* ACTION ALERT:
Revised IDEA on its way to the Senate Floor!
* Senate Panel
Approves Bill for Students With Disabilities
PUBLIC HEALTH
* Smothering
the Flames
TREATMENT
* Model Of
Positive Behavioral Support For Individuals With Autism
* Strategies to
Support Individuals with High-funct. Autism
RESEARCH
* NJ Autism
Funding Bill Passes!
*
Individualizing Functional Assessments For Children With Autism
CARE
* Six-Year-Old
Drowns in Swimming Pool
EDUCATION
ACTION ALERT:
Revised IDEA on its way to the Senate Floor!
[From the
National Down Syndrome Society on Bill S. 1248. For our readers information.
This analysis is not necessarily shared by the Schafer Autism Report. Our
purpose is to provide diverse approaches to the IDEA revision process.]
On
Wednesday, June 25, 2003, the Senate Health, Education, Labor and Pensions
(HELP) Committee unanimously passed its bipartisan IDEA reauthorization bill, S.
1248. [See New York Times coverage following this article. -ed.]
The bill that
was passed was an amended version of the one that was introduced two weeks ago.
In response to the feedback that the Committee received, some changes were made,
most significantly in the discipline provisions.
S. 1248 will
go on to a full Senate vote sometime between July 7th and the end of July.
Grassroots Action
Steps for July 4th Recess
Our goal
over the next few weeks will be to discourage any amendments on the Senate floor
that would diminish the protections currently in the bill and to encourage
amendments in the areas we still have concerns.
v The
Senators are going home this weekend until July 6th. Call their local offices to
make appointments or find out where they will be making public appearances so
you can arrange to go (with your child) to meet them there.
v If a
personal visit is not possible, please call, email or fax the Senators your
comments on S. 1248. This is particularly important for the Republican Senators.
v When you
contact your Senators: 1. Please thank them for the positive provisions in S.
1248, including the most recent changes to the discipline provisions and 2. Then
express our top three remaining concerns (this information is provided below).
3. Make sure
to use personal stories to illustrate the importance of your points.
Positive
provisions of the original S. 1248 as compared to H.R. 1350
1. Option of
3 year IEP is only for ages 18-21 2. Improvements in the transition provisions,
including an increased focus on post-high school outcomes.
No option
for voluntary binding arbitration 3. An improved version of the resolution
session that H.R. 1350 requires before parents can go to a due process hearing
4. A 2 year statute of limitations from time parent should have known about
violation (as compared to a 1 year statute of limitations from date of actual
violation) Governor does not set rate for attorneys fees; instead fees continue
to be awarded by the courts.
5. A childs
disability must be considered in most disciplinary actions 6. Strengthened
enforcement provisions apply if a state is not complying with IDEA.
Positive changes
to S. 1248 (as amended on June 25th)
The
grassroots response convinced the Committee that three important requirements
from the current IDEA discipline provisions should be added to S.1248 and that a
due process issue should be clarified! Thank you to all
those who
contacted their Senators or the HELP Committee staff! 1. The
requirement for a
behavioral assessment, if one has not already been done, was added to the
discipline provisions of S.1248. This will help keep the behavior from
recurring.
2. The word
knowingly was put in front of the words possesses or uses illegal drugs to
conform to current law. The effect of this change is that the school system must
look at whether our children understood that they had illegal drugs in their
possession before applying the disciplinary procedures. This is a significant
protection since the school system would not otherwise have to consider the
childs disability for drug offenses under S. 1248.
3. A
parental notification requirement from the current IDEA discipline provisions
was added to S. 1248. This notification would inform parents that a disciplinary
action is being contemplated for their child and inform them of all the
procedural safeguards that apply.
4. It was
clarified that a hearing officer can order compliance with the IDEA procedural
requirements.
Top three
remaining concerns
1. The
elimination of short term-objectives or benchmarks. Tell the Senators that
regular report cards are meaningless for children who have below grade level
goals and functional goals. We rely on the periodic reports that are tied to the
short-term objectives. The elimination of short-term objectives will create more
paper work for teachers who are writing these periodic progress reports because
they are going to have to provide a narrative explaining the various steps that
have been made toward achieving the annual goal. These steps are essentially
short- term objectives or benchmarks. If these progress reports are not done
properly there will be litigation to clarify how annual goals are to be measured
without short-term objectives or benchmarks.
2.
Limitations on the subject matter of a due process hearing. In S. 1248 the
subject matter of a due process hearing is limited to the issues raised in the
due process complaint notice. This requirement will force parents to figure out
everything that could possibly be an issue in the hearing. There is no
opportunity to add issues later if they have inadvertently been left out
(putting parents without an attorney at a great disadvantage). Tell your
Senators that in order to minimize litigation and relieve pressure on parents to
hire attorneys early in the process, parents should be able to add an issue
without filing a separate due process complaint for that issue. Otherwise
parents are going to be heading into the mandatory meeting with the school
system and the IEP team (in S. 1248 this is called an Opportunity to Resolve
Complaint meeting) prepared for an adversarial due process hearing, instead of
a collaborative resolution session.
3. Placement
while a discipline decision is appealed. Under S. 1248, children who are ordered
to alternative educational placements for more than ten days do not have the
stay put right to remain in their current educational setting while the
decision is being appealed. Under current law all children are entitled to stay
put except in cases involving drugs, weapons and the substantial likelihood of
harm to oneself or others. The loss of stay put is a huge concern, especially
for children with transition problems. Explain to your Senators the amount of
regression your child would suffer in the time an appeal might take. This is
especially unjust if an appeal determines that the disciplinary action was
inappropriate. You should point out the increased risk of litigation if the
child needs additional services in order to catch up.
Remember
that your voices have made a difference in the development of S. 1248! We need
to make sure the Senators continue to hear our appreciation and concerns so they
are prepared to protect our childrens rights when S. 1248 goes before the full
Senate in July.
On the NDSS
Advocacy Center Website, we have a letter prepared that you can sign and send to
your own Senators via e-mail. Just click on
http://capwiz.com/ndss/issues/alert/?alertid=2705606 and enter your zip code
in the box on the right. Then just follow directions.
After 18
months of behind-the-scenes negotiations, a Senate committee today unanimously
approved a bill reauthorizing educational services for the United States 6.5
million disabled students, assembling a bipartisan stand on issues including
discipline of unruly students and a reduction in paperwork.
A similar
bill split Republicans and Democrats in the House this spring.
The swift
approval, in a 10-minute session this morning by the Senate Committee on Health,
Education, Labor and Pensions, came in sharp contrast to the last
reauthorization of the Individuals With Disabilities Education Act, whose
passage in 1997 was contentious.
The Senate
bill preserves protections in current law for special-education children who
misbehave in school, requiring schools to determine whether the misbehavior was
related to a disability. If not, the school could send the child to an
alternative program during a suspension.
But the
Senate bill repeals a current provision that lets a child remain in the original
classroom while his family appeals the suspension order. It also shortens the
deadline for rendering such a decision to 20 days from 45.
The Senate
bill won cautious praise today from advocates for the disabled, who had largely
criticized the House bill.
James
Wendorf, executive director of the National Center for Learning Disabilities,
lauded the committee for legislation that is bipartisan, balanced and
respectful of the complex needs of our nations 6.5 million students with
disabilities.
The center
praised the bill for easing mechanisms to identify children who need extra help
at younger ages. It also commended its steps to help disabled teenagers with the
transition to life after high school.
Paul
Marchand, a lobbyist for United Cerebral Palsy and The Arc, an organization
representing people with developmental disabilities, called the Senate bill a
marked improvement over the House version, particularly in its protections of
disabled children who run afoul of school behavior codes. Under the House bill,
schools could suspend or expel children who violate rules, without regard to
their disabilities.
Some
advocates for the disabled worried, for example, that diabetic children could be
thrown out for eating in class, or that autistic children could be punished for
behavior they could not always control.
School
administrators, however, had praised the House bill for streamlining special
education, reducing paperwork, and making it easier to maintain discipline. That
bill passed the House on April 30 by a vote of 251 to 171, with 34 Democrats
joining Republicans to support it.
Nancy Reder,
deputy director of the National Association of State Directors of Special
Education, said: We like what they did with discipline compared to the House
bill. We think it represents a fair compromise with the disability community
that didnt want any changes and our members.
The
safeguards about discipline do not apply to disabled children who take guns,
drugs or other weapons into schools, who are subject to expulsion and other
measures like other students.
With the
intention of reducing paperwork, the Senate bill removes current provisions for
schools to write short-term goals into the educational plans of disabled
children.
Todays
Senate bill left unanswered one major question for every state and special
education director and teacher: the amount of money the federal government will
contribute to special education. Republicans and Democrats alike say they
embrace the goal of fully financing special education by 2009, but Republicans
say they would like the federal contribution to be discretionary while the
Democrats contend it should be mandatory.
Mary Kusler,
a legislative specialist for the American Association of School Administrators,
which also supported the House bill, said her group saw the Senates effort as
a starting point.
The
association, Ms. Kusler said, was surprised and incredibly disappointed that
todays bill did not call for mandatory full financing, or carry an
appropriation level, and said that unless the federal contribution was
mandatory, it would continue to fall short.
Theyve
demonstrated that even when they set out a goal in the budget, that isnt
binding, she said.
With the
bill headed to the Senate floor, many advocates wondered how a conference
committee would reconcile the House and Senate versions of special educations
future.
Senator Judd
Gregg, the New Hampshire Republican who is the education committee chairman,
said that the fact that we come to the table with a bill that was reported out
of committee with unanimous support puts us in a strong position.
* * *
PUBLIC HEALTH
Smothering the
Flames
Polybrominated flame retardants, banned in Europe,
have been
linked to thyroid problems, learning disabilities
in children
and even breast cancer. And theyre probably
At first,
the complaints werent specific enough to cause undue worry: loss of energy,
decreased appetite, acne, lowered libido. Managers at the manufacturing plant
chalked up the workers strange symptoms to their own sloppiness, natural
laziness, even mob hysteria. Certainly, the company assured the public, the
benefits of the chemical the workers were handling far outweighed any unproven,
ambiguous health concerns.
Thirty years
later, Swedish and American laboratory studies indicated a strong link between
long-term health problems--including cancer--and the chemical the workers had
been exposed to for decades. The chemical the workers at handled at the
plant--and many other American plants just like it--was PCB (polychlorinated
biphenyl), and its use in any form was banned by the U.S. government in 1976,
half a century after it was first commercially produced.
PCBs loom as
the kind of environmental horror story activists persist in reminding us about,
because PCBs themselves persist, through bioaccumulation--levels of the chemical
continue to show up in the body fat of animals and humans as part of what
scientists term our body burden of toxics.
Environmental activists like to remind us about the horrors of PCBs because,
they caution, it could happen again. In fact, they say, it might be happening
right now, in Silicon Valley.
Up in Smoke
Polybrominated diphenyl ether (PBDE) started out as one of those brilliant
inventions bound to save lives and make manufacturing easier. PBDEs are part of
a family of chemicals called brominated fire retardants. Various forms of these
chemicals are added to textiles, household and office appliances and upholstered
furniture to inhibit their flammability. Without them, a match dropped on the
couch could mean leaping flames instead of slow-moving smoke.
PBDEs are
favored for fire prevention because they decompose at high temperatures and
release bromine atoms, which interfere with the chemical reactions driving
oxygen-dependent fires. Industry groups estimate that, in the case of a fire,
flame-retardant treated products can ensure up to 15 times as much escape time
as nontreated products.
It wasnt
until recently, however, that scientists realized that PBDEs and other
brominated fire retardants were decomposing at much lower temperatures than
expected. A 1997 study from the Institute of Environmental Chemistry at the
University of Stockholm, Sweden, discovered that flame retardants emit gasses
between 86 and 104 degrees Fahrenheit, which is a common temperature inside a PC
or TV that is turned on. The gasses are colorless and odorless.
Once
breathed in, they resist the bodys efforts to break them down.
Instead,
like PCBs, PBDEs concentrate in lipids, or fat. They are highly resistant to
physical, chemical or biological degradation.
In a study
published this March, scientists at the California Department of Toxic
Substances Control analyzed breast-fat tissue samples taken from women in the
Bay Area in the 1960s and the 1990s. They found that there was a significant
increase in the PBDE body burden of the samples taken in the 1990s--up to 40 to
60 times higher than levels found in Sweden.
If the
chemicals stayed put in each humans body fat, the overall effect, while risky
for that person, might not be so grave. But what concerns scientists and
activists is that PBDEs have been found to be transferable through breast
milk--and even to the tissue of fetuses.
Earlier this
year, the European Union banned the use of PBDEs. However, North American
industrial use accounted for half the world market in 1999.
The
technology industry embraced brominated fire retardants, and what is known as
the Deca form of PBDE in particular, because it was easily mixed into polymers
used in plastic computer housings, printed wiring boards and the insulation
surrounding wire and cables and connectors. According to the Collaborative on
Health and the Environment, PBDEs can constitute quite a large percentage of
the final product ... up to 30 percent.
While
concern over PBDEs entering the environment through disposal of foam-upholstered
furniture has recently been publicized, the fact is that more than 50 percent of
industry use of PBDEs has been in the electronics and technology industry,
according to the Environment California Research and Policy Center. And while
California legislation to phase out certain types of PBDEs recently passed the
legislature, spearheaded by Wilma Chan, the manufacturers of brominated fire
retardants made sure the bill only regulated the types of PDBEs used in
furniture foam and textiles, not the types most common in the electronics
industry.
Health and Welfare
When PCBs
were banned, in 1976, it was because they were found to suppress the immune
system, alter brain development, lower the IQ and cause behavioral problems like
attention deficit and hyperactivity in children.
They were
also eventually found to be cancerous agents and to alter sexual development.
PBDEs are similar to PCBs in that they have been shown to affect fetal
development.
While
scientists like to be cautious in interpreting their data, lab research has
shown that a body burden of flame retardants at the levels found in Bay Area
women has the potential to disrupt the process of brain development in fetuses
and infant children (through breast milk). It is tempting to relate this
discovery to the increasing levels of autism, ADD and hyperactivity in Silicon
Valley, although the causes of these disorders remain elusive.
A Swedish
study published in 2001 by Eriksson, Jakobsson and Fredriksson showed that
neonatal male mice exposed to even low levels of brominated flame retardants
exhibited permanent behavioral changes, including erosion of habituation
capability (the ability to adjust to environments), learning and memory.
The theory,
advanced by yet another Swedish study, is that PBDE institutes these changes by
interfering with thyroid hormone function. The chemical compound of PBDE mimics
the natural hormone, binding with transthyretin, a protein crucial to normal
thyroid hormone function. The thyroid is central to brain development.
There have
been no long-term epidemiological studies on the effect of PBDEs hormone
mimicry, but activists such as Ted Smith, executive director of the Silicon
Valley Toxics Coalition, urge the maxim better safe than sorry.
Weve got
to take a cautionary approach which says the chemical companies have to prove
these chemicals are safe, not wait for the long-term studies.
Smith says.
Some electronics companies that use PBDE are already beginning to see the
writing on the wall, he says. Hewlett-Packard and Apple have phased out use of
PBDEs. Unfortunately, Smith counters, they havent phased out use of another
flame retardant--TBBPA.
TBBPA, or
tetrabromobisphenol-A, is also chemically similar to PCB, is an endocrine
disruptor, has also been found to leak from plastic and has been found in human
blood tests to accumulate in the body. It is currently the preferred flame
retardant worldwide in the electronics industry. It is not regulated, and there
are no plans to regulate it.
Smith, who
also heads the Take It Back Campaign to urge companies to accept back used
equipment and recycle it properly, would like to see all flame retardants phased
out. He says, Our position is that theyre all pretty bad, and it would be good
to get rid of all of them so long as there are alternatives.
Metal Shop
What are the
alternatives? Most of them involve doing away with plastic.
Apples
Power Mac G4 desktop computer employs a metal chassis that would enclose any
combustion, thus eliminating the need for flame retardants in the plastic
housing. Hewlett Packard incorporated a metal chassis and power supply enclosure
into its OfficeJet 500 printer so it didnt have to use flame retardants.
It seems
like a simple solution: use things that dont catch on fire anyway, or use
things that can contain flames, not chemically douse them.
Yes,
great--but PBDEs and other fire retardants are already in the environment, and
theyre not going to go away. Without legislation to regulate them, they will
continue to accumulate in our bodies and be passed on to our children, and the
long-term effects will be finally understood via this global laboratory
experiment.
Service
providers use several types of service-delivery models to support families of
persons with autism. One model, positive behavioral support, has gained
increasing attention in the literature. Positive behavioral support is a
comprehensive approach used to address challenging behavior and improve broad
lifestyle outcomes that serve to increase the overall quality of an individuals
life. This article describes a service-delivery model for individuals with
autism and their families that incorporates the philosophy and essential
elements of positive behavioral support. A case study is presented to illustrate
one familys experience with the family focus process. Child and family outcomes
related to the case study are also described. The key elements of positive
behavioral support are discussed in light of providing comprehensive and durable
systems of training and supports for families and educators of individuals with
autism.
The
provision of education and training services for families of children with
autism and other special needs has received increasing attention in the
literature (Covert, 1995; Dunlap & Fox, 1999; Karp, 1996; Kohler, 1999;
McWilliam et al., 1995). Each child with autism is unique and requires a variety
of therapies and treatments from several different disciplines. In addition,
each family unit is unique and family priorities must be addressed to facilitate
involvement in education and training programs. It is frequently acknowledged
that parents are the single most important resource for their child and must be
an integral part of the service-delivery and planning process (Stroul &
Friedman, 1996). Yet, families seeking to become an integral part of the
service-delivery process may face many difficulties. A study by Kohler (1999)
cited some of the problems and concerns, as reported by families, related to
quality service provision for their 3- to 9-year-old children with autism; these
concerns included difficulty accessing services, limited involvement in
interventions, services that are not effective in meeting the needs of the child
or family, and a lack of interagency collaboration.
Strategies to
Support Individuals with High-functioning Autism / Aspergers Syndrome 2 hours
college credit
[Thanks to
Bernice Polinsky on the NSASA list.]
This class
will increase your understanding of and your ability to support individuals on
the Autism Spectrum who have average to above average ability levels
Instructor:
Julie A. Donnelly, Ph.D.
This course
will be available online through the University of Missouri-Columbia Fall
semester 2003. Take the classes from your home or school and email assignments
to Columbia.
For
information and registration contact:
MU Direct
103 Whitten Hall, University of Missouri-Columbia
I am pleased
to announce that bill A2601/S1855, which will over the next five years provide
$15 - $20 million in autism research funding for the NJ Governors Council on
Autism, passed both houses of the Legislature early this morning. The bill will
be signed by the Governor within the next few weeks.
The bill was
introduced one year ago and since then, we have been working non-stop to ensure
passage. Thanks go to each and every one of you who participated in this
process by calling, writing and/or e- mailing your legislators or the
legislative leadership and demanding actions.
This is
truly a victory for everyone in the autism community.
* * *
Individualizing
Functional Assessments For Children With Autism: The contribution of
perseverative behavior and sensory disturbances to disruptive behavior
A functional
assessment interview (ONeill et al., 1997) was conducted with the care
providers of 100 young (2 to 5 years old) children with autism regarding
reinforcement contingencies contributing to maintenance of their childs
disruptive behavior. Care providers were interviewed regarding their childs
disruptive behavior related to gaining attention and tangibles and escaping
demands. In addition, we individualized the interview in more detail to include
the possible relationship between their childs disruptive behavior and gaining
access to perseverative activities, avoiding demands when engaged in
perseverative activities, and avoiding specific types of sensory stimulation.
Results of the study suggest that gaining access to perseverative activities and
escaping demands while engaged in these activities frequently contribute to
disruptive behavior in young children with autism. These findings are discussed
in terms of assessment considerations and treatment for children with autism and
other types of syndromes and disorders. Many young children with autism display
challenging behaviors that can interfere with educational and adaptive behavior
instruction (see Dawson & Osterling, 1997; Howlin, 1998). Functional assessment
is an empirically validated approach for matching individual treatment
recommendations to variables that contribute to maintenance of challenging
behavior.
One purpose
of a functional assessment is to identify environmental conditions in which
problem behaviors are most likely and least likely to occur for an individual
child (e.g., Iwata, Dorsey, Slifer, Bauman, & Richman, 1994). In this way, the
therapist attempts to isolate the function of challenging behavior by
identifying reinforcement conringendes contributing to maintenance of the
behavior. Based on the results of a functional assessment, treatment components
can be selected that focus on modifying the environment and teaching appropriate
behaviors that serve the same function as the individuals challenging behavior
(Carr & Durand, 1985).
For example,
if an individual engages in aggression to gain caregiver attention, a target for
treatment might be to teach the individual to recruit attention through
appropriate communication (e.g., Hagopian, Fisher, Thibault Sullivan, Acquisto,
& LeBlanc, 1998; Northup et al., 1991). Functions of challenging behaviors that
are typically studied in the behavior analytic research literature are positive
reinforcement (e.g., gaining access to attention, tangibles, desired
activities), negative reinforcement (e.g., escaping nonpreferred situations),
and automatic reinforcement (e.g., sensory).
Pricilla
Garcia was always tagging along with her severely autistic 11-year-old brother.
When Joshua
Garcia played computer games, so did she. When he watched cartoons, so did she.
And when he hopped into the familys backyard pool in Richmond Hill Saturday
afternoon, so did she.
He hopped
back out.
She
couldnt.
Pricillas
grandmother, Julia Garcia, found the 6-year-old face down in the pool about 20
minutes later. Pricilla died at New York Weill[ Cornell Center in Manhattan
early Sunday.
Her father,
Victor Garcia, 29, said he watched from behind a window as doctors struggled to
revive his child.
When all
eight or 10 of them looked at the clock, he said, I knew she was gone.
An autopsy
Monday morning will determine the exact cause of death, a spokeswoman for the
chief medical examiners office said.
The Garcia
house on 117th Street was a scene of mourning Sunday.
Garcia stood
dazed in the front yard. One after another, neighbors and friends came to offer
their condolences. Even more offered them by phone. A half-dozen relatives sat
on the porch steps, staring vacantly at the street.
A new wooden
fence blocked the path to the backyard. Behind it, the above-ground swimming
pool sat empty. Muck and grime caked its blue siding.
Im
basically in a state of shock, Garcia said, his voice drained after 12 hours of
waiting to see whether his daughter would live. Im all cried out.
Leaning back
on his red truck, Garcia described his daughters death as a freak accident that
could have been avoided. It began with the silence.
For the past
four years, Garcia, a fledgling real estate investor, has lived with his mother
and two children on the bottom floor of a two-story house. Saturday, his mother
was taking care of both kids. At 3:15 p.m., the children were playing in the
living room as Julia Garcia, 58, prepared lunch.
When she
finally finishes the meal, she notices no one is around, he said. She sees the
window open.
The children
had climbed out.
Julia
Garcia, in a panic, ran out the front door instead of the checking the pool. She
called 911. She called her son. She called a cousin in Brentwood.
Her first
reaction was to run up the street this way, said the cousin, Randy Rodriguez,
30, as he pointed to Jamaica Avenue. She didnt see them. So she ran the other
way.
It wasnt
until 20 minutes later that Julia Garcia remembered the pool.
She found
Pricilla and pulled her from the bottom of the pool. A firetruck arrived moments
later.
Meanwhile,
Victor Garcia, who was having an alarm installed in his truck a few blocks away,
ran back home after getting his mothers frantic phone call.
When I got
here, I saw the firetrucks, he said. I knew it had to be Pricilla, because
shes only 3 feet tall. She cant swim.
Police found
Joshuas clothes in the swimming pool, but he was gone. He turned up naked on
Atlantic Avenue later in the afternoon, after streaking out of the pool. Police
picked him up.
Yesterday,
he was cheerfully playing video games in his living room. His family tried to
explain the tragedy. He didnt understand.
Hes
oblivious to it, Rodriguez said. He knows shes not around. But he cant
comprehend it.
* * *
Special Appeal
From NY Advocates
Both
children were part of NYFAC, (New York Families For Autistic
Children) and our
entire staff is deeply crushed.
This is a
family that needs our help. Victor and his mother have cared for these children
alone. There is no mom in the picture. There is very little money and help is
needed for a proper funeral. Please help us to give Pricilla her final rest.
Send a
contribution to NYFAC/ The Garcia Family Fund, 95-16 Pitkin Avenue, Ozone Park,
NY 11417 (All money collected will go to assist this family exclusively.)
DISCLAIMER:
All information, data, and material contained, presented, or provided here
is for general information purposes only and is not to be construed as
reflecting the knowledge or opinions of the publisher, and is not to be
construed or intended as providing medical or legal advice. The decision
whether or not to vaccinate is an important and complex issue and should
be made by you, and you alone, in consultation with your health care
provider.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"