, consider moving to a denomination that fully recognizes your God-given worth. There are many, but I am partial to my own, the United Methodist Church, where women are viewed as equals in every way and hold every leadership position, including pastor and bishop.

Women lead men successfully in every secular aspect of life-in our homes, in the workplace, and in government.  Does God really want them to remain subservient in the church? Mike Law, pastor of Arlington Baptist Church in Virginia and author of the constitutional amendment banning women pastors argues, “Our culture may see this prohibition as harsh, but our God is all wise, and wrote this word for the flourishing of both men and women.” Reverend Law, let me respond for all the women rolling their eyes right now, “Well, pastor, bless your heart.”

A version of this column appeared in the October 16th edition of the Post and Courier-Pee Dee.

DeMarco: Will Marion Become a Ghost Town?

The Op-Ed Page

“We also have a twice-a-month farmer’s market on Main Street.”

By Paul V. DeMarco
Guest Columnist

I enjoyed reading Seth Taylor’s July 29th article “South Carolina is booming, but the Pee Dee is shrinking” which reports on data from the S.C. Revenue and Fiscal Affairs Office. The office estimates that the number of people living in the Pee Dee could shrink by 17 percent by 2042. The most provocative projection is that some counties could lose nearly a third of their populations.

I read with some concern, since I’ve lived in Marion since 1993. My wife and I raised our children here, and we expect to live the rest of our lives here. However, although I’m not a demographer, I have reason for optimism.

First, as Taylor reminds us later in the article, “It’s difficult to make projections for next year, let alone the next 20.” Second, I have anecdotal evidence that there are countertrends at work that may well cause the Pee Dee to grow.

As I mentioned in one of my recent columns, my neighborhood, which had been almost completely white since its development decades ago, has seen a welcome addition of black families in the last five years. Our society’s evolution toward equality may make a tangible economic difference for rural counties. Blacks (who make up 56% of Marion County’s population) can now live wherever they want in the Pee Dee with no expectation of hostility. The era of redlining and white flight are over. There is no reason to migrate to Atlanta or Detroit to feel welcomed and respected.

Taylor quotes Joette Dukes, the executive director of the Pee Dee Council of Governments, who describes the “defeatism” and “apathy” that can occur when rural areas lose population. Per Dukes bio, she has over 30 years’ experience with PDCOG, so she knows of what she speaks. She laments the lack of jobs which force some young people to move even if they would prefer to stay. But she makes one claim with which I disagree. Taylor quotes her as saying that some young people are leaving the rural Pee Dee to look for “a home they can actually afford.”

I think that, in reality, housing prices are a big draw for rural S.C. counties. When I encounter folks looking to buy a home in Marion, my standard response is, “Buy on Wednesday – It’s BOGO for homes in Marion County on Wednesdays.”

My three closest new neighbors are transplants from out of state (two of three from the Northeast) who had no connection to Marion but moved here in part because of the low cost of housing and lower property taxes. I have another new friend who moved from Iowa. He is a digital manager who can work from anywhere and moved to Marion after seeing an affordable home on the web.

My intuition is that we will see more of these types of newcomers in the future: retirees from the North who are tired of the cold and the traffic; and younger, digital workers who are drawn to the natural beauty and amicability that small towns afford.

In addition, our proximity to Myrtle Beach will inevitably result in some spillover. Both of my northern neighbors started their home searches at the beach but concluded it was too crowded and expensive.

Schools are a top consideration for native parents deciding to stay or transplants weighing whether to relocate here. It is true that rural Pee Dee schools don’t look great on paper. But both of my children went to Marion’s public schools from kindergarten through high school and received a solid education. They both attended college on academic scholarship and are both physicians. Since America’s public school covenant is that every child deserves an education, schools in poor areas encounter many students that don’t enter school ready to learn and don’t have enough parental support. Those students are reflected in schools’ data averages. But in every public school there is a cadre of students who are prepared and motivated and teachers who know how to teach them.

My children also benefitted from attending rural public school in some unexpected ways. For example, although they were handicapped by my genes (short and slow), they were both able to play varsity soccer as starters all four years of high school, which would not have been possible at a larger, urban school.

Taylor’s article serves as a warning worth heeding. His opening descriptions “Boarded-up buildings on Main Street… fewer people in the pews on Sunday” are realities. But after the devastating twin losses of tobacco and textiles in the ’90s and ’00s, Marion has rebounded. Main Street will never look the way it did in the ’50s with a department store, a furniture store, a Western Auto, and a movie theatre. But several businesses have opened over the past few years in previously empty storefronts, including a marvelous coffee shop called the Groundout, owned by a beloved local family. We also have a twice-a-month farmer’s market on Main Street. It happens in a space left by a restaurant that burned. The creation of a public green space called the Marion Commons in response to that devastating fire is symbolic of how small towns can revive themselves.

Call me in 2042. I’m hoping to still be living in a thriving, growing Marion.

A version of this column appeared in the September 18th edition of the Post and Courier-Pee Dee.

DeMarco: The work of the church is neither ‘conservative’ nor ‘liberal’

The Op-Ed Page

By Paul V. DeMarco
Guest Columnist

If you spend a lot of time with digital news and social media (please don’t), you might think that conservative and liberal Christians have little in common and that we despise each other because of our doctrinal disputes over gay clergy, transgender people, abortion, etc.

But down here in the pews, it’s mostly about the work of the church – caring for your congregation, your neighborhood, and the wider world.

Jesus asked us to “make disciples of all the nations” (Matthew 28:19) by “feeding his sheep” (John 21:17). My layperson’s interpretation of Jesus’ commands is that he wants us to improve people’s lives – feeding, sheltering, visiting, healing – caring for them in the myriad ways that one person can show love to another. Once we do that, they will have a better idea of who he is and may be moved to become his followers, too.

The beauty of the church is that we meet every week to worship and to face human need, both near and far, together. It is a unique uniting force in society. Yes, the church has done some terrible things historically, which I acknowledge and condemn. But that same sin and corruption that drives wars and injustice and abuse also exist outside the church. In my experience, the church has been an overwhelmingly positive force.

Which brings me to my annual sojourn to Hampton County with Salkehatchie Summer Service. Since 1978, Salk has brought United Methodists and other people of faith together to spend a week rehabilitating homes for South Carolinians. The adults supervise teenagers 14 to 18, and the teens are the focus of the ministry. We want them to understand poverty in a new and provocative way and to realize their connection to it. Every summer, dozens of camps gather in various locations all over the state, involving hundreds of young people in total. The one I have attended since 2008 is fittingly housed at Camp Christian, an old-time Baptist campground.

My team of 4 adults and 8 young people were putting a new roof on an old, but well-built, 4-room home. On Monday afternoon, it started to rain (Monday rain is the bane of Salk roofers because the old shingles are off, but the house is not dried in). We tarped the roof well, but there was a deluge and the inside of the house was drenched. The homeowner couple watched despairingly as their mattress, upholstered chairs, and ruined possessions were unceremoniously thrown into a dumpster in the front yard. The couple gathered some clothes and belongings and we paid for a hotel.

The next day, deacons from two local churches came to the house to see how they could help. These were retired men who belonged to rural Baptist churches. We didn’t talk politics or religion, but I suspect that I am significantly more liberal that they are. But those differences, so prominent on social media and in the minds of many who do not understand why churches exist, did not matter at all. Our goal, about which we were completely unified, was helping the homeowners. On Tuesday, it wasn’t clear that the house could be saved. A thorough inspection by our team after the rain had revealed some previously undiscovered electrical problems that would require extensive rewiring (which was in addition to some significant rot in the floor joists about which we already knew).

For the next three days, we acted on faith. We had come to put a roof on, and we put it on. When the inspector came Friday and determined that the house was salvageable, we cheered.

What impressed me most about our week was the deacons. Every day one of them stopped by the house to check on us and the family. And not just casually. They were there to solve the problem, to love their neighbor in the most tangible and pragmatic way. “Well, we can’t pay for them to stay in a hotel very long.” “Can we find them a place that is close enough to their jobs?” (They had a single car and different work schedules). “If we knock the house down and start over, how will they afford the increase in property tax?”

The deacons, the Salk camp director, and a local Methodist minister, met to formulate a plan. Temporary shelter, better than their current home, was secured until the home could be repaired. All their salvageable belongings were packed up and moved to their new residence. The Salk camp had to end after a week, but we are committed to returning as many times as it takes to join forces with the deacons and other friends of the couple until the house is habitable again.

This is the work of the church. But no media outlet would write about this. Why not? First of all, these kinds of displays of Christian love are too commonplace to be considered news. Second, examine how you feel after reading this. Are you upset or angry? Have I dunked on a group that you dislike? No? Well, that answers the question. This is a story about ordinary people who have some differences in their world views. But those differences pale in comparison to the common ground we share. My week in Hampton was a refreshing demonstration of what happens when we focus on what connects us and try to make our corner of the world a little better.

A version of this column appeared in the August 14th edition of the Post and Courier-Pee Dee.

DeMarco: Won’t You Be My Neighbor?

The Op-Ed Page

No, this isn’t a picture of Paul DeMarco. It’s Mr. Rogers. But they are alike in some important ways…

By Paul V. DeMarco
Guest Columnist

When our family moved to Marion in 1993, we knew very little about the place. We had visited to interview for what would become my first job, but had little time to search for a home. Without the benefit of internet browsing, we ended up renting a house we had only seen in a video (shot with an old-fashioned video camera). Once we moved in, we discovered that our neighborhood was all white.

This was, of course, not unexpected. Many neighborhoods in our country remain homogeneous. I never saw a black person in the blue-collar neighborhood in Charleston where I grew up.

But I didn’t choose the neighborhood where I grew up. I had chosen, albeit hastily, this one. Not that we had many other choices. Few small towns have neighborhoods that reflect the racial and economic diversity of the population at large. Many towns still have recognizable dividing lines. In some places it is the railroad tracks. In Marion, it is one of the main thoroughfares, Liberty Street, that marks the invisible line, once strictly enforced, between the black and white sides of town.

My hope when we moved in was that the neighborhood would grow more diverse over time, and that hope has been realized. Slowly, more and more black neighbors have moved in. In 2018, a retired black woman bought the house across the street from us. She is a good neighbor. We see each other in our front yards and speak. We enjoy looking at each other’s flowers.

During her first Christmas season, I carried over a small container of goodies, something we have done every Christmas for our closest neighbors. A few days later, as the sun was setting on Christmas Eve, she came to our front door and reciprocated. As she handed us her gift, she said, “Thank you for accepting me into the neighborhood.”

I think often of those eight words and all they say about American society. It is a sentence foreign to me. It would never occur to me that my neighbors might not accept me. But this was her first time as a homeowner, coming back South after a career in the Northeast. She knew our nation’s history – redlining, white flight, resistance to blacks moving into all-white spaces (exemplified most violently in 1951 in Cicero, Illinois, a suburb of Chicago). She understood that she was a pioneer in our white neighborhood. She knew, in a way that I could never know, the fear of being ignored, rejected, or despised because of who she was.

It also was a personal affirmation for my wife and me. We had done nothing special. We had treated her like any other neighbor – usually a brief greeting and a smile, sometimes walking across the street for a longer chat on a Saturday morning, watching the house and taking the mail when the other was away. But those mundane kindnesses were magnified to her in a way I did not recognize until she visited us that Christmas Eve.

I still have much to learn, as was demonstrated at her housewarming the next spring. She was very excited to have her neighbors, friends, and family share her joy as a homeowner. She worked for months redecorating and preparing. She put in an above-ground pool in the backyard. Finally, the day came. Upon arriving, every guest was invited inside for a tour. Then we congregated in the garage, and the inevitable happened. All her white neighbors were gathered in one corner, while her friends and family were in the other.

Her sister told me clandestinely that her birthday was in a few days and that they had, unbeknownst to her, bought a cake and were about to present it to her. Here was my moment, I thought. I would unite us all in song by leading “Happy Birthday!” But as the cake arrived and I opened my mouth to sing, after the first syllable I discovered that the black partygoers were singing a different “Happy Birthday.” I learned that day that there is another version of “Happy Birthday” that was written in 1980 by Stevie Wonder to promote adoption of the MLK holiday. The chorus of Wonder’s song is a marvelous, up-tempo tune, much more melodic and fun than the dirge that I was accustomed to singing.

It was painful to grasp that this song, an important part of black social life for decades, was something about which I was ignorant. But the reason was obvious. I’d never had a black neighbor or close black friend. So I was never invited to any birthday parties where that version would be sung.

In the five years since the housewarming, the neighborhood has continued to diversify. From my side yard, I can now see three other homes owned by black or mixed families. Seeing black neighbors walking past our home is no longer a rarity.

Bit by bit, the kind of diversification that my neighborhood is undergoing could lead to a society that is, well, more neighborly. If we live near people who look different from the way we do, we will know them as human beings. We will be better equipped to resist relying on caricatures of them drawn by those politicians and media whose livelihoods depend on us fearing each other. I’m confident that if Mr. Rogers could visit my neighborhood, he would be cheered by the changes.

A version of this column appeared in the June 20th edition of the Post and Courier-Pee Dee.

DeMarco: The Night I Was Jewish

The Op-Ed Page

By Paul V. DeMarco
Guest Columnist

My experience with injustice has, fortunately, never been personal. I’m a white, married, straight man who attends a Protestant church, so no one has ever denied me a seat at any table because of who I was. I was born in New York, but when I was 7 years old, my family moved to Charleston, where I entered second grade. It didn’t take me long to understand that not everyone was accepted as readily or treated as well as I was. Racism was easy for even a child to spot. When I was taken shopping at Belk, I saw a cross-section of the community that was missing in my neighborhood, school, and church.

I’m not sure when I first became aware of anti-Semitism. I would guess I learned about it in middle school when we studied the Holocaust. I had the advantage of attending a private school during the 1970s that had a substantial population of Jewish students. I was impressed by the discipline of some of my Jewish friends, who after a full day of regular school then attended Hebrew school. One Orthodox classmate once showed up late for an extracurricular meeting on a Saturday morning. “Sorry, I’m late,” he said sheepishly, “But I had to walk.” (Orthodox Jews are not permitted to drive or ride in cars on the Sabbath). I do remember occasionally hearing my classmates make comments disparaging Jews, but these were few and far between. I think it’s fair to say that my Jewish friends felt safe and respected at our school, although not necessarily celebrated. I graduated from high school feeling that Jews my age would have essentially the same opportunities I had.

In December of 1982, during my second year in college, that belief was challenged. I attended a debutante ball at a South Carolina country club with the woman who would eventually become my wife. I didn’t know most of the other guests, so I made many introductions. When curious partygoers asked from whence I came, I proudly told them “Brooklyn.” Some of the members of the club left our conversations worried that this loud kid from Brooklyn with the big nose and olive skin might be Jewish (I’m actually Sicilian). Jews, of course, were prohibited from being members.

The next day, my future mother-in-law told me that questions about my origin had gotten back to her. She had assured all those worried that a Jew might have polluted the WASP-y ballroom atmosphere that, no, I wasn’t Jewish. However, since then, I generally respond to the question “Where are you from?” (which in the South means “Where were you born?”) with a dodge. I tell people I was raised in Charleston, which is better received from those who might harbor misgivings about Yankees or Jews.

Jews (and, of course, blacks) were not welcome at many Southern private clubs until recently. For example, Forest Lake Country Club in Columbia, which was founded in 1923 and counts Governor Henry McMaster as one of its members, did not admit its first black member until 2017.

I’ve been revisiting my debutante experience as anti-Semitism has resurfaced around the war in Gaza. My naïve sense prior to October 7th was that the anti-Semitism that I encountered in 1982 had gradually atrophied to the point where it would continue to decline and die. But sadly, anti-Semitism seems impervious – it’s like the fungal spores that can lie dormant in the earth for years only to spring to life as a carpet of mushrooms in favorable conditions.

My one night as a Jew has helped me form my current opinion of the conflict in Gaza. First, Israel must continue to exist. Second, Palestinians must also have their own state and the right of self-determination.

I fully support the rights of those who protest peacefully in support of the Palestinians and against the war which is killing so many civilians. Before the war there was already growing opposition to the Netanyahu government. Netanyahu’s provocative policies such as settlement expansion, the killing of Palestinian demonstrators, and restrictions on Palestinian trade and freedom of movement were staunchly opposed by many in Israel and the United States.

But what hasn’t come across in any protests I have seen is any sense of shame or regret for Hamas’ brutality on October 7th, not to mention years of suicide bombings, indiscriminate rocket fire, or their grotesque tactic of using their own people as human shields.

Despite our hope for peace and justice for the Palestinians, most Americans rightly find it impossible to be sympathetic toward Hamas. The attack on October 7th will surely be one of the most evil acts of my lifetime. The barbarity of invading homes, of meticulously killing entire families, and of raping and mutilating the victims, is some of the most base behavior of which humans are capable. No one should cheer for this.

The key to many successful protest movements is their ability to find and elevate principled, sacrificial leaders. The Bible provides examples in Moses and Jesus. More recent examples include Frederick Douglass, Susan B. Anthony, Mahatma Gandhi, Martin Luther King, Jr., and Nelson Mandela. Neither Netanyahu nor the Hamas leader, Yahya Sinwar, fit this mold. The current conflict cannot be resolved until both the Palestinians and the Israelis elect new and better leaders. That is a rallying cry that would unite campus protesters from both sides and point toward a solution.

A version of this column appeared in the May 16th, 2024, edition of the Post and Courier-Pee Dee.

My Broken United Methodist Heart

The Op-Ed Page

By Paul V. DeMarco
Guest Columnist

I was driving towards Johnsonville from Marion on a recent Sunday to make a home visit and had to make a detour because of a wreck on the Highway 378 bridge. The glory of the early spring afternoon mitigated the inconvenience and took me to parts of the Pee Dee I had never travelled. As I passed Good Hope United Methodist Church in Hemingway, an irregularity in the large marble sign in front caught my eye. I circled back and parked to investigate. The word “United” had been covered over with duct tape. (See image below.)

This, sadly, was not the work of a prankster. It was an indication of the schism that is dividing the United Methodist Church (UMC). Like many denominations, we have struggled with the role of the LGBTQ community in the church. After years of discussion by our leadership and in local congregations, the break has finally come. Those churches who are unwilling to see LGBTQ people as full human beings, able to be ordained and to marry each other, are leaving. Many are joining a new conservative denomination, the Global Methodist Church. Others will remain independent or join older denominations with similar views about homosexuality. But whatever road they choose, they have given up on the United Methodist experiment that began in 1968.

I passed two other small, formerly United Methodist Churches on my detour back to Johnsonville, Ebenezer and Old Johnsonville, both of which are disaffiliating from the UMC. They had both removed the “United” from their premises, the former by pulling metal letters out of its brick sign, the latter by painting over the offending adjective.

Disaffiliating pastors and members commonly cite the half-dozen biblical verses that pertain to homosexuality as their reason for leaving. But we in the UMC have for decades routinely ignored biblical teachings about the role of women, adultery, and slavery, among other topics. Our Southern Baptist brethren interpret the Bible such that it excludes women from the pulpit. We in the UMC treat women as equals and allow them full access to roles as ministers and bishops. Disregard of verses such as those that condemn adulterers to death (e.g., Leviticus 20:10 and Deuteronomy 22:22) and verses that condone slavery (e.g., Exodus 21:20-21) is standard practice in the UMC.

The Bible is a big, complicated book which is often contradictory. Every denomination and all Christians must use their best judgment when interpreting scripture. It is therefore disheartening and surprising that so many churches would use such scant scriptural logic to split the church. But an astounding number have. Nationwide, the UMC is losing about 25% of its churches (roughly 7,500 out of 30,000). Most heartbreaking to me is the trapping of good friends of mine in unwelcoming churches. I’ve been shocked by the good people I know who have voted to leave, including a friend I greatly admire.

She is a beautiful human being, one of those people who treats everyone with genuine respect no matter who they are. I have seen her work with the very poorest and the very richest, and with people of all races, religions, and sexual orientations. She treats them all with the dignity they deserve.

I knew she had worked with many LGBTQ patients with full acceptance, so I asked her if she would be willing to talk with me about her decision to leave. She agreed, as I knew she would.

It was a quiet, deep conversation between a Christian brother and sister struggling to discern God’s will. She told me that she was deeply ambivalent about the decision, and that it had moved her to tears. She has gay members of her extended family that she loves. Her congregation includes a family with adult gay siblings. The vote to leave the church was unanimous except for the siblings and their mother. She knew that she would likely never see them again in church, which was upsetting to her.

When I asked her why she voted to leave, she expressed some fears. She mentioned a fear of extremists in the UMC leadership moving the church in a direction that was counter to her understanding of the Bible. She raised the possibility of a cross-dressing or transgender minister as something she could not tolerate.

She mentioned her teenage son and conversations they had had about LGBTQ people. He was accepting of his gay friends and relatives. My friend said without hesitation that if her son turned out to be gay, she would be unconditionally supportive of him. “I know that’s true,” I responded. She is such an open, loving mother that a gay child would be blessed to have her as a parent. “But,” I said, “now you have guaranteed that you will not be able to show that love to a gay member of your church.” We were silent for a few moments. I thanked her, and our conversation ended.

There will be some shuffling of congregations over the next few years as Methodists sort through how they want to express their values. In my church, which remains a United Methodist Church, we have seen some new faces that have come from disaffiliating churches. Perhaps we will lose some of our more conservative members.

My friend will likely stay in her disaffiliating church because of all the ties she has to it, even if it doesn’t represent who she is in her life outside the church. In her work, she lives out the parable of the Good Samaritan. But she has voted to be part of a congregation that, if you are gay, passes by on the other side.

A version of this column appeared in the April 18th edition of the Post and Courier-Pee Dee.

DeMarco: Want to learn what Biden and Trump are really about? Watch their speeches.

The Op-Ed Page

By Paul V. DeMarco
Guest Columnist

By some estimates, there are still about a quarter of Americans who haven’t settled on a presidential candidate. I had a recent conversation with one of them. He’s a smart, middle-aged, college-educated man who is somewhat more conservative than me. But he has unplugged from politics for his mental health. When our conversation turned to the election, he parroted the conservative media narrative about Biden being senile.

I admitted to him that I to had been stunned by Special Counsel Hur’s report describing Biden as a “sympathetic, well-meaning, elderly man with a poor memory.” I spend some time with conservative media, which for months had been peddling inaccurate descriptions of Biden as a doddering senior ready for the nursing home. But then I watched the entire State of the Union address and was reassured.

So I asked my friend to watch 15 minutes of the SOTU. I knew he wouldn’t agree with some of Biden’s policies, and conceded that he is not as animated as Trump. But I expected he would come away from the viewing confident that Biden was not cognitively impaired. As a general internist, I have seen hundreds of patients with dementia of all varieties in my career, and it would be impossible for someone with dementia to have given that speech or handled the heckling as he did.

I also encouraged him to give Trump 15 minutes of equal time. After I watched Biden’s SOTU, it occurred to me that I hadn’t seen more than snippets of either man for months. So I watched Trump’s Super Tuesday victory rally in Rome, Georgia, from two days after the SOTU.

Our enhanced ability to watch people speak for themselves is one of the major advances of modern politics. I enjoy political theatre and try to see as many competitors as I can in person (whether I will vote for them or not) when they come within striking distance. In 2016, I saw Trump, Cruz, Rubio, Carson, Kasich, and Clinton (Bill, who was stumping for Hillary) when they came to Florence. I’d recommend everyone visit the Gallivants Ferry Stump, the longest running stump meeting in the country. There’s no substitute to being in the same location as the candidates. Sometimes you learn as much about them by the crowds they attract as by the speeches they make.

But if you can’t attend in person, you have the next best option – YouTube. With that ability, why not transfer some of the time you are spending being told about the candidates to time listening directly to them? I hadn’t listened to Trump at length but a handful of times since I saw him in person in 2016. That speech is still ringing in my ears. The moment he shouted, “And who’s going to pay for it?!” and the crowd shouted “Mexico!!” was the most frightening example of demagoguery I’ve ever witnessed.

Trump has always been bombastic and vulgar, but watching the Rome speech right after the SOTU highlighted the contrast with normal political speechmaking. Although Biden made many references to “my predecessor,” his allusions to Trump were based on differences in their positions and accomplishments. Right out of the gate in his Rome speech, Trump launched a fusillade of personal attacks. He dismissed Biden’s speech as “The worst president in history making the worst State of the Union in history.” He imitated Biden’s stutter; he mocked his cough.

Although I felt my friend could watch any 15-minute segment of the SOTU and come away with an accurate assessment of Biden, I asked him to watch the last 15 minutes of the Rome rally. If not for the American flags in the background, it would be easy to image Trump’s concluding monologue being delivered from the canvas of a WWE ring.

As foreboding music played in the background, Trump presented the U.S. as a sulfurous wasteland. He intoned “We are a nation in decline, we are a failing nation… we are a nation where free speech is no longer allowed and where crime is rampant like never ever before… and now Russia and China are holding summits to carve up the world… we are a nation that is hostile to liberty, freedom, faith and even to God… we are a nation whose economy is collapsing into a cesspool of ruin… where fentanyl… is easier to get than groceries to feed our beautiful families… we have become a horrible and unfair nation.”

Biden’s SOTU is anchored in reality. I’m not sure what nation Trump is describing, but it’s not America. The surreal and disconnected nature of Trump’s speech can’t be adequately conveyed by my words. It must be seen to be believed. Spend fifteen minutes with each man before you make a decision.

A version of this column appeared in the March 21st edition of the Post and Courier-Pee Dee.

Paul DeMarco at the Gallivants Ferry Stump Meeting in 2006.

DeMarco: Why I’m voting for Haley, then Biden

The Op-Ed Page

12/20/10 Columbia, SC: Gov. Nikki Haley official portrait.
Photos by Renee Ittner-McManus/rimphotography.com

By Paul V. DeMarco
Guest Columnist

Nikki Haley faces stiff head winds as she tries to become the Republican nominee for president. If only the Republican base participates in state Republican primaries, Trump wins going away. Her only path to the nomination is for independents and centrist Democrats to back her.

The majority of Americans recognize the unique threat Trump poses to democracy. Even his supporters are known to call him a “disrupter” or a “wrecking ball.” For them, his positives outweigh his innumerable negatives. They are willing to roll the dice on a second Trump presidency. I am not so sanguine. Trump is too unpredictable, too big a risk.

Our crucial national task in the primaries is to ensure that Trump is defeated. Almost anyone alive would be a better option than Trump. Surrounded with intelligent, capable advisors, any thoughtful, humble American would be superior. I know some teenagers to whom I would gladly hand over the reins of this country if it were them or Trump.

Biden is old and fails to excite. He has numerous policy positions that can be legitimately opposed. But he will not wreck the ship of state. If he loses in 2024, he will not spend his lame duck period trying to subvert the will of the people and remain in office, nor when he leaves office use the next four years to lie about the result.

The risk in my strategy is that Haley becomes the Republican nominee and beats Biden in the general. According to polls about a head-to-head contest with Biden, she is a stronger candidate than Trump. But I am willing to accept a Biden loss to ensure that Trump has no chance to be president again.

Haley, of course, has her own set of drawbacks about which I will write if she is the nominee. But she was a capable governor and has expressed dismay over January 6th, calling it a “terrible day.” She is willing to state the obvious truth that Trump lost in 2020, which leads me to believe that she would not engage in Trump’s corrosive brand of election denialism if she loses.

Here’s my plan. The SC Democratic presidential primary is February 3rd. The only candidates on the ballot beside Joe Biden are Dean Phillips, a congressman from Minnesota, and Marianne Williamson, neither of whom have a chance. Although I usually vote for the Democrat and voted for Biden in 2020, I will sit this primary out. Instead, I will wait until February 24 and vote in the Republican primary for Haley (remember a voter can only vote in one party’s primary).

Partisans on both sides will object to this. I employed the same approach in the 2022 US House 7th District Republican primary between incumbent Tom Rice and several challengers, including the eventually winner, Russell Fry. Since there were no pivotal races on the Democratic side, I voted in the Republican primary for Rice. Despite having major philosophical differences with Rice, I felt he had served my district well. He was one of the few Republicans brave enough to vote to impeach Trump for his part in January 6th.

I wrote a column titled, “Democrats, Let’s Elect Tom Rice,” to which Drew McKissick, the chairman of the South Carolina Republican Party wrote a rebuttal, arguing that people like me shouldn’t be allowed to meddle in the Republican primary and renewing the call that the Legislature pass a law forcing voters to register as Republicans or Democrats and be confined to that primary.

Folks like Mr. McKissick seem to view party affiliation as a deeply imprinted, immutable characteristic. One must be fully baptized into Republicanism and conform religiously to every tenet. If you fail to do so, you are consigned to the purgatory of RINOism. There are, of course, mirror images of McKissick on the Democratic side.

This strict ideological view defies the shifting moods and desires of the body politic. First of all, most voters hold their party affiliation loosely and are willing to vote for an inspirational candidate of their second-choice party – the Reagan Democrats were a prime example of this.

Second, the modern political parties have shifted seismically in the last 75 years. The Democrats were the party of white segregationists until the 1960s when Strom Thurmond and Richard Nixon attracted them to the Republicans. For decades after FDR’s New Deal, the Democrats were considered the party of the worker. Until recently, Republicans were hawks and Democrats were doves. But all that has been scrambled. Many now see the Democrats as the party of the rich, dominated by economic, academic, and cultural elites who are blind to the everyday reality of working people. Meanwhile, it’s the Democrats who support the war in Ukraine while a significant fraction of Republicans have retreated into isolationism.

So I invite you to consider voting for your country rather than your party. Whether Haley or Biden wins in 2024 is less important than Trump never being allowed to wield again the enormous power of the presidency. Neither Haley or Biden will threaten the democratic foundation on which our country rests. Trump’s most enduring legacy will be the lesson that our system is fragile and must be guarded from politicians who care more about their own power than honoring democratic principles. We don’t need a second kick from that mule.

A version of this column appeared in the January 17tt edition of the Post and Courier-Pee Dee.

DeMarco: Can There Be Peace for the Jews and Palestinians?

The Op-Ed Page

Over the decades, the very few hopeful-seeming moments have been pathetically far between.

By Paul V. DeMarco
Guest Columnist

The war in Gaza has galvanized the American public more than any international conflict in decades. To try to educate myself on this faraway conflict, I have spent many hours listening to the voices, both written and spoken, of Jews and Palestinians. Many of them express mistrust, disdain, and even hatred of the other, none of which I feel.

What I feel is profound sorrow that two peoples who believe in a loving God have let it come to this. The barbarous Oct. 7 attack on innocent Israeli civilians was as cruel as it was shocking. There is no way to justify it. It must be condemned as heinous and self-defeating. Hamas knew it would provoke the overwhelming Israeli response that is unfolding. Many more Palestinians will die than Israelis who were killed in the initial attack. It was desperate and senseless.

But if one puts the attack in context, one can see how a young Palestinian man could be radicalized to feel that this kind of vengeance was his only remaining option. I’ve never been to Gaza, but I think I can understand on a basic human level what it might be like. That young Palestinian man could have grandparents who were driven off their land in the Arab-Israeli War of 1948, could have parents who have lived their entire lives as refugees, and could himself be unable to find work because of the economic and travel restrictions Israel has placed on Gaza. It’s possible for me to understand how such a person could have his mind warped into killing for revenge, particularly if surrounded by a circle of jihadist contemporaries.

I can also understand what it might be like to be a Jewish man of that same age whose great-grandparents were Holocaust survivors, whose grandparents grew up in the new, precarious Jewish state in the 1950 and ’60s and fought in the 1967 war, whose parents fought in the second intifada, and who himself has had to live his entire life fearing suicide bombings and missile strikes. I can understand his wholesale lack of trust in the Palestinians, a simmering anger with the Palestinian Authority’s unwillingness to compromise to achieve a two-state solution, his horror at Gaza being run by Hamas, which advocates for Israel’s dissolution, and his fury over the Oct. 7 attacks.

So where do we look for hope? America’s history provides a glimmer. Our nation knows something about forcibly removing a people from their land, as we did with the Native Americans. In addition to Native Americans, we have historically denied many other groups their full citizenship rights. But America has gradually welcomed those it previously sought to exclude or marginalize. The process has been slow, often begrudging, and it is not yet complete. But America’s direction is clear. Israel has the same duty. It drove Palestinians off their land in order to create a Jewish state and has denied them the right of self-determination. It must find a way, as America has, to right those wrongs.

The Palestinians, for their part, must renounce violence. Every group that was treated unjustly in America has won its rights over the past century by mostly peaceful means. It is essential that the Palestinians do the same. As long as they indiscriminantly fire rockets, detonate suicide bombs, and commit unspeakable atrocities as they did on Oct. 7, Israel is within its rights to fight back.

Imagine if after breaching the border wall on Oct. 7, tens of thousands of Palestinians had marched peacefully into Israel in a demonstration similar to the American March on Washington in 1963. They would have been embraced by the international community. People like me, and I believe there are many, who recognize that both Israelis and Palestinians have a legitimate claim to the land and that both a Jewish and Palestinian state deserve to exist side by side, would have been moved by that display. We know that our nation provides substantial aid to both Israel and the Palestinians and therefore has leverage. We are willing to add a candidate’s position on Middle East peace to our electoral calculus. But we will not support violence from either side.

As a starting point, the two sides have an important commonality – a language of peace. In Hebrew the word is shalom. In Arabic it is salaam. It means more than a sterile absence of war. It means completeness, wholeness, a state in which God’s people treat each other as he intended.

These two words can be the cornerstone of Israeli-Palestinian reconciliation. I had an elderly Jewish patient who would greet me with a resonant “Shalom” when I walked into the exam room. It was so much more powerful than my generic “Hello.” It was tangible, a verbal embrace. Similarly, on a medical mission to Tanzania in 2020, I was sometimes greeted with “Salaam Alaikum” (“Peace be upon you”) by Muslim passersby. One evening, our group was invited to a Christian Bible study by some local missionaries. As we sang a hymn, the Muslim call to prayer could be heard from a nearby mosque, symbolic of the harmony that can exist between the religions.

We in America have a role to play. As voters we should demand that aid for both sides become contingent on seeing real progress toward the two-state solution.

A version of this column appeared in the Dec. 21 edition of the Post and Courier-Pee Dee.

DeMarco: Mike Johnson: a brilliant new speaker – for the 20th century

The Op-Ed Page

By Paul V. DeMarco
Guest Columnist

Scene: A distant galaxy, year 2834, in the Tardis.

Dr. Who: What’s on the schedule today?

Ruby (the doctor’s companion): Looks like we have the day off. Not an alien in sight.

Who: Smashing! I’ve really wanted to brush up on my American history. The 1920’s seemed like an eventful time-jazz music, speakeasies, flappers, the Depression. I came across this name I had never heard of (flipping pages on a touch screen). Let’s see here… yes, there he is, Michael Johnson. Came out of nowhere it seems. Only six years’ experience and pop! – he’s the speaker of the House. Seems perfect for the job for someone of that era though. Rock-ribbed conservative Christian, literally interprets the Bible, believes in Noah’s Ark and the world being about 10,000 years old. A man for his time! Ha, but there’s a typo in his bio. It says he was elected in 2023. They must mean 1923 (pauses to adjust the Tardis’ time-travel settings). OK, course set for Michael Johnson as speaker of the House. Here we go!

Ruby (shouting over the roaring of the Tardis): Actually, Doctor, there is no mistake!! Johnson was elected in 2023!!!

Who: (also shouting): Sorry, I can’t hear you!!

(The Tardis makes a rough landing. Unbeknownst to the Doctor, Ruby is knocked unconscious).

Who: Blimey! That was more of a shake than I expected. Let’s see what other history we can glean before we start exploring. Righto, I see here that the Scopes Monkey Trial will happen in just a couple years. Well, that’s advantageous for Mike. He’s a constitutional lawyer whom I’m sure can argue a cracking case against evolution. He’s got a strong voice and a great stage presence. Ruby, don’t the creationists win at trial?

(Ruby awakens but is too groggy to respond. The Doctor is oblivious.)

Who: (continues reading) But there’s no mention of Mike at the Scopes trial… Hmm… I guess they needed a more experienced lawyer… (swiping)… so they picked Williams Jennings Bryan. Too bad for Mike.

Who: Ooh, I wonder if Mike ran for President in 1924. With that winning smile and such a nice head of hair. Surely he would have grasped for the brass ring. (Swipes touch screen) What! Calvin Coolidge?! Silent Cal? Surely Mike would have been more exciting. And he hated welfare just as much as Coolidge did.

Ruby (finally fully regaining consciousness): Where are we?

Who: 1923, weren’t you paying attention?

Ruby (now clear-headed): Doctor, we’re in 2023.

Who: Ruby, you are one sandwich short of a picnic! I mean a man like Mike Johnson makes perfect sense for 1923, when creationism and evolution were seen as competitors in the marketplace of ideas. But a hundred years does a lot to disabuse people of the notion that humans kept pet dinosaurs. And look at his ideas on sexual orientation. Back in 1923 every state had a sodomy law. Views like Mike’s prevailed and most gay people lived closeted and afraid. You expect me to believe that Mike Johnson was elected speaker of the United States House of Representatives, second in the line of presidential succession after the vice-president… in the year 2023! Not a snowball’s chance! It’s a foul-up in the blasted Tardis!

Ruby: Doctor, It’s not the Tardis.

Who: And then there’s his wife. Also ideal for early 20th-century America. What a role model for women who had just won the right to vote! Look at her – she’s running her own business. But, as would be expected in 1923, biblically submissive to her husband. What a power couple for the Roaring Twenties. She’s so much more magnetic than Mrs. Coolidge. Wow, they really missed an opportunity by not running in 1924.

Ruby (coming over to the doctor’s computer station and manipulating the touch screen fiercely): Doctor! There is nothing wrong with the Tardis!

Who: (reviewing what Ruby is showing him, stunned): Crikey… We are in 2023. It’s been 100 years since the Scopes trial, there’s now incontrovertible evidence that the earth is billions of years old, it’s been over 50 years since Stonewall, and gay marriage is legal. Isn’t that right Ruby? Gay marriage has been legalized by this time in the US?

Ruby: Yes sir, Obergefell was decided in 2015. (Swiping a touchscreen). Here’s some more about him. He made no secret that his interpretation of the Bible was at the base of his political views. He wrote columns in his local paper about it. Here’s one from 2003 in which he responded to the U.S. Supreme Court’s striking down of a Texas sodomy law. He said it was a “devastating blow to fundamental American values and millennia of moral teaching.”

Who: But surely he and his wife’s views moderated once he was elected Speaker…

Ruby: Well, his wife’s counseling service did take down their website in which they call homosexuality “sinful and offensive to God.”

Who: Well that’s something…

Ruby: But when asked what his views were a couple days after being elected, he said if you want to know what he thinks “About any issue under the sun… Well, go pick up a Bible off your shelf and read it. That’s my worldview.”

Who: Any issue? Climate change? Nuclear arms? The next pandemic? I am gobsmacked. But I have to know. Does America become a theocracy? Set a course to November 2024 (TO BE CONTINUED).

A version of this column appeared in the November 15th edition of the Post and Courier-Pee Dee.

“Bigger on the inside…”

DeMarco: Why I Live in a Small Town

The Op-Ed Page

The Main Street of Marion, S.C., via Google Maps Street View.

By Paul V. DeMarco
Guest Columnist

Jason Aldean’s song, “Try That in a Small Town” has become yet another cultural battleground. Rather than talk rationally about what makes small-town living satisfying or depressing, each side has set up a caricature for the purpose of slamming it. I’ve read a number of commentaries, most by writers who have either never lived in small towns or have left them with nothing but harsh memories.

Here’s what I know about small towns: I’m glad I live in one. I came to Marion (population approximately 6,300, about 20 miles east of Florence) because I was obliged to; the state paid my medical tuition for three years of service in a health workforce shortage area. But I stayed because I wished to.

Jason Aldean via Wikipedia.

I realize this gives me a uniquely optimistic vantage of my small town. I came as a new doctor into a community that needed one. I was welcomed when I arrived, and have, for the most part, felt welcome here.

I think we can agree that small towns and big cities have their own particular attractions. If you want an easy commute, come to Marion, where mine is traffic-free and downright therapeutic, offering back roads where deer, ducks, herons, and bald eagles are not uncommon. If, on the other hand, you frequently crave late-night home delivery of premium-grade sushi, Marion will disappoint.

Most of the furor over the song derives from its ability to slide easily into each side’s narrative. For liberals, the song is a Lost Cause anthem. The fact that Aldean is a conservative who has not made a secret of his support for Donald Trump has fueled that assessment.

For conservatives, CMT’s pulling of the video is a perfect example of “wokeness” and cancel culture. The left, they would argue, is running out of actual examples of racism, so they invent them.

What some dislike, including myself, is the misplaced bravado in the song, the Hestonian “out of my cold, dead hands” vibe. But I think we need to give Aldean the same poetic license that we give hip-hop artists, who often purposely provoke with their lyrics (and then are rightly criticized). My other criticism would be that while the video shows people of all colors behaving badly, there are no black or brown people in the scenes showing the richness of small-town life.

Aldean is expressing an attitude more than a threat. He’s not planning to murder you if you cause trouble in his town, as some pearl-clutching liberals would have you believe. He’s pointing to a legitimate difference between small towns, not only in the South but in any region of the country, and larger cities.

Paul sent this view of Main Street, taken from almost the same vantage point as the one above.

Aldean’s song is built upon this truth: the structure of a small town makes it impervious to riots and mass violence. Almost everyone who lives in Marion has some connection to Main Street. We shop there regularly and know or are related to the business owners and employees, both black and white (Marion’s population is 70% African-American). We’ve watched them struggle and mostly survive the pandemic. It would be inconceivable for Marion’s citizens to burn down Main Street in protest of anything. Our connections to one another would douse our anger. It’s hard to throw a rock through a window when you know who is on the other side

Aldean’s song asks us to imagine what might have been accomplished if the George Floyd protests had been completely peaceful. BLM’s strength as a voice for the black community would have been immeasurably enhanced. In the aftermath of a year of well-organized, nonviolent marches against racial injustice, those who supported the January 6th Capitol riot would have had no cover. But instead, they have been able to successfully point to the lives lost and the billions in damage caused in the BLM protests as a defense, arguing that violence is an inevitable and necessary part of advocating for societal change.

The South will be forever stained by our history of racial hatred. Small towns in the South, were, and can still be, oppressive and racist. But my sense is that in 2023, the racial barriers that remain in this country do not vary significantly by zip code.

Small towns are, in some ways, better than they have ever been. Although many are poorer than they once were, they have never been more inclusive. My neighborhood, once completely white, is browning. I now have a retired black woman as my neighbor who has become a good friend for my wife and me. Many small towns are redefining their identities after the offshoring of their major manufacturing plants. I would counsel any young person, particularly an entrepreneur, to consider small town life. The internet has done much to ameliorate the isolation of rural places, and has given rural-based businesses a way forward.

So y’all come and visit. If, like me, you end up staying, you will be glad you did.

A version of this column appeared in the Sept. 1h edition of The Post and Courier, Pee Dee.

DeMarco: Pop Quiz! For Whom Did They Vote?

Hawkeye and Trapper John would have had trouble with that riddle, too. So would Hot Lips, for that matter…

The Op-Ed Page

By Paul V. DeMarco
Guest Columnist

Guess how the two friends I’m about to describe voted in the 2020 presidential election.

The first is an older white male. One of his vehicles is a 1999 Ford F-150 pick-up whose radio is tuned to a country station. His gun safe contains a 12-gauge shotgun, a 20-gauge shotgun, and a pistol. He attends church almost every week and believes Jesus Christ is his Savior. He has the Fox News app on his phone. He favors robust border security. He thinks it unfair for transgender women to compete in collegiate and professional sports against cis-gender women.

The second is also an older white male, roughly the same age as the first. He drives a Ford Escape in which he generally listens to podcasts like NPRs “Fresh Air.” He has the Washington Post app on his phone. He believes in reasonable gun regulation, including registration of firearms with state governments. He comes from a family of immigrants – his grandfather emigrated from Sicily after World War I. He supports diversity, equity, and inclusion in all phases of society.

If you guessed the first voted for Trump and the second voted for Biden, you would be… wrong. Those two paragraphs both describe me. I drive the Escape most days but have the pick-up, a gift from my father-in-law, for hauling. Like most of America, I have nuanced views on guns, immigration, the transgender community, and the role of faith. I listen to many different types of music and get my news from multiple sites.

As to whom I voted for – it’s Biden. Trump is an inveterate liar and a danger to the country.

But the subject of this column is not Trump or Biden. It’s our tendency to pigeonhole. Let’s try another example in the form of a decades-old riddle I first heard in medical school: A father and son have a car accident and are both badly hurt. They are both taken to separate hospitals where they are immediately prepped for surgery. When the boy is wheeled into the OR, the surgeon looks down at him and says, “I can’t operate on him. This is my son.” How is this possible?

The answer is that the surgeon is the boy’s mother. Don’t worry if you missed it. I did too when I first heard it almost forty years ago. Over the past couple months, I have been retelling it to groups of young people to see if their answers are any more astute than mine was. I have queried a group of nurses, a group of medical students, and a group of teenagers, perhaps fifty young people in all. All the groups were primarily female and the vast majority were stumped. I was surprised that our collective mental image of a surgeon is still so strongly masculine, even among young women, some of whom are destined to become surgeons themselves.

Eventually, I hope, no one will be fooled by this riddle, as the idea of a female surgeon will be top of mind. Indeed, the way that women are outpacing men in many academic fields, including medicine, we may eventually reach the point where we can tell the riddle in reverse about a mother and a son.

But when it comes to politics, rather than harmful stereotypes being slowly eroded, our media environment depends on shoring them up and exaggerating them in a relentless drive for clicks. Each side reduces the other to a humiliating caricature, shown in the worst possible light. Because social media’s hyperpartisan atmosphere vastly overstates the extremism of both the right and the left, our worldview becomes more and more skewed.

This is why I write. I know better than anyone that there are more knowledgeable and more skilled columnists out there. But because so few of them speak to the middle ground, I feel obligated to plant a flag there. My big advantage is that I write for free, so I have no incentive to overstate to stoke anger.

I’ll end with the words of Martin Buber, who unsurprisingly, is rarely invoked in today’s political commentary. Buber was a Jewish philosopher who framed relationships as “I-Thou,” in which a person opens himself fully to another to achieve a connection, or “I-It,” in which a person encounters another as an object or instrument to be used and discarded. Almost without exception, when we meet people different from ourselves, we adopt an I-It posture.

Buber encourages us to instead choose the I-Thou posture, which he believed could occur instantaneously, in any circumstance, even between strangers. One easy place to practice is the grocery store. As you wait in line, imagine the cashier as a complete human being, who has a home, family, hopes and anxieties just like you. Try it with as many people as you can, especially those with whom you disagree.

This can be hard with a vicious somebody on social media. A couple of remedies are available. First, spend less time on social media. Second, wish your antagonist well and move on. There are too many thoughtful, interesting people out there to waste your time with someone who treats you like an “It” rather than a “Thou.”

A version of this column appeared in the August 8th edition of the Florence Morning News.

DeMarco: Who owns the rainbow?

The Op-Ed Page

Found this on Wikipedia. It’s by someone named Eric Rolph, at English Wikipedia…

EDITOR’S NOTE: Hey, remember the other day when I posted Paul’s abortion post, I said I had another one from him that I hadn’t even looked at, but would post soon? After which I didn’t have time for several days to think about posting on the blog? Well, this is it, and Paul just texted me to tell me it had to do with “Pride Month,” which he said was ending today. Sorry, Paul. Here you go…

By Paul V. DeMarco
Guest Columnist

Remember when a rainbow was just a rainbow – happy surprise after a downpour? I sometimes long for the simplicity of those pot-o-gold days.

But we live in a complicated and changing world. Which means we sometimes we have to share symbols that our tribe has felt we owned. Christians are struggling with the appropriation of the rainbow, which for us evoked the story of Noah’s Ark. Every child that has ever attended Sunday School has been taught this story, often with images of happy animals strolling symmetrically up the gangplank.

I wrote a column in April in response to one of those Christians, the Rev. Michael Goings. Rev. Goings, whom I’ve not met, is a fellow citizen columnist for the Florence Morning News. He wrote a piece in March (“The Sacred Sign of the Rainbow”) in which he objected to the “thievery” of the rainbow by the LGBTQ community. He castigated its use as a symbol of gay pride as a “blatant act of defiance and desecration” claiming that it is “almost unpardonable, abominable, and dishonoring to the Almighty.”

I can understand some mild annoyance at the muddling of the rainbow imagery for young Christian Sunday School students. Kids can ask the darnedest questions, and a Sunday School room can be a dicey place to answer. But for me, that annoyance is overwhelmed by the enormous pride that the LGBTQ community is now able to express through the rainbow flag. Over the past decade, the ubiquity if the flag has paralleled their acceptance into the fabric of American life.

For Rev. Goings and others, rainbow imagery that supports LGBTQ people induces fear, rage, or the sense that apocalypse is nigh. Many Christians cannot accept that gay people are worthy in the sight of God. Some, like Lauren Boebert, have seats in Congress. When the Air Force recently tweeted support of Pride Month with an image of an airman saluting against a rainbow background, Boebert responded, “We salute one flag and one flag only in the United States of America. It isn’t the ‘Pride’ flag.”

I think it’s fair to describe Boebert as a Christian nationalist. At a Christian conference in Woodland Park, Colorado in September of last year, Boebert said, “It’s time for us to position ourselves and rise up and take our place in Christ and influence this nation as we were called to do.” Later she spoke of the end times: “We know that we are in the last of the last days. This is a time to know that you were called to be part of these last days. You get to have a role in ushering in the second coming of Jesus.”

Of LGBTQ people, she said they are “spitting in God’s face.”

Goings and Boebert read the Bible one way, a literal interpretation to which they are entitled. They believe that God sent a great flood that wiped out all of humanity except for Noah’s clan. Once the waters receded, God sent a rainbow as a sign of a new covenant with His people.

I read the Bible as literature, much of which I believe is divinely inspired. But it is filtered through flawed, limited human authors. Some of the Bible is confusing and some of it is simply wrong. Of many examples, I will give one – Ephesians 6:5: “Slaves, obey your earthly masters with respect and fear, and with sincerity of heart, just as you would obey Christ.”

So here is this layman’s take on the story of Noah and the rainbow. There was no great flood (almost every geologist backs me up on this point). This story falls in line with flood myths that had been written and told for centuries before the Noah story. It is a way of trying to understand how a divine being or beings interact with their creation.

Like many Bible stories, this one is full of contradictions. Noah’s family, the best God could find on Earth, immediately shows God just what He has wrought in his second attempt at civilization. In Genesis 9:17, the ark account ends with God saying to Noah about the rainbow, “This is the sign of the covenant I have established between me and all life on the earth.” Four verses later, Noah “became drunk and lay uncovered inside his tent.” It is reassuring that God would choose someone as imperfect as Noah as the father of his new creation. He’s barely off the ark when he is found by his sons completely blitzed and naked. It tells me that God has a keen understanding of human frailty, an unending tolerance for our mistakes, and a bodacious sense of humor.

If you believe that men who love men or women who love women are reprobates warped by their sin and a danger to society, you have a right to your opinion. From that position, you have a couple of options. One is to try to completely shield yourself from the corrupting influence of gay people. Don’t listen to any music or consume any news, TV, movies, or social media produced by them. Don’t buy any products designed or services offered by them. I wish you luck. Or, more profitably, get to know a gay couple. Actively recruit gay people to your church so you can see who they really are. See if your opinion doesn’t change.

In my reading of Noah’s story, the rainbow is a sign of God’s new approach to humanity. This is the God of Love. Yes, there is still the God of Wrath who makes his presence known through the Old Testament (see, for example, Psalm 137). But here is our first glimpse of the God of Love who will later be personified in the New Testament in his Son, Jesus. In that light, the rainbow makes perfect sense as a symbol for gay and queer people.

If you like, you can cling to the few verses about homosexuality being an “abomination.” But, remember, God had much more to say about adultery than homosexuality – including that adulterers be put to death. Consider the possibility that these warnings come from a different time and were written by men who had little understanding of psychology and human relations. If, like Rev. Goings and Rep. Boebert, you are so willing to denigrate homosexuals, why not adulterers, who receive much more Biblical condemnation?

I have a brand new decal on my car’s back glass with a version of the rainbow flag. It advertises a new LGBTQIA+ advocacy group in our region called Pee Dee Equality. I’m hoping it will flourish. Our corner of the state could use a place that advocates for the dignity of every person.

This column is based on one that appeared in the April 26th edition of The Florence Morning News.

DeMarco: The Boys’ Club takes on abortion

The Op-Ed Page

EDITOR’S NOTE: Paul sent me this with an apology, calling it “a somewhat dated column.” And it was when he send it, on June 11. So I now offer my own apology, since I’ve hardly touched the blog since then, and now it is a REALLY dated column. I’ve been really, really busy lately, a condition that I think is now lessening, slightly. Anyway, here you go. He actually sent me another right after this, which I will do my best to post today or tomorrow…

By Paul V. DeMarco
Guest Columnist

Most Americans are rightly conflicted about abortion. Those who favor more restrictions prioritize the welfare of the fetus. Those who favor less restriction, including most physicians, prioritize the welfare of the mother. As King Solomon knew, when he was confronted by two women who both claimed to be mothers of a newborn, there is no splitting the baby.

There is also no avoiding a decision. The irony for South Carolinians is that we had it about right. Our previous law, a 20-week ban that passed in 2016 during Nikki Haley’s tenure, successfully balanced the competing values of mother and fetus. Our current Legislature, which is more than 85% male, felt the law was too generous to women. It passed a 6-week ban which Governor McMaster signed on May 25th.

The 27 to 19 vote to pass the bill in the senate was accomplished without a single female senator’s vote. This wasn’t especially challenging, given there are only five female voices in the chamber. It’s not hard to believe that some of the supporters of the bill are striving to put women back in, what they consider, their rightful place. I don’t know what was in these men’s hearts, but I have some questions. By opting for an elective abortion, a woman is often saying, “I don’t believe I can successfully raise a child right now.” If the ban was to protect these children, why wasn’t it accompanied by a strengthening of our social safety net to ensure they are not raised in poverty?

How many of our male senators know women who have chosen to have an abortion? Let’s imagine, gentleman, that the woman in question is your daughter, whom we will call Elizabeth. Let’s drop your income to the poverty line so you have little ability to help Elizabeth. Surely if with one hand you have the power to force Elizabeth to have your grandchild, with the other you could strengthen her safety net by expanding Medicaid, providing affordable child care and preschool programs, and funding public schools equitably.

I’m not arguing that it is wrong for the senators to oppose abortion. Belief that life begins at conception and that God has known us since before we were born is beautiful idea that is scripturally based. However, that religious belief cannot be imposed on women who don’t share it. A Christian woman who supports abortion could ask, for example, “If God knows us from before we enter the womb, why are there almost as many miscarriages as there are abortions in the US?” She also could reasonably object to the belief (held by 35% of Republican voters in a 2022 Winthrop poll) that abortion should be illegal even in cases of rape, presumably because God created that child.

Her conception of God and childbirth might be shaped by a different view of God, one that recognizes the difference between a fetus and a child and one that would never force a woman to endure a rape and then a pregnancy. As a Christian abortion opponent, you have every right to advocate for what you believe to be a life that God ordained before the beginning of the world. You have a right, and according to your faith, perhaps a duty, to preach about it, to publish your message on social media, to build crisis pregnancy centers-to do whatever you legally can to convince women not to have abortions. But, in America, you don’t have the right to impose your religious belief on women who don’t see the world as you do.

In your opposition to abortion, I would suggest you let women do most of the talking. I’m sure there are men who come to this issue with a pure heart. However, I have been with men in locker rooms and many of them talk, well, like Donald Trump says they talk. I also know Christian couples who believe the man is the head of the family and his wife has a scripturally enforced subservience, an arrangement to which they both happily adhere. Both of these approaches to women, as prey to be hunted or as servants to be dominated, are undoubtedly present in our state senate.

In an interview with The New York Times, Republican Katrina Shealy, one of the bipartisan group of five female senators who voted against the 6-week ban, recalled that during her tenure one of her male senate colleagues, Tom Corbin, had made derogatory comments to her like “women should be home barefoot and pregnant” and that women are a “a lesser cut of meat.”

Men like Senator Corbin, who remains in the Senate and who on his website describes himself as “a Christian, a conservative, (and) a family man” are threatened by the rise of women in every sector of society. They remember a time when almost every important political or business decision made in the state was made by a man. They may still worship in churches where women are barred from the pulpit. It’s not a big stretch for them to gather together in a male-only effort to control and diminish the lives of women.

Here’s what I would ask the good senators. If you, like your daughter Elizabeth, could get pregnant, would you have voted this way? If your birth control failed or your self-restraint failed or you were temporarily impervious to the reality of pregnancy because you were young, or intoxicated, or heedless, would you force yourself to live with the consequences of that decision for the rest of your life?

A version of this column appeared in the May 31 edition of The Florence Morning News.

Jimmy Carter is going to die. So are we all.

The Op-Ed Page

By Paul V. DeMarco
Guest Columnist

In a scene from the television series Doc Martin, a scathingly curmudgeonly English surgeon turned primary care doctor, he is visited by an anxious preadolescent girl and her mother for the daughter’s minor complaint. After being given a cursory exam, the girl asks, “Am I going to die?” Doc Martin stares at her incredulously and retorts in hilariously untherapeutic but unassailably truthful fashion, “Yes, we all die.” The girl begins to cry as Doc Martin moves on to his next patient.

There are essentially three ways to approach Doc Martin’s response: full denial, full acceptance, and a usually unhappy middle ground. As a physician who spends part of his days seeing hospice patients, I have seen all three up close. This has led me to the conclusion that one of the most important decisions we can make in life is how we are going to conceive of our deaths. The meaning of life, said Kafka, is that it ends. So it is profitable that each of us have a reliable concept of where we are going.

When I talk about this subject with medical students, I don’t recommend a particular path (although, if asked, I tell them my Christianity frames my approach to death). Instead, I stress to them that they must find a path, through organized religion or some other framework, that provides them a way of understanding life and death. It is much easier for physicians to engage with patients and families about life-threatening illnesses if we have decided what happens to us when we die.

Over my thirty years of practice, I have seen hundreds of patients die. Each death is a blow, especially the unexpected ones. But when there is time to prepare, death can be beautiful. Such deaths require planning and support. That support is often in the form of hospice. That’s why I am so glad that Jimmy Carter chose to make public his decision to enter hospice care. Although his presidency was turbulent and his leadership uneven, his post-presidency has been remarkable, easily one of the best presidential second acts in American history. His choice of hospice will be his last exemplary act.

Hospice provides patients and families a much-needed embrace. We surround the patient with a team of experts who understand how human beings die. Dying can be hard work, as can watching a loved one succumb. It can be overwhelming without enough help. Having hospice team members to nurture and guide you can be shelter in the storm.

No other medical discipline is more rigorous in their team approach than hospice. Every patient is seen in their home by a nurse at least once a week, often more. Each team has a social worker and a chaplain who visit monthly or more if the patient wishes. The team member that is most appreciated is often the hospice aide who bathes, dresses, and provides other personal care to our patients. Their intimate, loving care of patients as they wash and reposition a frail human body is a balm for both the patient and the caregiver. Hospice volunteers are available to sit with, talk with, and read to patients, providing caregivers a brief respite. The team is led by a physician who provides oversight and visits patients when needed.

Choosing hospice is a recognition that death is near, which for some is a difficult bridge to cross. Those patients and families who approach death with fear and denial may, in so doing, deprive themselves of a rich and sustaining hospice experience. If you visit your primary care provider and think hospice might be appropriate for yourself or your family member, please ask (the criteria is a prognosis of six months or less). Some providers are hesitant to make a referral without a signal from the family.

Sometimes death comes quickly and hospice is not feasible. But in most cases, death can be anticipated and hospice can be called months in advance. This is the setting in which hospice works best. When the team members visit and call week after week, they become members of the family.

One of the ironic things about working in hospice is the disposition of my fellow team members. You might assume that people who work with dying patients all day would be in a permanent state of melancholy. However, the opposite is true. Perhaps there are some cynical hospice workers out there, but I don’t know any. Understanding death, it turns out, is key to enjoying life. At our weekly meeting there are often tears, but there is also laughter as we relate stories of funny things that team members, family members, or patients have said and done.

I grew up thinking that a deathbed was a place for hushed tones and whispering. But my team, my patients, and my families have taught me that the end of life is a profound experience to be savored and which can hold every emotion from intense sadness to side-splitting amusement. One of life’s sweetest moments is hearing a family member tell an amusing story about a dying patient which ends with the gathered doubled over. That kind of laughter is precious, for we know that our loved ones won’t be around to hear that story being told on them again.

So I encourage you, figure out what you believe about death. It will help you live better. And at the end, choose hospice.

A version of this article appeared in the March 8th edition of the Florence Morning News. Dr. DeMarco’s opinions are his own and do not necessarily reflect those of McLeod Hospice.

DeMarco: Worried About MTG? Don’t Be.

The Op-Ed Page

By Paul V. DeMarco
Guest Columnist

Those of you who are avid readers of this column (yes, all three of you) may remember my writing a column with a similar headline about QAnon back in October. QAnon has pretty much run its course. MTG will be a little harder to get rid of, but please don’t worry about her.

For many, listening to Marjorie Taylor Greene is exasperating. She is often wrongheaded, facile, bombastic, and defensive. I don’t have enough space to recount all the ways Greene is unsuitable. They are well laid out on her Wikipedia page. Perhaps the most famous are her belief in QAnon and various other conspiracy theories, including that space lasers started California wildfires. She has been a vociferous champion of the lie that Trump won in 2020. Most disturbing was her statement opposing a peaceful transfer of power two days before the attack on the Capitol. She says on video “You can’t allow it to just transfer power ‘peacefully’ like Joe Biden wants, and allow him to become our president. Because he did not win this election. It’s being stolen and the evidence is there.”

She routinely calls journalists and opposing politicians “liars” and has mastered the simplistic, us-versus-them trash talk that has worked so well for Trump. In doing so, she has become the darling of the extreme right. In an inevitable response governed by Newton’s third law of social media, many Democrats are amplifying her as well, hoping to delude voters into thinking that she represents most Republicans.

In trying to understand Greene, I watched multiple interviews including one between her and CNN’s Jim Acosta in April 2022. It is an ambush sidewalk interview. Acosta questions Greene as she walks down a D.C. street about a tweet to Mark Meadows in the aftermath of January 6th. In the tweet, she raises the idea of Trump declaring martial law to avoid leaving office.

She defends herself vigorously. Her willingness to push back against those she and her supporters see as enemies has earned her a loyal following. Going toe-to-toe with a “fake news” reporter, calling him a liar to his face, is the MTG brand. She has a feisty, take-no-prisoners attitude that has replaced well-chosen words and sober deliberation as the currency of our nation’s politics. She feels Acosta has misrepresented the text and at one point says, “Why don’t you be honest for once?” But she doesn’t finish strongly. After some back and forth, she refuses to answer any more questions and walks away saying, “We’re done, we’re done, stop harassing me… leave me alone.”

The exchange left me feeling sad for Greene. She seems like a lonely, angry person whose career will mirror Sarah Palin’s – each has opted for transient political notoriety at profound personal cost. Palin and her husband divorced in 2020 after 31 years of marriage. Greene and her husband divorced in 2022 after 27 years.

So I would urge you, if you disagree with Greene, to recognize that she is unlikely to change and that you already know enough about her to predict most of her policy positions. Recognize that she is a second-term House member, a position with very little power. Yes, she was helpful to Speaker McCarthy but only because the Republican margin in the House is so small. With a larger majority, she would have been irrelevant. Remember that she’s well-liked by voters in Georgia’s 14th district. Her Democratic challenger in 2022 raised more than $15 million (a gigantic sum for a house race), much of it from out-of-state donors, and lost by more than 30 points. It was foolish for people outside the state of Georgia, most of whom knew nothing about her opponent, Marcus Flowers, to give him money. There was not a single clear-eyed person in the state of Georgia who felt that Flowers could win.

So I say to those donors, don’t waste your money until a credible candidate opposes Greene. And I say to all those of you outside of Georgia, don’t waste your mental energy on her. She has turned Teddy Roosevelt’s advice of “Speak softly and carry a big stick” on its head. She shouts “Liar!” at the president during his State of the Union, but she has no clout. Spend your precious mental resources elsewhere.

A version of this column appeared in the February 22nd edition of the Florence Morning News.

DeMarco: What Christians Can Learn from Humanists

The Op-Ed Page

Bart Campolo

By Paul V. DeMarco
Guest Columnist

The first time I heard the term “secular humanism” many decades ago, it was in a negative context. I translated it as “angry atheist” and stored it in my mental junk drawer along with other assorted concepts I wasn’t sure merited further investigation.

Humanism reemerged as something to consider when I came across the story of Bart Campolo. Bart is the son of Tony Campolo, a progressive Baptist preacher and former spiritual advisor to Bill Clinton. Bart entered the family business as a spellbinding evangelist and founder of Mission Year, an urban ministry focused on improving the lives of young people. Through his twenties and thirties his faith eroded and he now rejects anything supernatural. In 2016, he started a podcast called Humanize Me. I’ve listened to dozens of episodes and, despite the trauma of his public deconversion, he remains a charismatic, insightful, and loving human being.

The trouble with humanism, Bart admits, is that it’s hard to gather a community around a belief system grounded in this world and not in the next. He has been able to generate a faithful online following but the idea of a humanist church has not been a galvanizing one. Bart attempted to start an in-person community in Cincinnati called Caravan, which, based on the website, appears defunct. But the four founding principles of Caravan are profound: building loving relationships, making things better for others, cultivating awe and wonder, and worldview humility.

Christians are familiar with the first three precepts but not the last. Most Christian churches, though not all, practice the opposite, what might be called worldview hubris. We are sure we have found the way to heaven and we’re doubly sure it’s the only way.

A couple thoughts about our certainty. First, the math of our proposition doesn’t seem compatible with a loving God. I suspect, when creating the universe, God knew that many of us would not be Christian (currently Christians make up about a third of the world’s population). Would God knowingly create a world in which so many of his children would miss the mark? Many Christians say they believe this, pointing to verses like John 14:6 in which Jesus says, “I am the way, and the truth, and the life. No one comes to the Father except through me.” However, few are moved to invest time or money evangelizing the lost. According to the missionary organization The Traveling Team, for every $100,000 that Christians make, we give $1.70 to the unreached.

I respect those who believe Jesus is the only way. If you interpret the scriptures literally, you have a strong case. My view is that the Bible is authoritative but not inerrant. In John 14, Jesus also says “The Father is greater than me” (verse 28) and “I am in the Father and the Father is in me” (verse 11). The message I get from the whole of John 14 is that belief in the Father is the critical piece. If you define God as Love, as almost all religious people do, then loving God by loving others is our highest obligation. If love is at the center of Christianity rather than belief in Jesus, we no longer are forced to be exclusive.

Again, I realize this is not the standard interpretation of the Bible preached from most pulpits. Nor am I a theologian. However, decades of Bible study and worship have shown me the hazards of an exclusive Jesus.

First, it instills an oppositional mentality. It’s us (the saved) among them (the lost). It’s virtually impossible not to pity or fell superior to people whom you believe have made a choice that will haunt them for all eternity.

Second, it can make us solipsistic. Why waste time dealing with people who are different from us and are dammed to hell anyway? Most churches are demographically homogenous – far more so than our cities, towns, or workplaces. The temptation to retreat into the cocoon of one’s comfortable church circle is strong.

Third, it makes us afraid. We worry that there is something wrong with “those people” who either worship differently or don’t worship at all. We fear becoming close lest their foreign ways lead us astray.

Last, it makes us incurious. Jews, Muslims, Hindus, Buddhists, and peoples of the world’s many other faiths (and no faith) have traditions that can add to our understanding of the world. Many years ago while visiting Tucson, Arizona, I came upon a group of Buddhist monks meticulously crafting a sand mandala. These flat, intricate sand sculptures take groups of monks days or sometimes weeks to construct. Once completed, they are carefully dismantled, symbolizing the impermanence of the material world. The monks’ egoless devotion to their task, which they complete in silence, and their willing acceptance of the mandala’s destruction has no parallel Christian ritual but has been a lifelong inspiration to me.

I had a Jewish patient who taught me a deeper understanding of the concept of shalom. I had a Muslim student who taught me the discipline of Ramadan. We Christians have our own array of deeply meaningful traditions, but we must allow the possibility that we don’t have a lock on the Truth.

The Caravan website reminds us how most of us come to our world view: “(M)ost of our ideas and convictions are inherited from other people and/or conditioned by circumstances beyond our control. In other words, we are well aware that if our lives or brains were different, then our worldview would be different too, and we’d be using different arguments to defend it.”

When we meet someone of a different faith, our choices include conversion, consternation, or curiosity. Choose wisely.

A version of this column appeared in the February 3rd edition of the Florence Morning News.

 

DeMarco: From Palermo to Buc-ees

The Op-Ed Page

The lady who squeezed the pomegranates.

By Paul V. DeMarco
Guest Columnist

I haven’t traveled widely, but the two times I have travelled internationally as an adult, I have been aware of what a privilege it is. Approximately 40% of Americans have never left the country, and 10% have never been outside their home state.

Looking back at America from across an ocean or a border grants an important, perhaps even essential, perspective. Sometimes the American way gains standing from a faraway vantage. In February 2020, just before COVID, I spent two weeks working in a hospital in Tanzania with a half-dozen students from USC School of Medicine. The hospital, one of the largest in Tanzania, was decades behind those in the U.S. The wards were open (approximately thirty to a room), and the ICU was miniscule and outdated. The radiology department had installed its first CT scanner just a couple years before. Of the deaths that occurred during our time there, several could have been prevented in the U.S. Returning to McLeod Hospital, the local Florence facility where I do part of my practice, I was grateful for the technology and expertise that I had heretofore taken for granted.

The cheese-maker.

My most recent trip, in November 2022, was to Sicily, the land of my ancestors. Returning home was a more ambivalent experience. Our small, expertly-led tour group spent 10 days travelling the length of the island and sampling its bounty. We met a family of fishers and ate tuna they had caught in their restaurant, we met a family of olive famers and watched as one poured freshly pressed oil into small bottles for us to take home, and we met a family that made sausage, pasta and cheese. We saw the patriarch make ricotta in the morning and then ate it for lunch. When I returned, my first meal in the U.S. was at Buc-ees. It was culinary whiplash.

Please don’t misunderstand. There is fast food in Sicily. I bet my brother, who travelled with me, that we would not see a McDonald’s in Sicily, and lost. There are families in America who produce food with the same sense of tradition and passion as those I saw in Italy. We have a farmers’ market in Marion where a woman, whose ancestors have been here since the town was founded in the mid-nineteenth century, sells glorious cookies and pound cakes from recipes honed through the generations. And it is of course true that many people in both countries would eat better if they could afford it.

That said, the food cultures of the two countries are different. It shows in our waistlines. Italy’s adult obesity rate is about 12%. America’s has topped 40%. Speed and work are valued in different ways by the two nations. Eating as part of multitasking is deeply ingrained here. We take out. We eat food in our cars or at our desks. Family members in the same house don’t always eat together.

In Sicily, food is more often an event. Some businesses still close in the middle of the day so that pranzo (lunch) can be savored and followed by a nap. Fresh ingredients are more available and sought after. In Sicily we shopped in two sprawling outdoor markets, one in Palermo and the second in Catania. Both brimmed with riotous displays of fruits, vegetables, meat and fish. In the Ballaro market in Palermo, I watched in awe as a woman at least in her 60s deftly and powerfully squeezed pomegranates with a manual press. With effortless squeeze after squeeze, rivers of juice flowed into the cups of her delighted customers (of which I was one). The juice of the grape is also coveted in Italy. We met a vintner whose vineyard is on the slopes of Mt. Etna. He described how just a few dozen kilometers of distance or altitude between vineyards can produce markedly different wines.

The culinary spirit I’m trying to describe was best exhibited as we dined at the restaurant Tritalo Mediterraneo in Palermo. We ate there twice, sitting outside, and laughed as we tried to communicate across the language barrier. On our second visit, we were welcomed like returning family. When I asked for the check, the owner instead brought out a bottle of Punagro (an orange liqueur) with four glasses and poured each of us a complimentary drink. That gift typified Sicilians approach to the table – as a place of refuge and rejuvenation, where time slows, and from which no sane person would hurry away.

It’s easy to believe that America has the best of everything. It is not wrong to think of our country as the shining city on a hill, as Reagan put it. But there are many different ways of living. The American way, sad to say, is not always the best. It was humbling, but necessary, for me to be reminded of that.

A version of this column appeared in the 1/11/23 issue of the Florence Morning News.

Paul, on the far right, with family members.

Stroke Guys of the World, Unite!

What are yinz lookin’ at?

Paul DeMarco didn’t specifically mention John Fetterman in his piece posted earlier, but he alluded to him when he mentioned what happened in Pennsylvania last month.

And that reminded me of a selfie I snapped a couple of weeks ago. I had just stepped into the bathroom, and happened to glance in the mirror, and… something looked familiar.

No, I’m not saying you can’t tell us apart or something. I just mean I saw something in the mirror that reminded me of John Fetterman. Yeah, to some extent the effect had to do certain sartorial choices. I wouldn’t have been reminded of him back when I went around looking like this. Oh, and if you want to see the senator-elect in a hoodie, there are plenty of such images.

But there was more to it. I now feel more of a commonality with this guy than I did back when he first emerged on the national scene, going around with his eccentric chin spinach saying strange things such as “yinz.”

But then, when people started picking on him because of a minor cognitive symptom following his stroke — when he was obviously still an intelligent and discerning man — I got all defensive on his behalf. How dare they?

Y’all know how opposed I am to Identity Politics, but don’t go picking on my special group — guys who have minor bits of damage after a stroke (in my case, the “nap attacks” I think I’ve mentioned before), but are pretty danged hale and hearty otherwise, dagnabbit!

Yeah, I know I’ve kind of mentioned all this before, but that recent glimpse in the mirror got me going again. And mentioning it now, after the election, I can also take a moment to celebrate the fact that Fetterman is going to the Senate, instead of that yahoo carpetbagger from TV — the guy Paul did mention by name.

Stroke Guys Unite!