This week I had three homeless people from our community as patients, each with challenging hospital discharge issues. Homelessness is increasing as housing prices soar and landlords look for ways to evict long-term tenants who pay lower rents. The homeless population includes people with mental illness, abusive and violent childhood histories, substance abuse issues, chronic physical illness, and lack of family or social support. Unfortunately, this group also includes students who cannot find or afford housing and single seniors with low incomes. The lists for subsidized housing in our region are years long. There are no easy fixes for adults with problems that contribute to homelessness. Overcoming dysfunctional backgrounds and substance abuse is challenging. One of my middle-aged patients has struggled through life suffering the effects of fetal alcohol syndrome and childhood sexual abuse. They require more than affordable housing and few people would be equipped to care for their complex emotional, physical and social needs at this stage of their life. Effective interventions were needed decades ago.
I drove around the city the other day to look at the places where my patients had been living. There are several tent cities that have expanded during the summer months. Our downtown park is home to a growing number of tent inhabitants. Our region has erected "A Better Tent City" composed of a group of tiny houses that is in our neighbourhood. One of my young patients lived in a tiny house here with her mother. Three school portables are now on the property; one with showers, one with laundry facilities, and the other with a kitchen where volunteers provide meals for the residents. We live in an affluent community and there are resources to share. We also have people who care about our marginalized citizens.
Today is Canada's second National Day for Truth and Reconciliation as we recognize the legacy of the Canadian Indian residential school system. While we observe the past abuse toward indigenous people, we realize that systemic racism, gender discrimination, economic inequality, and working-class abuse are rampant around the world today. Protections provided by a strong family unit and a caring community are not there for too many people.
All week I have been trying to notice the invisible people around me, from the man sleeping in a dew-soaked blanket along the trail I ride to work to the Amazon delivery man who works long hours to deliver our "free" packages. We can value minimum-wage workers, thank them for their service and tip them well. While I cannot fix many underlying problems, recognizing the worth of each person, being kind and generous and taking time to listen to them is a place to start.
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