Commentary: Immunizing Against Our Culture of Contempt

Today’s public discourse is a petri dish for breeding disgust for people with whom we disagree. Debates about healthcare issues affecting rural America are no exception.

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From the left’s “basket of deplorables” to the right’s “send her back,” our public and private spaces have become infected with a culture of contempt. On too many days, I feel I am in a country I barely recognize. I don’t know if conservatives and liberals equally engage in contempt of the other, only that I hear too much of it from both sides.

Tim Size

I take little comfort when individuals say it’s not so bad, that we were more divided during the Civil War. As savage as those days were, Abraham Lincoln knew we could and must do better.

“Though passion may have strained, it must not break our bonds of affection. The mystic chords of memory, stretching from every battlefield and patriot grave to every living heart and hearthstone all over this broad land, will yet swell the chorus of the Union when again touched, as surely they will be, by the better angels of our nature.”

Even while coming of age in the riot torn ’60s, my evangelically conservative family would encourage me “to hate the sin but love the sinner.” And not dissimilarly, at the same time, the left made an icon of a Vietnam War protestor placing a carnation into the barrel of a soldier’s rifle.

From Fox News to MSNBC, our airwaves are filled with voices competing to be the loudest and the most adept at ridiculing their opponents. The dominant narrative is not to address ideas but to reduce those with whom who we don’t agree to a position beneath contempt. Once we allow ourselves to hold someone in contempt, all that the best of our culture teaches us about how we are to relate and support each other, goes out the window.

I have taken heart from individuals who have begun to name this problem and suggest solutions, such as Arthur Brooks, long time president of a conservative think tank, as he wrote about “Our Culture of Contempt” in a recent issue of The New York Times: “What we need is not to disagree less, but to disagree better. And that starts when you turn away the rhetorical dope peddlers–the powerful people on your own side who are profiting from the culture of contempt. As satisfying as it can feel to hear that your foes are irredeemable, stupid and deviant, remember: When you find yourself hating something, someone is making money or winning elections or getting more famous and powerful.”

If we are to reverse our country’s slide into increasingly entrenched and divided camps, we need to relearn how to productively talk about our differences instead of attacking the character, motive and personal attributes of the “other side.”

Brooks goes on to say that “each of us can make a commitment never to treat others with contempt, even if we believe they deserve it. This might sound like a call for magnanimity, but it is just as much an appeal to self-interest. Contempt makes persuasion impossible – no one has ever been hated into agreement–so its expression is either petty self-indulgence or cheap virtue signaling, neither of which wins converts.”

For those of us working in health care, contempt is not theoretical. We seem increasingly less able to make progress on important issues as the rhetoric heats up and the attacks get more personal. Here are a few examples of current health care issues that seem too often to be dominated by attacks on those who hold an opposing opinion rather than the opinion itself.

  • Advanced Practice Registered Nurse Collaboration
  • Family Planning
  • Federal Dollars for Medicaid Expansion
  • Medicare for All
  • Race and Geography in Health Disparities
  • Vaccination and Anti-vaxxers

While I know that I have and still can readily discount those who disagree with me on each of these issues, I have renewed my commitment to keep my advocacy based on the facts and our organization’s aspirations, not on trying to tear down those who might disagree. Will you join me in this quest?

Tim Size is executive director of the Rural Wisconsin Health Cooperative.

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