December 2023

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Exemple

(Having explained how school choice falls short by its own standards yesterday in Part 3, I bring this series to a close by looking at some unexpected outcomes from passing school choice before bringing the whole picture together in a conclusion.)

                Having considered the strings attached to school choice programs and the lackluster performance of the programs by their own standards, we can consider some intangibles that don’t show up in statistical analyses.  While these educational policies could seem focused on schools, government spending, and their impacts on the achievement of future adults in society, these are public policy decisions which exert secondary and tertiary effects outside of whether or not a child graduates from high school or college.  We can consider the “unintended” consequences of such public policies in the following areas.  First, the manipulation of market competition by pumping money into a business sector will affect who succeeds and who fails in that area.  We can see how this may be affecting Catholic schools as described below.  Second, we can see what happens when a business decides to receive promised funding from a program, delivers the services, yet has to wait longer than promised to receive the payments.  We see that occurring recently in Florida.  Third, we step back into the big picture of government spending and its true calculations. In a simple example, we consider who pays for these programs.   Fourth, we return to the first consideration regarding the effects of government money pouring into education.  We know that other sectors of our economy appear to have experienced price inflation with the addition of government money and ask if that will repeat with school choice funding entering the private education sector.

                First, when we consider that the main driving force behind market growth and competition is money.  While businesses, including schools, may express noble founding principles in their mission statements, if they cannot pay their bills and their salaries, they will not continue to provide such noble services.  Money must fuel the mission.  With that in mind, the millions of dollars that the government’s school choice programs are pouring into or will be pouring into the private school market are sure to influence which schools succeed. Those that optimize the influx of this money will probably slowly push out those that do not optimize such influx by following government rules.  The Pew Research Center notes that the Philadelphia Catholic school system attributes charter school competition as one of the two factors in more Catholic schools closing in that city.  The exact contribution of such competition as compared to the declining number of Catholics living in the city cannot be determined, but they do consider this as an important factor.  The Manhattan Institute article by Nicole Garnett in 2023 also considers this as a possible factor for the closing rates of faith-based schools across the nation referencing 3 other reports in their endnotes #11. With all this in mind, we don’t have clear direct causation proof, but it does raise a number of concerns that deserver further research and attention.

                Second, a business owner or manager should always be careful about agreeing to provide services prior to receiving payment for those services.  The health care industry functions under the promises that a medical provider will receive a payment for a visit or procedure within a specified period of time from a third-party payor like an insurance company.  If the insurance company unexpectedly delays payment for 30, 60, or 90 days, the cash flow for that clinic or hospital will be impacted adversely.  Even if they eventually get a payment, their expenses do not wait for revenue to arrive.  If a cushion is not present, businesses may not be able to pay their monthly bills.  If private schools or other educational providers must likewise wait for the government to reimburse for services already provided, they may find themselves falling short on their rent, utilities, or salaries.  This happened in Florida with their current school choice program.  Several news articles describe how providers of various services to special needs children were forced to take out loans in order to keep businesses open when the state could not keep up with payments.  The businesses had already provided services with the promise of payments which were delayed without explanation.  While larger companies might weather such storms, smaller businesses are at risk of going under when this occurs.  Poorly managed school choice programs could put such small businesses or schools at risk by delaying payments.  Do we want the government to have any even bigger role in education like it does with health care through Medicaid and Medicare?

                Third, the whole notion of giving parents back money that they paid in taxes so they can choose a better school is at best a half-truth.  While other articles by Nikki Truesdale and others go into more detail, a simple calculation demonstrates the full truth that school choice does not simply refund your taxes.  Just do these numbers in your head.  If you own a home, you pay property taxes which go to school funding.  If you pay $3000-5000 in taxes, but have two children receiving $6000 in school vouchers, then you profited $7000 to $9000. Someone else had to pay that difference. If you rent your home and don’t pay property taxes, you scored an even bigger win.  Beyond that for Tennessee, while school choice advocates often claim that public schools will have money diverted to private schools, our legislators are reportedly reassuring public school defenders that the money for Tennessee’s program will not come from the public-school funds.  In other words, we are still paying taxes that go to the public-schools and then some other government money (again, from other taxes) will cover the additional private school choice funding.  If this is confirmed, it is another example of their playing both sides of the debate.

                Fourth, returning to the example of healthcare and adding higher education, many have a strong case that government financial involvement in both economic sectors have driven up prices for healthcare and college.  A Cato Institute article considers whether school choice programs are driving up the cost of private schools.  They note that concrete examples only exist for Iowa and Florida at this time, but the potential is real.  This would make sense as private schools face two influences with potential to do so. On one hand, they will have more administrative costs in order comply with state regulations for receiving the money.  On the other, with more demand for their services, they can charge more money to cover their already existing costs.  We will have to await to see whether this trend continues but it is a factor that could later decrease the access to private schools for others not receiving vouchers or even those who receive vouchers but cannot afford the extra few thousand dollars of price increase. 

IN CLOSING

                We can see that school choice in whatever pretty package they call it has had several chances to succeed but instead has only succeeded in adding strings to parents and schools while falling short of its own outcome measures and contributing to downstream problems.  Before the false advertising of this growing movement becomes more entrenched into societal thinking, morphing into an expected entitlement, let’s put on the brakes, step back, and reconsider what we are doing to our children and our nation.  Despite being promoted as a conservative movement to save children by the public schools, we can agree with Nikki Truesdale on her blog that school choice is not truly conservative in taking money from one group to provide services to another while increasing the control of government over education.  Israel Wayne strikes an even deeper principle with this quote:

“To argue for vouchers is to imply that the government has a valid, compelling interest in the education of children. I disagree with this premise on several levels, but you will have to see my previous essay, “A Christian Education Manifesto” for a bit more of the rationale behind that. God has given children to parents, not to the government, to feed, clothe, shelter and educate.” — Israel Wayne

For homeschoolers, the reality of what politicians think of those of us who want real educational freedom can be seen in this quote:

“This week, Republican Senator Jean Leising introduced SB 428 which specifically targets homeschooling families in Indiana for scrutiny. The bill itself amends the current practice of gathering information on child fatalities involving families of adoptees. With this bill, the Indiana Child Services report would be required to report annually on how many child fatalities “solely received home based instruction”.”  – Article by Slatter.

All parents should consider the underlying principles that those in government and education fields frequently believe that they know better than parents what is best for our children’s education.

                Final Remarks:

1.            School choice comes with strings that grow into chains – Money follows the child and the government follows the money.

2.            School choice spends lots of our money and our neighbors money without a clear return on investment even by their own standards

3.            School choice carries many delayed hidden costs which is like enrolling in a subscription to bad service that you can’t later cancel.

If we allow them to infiltrate their financial influence further and further into the actual school freedoms we already have, then we all lose.  School choice is false advertising, don’t buy into it.

Bibliography for entire series.

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Exemple

(Having surveyed the strings attached to school choice money in yesterday’s part 2, I now turn to the failures of school choice by their own standards.)

                With any government program spending our hard-earned tax money, we, the citizens, deserve to know whether or not such a program accomplished anything worthwhile.  For the most part we can all agree that educating children is a reasonable goal in general even if we might argue that it is not the government’s role Biblically.  From there, we can all agree that if the government says that a school choice program funded by millions of dollars was implemented to improve educational outcomes, then we should be able to measure those outcomes and see a difference.  The children who receive vouchers or educational savings accounts should fare better for having received the benefits. 

                At this point, things get a little murkier.  Determining whether or not a child or the whole group of recipients fared better depends greatly on what measurements are chosen as criteria for success.  A few hypothetical examples will demonstrate how the choice and methods of measurement can affect whether or not a program is deemed a success by anyone. 

                Let’s say 1,000 children receive the voucher or whatever it is ultimately called and attend a school of their parent’s choosing for 1 year.  At the end of that 1 year, some measurement must be taken of the students who remained in the public schools and those who escaped.  The chosen criteria must be applied to both groups in order to compare apples to apples.  The simplest and most often chosen criteria is the standardized test already administered by the state to all its public-school students.  This assumes that this test actually measures a child’s academic abilities.  Even if it measures academic abilities at that point in time, one must then ask if it predicts with any accuracy a child’s future success in life.  In other words, does it predict graduation rate from high school or college at the least or does it predict life success of future adults in terms of annual salaries or future career success? 

                While the debate over whether or not the current standardized tests actually provide a real prediction of student success could rage on for pages and hours, for the sake of this argument we will allow the proponents of school choice to have this criteria.  By doing so, we can look at their chosen method of assessing the success of their own programs.  At the very least, if they are going to spend millions of dollars, they should perform well by their own standard. 

                Before looking at their actual performance across a number of currently active school choice programs, we should recognize a couple of other criteria as well.  For some parents, the academic opportunities may be important but getting their child out of a physically dangerous school may be foremost on their minds.  In many urban schools, bullying, violence, even gangs may encourage parents to sign their children up for a school choice “run for your life” option.  While it is terribly sad that some schools have reached this boiling point, it is a reality of the government run system which has lost its control over their students.  The other reported criteria, even in the absence of physical dangers, has been simple parental satisfaction.  Surveys have looked at the parents’ satisfaction in regards to their child’s educational experience based on which school they attend. 

                Giving the school choice proponents the opportunity to prove the program’s benefits by comparing test scores, we would hope to see a consistent and significant improvement in scores for participants.  We could understand that such an improvement might need two or three years to manifest, but at some point in time, we should see an increase if the program was producing as the proponents claim.  In reality, the statistics do not give the proponents much to boast about.  In general, the students who do show the most consistent and significant score improvements are those in the lower economic classes.  Before looking at more details statistics, this might seem a worthwhile result as the marketed goals of school choice often focus on helping those who don’t have the financial abilities to attend private schools.  A problem arises when some state programs report participant numbers highly tilted away from these lower income students.  In some states, a high percentage of program participants end up being students who are already attending private schools before the school choice program and thus not reaching as many actually still in those poorly performing schools.  The left-leaning school choice opponents might have a point that much of the money is primarily benefitting those who already have the money to escape the public school system in the first place without the government assistance. 

                While I will include a bibliography of research reports for you to review at your discretion, a few further takeaways should be noted.  First, the results of these studies can be skewed by bias as any study can be manipulated, especially when the measured outcomes do not demonstrate large differences between the groups (public school versus school choice recipients).  Choice of outcomes can influence how report authors decide to publish their findings depending on their pre-existing opinions of school choice.  Therefore, we should look at several data sources before coming to a conclusion on school choice’s efficacy.

Catt, D., & et,  al. (2021, November 4). 25 Years: 25 Most Significant School Choice Research Findings. EdChoice. https://www.edchoice.org/engage/25-years-25-most-significant-school-choice-research-findings/

DeAngelis, C. A. (2018, Winter). What Leads to Successful School Choice Programs? A Review of the Theories and Evidence. Cato Institute. https://www.cato.org/cato-journal/winter-2018/what-leads-successful-school-choice-programs-review-theories-evidence

Dynarski, M., & et,  al. (2018, May). Evaluation of the DC opportunity scholarship program. Institute of Education Sciences. https://ies.ed.gov/ncee/pubs/20184010/pdf/20184010.pdf

Figlio, D., & Karbownik, K. (2016, July). Evaluation of Ohio’s Edchoice Scholarship Program. Fordham Institute. https://edex.s3-us-west-2.amazonaws.com/publication/pdfs/FORDHAM%20Ed%20Choice%20Evaluation%20Report_online%20edition.pdf

Gleason, P., & et,  al. (2010, June). The evaluation of Charter School Impacts – Executive Summary. Institute of Education Sciences. https://ies.ed.gov/ncee/pubs/20104029/pdf/20104030.pdf

Raymond, M. E., & et,  al. (2023, June 19). As a matter of fact: The National Charter School Study III 2023. CREDO. https://ncss3.stanford.edu/wp-content/uploads/2023/06/Credo-NCSS3-Report.pdf

                Second, regardless of inherent biases, we should all agree that the measured changes in children’s school performance has generally not been very large.  Even where there are clear and significant improvements in reading, math, or science scores, drilling down into the data often reveals that only a portion of the overall group in the study experienced that benefit while high percentages demonstrated either no benefit or a negative benefit.  In other words, only a percentage of the participating children benefit and only a portion of the participating schools demonstrate positive changes.  In fact, some show a decline in test scores versus the norm. 

                Third, after reading several research reports, we should all acknowledge that school choice comes in a wide variety of forms.  The multitude of factors such as how the money is transferred from government to parent (vouchers, tax credits, educational savings accounts) and the educational entities doing the education (charter schools, private schools, homeschools, or magnet schools) means that school choice cannot be considered as a single method of reform.  Therefore, basing the projections of a Tennessee program’s success off of other states’ records is like saying the Philadelphia Phillies will win their baseball game because the New York Yankees won their game the day before.  Simply implementing a statewide school choice program and expecting it to work like a panacea is simplistic and naïve. 

                Fourth, while the listed article “School Choice Primarily Benefits Students Who Weren’t Already in Private Schools” by the Heritage Foundation attempts to refute allegations that school choice primarily helps those already in private schools, they do not completely remove this concern (Greene 2023).  Their statistical analysis does correct some other reports’ overestimations of how many school choice recipients in Arizona, New Hampshire, and Wisconsin had already been in non-public schools.  However, two facts remain.  On one hand, in those states and in Florida (they do not address Florida statistics), a sizable number of program recipients were already outside of public schools even if it is not a majority as the original statistics were claimed.  Florida reports indicate that 69 percent of those newly receiving school vouchers had already been in private schools before vouchers were available.  On the other hand, other studies indicate that only a portion of the schools evaluated in studies show a statistically significant improvement in reading or math or other scores used for comparison.  In other words, becoming a school choice recipient does not somehow magically guarantee a child’s future success in school or life.

                In summary of evaluating whether or not school choice serves as a panacea for our national educational decline, I have to agree with the National Affairs article by Franklin Hess in 2010.  Mr. Hess  describes how school choice (also called “Educational Choice” or EdChoice) advocates have overpromised from the early days when President Reagan and contemporaries promoted this as a primary solution.  Such examples of overpromising while underdelivering in reality continue today.  While we can identify some studies that show some benefits for some students in some schools, ultimately school choice does not solve all our problems for all our students in all situations.  We need more proof of success before throwing more and more money after such hyped up schemes or else we just sound like public school advocates who keep lobbying for more and more money to fix their broken system.  We see how far that has gotten us so far as educational spending soars while scores plummet. 

Tomorrow we finish with Part 4, “Unintended Consequences” with a conclusion to the whole series.

Bibliography LINK

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Exemple

(Having introduced the topic of school vouchers in Part 1, I move the the first reason parents of all types should reject school vouchers.”)

                Free money is never free when the government writes the check.  There are always strings attached when the government offers money directly or pays for a program serving their public.  When it comes to education, there are varieties of such strings which parents of both homeschoolers and private schoolers should consider before accepting these proposed educational savings accounts (ESA).  While the vague and broad term, “accountability”, encompasses the big picture of our leaders’ mindset towards their money giveaway, other more focused terms fill in some details of what “accountability” to the government for these ESA’s looks like.  These include regulations, registration, pre-approval processes, standardized testing, and curriculum choices at the very least.  The final string that often binds the tightest at the end is the reality of non-discrimination laws especially if any of the money comes from the federal government. 

                With the debate heating up over whether or not such school choice is bad or good, we first hear from the public school advocates like teachers, administrators, and teacher’s unions that the public must have accountability.  We, the citizens of such a state concerned about their children’s future, cannot tolerate the thought that our tax money could be spent without such accountability for how it is spent and the results of the spending.  This is a natural inclination shared by most citizens of any state and is echoed by the very legislators contemplating and publicly commenting on the possibility of this bill.  We have heard state representative Sam Whitson here in Williamson County state on record that of course we must have accountability (Marshall 2023).  Others are likewise repeating this “accountability” refrain here and there so no one gets the wrong idea that we would hand out free money to parents without watching how they spend it.  Therefore, we have both the political left and the political right playing the same music on their string theory of “accountability”.

                This string theory sounds reasonable to most of us who know the history of what happens when no one watches how government money is spent.  The Tennessean article by Campbell et al describes some of the shenanigans already occurring with the money going to Tennessee charter schools.  Rather than recount the instances of known fraud in that article, I turn to the regulations intended to prevent such fraud.  No one wants our taxpayer money to be wasted on such fraud, so we attach regulations on how this money can be spent.  Some current and past examples of school choice related regulations gives us some concrete examples. 

                In Missouri, their school choice program included several regulations for homeschooling families which will likely rub us the wrong way.  In order to receive the government funding for their homeschool education, parents had to agree to the following.  They had to enroll with an Educational Assistance Organization who would monitor the spending of their money and their child’s progress.  Anyone over the age of 18 years old who lived in the home had to permit a background check with the State Highway Patrol.  Annual standardized testing, paid for by the parent, was required.  The state’s treasury department would track the child’s demographics and grades.  They would have a yearly audit of how the parents spent the money.  The program included hotline anonymous reporting systems which anyone could report your alleged fraud, potentially triggering surprise audits of parental spending.  Even after the child graduated, their future educational achievement would be tracked for years.  Both Democrats and Republicans required this level of accountability from Missouri parents simply wanting to homeschool their children with the government’s money. In this example from Missouri, we see the unavoidable necessity for homeschoolers to register with the state and submit to their intrusive oversight with implications for testing requirement, curriculum choices, and religious liberty implications enforced with monetary restrictions.

                Kirsten Lombard described the situation in Wisconsin for private schools who accepted voucher students with this string money in which those voucher-connected students must take common core assessments in order to participate in the voucher program.  She argues strongly that as these required common-core based tests continue, the participating schools will be forced to administer such tests to all students.  She presses the logic that the cost of maintaining two data systems for student tracking and the need to prove performance will require putting all the school’s children into the testing process. While Tennessee superficially claims to have rejected common core and other progressive curriculum like Critical Race Theory, we know that these philosophies continue to be promoted under different names and disguises.  Standardized testing becomes the open door for these curricular influences.

                We can see that Mrs. Lombards predictions have been born out by a few examples.  In New York, the system of Jewish schools called “yeshivas” operated for years as private schools but began accepting state funds through school choice legislation.  When the government was not satisfied with the schools’ outcomes, an investigation into the schools resulted in the schools being forced to comply with common core standards. 

               We also see that beyond forced curriculum and standardized testing, homeschoolers and private schools face other regulatory restrictions in what can be taught by those receiving state funding.  In Maryland a Christian school was forced to defend its right to express a Biblical view of marriage as between one man and one woman.  Initially the school was told it could no longer receive voucher funding (Kookogey 2019).  Then it was told that it would have to pay back $100,000 of funds it had already received. (Perkins 2019). Eventually, a judge sanely ruled that the school had religious liberty to express such a Biblical view without forfeiting access to these voucher funds, but 1 to 2 years was spent in limbo before the case was finally settled in 2021, having started in 2019 (Gryboski 2021).  While this school did win in the end, not all schools may be able to sustain such a legal battle and win. 

                Other examples of providing such funding but later taking it back can be seen in other states.  In Nevada the original legislation excluded a requirement for standardized testing of participating students.  Once passed, the state board of education added a requirement for private school families to administer yearly standardized testing.  The promised freedom in the passed bill was quickly taken away before the program was even implemented.  This occurred despite the fact that the Superintendent of Public Instruction, Dale Erquiaga, testified before the Senate Committee on Revenue and Economic Development that no such requirement would be implemented.  While homeschooling families in Nevada can still forgo such standardized testing, their acceptance of state funding requires opting into this yearly testing according to Nevada legal code.  NRS 388.100-140 – OPT-IN CHILDREN

                West Virginia serves as another example where initial freedoms were almost stolen back from homeschool parents.  The state passed a 2021 school choice law in which homeschoolers had worked hard to enshrine legal protections for homeschoolers, thinking they had won, at least in 2021.  They made sure no regulations would be placed on homeschoolers who did not accept the offered money.  Only two years later, West Virginia legislators proposed a bill that would remove the safeguards and lump all homeschoolers into the same regulations by the state regardless of whether or not they took the “bribe”, (I mean voucher money).  Ultimately, this legislation was defeated, but once acquired freedoms are never truly safe as long as legislators believe they should control every aspect of a child’s education rather than leaving it to the parent’s discretion. 

                In summary and support of this string theory of puppeteering the world of private schooling and homeschooling, these examples could be enough to convince you, but the Cato Institute which offers some support for school choice had to admit this regulatory burden.  In a study looking at whether school voucher programs increased the regulations on private schools, they concluded that yes, this state funding source did exactly that.  In their words:

“Voucher programs are associated with large and highly statistically significant increases in the regulatory burden imposed on private schools (compared to schools not participating in choice programs). And this relationship is, more likely than not, causal.”

                Apparently, the string theory of government control of private schooling options through school vouchers is more than a theory, but closer to reality than we should feel comfortable with.

Tomorrow, Part 3 – Failures

Full Bibliography LINK

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Exemple

As of December 2023, twenty states have some form of school choice expansion underway in which parents can choose their child’s school beyond accepting the local district where they live. According to Betsy DeVos, former Secretary of Education and early proponent of school choice, this opportunity benefits both the child and the public. This seems like a win-win situation until you read the fine print written boldly, “if every student is part of the public”.  The outworking of her new definition coalesces all education under the umbrella of government influence while purporting to free children from the government run public school system. 

This effort has been underway in Tennessee for a number of years as evidenced by the money trail described in a prior essay (LINK) and is attempting to cross the tipping point with Governor Lee’s current Educational Freedom visionary proposal.  Having taken root in the Tennessee Investment in Student Achievement act of 2022 (TISA), when it passed limited school choice for Memphis and Nashville schools, Governor Lee hopes to include the whole of Tennessee in school choice beyond these two districts.  Much concern and dismay has been publicized over the state of our public schools for years, but the post 2020 shutdown aftereffects are being used as the final straw to push our state over the threshold.  While proclaiming freedom, school choice advocates are in reality enticing those already enjoying educational freedom to submit their children and their schools to government regulation.  In exchange for some students escaping broken and failing schools, public money will be pumped into the private education system, radically altering it with the inevitable strings of government funding.

Promoters of school choice claim that those who could afford private school or homeschool have opportunities not open to many less fortunate children trapped in public school systems.  These escapees from the system left because they saw the problems of our public schools and wanted to be free from its grasp and adverse effects.  Homeschoolers particularly valued this freedom as they forsook not only the public side of education, but the paradigm of mass education solely in age segregated classrooms steeped in failing modern educational methods.  We (homeschoolers) recognized that the system was broken not only in where it took place (public schools) and in who ran it (government) but in the forms and objectives of modern educational philosophies.  The public schools were not only physically unsafe for many student, but intellectually, emotionally, and spiritually unsafe as they strive to now create woke global citizens rather than moral, productive, and mature men and women in community. 

As Tennessee contemplates our Governor’s proposed solution for the broken public school system, we must evaluate whether such a solution actually seeks to solve the problem at the root of the brokenness or is just a band-aid that allows the deeper rottenness to continue.  The proponents claim that this will give those students who currently do not have opportunities to leave the system, equal options to current private and homeschool children.  They express seemingly sincere concern that such trapped children are being held back academically by deprivation of opportunity and harmed physically in unsafe school districts.  They reassure everyone else that these educational savings accounts as the foundation for the Governor’s Education Freedom bill will not restrict nor hinder anyone else’s educational freedoms.  They thus claim that this is pure milk chocolate, sweet as honey for all with no bitter aftertaste for anyone. 

While many studies do indicate that parents of children who are enabled to leave dangerous or otherwise failing schools express higher satisfaction with the new schools, is this sufficient reason to accept the negative aspects?  While some studies show a mild academic benefit for lower income children who escape the public schools, does this justify the cost and clear downsides of the system?  Many conservatives will join in the calls for school choice believing that they can minimize the damage that the public schools are causing for our next generation, but again, what price are we paying and are we really diminishing the influence of the government on schooling?

In evaluating this proposal, we must take into consideration three likely negative aspects of the bill as well as its potential positive impacts. First, as with any government funding, strings will be attached to the money and thus to those who accept the money whether the parents or the schools in the program.  This will be called “accountability”, but ultimately places the government in control of your child’s education.  Second, we should measure the success of school choice by their promised outcomes.  If they want more children to have more opportunities and better life outcomes, then we should evaluate currently active school choice programs by these measures.  Third, as with any major policy enactment, we will find secondary and tertiary effects that may be unexpected and/or unwanted.  Proponents may argue that such downsides are “unintended” but worth the cost, but we should count the cost and determine for ourselves if we want to pay these delayed payments in other impacted areas. 

Tomorrow, Part 2, Reason #1 “Strings”

Bibliography for entire series.

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Exemple

(Interspersing a series on School choice in the midst of my series on Mental Health Crisis solutions.)

“We should experiment in the states with a number of governance arrangements, leverage these laboratories of democracy, and see what works,” asserted Marc Magee, sociologist and founder of the 50Can advocacy organization, discussing the viability of the standard school district structures for promoting excellence in education.” (Smarick 2023).

While he spoke thus over a decade ago, he is using the same kind of language today regarding the education of your children- experiment, reimagine, innovate and words such as these can be found throughout 50CAN’s website and blogs.  In a recent 2023 example, you can read about Mr. Magee’s desire to experiment with AI in the education of your children.  He wants to see educational efforts put forth in “continuing to experiment with AI, which has evolved so much since we first looked at ChatGPT seven months ago” (Magee 2023).  As a self-proclaimed admirer of public education in its first 100 years (until the 1970’s), Mr. Magee has styled himself and his organization as leaders in advocacy for public education innovation (experimentation) at the state level repeatedly expressing a desire to harness “new” and here-to-for private methods of education like micro-schools and homeschools by using public money-which of course means public accountability (TNCAN 2023, Smarick 2023).  Even today in Tennessee, 50CAN, known as TennesseeCAN in our state, is moving forward, working with our elected representatives promoting continual educational innovation- or shall we say educational experimentation.

According to 50CAN, educational experimentation plans move forward in large part through political advocacy, and therefore, they have established an advocacy model and developed training programs over the last decade.  Mr. Magee and others have released a short booklet with a long title called A Little Opposition is a Good Thing and Other Lessons from the Science of Advocacy (Magee 2019).  It highlights themes from academic research covering revolutionary movements and political change movements across the span of modernity.  In this 66-page booklet, recommended choices for advocates working in the various states are laid out.  In our case, here in Tennessee, it appears that some of those tactics are already being used in growing a public campaign for universal school vouchers and attempting to gain support for their yet to be revealed legislation. 

In this booklet, the first lesson reads, “A little opposition is a good thing.”  In this section, the writers assert that the literature shows that indifference to a change issue more accurately predicts political failure than opposition to that change.   Therefore, they recommend that “…. advocates should embrace it [opposition] and use the energy of their opponents to gain attention for their side” (p.11). This may be the tactic we see at play right now given the fanfare accompanying the November announcement of the plan for “Education Freedom” legislation in the upcoming legislative session.  In addition, there have been reports of at least one meeting where a TN CAN advocate was present to discuss this legislation with the public.  Are they stirring up the energy of the opposition? Pushing the issue to forefront of the upcoming political season and positioning “their” legislators to take a stand on this legislative issue?  This booklet would make you think this a distinct possibility.

Another tactic in their advocacy playbook tells “…advocates [to] move quickly to catch the status quo off guard when new innovations emerge, and then pay attention to how their opponents respond to their actions.” Here, indeed they may to be trying to catch us off guard, moving on the universal voucher (school choice) issue before the current charter school experiments in places like Memphis and Nashville have had time to mature thereby disrupting plans.  In addition, the universal aspect of this proposal has direct implications for homeschoolers in Tennessee who have enjoyed a good measure of stability and freedom over the last few decades.  Further, this sudden disruption of the status quo gives advocacy groups insight into the opposition coming from various sides of the political aisle.  They can watch this gauging their next political move while they themselves have not provided any concrete plans in the form of an actual bill.  Instead, the parents and citizens of Tennessee have been left with more questions than answers when it comes to this sweeping but rather general proposal.  Perhaps the instability of the proposal itself seen in such early promises of “no strings” morphing somehow into an assurance for “accountability” or “strings” with the use of public money is a part of the political drama enacted upon us for their informational benefit.  Is the chaos of this proposal intentional?  Again, their small booklet with a long name makes one wonder.

In yet another advocacy tip, the booklet proposes that befriending legislators and being a reliable informational resource tend to produce desired political change for an issue.  Apparently, the advocates in Tennessee have been working on these relationships for several years (see their yearly TN Policy Report Cards going back to 2015).  According to their literature, the advocates or lobbyists best serve their cause by “…working as an extension of the staff of aligned elected officials. Researchers see this kind of lobbying as a form of government subsidy, where outsiders pay to help elected officials carry out the elected officials’ own plans.”  Evidently considering themselves as staff members of our elected officials (yet without direct accountability to the people), they claim to be writing the legislation behind closed doors (information received from people attending their meeting).  Who did we elect to make the laws?  Advocacy groups like 50CAN, funded by billionaires? OR state senators and representatives accountable to the citizens of Tennessee?   (LINK TO PRIOR WPWL ARTICLE)

The observations above along with information found in 50CAN’s own website and literature may give us insight into what we see being enacted in Tennessee as the legislative session nears, and now the parents of Tennessee find themselves in the following situation.  We have a major media announcement by our Governor of plans for sweeping changes to education funding in our state. Funding using public money to pay for private services.   However, the bill itself does not yet exist and is reportedly being crafted by an unelected advocacy agency (or perhaps agencies) behind closed doors.  Many of our elected officials, including the sponsor himself, express ignorance of the bill’s contents to date and have only made some general comments about what it might say.  Many legislators refuse to take a stand one way or another on the issue since no bill has been proposed or work out thus far. Additionally, we are likely being played by well-funded agencies like 50CAN who are using their advocacy playbook moves to try to gain the upper hand so that they can add our children to their grand sociological experiment funded by billionaires and elitists.  

Indeed, as parents in Tennessee, we must be the opposition they are looking for.  We must strongly oppose any form of public money funding any form of private education in our state, particularly in the form of universal vouchers “given” by the very government that broke the system in the first place.  We must say “NO” to experimentation with our children, and think Biblically on this issue.  The family is accountable to God and His truth in providing for their children’s worldview and education- public money makes us legally accountable to the state and its worldview.  These public monies proposals do not move us forward but backward in family and parental freedom to choose.

While groups like 50Can (TNCAN) may run their advocacy plays upon the legislators and the citizenry, Tennessee parents must be clear.  We will not allow sociologists and elitists to experiment with our children or take away our private choice.  Be the wise and prepared opposition. Protect your children and protect your family’s educational choices otherwise the proposed universal School Choice experiment could end up becoming a loss of all choice leaving everyone with only State Choice.  

Citations:

Magee, M. P. (2019, October). A Little Opposition is a Good Thing and Other Lessons from the Science of Advocacy. 50CAN.org. https://50can.org/wp-content/uploads/sites/14/2019/09/Science-of-Advocacy-2019.pdf

Magee   , M. P. (2023, November 19). The New Reality Roundup – Round 190. 50CAN National. https://50can.org/blog/the-new-reality-roundup-week-190

Research reports. TennesseeCAN. (2023, December 15). https://tn-can.org/research-and-resources/research/

Smarick, A. (n.d.). By the company it keeps: Marc Porter Magee. The Thomas B. Fordham Institute. https://fordhaminstitute.org/national/commentary/company-it-keeps-marc-porter-magee

Tennessee CAN. (2022). 2022 TENNESSEE POLICY REPORT CARD. https://tn-can.org/wp-content/uploads/sites/5/2023/12/FINAL_TNCAN-2023-PolicyReportCard-web-compressed.pdf

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Exemple

(We continue to consider potential root causes contributors to the mental health crisis as begun in the prior installment.)

               Simultaneously with these economic forces, many today are entering the work force with a strong desire and expectation to achieve work-life balance.  Maybe their parents’ example of overworking for years leaves them with a longing for time and experiences of life outside the office.  Maybe they have been told that they can have their cake and eat it too in terms of work success and extracurricular fulfilment.  They often expect the benefits and wages of having invested years in a position at the very beginning of a career and may become disillusioned or resentful when those rewards are not forthcoming soon enough. The basic requirements for productive employment collide with the desires for a fulfilled life to create another source of stress.  Their responses of angst or wanderlust for something better creates stress for both them and the businesses they work for.

               Again, many hope that achieving such a balance will bring mental wellness and fulfillment.  The realities of our fallen world places great obstacles in achieving this balance.  The striving after such balance creates more stress and magnifies other challenges to mental health.  Sacrifices must be made to achieve such balance, often leaving these life balance seekers looking for more.  They too must go further upstream to find mental wellness.  That upstream insight, which can only come from a spiritual view of reality, can then guide them in overcoming the obstacles they wish to overcome. 

               With more information to process, more work to do, and more challenges to pursuing life fulfillment, some of us can find ourselves giving less attention to our physical well-being.  For some work leaves less time or less energy to exert our bodies in activities that not only make us feel better physically, but could improve our mental health (many studies support this).  Given the reality of aging and the reality of bodily dysfunction in a fallen world, lack of attention to our physical health will eventually reduce our capacity to handle the demands of life. 

               Even for those who press past the challenges, devoting the time to their physical health which leads to what society considers physical fitness, this only touches on the surface of the mental health crisis.  Healthy bodies contribute to healthy emotions but are not enough to guarantee it.  Going upstream from physical fitness into whole person fitness is still required.  A proper view of physical fitness will lead to a proper response to caring for the whole person, body and spirit.

               The pressures of life can also leave us with less time to gather with family or friends, thus resulting in less emotional support that could protect against threats to mental health.  Having others who provide perspective on life’s challenges, even if they just offer sympathy, empathy, and compassion makes the stress less burdensome.  Having relationships which provide tangible support when jobs fail or when financial hardship hits means that the stressed individual is protected from falling into mental illness.  In contrast, not having such relationships creates a sense of isolation which amplifies the stress rather than limiting its effects.

               Between the closing down of churches during the pandemic and the fracturing of many churches over politics and social issues, the fabric of life which held society and individuals together is wearing thin and giving way for many of us.  Social isolation has become all too common, preventing many from meeting their inborn need to socialize.  The societal safety nets of church, community, and government programs which try to catch the individuals who fall into mental illness cannot presently bear the weight of so many who are finding themselves on such life downward spirals.   

               Simply bringing these isolated people physically together would seem a promising approach, but so many attest to the feeling of greatest loneliness in the midst of a crowd.  Many are already surrounded by other people yet feel quite lonely and isolated.  Being located physically together does not guarantee a sense of belonging together.  The connection must go further upstream, although the increasing isolation does need a response.  Again, incorporating a spiritual view of reality is required.

               In the background of technology changes, work demands, life fulfillment expectations, and social isolation, society has devalued family as a foundation of society’s functioning.  The attempt of a revolutionary mindset to be discussed in the next section has attempted to undermine a traditional view of family and either restructure it or destabilize it into non-existence.  Families physically spread out at greater and greater distances thanks to the higher educational system and the world of labor.  Families spread out socially as teens are socialized to become their own person without regard to their parent’s legacy and beliefs.  Families spread out in what they stand for as the old-fashioned husband and wife with children are replaced by whatever combination of men, women, children, animals, or even inanimate objects.  The stabilizing force of family cohesion dissipates as each spreading out weakens the family structure and its supporting function.  Divorces multiply.  Depression and anxiety grow.  Children grow up without models or support to overcome their life struggles.  They grow into adults unable to withstand the pressures of life, succumbing to more and mental illness unless some other force intervenes.

               Many groups strongly emphasize a restoration of the family as an answer to the mental health crisis.  While this gets closer to the root as will be discussed in the final section of this series, an upstream answer to what is family and how to bring the family back together is required.  Restoring family as a foundational aspect of society requires a response, but is not the whole work of untangling the knot.  A restoration of family must include a spiritual understanding of what family is.

               As if we needed one more factor, we have the pressure which the government has forced upon us in its constant attempt to help us and protect us from ourselves.  While laws to limit sinful behaviors are needed to an extent, the extent to which government attempts to control can become a burden rather than a protection.  State and federal governments have a role in maintaining civil order, but their demand for the “rights” of real and imagined minorities again creates undue burdens on individuals and businesses.  Requiring handicapped access is one thing, but forcing compliance with immoral beliefs so that someone does not feel triggered by differing views goes too far.  The “Nanny State” has long moved from the mirage of a doting lady watching over little ones into the specter of a controlling and aggressive tyrant bent on micromanaging what it thinks is best for everyone else. Rather than offering relief from the burdens of modern life, this “nanny state” mentality intensifies these pressures of life and destabilizes the natural supports of family, church, and community.

               Still many others bemoan the growing influence of the government in contributing to life stress and thus to mental illness.  They focus on getting government out of the way which is another basic issue, but this still leaves factors unaddressed.  Mankind without any restraint leads to anarchy.  Finding the proper role of government requires us to again go upstream in exploring the purpose of government and its role in our lives.  We must respond to government’s contributions to the mental health crisis, but we must do so with a clearer and more robust worldview than just wanting the government to leave us alone.  Examining government and its role through a spiritual lens is required.

               Each of these materialistically oriented factors contribute to the dysfunctions of society leading to mental illness but biological factors impacting our mental health deserve their moments in the spotlight as well before going upstream.  We must momentarily consider the toxicity of our fallen world in terms of the living environment which we are creating for ourselves.    

               While the technological, social, and other factors are contributing to stresses and overburdening human limitations, the physical environment we are fashioning around ourselves as individuals and as a society is eroding our bodies’ abilities to withstand such stressors.  In the quest for the next technological breakthrough, chemicals are often produced which disrupt the normal functioning of our bodies.  The resulting inflammation, changes in metabolism, changes in brain function, changes in hormones, and more all alter our homeostasis, or balance of biochemical functions.  Our resilience to withstand the other previously mentioned stressors is diminished as conscious and unconscious resources are diverted to the effects of these toxins.  Besides the technologically produced toxins, our desire for aesthetics and youth drives the market demand for personal care products and cosmetics industries which introduce even more potential biochemical disruptors into our bodies.  Besides these chemicals we breathe and put on our skin, we have created a whole world of food additives to preserve shelf life, enhance flavor, and make food more colorful.  We then eat and drink to our own detriment from the formulations of the processed food industry.  Our physical bodies are presently challenged as never before, and we wonder why we are struggling so much with overall worsening health, including negative impacts on mental health.

               Removing toxins and sources of inflammation from our diet and our environment would definitely help but only so far.  Removing these triggers for mental and physical illness would make us feel better, but still does not guarantee mental wellness when so many other factors are present.  We must go upstream in not only finding the toxins, but understanding how we view our environment and how we view the stewardship of our bodies.  We can respond correctly only with these improved understandings. 

               When we look up on this materialistically focused description of the potential root causes of the mental health crisis, we could feel a little hopeless. Technological advances and their impact on how we live appear inevitable.  Inflation and the economic pressures of work life versus life goals seem unavoidable.  The breakdown of family seems to continue unabated.  The prospects of government’s increasing control of our daily life seems unstoppable. Environmental toxins appear to be encircling every area of life.  These physical factors are at their core, just sources of more and more stress.  Living in a fallen world will necessarily impress some elements of these or other stressors upon us.  Remove one source and others will fill in the gaps.   Pushing back on these societal changes mostly just creates more stress when one person or one family tries to live counterculture to everyone else around them.  Addressing any one of these only untangles one little loop of the knot and their interconnectedness makes a potential starting point impossible to find.  Rather than trying to simultaneously untangle all of these contributors plus others not mentioned, we must look upstream.  If we can move upstream in the factors to something that underlies multiple of the previously listed ones, we can find a common source which when addressed would solve these factors as whole rather than in parts. 

(In the next installment, we move upstream to look for spiritual root causes of the mental health crisis.)

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Exemple

(Having examined the mental health crisis from various angles in the prior two essays…”

               Third, once the big picture view has solidified as much as possible in our mind, we must think logically in terms of causality and find what led us to this current state so we can start at the right place to untangle the mental health knot.  Working past the superficial statistical and diagnostic layer, we need to understand the factors leading the collective society to these diagnoses and descriptions.  To solve problems and lower statistics, we must aim at deeper changes than just these numbers.  In medicine, we regularly consider whether genetics or the environment are contributing to a disease we are treating or diagnosing.  In functional medicine, we search deeper for root causes, the deepest factor underlying a disease process which when addressed allows the body to move towards healing and restoration.  Here in the broader world of mental health across communities, states, and our nation, we need the same effort towards root cause analysis.  By understanding how our child’s shoelaces came to the present state and by asking the right questions we can simplify and accelerate the actual un-entanglement.  Although the present complexity of mental health in our society immeasurably surpasses that of tangled shoelaces, identifying the contributing factors logically and chronologically for either challenge is required to formulate hopeful solutions.

               Hints of contributing factors and candidates for root causes have already been seen in the prior examination of the big picture.  We have societal changes which are impacting upon human capacities and expectations.  Individuals and their various groups cannot sustain the weight of this burden being expected of them.  Human beings have limits in time, energy, knowledge, emotional capacity, mental capacity, physical capacity, and resources among other limits.  As our society seems to be pressing higher and higher levels of stress upon us, eventually the stress and burdens of life will overcome these limits.  Life for many has become one big multitasking juggling act in which technological advancements, work demands, life fulfillment expectations, lack of self-care and relationship attention, isolation, family breakdown, and governmental pressures have combined with many other factors to push people over their edges into mental illness. This is layered on top of physiologic burdens of tons of toxic chemicals pouring into our world daily.  However, despite their individual and collective contributions to the mental health tangled knot, none of these contributing factors actually get to the root of the problem.   

               Instead of serving as a root cause directly, each of these can be traced back to our spiritual view of physical reality which is where the untangling of the knot must begin.  If you agree, then you can proceed to the spiritual explanation.  If you are unsure or disagree, take the time to read the remainder of this section and better understand why the materially directed approach to untangling the knot only addresses portions of the tangle at a superficial level without going deep enough to address the knot as a whole.

               Each of these  materialistically focused contributors deserve some elaboration here. First, the hastening speed of technology drives our lives both at work and at home to accomplish more and more, while it promises to make our lives easier.  Although technology has enabled us to do things unheard in generations past, technology also creates situations where are forced  to move faster in more directions.  Multiple lines of communication such as texting, multiple emails, and other instant messaging, on top of phone and face to face means we sometimes have multiple conversations going simultaneously.  As technology moves faster, we no longer have the luxury of thinking for a time as we wait for computers to process or for others to respond.  Now the multiple lines of communication can be rapid fire back and forth.  This is difficult enough at work to keep up with.  Even in our personal life with text or other messaging services, we feel awkward if a message is left unanswered for a few minutes.  We can feel ghosted – and stressed — if someone misses an email for 3 days and doesn’t respond. 

               The amount of information we can access through the internet and smartphones can also overwhelm us.  Knowing more about what is happening in another country where we can do nothing about the depressing news can lead to anxiety and hopelessness.  This can later lead to guilt and regret.   Simultaneously, excessive access and attention to the broader world’s events may draw us away from time with family and face to face friends leading to isolation and more shallow relationships.  This can increase your sense of isolation.

               These communication expectations are compounded by expectations that we should be accomplishing so much more given this technology.  We expect greater returns from our time which is stressful on already stressed human capacities, and this makes us more heavily dependent on these technologies. We may keep up for a time until this technology falters.  The complexity of technological advances then means that we need more experts to fix overly complex electronics or programs.  The days of fixing something yourself are becoming rarer and rarer.  Instead of being empowered by the technologies, we can become trapped by them.  Emotionally the stress from needing the technology to meet our own and other’s expectations can outweigh the increased capacities they offer.  Life with the technology can become more stressed than life prior to the technology.

               While we could push back directly against technology in various ways, this approach has minimal chance of significant impact.  The world around us continues to depend on technology’s present contributions to daily life and excitedly awaits the next innovation.  We can develop better patterns of interaction with technology, but the impact will only go so deep as an individual effort.  A clear strategy against the onslaught of technology requires a deeper understanding so that we know how to respond to inevitable changes to society brought on by technological advances.  Ignoring the problem or responding with a simplistic approach will only make it worse.  This deeper understand demands a spiritual view of reality. 

               Beyond the effects of technology on the demands of work life, several general economic factors and trends are combining to increase the pressure of contemporary life.  To some degree the rising cost of living due to rising inflation presses upon nearly everyone.  As a result of competing for these tightening budget’s expenditures, businesses are constantly working on efficiency and productivity leads to requiring more and more of employees.  In the world of big business, many employees become little more than a cog in the machinery of the 100’s, or even 1000’s of employees who can be replaced at the drop of a hat.  The pressures of having to work more and work harder to keep up the family economy while recognizing that your company’s leaders could replace you with a hundred others willing to do the same work can create a lot of stress, increasing the pressure for developing mental illness.

               While we could voice louder and louder protest against the rising costs of living brought on not just by our human desire for more, but also by the clear mismanagement of our economy by government, this will not change the momentum of society.  We can implement better budgets and set more realistic expectations for what we can afford, but at some point, we will cut all the excess and inefficiencies yet still face the need to work harder and longer for the basics of life. We must look at the economics of life that lead to inflation from an upstream viewpoint as well as understanding the purpose and function of labor in the flow of life.  Only by taking a spiritual view of these realities can we respond in a deeper and longer-lasting way that offers hope of providing for ourselves and others.

(The next installment of this series will continue to examine these stressors)

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Exemple

(Continuing the examination of the mental health crisis from part 2 of this series.)

             Looking next to the functional angle of mental illness’s impact, we see societal statistics describing how such illness alters one’s ability to function at home or in society as well from the personal angle.  Considering marriage and its success rate as a good indicator of a person’s functioning in the home setting, survey results by researchers suggest that mental illness both decreases the incidence of marriage as well as increases the rate of its failure in divorce rates.  In the report published in the Acta Psychiatrica Scandinavia (Breslau 2011), researchers described their findings from a 19-country survey.  All mental disorders studied demonstrated an increased odds ratio of 1.2 to 1.8, meaning a 20 to 80% increase in divorce. The negative impact of mental illness on life’s closest relationship of marriage can likely be extrapolated to other personal relationship struggles.

             The ability of those with mental illness to function in broader society can be extrapolated from their capacity to handle employment.  In an online publication by Psychiatric Services, Luciano and Meara report how the severity of mental illness impacted employment rates. Looking at data from a survey in 2009-2010, they found that while those without mental illness reported an employment rate of 75.9%, those serious mental illness reported only a 54.5% rate.  Beyond this statistic, the percent of survey respondents with serious mental illness that reported incomes under $10,000 per year was 38.5% while it was only 23.1% in those without mental illness.  From the positive angle, this shows that many individuals suffering with mental illness are pushing through and working under the burden of their illness, yet it does demonstrate that many appear hindered from life functioning by their condition.

             At the personal level experienced by many of us, our own or our families’ struggles in mental health have hindered our functioning at these same levels of life.  Other family members have had to step in to provide financially or to support others sufficiently so that employment is not lost.  Other family members have dealt with the aftermath consequences of marriage discord and divorce.  While mental illness is not required for divorce, when it is a part of the divorce, the challenges of life post-divorce family dynamics can be even more challenging for all involved.  In each situation you live through or are living through, the shared weight lies heavy on many shoulders.

             The spiritual angle completes the view that most people should consider in understanding the scope and magnitude of the mental health crisis.  Examples of clearly sinful behavior which are known to correlate with future mental illness include abortion, drugs and alcohol abuse, and homosexuality.  We must come to some conclusions of how to view mental illness in terms of sin as both a contributing factor for the person and in response to the person.  On one hand, the majority who see little or no spiritual component to mental illness promote a dangerous and simplistic approach.  They ignore this critical spiritual portion of the problem and thus undermine any hope of fully resolving it.  By denying any spiritual component, they make guilt and shame challenging to deal with while preventing the adequate handling of sinful behaviors which contribute to the mental illness.

             On the other hand, there are some who might lump any or all mental illness into the category of sin or its effects.  This simplistic approach makes it easier in one sense to respond to all mental illness with a “repent and change your attitude”.  So much harm is done by those in this camp as they ignore the factors already discussed as well as more to be discussed in the next section. 

             Between these two extremes, from those acknowledging the contribution of spiritual factors come a variety of potentially sinful options for responding to other’s mental illness.  While lack of compassion for the weaker brother can lead to sinful responses, overindulgence of one’s sinful behavior can also hinder efforts to overcome such patterns of sin.  Sometimes between these extremes, the emotional impacts of mental illness on friends and family may lead them to respond out of frustration, despair, or anger further amplifying the impact of sinful behavior and deepening a cycle for everyone involved. These sinfully inappropriate responses can further exacerbate both the depth of the mental illness and the obstacles to overcoming it.

             Instead, we must consider a Biblical view of how we should respond individually and societally.  When approaching an individual’s mental illness, the contribution of spiritual factors to the illness must be considered for full resolution.  Then the societal response, whether at the level of a family, a community or a church as well as the national level, must not ignore these spiritual factors if a proper and successful response is to be implemented.  A better approach of addressing the sufferer’s condition in the context of family and as a church will be discussed later.

             As a physician caring for many of these individuals suffering with or without actual mental illness diagnoses, I can add a further angle combining both personal and professional.  I look at the reported statistics on the increase in mental illness and can believe it as more patients present for evaluation in my office of these conditions.  Simultaneously, we are seeing more of the secondary physical complaints mentioned earlier in terms of chronic pain syndromes, irritable bowel type complaints, insomnia, and more.  We see how patients’ relationships are affected by their mental health symptoms as well as how they are struggling to function at home or at work.  For those willing to discuss the spiritual aspect, we hear their guilt and shame for not living up to other’s expectations along with their occasional despair in feeling alone or losing hope of recovery.  While we should never base a societal level response on the report of one doctor’s experience, my professional experience echoes the statistics being reported and I hear similar stories from other providers directly and indirectly.  I agree that we have a growing problem that is not being adequately addressed. 

               Before we give up hope of such an exhaustive understanding and return to the simplistic solutions offered by the world, we should recognize that omniscience concerning the mental health crisis is not the goal, but sufficient understanding so that we can eventually move towards a solution to the crisis that has a chance of success.  While we will never be able to identify and to fully understand the totality of factors contributing to even one person’s diagnosis of mental illness, we can understand enough about the nature of the individual’s condition or the societal patterns that we can plan and enact a response.  Understanding the root causes in the next section will overcome the immensity of the big picture and allow an appropriate response. For now, if you want more statistics on the impact of mental illness on functioning, go to The National Alliance of Mental Illness website on its “Mental Health By the Numbers” page where many insightful statistics are offered.  Statistics and experience show a growing problem.  The situation affects mental, physical, relational (isolation), spiritual and societal health and function.  The mental health knot is tightening while civilization unravels.

               Having examined the state of mental health from these various angles already encourages us to look for upstream foundational causes of such a complex crisis. Each of these angles offers a different perspective which will lead us in the next section towards finding remediable root causes. The potential causative factors must somehow answer the challenges of these psychiatric, physical, relational, functional, and spiritual angles at the individual and the societal levels.  We wean to untangle the whole knotted shoestring of the mental health crisis rather than just a portion of it. 

Bibliography:

Breslau, J., et al. “A Multinational Study of Mental Disorders, Marriage, and Divorce.” Acta Psychiatrica Scandinavica, vol. 124, no. 6, 30 Apr. 2011, pp. 474–486, www.ncbi.nlm.nih.gov/pmc/articles/PMC4011132/, https://doi.org/10.1111/j.1600-0447.2011.01712.x. Accessed 13 Oct. 2023.

Luciano, Alison, and Ellen Meara. “Employment status of people with mental illness: national survey data from 2009 and 2010.” Psychiatric services (Washington, D.C.) vol. 65,10 (2014): 1201-9. doi:10.1176/appi.ps.201300335

National Alliance on Mental Illness. “Mental Health by the Numbers.” NAMI, National Alliance on Mental Illness, Apr. 2023, www.nami.org/mhstats. Accessed 13 Sept. 2023.


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Exemple

(Having confirmed that a mental health crisis exists in America in part 1 of this series, we move to the next step in untangling the knotted shoelaces.)

               Second, now that we believe that a real problem exists and that it deserves an adequate response from us as a nation, we must pause to examine the nature of the problem before reflexively reacting.  Untying the wrong part of the knot or not seeing the superglue that your child used to hold things together will ultimately only lead to frustrations and failures.  In the case of our society’s mental health crisis, we need a better understanding of who is suffering and how they are suffering.  Once this picture begins to form in our minds, we should continue investigating until we have uncovered an adequate extent of the problem.  The length of this essay precludes such a full extent but those in positions of influence should go beyond this essay’s brevity.  From there we can work on root cause understanding in the next step towards a solution. 

               Once we decide to study a problem like the mental health crisis in greater depth than just whether or not it exists, we must determine how to study such a tangled knot.  The sources of information must cover a number of different angles to address an adequate scope.  These angles include examinations of psychiatric, physical, relational, functional, and spiritual effects of mental health dysfunction at individual and societal levels.  Each of these angles provide an essential view of the problem’s impact and combine to provide a 4-dimensional multi-faceted understanding as these angles interact over time. 

               The psychiatric angle stands out as the most superficial descriptive level and presents as the diagnostic statistics on one hand and a personal life experience on the other.  Medical codes provide labels such as major depressive disorder, generalized anxiety disorder, post-traumatic stress disorder, schizophrenia, panic disorder, bipolar disorder and more.  Each label categorizes a set of symptoms and disease expressions which allow not only tracking of prevalence but also the planning of therapy.  This therapy planning begins at the experimental level of determining what therapy works best for different diagnoses and at the individual level where a provider recommends an individual’s approach to recovery.  Regardless of labels chosen, at the core, each diagnosis describes an emotional pattern in which a change in one’s thinking or emotions diverges from the accepted normal range sufficiently  enough to produce dysfunction in the person’s life.  The dysfunction always impacts on the individual with the diagnosis and usually impacts on others around them, leading to a limitation of what the individual can accomplish in life.  The dysfunction resulting from large numbers of such individuals plays a major role in labeling this situation as a societal crisis. 

               As these diagnostic statistics increase, direct experience with those suffering becomes more common and more personal.  We either face our own diagnoses or experience them second hand in family members or friends.  This may come in the form of lifelong struggles or just a period of life, from months to years, where such a mental health condition impacts us or those we care about.  When this occurs over longer periods of time in families, a parent’s or siblings’ diagnosis can beget similar or different diagnoses in the succeeding generations.  The stress created from mental illness in one family member can push another into their own mental health diagnosis while leaving less resources to support another family member through their own stressful time.  The repetition of mental health illness in families arises from not only their shared genetics, but also from these shared psychosocial factors as well.

               The physical angle flows out of considering the contributors to psychiatric diagnoses and moves beyond simple medical statistics or psychosocial factors.  This angle considers the two-way street between physical illness and mental illness.  On one hand, the onset of mental illness has been shown to be triggered by such physical processes as inflammation, chronic pain, different toxins, some infections, nutritional deficiencies, and clearly genetics as previously mentioned.  While each of these potential triggers would each require a book-length explanation, for now we can just appreciate that they individually or cumulatively push their subjects towards mental illness yet less commonly serve as the sole factor in one’s mental illness.  Far more frequently, they serve as one more contributing tangle in the person’s mental health knot that needs untangling. 

               On the other hand, mental illness also drives more physical symptoms and diseases.  Several examples demonstrate this secondarily exacerbating contribution of mental illness to physical conditions.  Studies indicate the experience of pain, either acute or chronic, frequently increases with states of depression and anxiety.  The stress hormones triggered by mental illness can further raise blood pressure contributing to hypertension or raise blood sugar contributing to diabetes.  Through a more generalized means of influencing physical conditions, many mental health conditions simply create non-compliance with another condition’s treatment needs either out of despair or direct dysfunction.  In these situations, the person with mental illness cannot or does not appropriately care for an otherwise treatable medical condition. 

               Besides worsening medical diagnoses, mental health has been reported as a primary contributor to several medical diagnoses.  These include conditions like irritable bowel disease, insomnia, and headaches.  The psychiatric world long ago created the diagnosis of conversion disorder when it believed someone’s psychiatric state was the sole cause of subjective physical symptoms.  This condition when applied to any given individual should be used sparingly to avoid unnecessary labeling that prevents identification of a previously unknown physical cause but is still a legitimate diagnosis in a limited number of those with mental illness. 

               Again, as this number of those with mental illness increases and the severity of their condition begins to impact on these physical conditions, our personal experience hits closer to home.  For anyone who has watched a family member suffer more from a medical condition that was exacerbated by their mental illness, the frustration is real.  This second person view experience hits home as you watch your loved one struggle more and more but feel unable to truly help them.  Watching someone in the throes of despair due to mental illness as they mishandle necessary medical therapy multiples the sense of helplessness for this second person.  However, when you are the one in the midst of the mental health dysfunction, you may not be able to hear and apply what your loved ones are telling you.  You may even believe them when they say there is hope with proper therapy, but still not be able to follow through.  Diagnoses and statistics have their role in studying mental illness, but at the root, it still comes down to the reality of individuals and those around them suffering from these diagnoses in real life.

               The relational angle of approaching mental illness also travels a two-way street, producing adverse effects for the original sufferer through reactions from others that extend adverse effects for all involved.  As expected, and so often experienced, the one with mental illness can find themselves being misunderstood which can lead to others distancing themselves a little more.  The emotional or actual physical distancing will usually lead to a weakening of that relationship and add to isolation for the one with the mental illness.  This pattern can lead to the original sufferer either giving up hope for any relationship or even pushing others away to avoid the pain of losing relationships later.  When relationships are sustained, sometimes a co-dependency develops in which both parties support dysfunction in the other person. 

               At a more personal level within families, many of you can probably think of these situations in your family or with friends’ families.  The prevalence of mental illness means that many of you know what it feels like to be in these situations and feel the stress of such challenges.  You may be watching as someone you care about lives out these diagnoses and may be trying to determine the best approach to helping them.  For you and others in similar challenges, you may feel a variety of emotions from sadness to guilt to frustration and more, sometimes contributing to your own mental health conditions.  As several family members each with their own mental health illnesses come together, the potential for mutual exacerbation rather than cooperative recovery increases. 

               As the stress of these sufferers has grown in intensity and frequency, the capacity and wisdom of churches to respond effectively seems to have declined.  While many churches tout their addiction recovery ministries or divorce support groups, the actual day to day ministering to the average church member by church staff or other church members does not seem to be as effective.  As with the world’s approach, many feel more pressure to have their act together in order “serve” rather than be served such that they are less likely to share their own struggles.  When they do admit their mental illness, they are often shuffled off to the psychological experts rather than nurtured and ministered to by pastoral staff at the church.  This is something I hear frequently from patients in my practice.

               This is not to say that many churches do not have caring relationships established in which the hurting cannot find comfort and support in times of need.  Supporting others during grieving of lost loved ones or through cancer episodes and injury recoveries occurs for defined periods of time.  The challenge increases and the support often wanes when the problem involves mental illness lasting longer than a few months.  This is even more true if the condition includes minimal progress on the part of the sufferer.  Once the initial crisis wanes, the initial rally of support frequently trickles off, sometimes even blaming the one with mental illness for not getting over it.  Ask parents whose children have autism and you will find many who struggle to fit in at church with children who do not fit in with Sunday school and children’s church.  In a survey by Whitehead in Religion and Disability, the chances of never attending church services increased with several pediatric mental health diagnoses including: autism, depression, traumatic brain injury, conduct disorder, anxiety, speech problems, and others.  A blog by Key Ministry discusses the implications of this study on how the broader church is not caring for this demographic. This overall response of the body of Christ is disappointing outside the few the exceptions which do offer a sanctuary for the mentally ill rather than another source of stress for them.

(The functional angle is examined in the next continuing installment of this series)

Bibliography:

Whitehead, A.L. (2018), Religion and Disability: Variation in Religious Service Attendance Rates for Children with Chronic Health Conditions. Journal for the Scientific Study of Religion, 57: 377-395. https://doi.org/10.1111/jssr.12521

“It’s The Hidden Disabilities That Keep Kids Out Of Church” by Stephen Grcevich MD. Key Ministry Blog.  Published July 22, 2018.  Accessed November 7, 2023.  https://www.keyministry.org/church4everychild/2018/7/22/its-the-hidden-disabilities-that-keep-kids-out-of-church?rq=Whitehead

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Exemple

“When buying and selling are controlled by legislation, the first things to be bought and sold are legislators.” — P. J. O’Rourke LINK (Brainy Quote)

               Our educational system directs the flow of billions of dollars each year to not only schools, but to the myriad of services connected to schools averaging $17,013 per pupil nationally 2019-20 (NCES).  Mark Lieberman reported in Education Week that in 2019-2020 our combined state and federal governments spent a total of $795 billion on direct education expenses amounting to 7% of the federal budget (Lieberman 2022).  According to the Sycamore Institute, Tennessee receives 1.1 billion from the Federal government for K-12 funding through over 12 programs (Spears 2023).  Between all these direct and indirect expenditures, testing companies, textbook companies, consultants, and bureaucrats reap significant dividends and salaries based on decisions made in the halls of our state and federal governments.  With that amount of money, no one should be surprised that large sums of money are also spent on swaying the positions and votes of our politicians.  Ninety million dollars was reported in 2022 for the entire U.S. for lobbying in education. 

               Long before Bill Lee became governor of Tennessee, educational reform foundations began their work in Tennessee.  These foundations are funded by other foundations – often run by billionaires living and working outside of Tennessee. The visionaries and advocacy groups behind these education reform movements have been working hard behind the scenes, some taking credit for directing the changes taking place over the last few years and some taking credit for influencing elections across the state through money spent for or against candidates – See “Election Influences” in Bibliography. 

               Now that Governor Lee has made the announcement about his Education Freedom legislation concerning school vouchers, the organizations and political action committee’s (PAC’s) working behind the scenes may see their decades long work paying off if Universal School vouchers come to Tennessee.  These entities have been hard at work positioning their legislators with funding for years.  One would expect groups like teacher’s unions to be constantly trying to influence votes, but they are not alone.  These pro-“school choice” groups have been consistently donating money to influence elections. Given the influence of money on one’s inclinations on an issue, one must ask how unbiased the politician may be after those larger donations along with other monetary influences to be described further below have become the norm for over a decade. 

               Now, before you dismiss five to ten thousand dollar donations as a drop in the bucket of a political campaign, some perspective is in order to gain a fuller picture of the influence of his money.  First, although there are dollar limits on how much money one person or one PAC can donate, the combination of several PAC’s working together can add up to much more than an individual donation.  Examples of this can be found in resources mentioned further below.  Second, for some state legislators whose total campaign donations are in the 100,000 to 200,000 dollar range, a total of $20,000 can be a sizable chunk.   Third, not all money is listed in campaign finances thanks to something known as “independent expenditures” which don’t have to be reported in the donations.  These expenditures can include a group covering the mailing cost for a candidate’s flyers or simply paying for ads against the competition.  Either way, thousands can and have been spent to help elect an official who will of course remain unbiased by such help when it comes time to vote (sarcasm).  Independent Expenditures can be seen here on this TABLE.  

               Fourth, and finally, we come to lobbying and lobbyists.  Tom Humphrey published in the Knox News Sentinel online edition in 2018 about this issue.  Even back then, he notes that three of the above pro-school choice PAC’s reported 1.2 million dollars in July 2018 disclosures.  He describes how this money was used in a variety of ways.  Some was spent on lobbyist direct work.  Some was spent on “independent expenditures” as noted in the prior paragraph.  Some of this money was spent on attack advertising in school board elections.  The full article linked below contains more details.

               With these various potential influxes of influential dollars into our legislators’ campaign pockets, we should ask who might these influences be and do we agree with them.  You could look at a state campaign finance website to wade through vast and confusing data hoping to make sense of it, or you can look at a few websites where others have done the arduous work for you.  By looking at these more understandable user interfaces, you will first see that Big Medicine influences our state government with a lot of money (this is a story for another day).  Then if you know the names to look for, you will see a number of education related groups beyond the Tennessee Education Association (TEA – teachers union) doing the same forms of influencing. 

               Some of the most noticeable pro-charter school, pro-education reform foundations and advocacy groups influencing legislation through legislators in Tennessee include the national entity 50CAN in Tennessee known as TennCAN (Tennesseans for Putting Students First (PAC)), Tennesseans for Student Success (Team Kid PAC), the national entity known as the  American Federation for Children (or Tennessee Federation for Children(, and the Great Public Schools PAC (also sometimes listed as Campaign for Great Public Schools/City Fund/Public School Allies.  (see Bibliography for “Organization Links”).

               Each of these groups deserve much deeper descriptions than this article can provide. However, I can give you enough of an overview through portions of their history, their founders, their operators, their stated goals, their past work, and their own financial sources to see that we as parents should be concerned about their influences.

               50 CAN:  Mark Magee started 50CAN as CONCAN in Connecticut and then expanded to national work.  This founder has a B.A. from Georgetown and a Ph.D. from Duke in sociology and desires to create local advocacy for reimagining schools through vouchers and accountability.  He was a founding member of the Progressive founding director of the Center for Civic Enterprise at the Progressive Policy Institute which worked toward influencing the “New” democratic party (Magee FutureEd and Fordham Institute).  He focuses on science based political advocacy at the local level and education reform through Choice options which include accountability as a core tenant. The organization began working in TN in 2011.  They take credit in their work for many of the education reforms in TN in recent years and they have a strategic plan for the state laid out in their Annual Updates and scoring of TN educational laws (2022 Tennessee Report Card).  This organization played a significant role in passing the TISA (Tennessee Investment in Student Achievement Act) educational reform in 2022.  Reading their site would initially make one think that their motives are well-intentioned for the good of children, but the complexities of how that is worked out deserves attention in a separate article to come.  For now, considering the sources of their funding one might be more hesitant to trust their stated goals.  Their donors include the Bill Gates Foundation and The Walton Foundation as noted on Influence Watch.  Tennessee CAN or TennCAN is simply the Tennessee chapter of 50CAN. Tennesseans for Putting Students First PAC appears to be the Political Action Committee arm of 50CAN and Tennessee, but I could be wrong as the campaign reports are confusing on this matter. Student Firsts was another pro-school choice organization initially operating in Tennessee but merged with 50CAN in 2016. 

               Tennessee Federation for Children (chapter of American Federation for Children (AFC)):  William Oberndorf partnered with the late John Walton in the early 1990s to form what today is known as the American Federation for Children.  Mr. Oberndorf still serves as Chairman. The AFC is reportedly an offshoot of the defunct All Children Matters organization connected with the DeVos family (Vogel 2016). See the Vogel site for their explanation of funding sources as their own site does not list funding sources. The focus of the Foundation is on K–12 education, mental health initiatives, and the environment. He is a life trustee of the University of California San Francisco where he chairs the Neuroscience Academy.

               Tennesseans for Student Success (and their TeamKid PAC) seems to be run by Tennesseans across middle and east Tennessee but their funding sources are not clear.  Of the two sources that are listed one is the Campaign for Great Public Schools which also has their own PAC.  Other funding sources are unknown.  Like the other entities, the website talks about innovation in education and charter schools as a means of choice (Friedman 2023 “27.1 million”).

               Great Public Schools PAC appears to be run by the democratic ex-mayor of Indianapolis, Indiana who now runs charter schools.  It is a pro-charter school PAC with two billionaire donors- one from California (the founder of Netflix) and one from Texas.  The PAC makes donations to both Tennessee legislators and to the other foundations such as Tennesseans for Student Success.

               For further insights and financial facts on how much these groups spent on various races in Tennessee, you can read the articles on the Tennessee Lookout by Friedman in the bibliography.  For even further nitty-gritty details you can compare and contrast database compilations for campaign contributions from both sides of the political fence.  On one side you can look at Legislative Report Card’s Contribution Dashboard.  On other side you can dig into the Cash For Clout site.  Their links are below.

Summary

               As I find myself in the odd position of agreeing with Democrat politicians on opposing School Choice (although for very different reasons), I appreciate one more quote:

“It’s an issue that Democrats and Republicans seem to come together on, the over-influence of money in politics and in power.” — Andrew Gillum – LINK (AZ Quotes)

               We clearly have good reason to question the neutrality of many legislators on the issue of choice after seeing the dollar amounts they have received from these groups.  These groups, on the surface, sound well-intentioned and agreeable, but the further you dig, the more concerning their worldviews and agenda become. Their donations and independent expenditures assisted in multiple re-election or opposition efforts across our state.  Politicians know who they need to please when the next election cycle comes around and do not forget who got them there in the first place.

               This same list of pro-“school choice” and public accountability organizations will likely be around for the next election cycle.  This list will help keep them there if they want to get re-elected.  Given the stakes in the decisions to be considered regarding education policy in Tennessee, we must hold our leaders accountable to the voters more than to these nationally funded advocacy foundations.  Our children and the future of our state are affected by the votes on Capitol Hill.  Take this issue seriously and return to learn more as we share more about why we believe School Choice or its Tennessee rebranded name “Education Freedom” is false advertising.  The people and groups behind this movement do not deserve our trust.  When you are ready, tell your Representative or Senator what you think and why you believe that way.  Reach out to me if you want to know more. 

Election Influences:

50 Can . (n.d.). Our results. 50CAN National. https://50can.org/our-approach/our-results. Accessed 12/10/2023.

About Tennesseans for student success. SuccessCard. (2020, June 17). https://tnsuccesscard.com/about-tennesseans-for-student-success/#12/10/2023.  Accessed 12/10/2023.

Friedman, A.  T. L. N. 30. (2023, December 3). The $27.1 million clash between Education Reform and Public School advocates. Tennessee Lookout. https://tennesseelookout.com/2023/11/30/the-27-1-million-clash-between-education-reform-and-public-school-advocates/. Accessed 12/10/23.

Williams, P. (2023, November 20). Revealed: Confidential documents describe secret effort to elect lawmakers for school privatization. News Channel 5 Nashville (WTVF). https://www.newschannel5.com/news/newschannel-5-investigates/revealed/revealed-confidential-documents-describe-secret-effort-to-elect-lawmakers-for-school-privatization. accessed 12/10/23.

Winning candidates in competitive legislative primaries were rewarded for putting students first. Tennesseans for Student Success. (2022, August 5). https://tnsuccess.org/winning-candidates-in-competitive-legislative-primaries-were-rewarded-for-putting-students-first. Accessed 12/10/23.

Organization Links:

               50CAN  https://50can.org/ 

               TennesseeCAN  https://tn-can.org/

               American Federation for Children https://www.federationforchildren.org/

               Tennessee Federation for Children https://www.schoolchoicetn.com/about/

               Tennesseans for Student Success https://tnsuccess.org/

               Great Public Schools PAC- no website found- 2 billionaires give money (Smith 2022)

               Casey Smith, I. C. C. O. 31. (2022, October 31). PAC led by former Indy mayor Bart Peterson gives                big to pro-charter School candidates. Indiana Capital Chronicle. https://indianacapitalchronicle.com/2022/10/31/pac-led-by-former-indy-mayor-bart-peterson-gives-big-to-pro-charter-school-candidates/


Bibliography:

2022 Tennessee Policy Report Card. TennesseeCAN. (2022, November). https://tn-can.org/research-and-resources/research/

50CAN. Influence Watch. (2020, January 2). https://www.influencewatch.org/non-profit/50can-inc/#:~:text=50CAN%20has%20received%20grants%20over,the%20Silicon%20Valley%20Community%20Foundation.

Contributions dashboard. The Legislative Report Card. (2023, November 14). https://tnreportcard.org/contributions-dashboard/

Fordham Institute. By the company it keeps: Marc Porter Magee. The Thomas B. Fordham Institute. https://fordhaminstitute.org/national/commentary/company-it-keeps-marc-porter-magee

Friedman, A. (2023, July 24). Cash for clout: Who’s funding Tennessee’s politics? Tennessee Lookout. https://tennesseelookout.com/2023/07/24/cash-for-clout-whos-funding-tennessees-politics/

Friedman, A. (2023, November 28). Independent spending by pro-charter groups. Flourish. https://public.flourish.studio/visualisation/15928805/

Humphrey, T. (2016, October 16). Tennessee pro-charter School Pacs’ spending up. Knoxville News Sentinel. https://www.knoxnews.com/story/news/2016/10/16/tennessee-pro-charter-school-pacs-spending-up/92055016/

Leading lobbying industries U.S. 2022. Statista. (2023, November 3). https://www.statista.com/statistics/257364/top-lobbying-industries-in-the-us/

Lieberman, M. (2022, May 11). What America spends on K-12: The latest federal snapshot. Education Week. https://www.edweek.org/policy-politics/what-america-spends-on-k-12-the-latest-federal-snapshot/2022/05

Marc Porter Magee. FutureEd. (2023, February 8). https://www.future-ed.org/team/marc-porter-magee/

NCES Fast Facts.  National Center for Education Statistics (NCES) Home Page, a part of the U.S. Department of Education. (n.d.). https://nces.ed.gov/fastfacts/display.asp?id=66

Spears, M. (2023, November 9). Federal funding for K-12 education in Tennessee. The Sycamore Institute. https://www.sycamoreinstitutetn.org/tn-federal-k12-funding/#:~:text=Programs%20and%20Requirements-,Tennessee%20typically%20receives%20about%20%241.1%20billion%20annually%20in%20federal%20K,federal%20requirements%20(Figure%202)

Vogel, W. by P. (2016, April 27). Here are the corporations and right-wing funders backing the Education Reform Movement. Media Matters for America. https://www.mediamatters.org/daily-caller/here-are-corporations-and-right-wing-funders-backing-education-reform-movement#ascafc

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