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Cancer in Punjab

Guest blogged by Ajj Kaim

The fact that heavy use of pesticides in farming has left lot of farmers affected with Cancer in Punjab has been well documented. In fact almost a year ago, The Langar Hall had highlighted this sad state of affair in Punjab.

I came across a heartwarming documentary about the situation faced by the farmers called “Cancer in Punjab” by Amarpreet Mann. (See Part 1, Part 2 and Part 3 below).  It is tragic to see the plight of the farmers who have become unemployed or daily laborers because they have spent all their savings in getting treated for the disease.

As luck would have it Chief minister’s wife, Surinder Kaur Badal, is in the U.S. these days getting treated for Cancer in NY whereas a common man is at the mercy of God.

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Fraser Health Authority Apologizes (Again) For Cutting Sikh Patient’s Beard

Just over a year ago we read about a Canadian health organization’s apology for accidently shaving off a Sikh patient’s beard.  In that case, a 70-year-old patient was admitted into the intensive care unit after a shooting and while under the care of the hospital, had his beard removed by a nurse.  At the time of the incident, Fraser Health Authority acknowledged their mistake in not understanding the importance of the beard for the Sikh faith and assured the community that awareness was raised across the organization.

Fraser Health Authority is now apologizing again for a similar incident which occurred at one of their nursing homes, where an elderly Sikh man’s beard was cut.

B.C.’s Fraser Health Authority is investigating why staff at a seniors care facility made the “terribly unfortunate human error” of cutting the beard off an elderly Sikh patient, the second time such an incident has occurred in the past two years. A nurse cut the man’s beard out of what she thought was medical necessity. [link]

The “medical necessity” has not been disclosed.  Fraser Health Authority’s CEO, Nigel Murray, appeared on a Punjabi radio station yesterday to apologize for the incident.

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Fighting drugs in Punjab through theatre

Amongst the male youth in Punjab, drugs are a serious problem today.  With high unemployment rates, and a ajmer_aulakh.jpghistory of violence in the region, the environment is ripe for drug abuse.  A Punjab government survey found that one out of three male students use at least a form of tobacco. And on a recent trip to the region, as we were driving between pinds, my relatives pointed out the jeeps, distinctive with their black lights, that carried young drug dealers.  The young men sitting inside were all in their teens.

In response, Ajmer Aulakh, a well known Punjabi professor and writer has written a play, “Avesle Yudha Di Nayika” (An Unsung War Heroine), that recently attracted a large audience at the Government College for Boys in Ludhiana.

Aulakh is a noted playwright, artist and winner of Sahitya Akademi Award. He has dedicated his life to theatre and generally works on issues and problems confronting the common man. [TOI]

This much-needed play had students riveted, incorporating Punjabi poetry.

The play highlighted the menace of drugs, delineating how a family loses everything to the evil. Jodha Singh, a villager landlord, is survived by his wife and two children. Satwant Kaur, wife of Jodha Singh, wants their kids to go to school and study, but owing to drugs, the family property is lost. The play portrays the consequent struggle. It depicts how she fights odds to enable her children to continue their studies. The play was performed by artists who are part of Lok Kala Manch and was supported beautifully by Punjabi poetry. [TOI]

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Sikh Welfare Awareness Team

Update: The SWAT team provided an update on their progress.  See end of post.

The Sikh Welfare Awareness Team is a new charitable organization in the UK focused on bringing awareness to drug and alcohol abuse in our community and reducing involvement in crime by providing youth with activities and organized events to participate in. The organization’s primary goal is “to establish relationships amongst the youth and… aim to bring together the local Sikh Community and focus on projects which benefit the youth of today.”  I came across information about this organization after viewing a troubling YouTube video about homeless Sikhs (since the video below has been made private by the owner, log on and you can also watch the videos on Facebook).  The Sikh Welfare Awareness Team (or S.W.A.T.) is currently working to bring awareness to the growing number of Sikhs, many who are recent immigrants from Punjab and are homeless living on the streets of Southall.

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Gurdwaras Join Efforts to Address Alcohol Abuse

GlassyJunction1.JPGA charity based in Southall, called the Drug and Alcohol Action Programme (DAAP) will be joining forces with local Gurdwaras to address high rates of alcohol abuse taking place at Asian, particularly Punjabi Sikh, weddings.  Perminder Dhillon, CEO of the charity states that “it is no longer acceptable to ignore the dangerous levels of alcohol drinking at these events.”

There is a mistaken view in Asian communities that religious and cultural backgrounds act as a barrier to the kind of drunken scenes so often seen in so many town centres all over the country. She said: “Many parents feel pressurized to provide a huge quantity of alcohol at weddings even if they themselves are non-drinkers”. [link]

She goes onto say that there are huge expectations on families to provide alcohol at weddings – often demanded by the groom’s side.  This problem has become so extensive now that it is likened to demanding dowry and by partaking, “we end up supporting users with alcohol-related health problems during the binge-drinking period”.

Research published in the British Medical Journal suggests that men of South Asian origin in Britain are four times more likely to die of alcohol-related liver problems than other ethnic groups.  Eighty percent of those South Asians who are vulnerable to alcohol-related mortality are Sikhs.

The charity has stated that the strategy they will use to combat this issue is simple – they will “name and shame” those involved and publicly condemn individuals on their website.

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Pollution and Disease in Punjab

In the Faridkot centre… Harmanbir Kaur, 15, was rocking gently backwards and forwards. When her test results came back, they showed she had 10 times the safe limit of uranium in her body. Her brother, Naunihal Singh, six, has double the safe level. [link]

baba_farid_center.JPGAn article in The Observer discusses the link between the dramatic rise in birth defects in Punjab and pollution from coal-fired power stations.  Many of the children are being treated in Faridkot and at the Baba Farid centers for special children in Bathinda, where there are two coal-fired thermal plants.  Staff at these clinics had noticed an increase in the incidence of severely handicapped children who were born with hydroencephaly, microencephaly, cerebral palsy, Down’s syndrome and other complications.  They suspected environmental poisoning. 

The healthcare workers rightfully voiced their concerns about this and wondered, if some children were being treated, how many more were being affected?  As with governments’ other dirty little secrets, staff at the clinics were visited and threatened if they spoke out.  In addition, a visiting South African toxicologist arranged for tests to be carried out and found that the children had massive levels of uranium in their bodies, in one case more than 60 times the maximum safe limit.  The scientist was later warned by the authorities that she may not be allowed back into the country.

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Making Inroads (or Raising Barriers?) With Sewers in Punjab

Co-blogged by Sundari and Camille.

India_toilet_pictures_pind.pngWhile many LangarHall moments are spent bringing awareness to adverse issues impacting our community, we believe it is equally important to highlight solutions to these problems. There are several people and organizations who are working to improve the social development and health of communities around the world. One example of a simple yet life changing initiative is a toilet. Yes, toilets. A facility taken for granted by many and something that over 2 million people around the world are in need of. The Punjab Lioness Toilet Foundation was created to provide awareness of communities in need of basic toilet and sanitation facilities,

As a family initiative the Punjab Lioness Toilet Foundation wants to empower people to take action in providing basic toilet needs to less fortunate families in Punjab, India. The foundation was started in the memory of our late mother Pritam Kaur Bahia who passed away on November 18th, 2004. She was known as the “Sherni” a.k.a. Lioness. [link]

Founded by Mandip Kaur Sandher, one of the goals of the organization is to break the “toilet taboo,” which comes from people’s lack of comfort speaking about a subject which they consider dirty. This stigma is impacting global health and as a result, basic sanitation needs for hundreds and thousands of people around the world.

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Looking to Our Sikh Elders

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I am inspired.  With the growing prevalence of cardiovascular disease, obesity and diabetes in our community – it is important to be inspired.  Fauja Singh, Amrik Singh, Ajit Singh and Karnail Singh (with a combined age of 336) recently took part in the Edinburgh Marathon as part of the relay Sikhs in the City team.  How have they stayed so healthy?  The quartet agrees that a combination of a positive frame of mind, keeping the company of people who are forward looking, not indulging in any excesses, appreciating what God has provided them with and keeping active is the key to being healthy.

All four members of Sikhs in the City share an infectiously positive outlook and lust for life that is key to their ongoing success. Ajit Singh, 79, for instance, has just learned to ride a bicycle, so one of his goals now is to complete a triathlon. He and his lifelong friend Amrik Singh, also 79, have completed more than 1,000 races between them and acted as mentors to Fauja. Karnail Singh, 80, is the newest member of the team and the least experienced runner. His “experimentation” with course routes means that his teammates have to keep an eye on him, but what he lacks in kilometres he more than makes up for in providing the focus for a little gentle mickey-taking. [link]

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Cultural Issues in the Sikh Community: Part 2

A recent article out of Surrey, Canada discusses an education and prevention video targeted at alcohol abuse in the Punjabi community.  The video, titled Kharaab Daru-Bad Medicine, was created by Peace Arch Community Services – a social service agency based in British Columbia, Canada. 

Kharaab Daru-Bad Medicine, which premiers this week in Delta, is hoped to become a resource in the prevention and reduction of alcohol misuse and abuse within the Punjabi community, said director Kevin Letourneau, PACS’ manager of addiction services. 

The video is in Punjabi with English subtitles and aims to address the prevalence of alcohol abuse in our community.

In Bad Medicine well known Punjabi speaking professionals along with individuals impacted by alcohol, share their knowledge with respect to the harms and risks associated with problem drinking, mistaking alcohol as medicine, how alcohol impairs mental and physical functioning, drinking and driving, addiction and family violence, and the benefits of recovery.

The Director of Peace Arch Community Services (PACS)  rightfully notes that alcohol abuse is one of those “closet things” in the Punjabi community and is often used as a way to cope with various societal pressures.   The need for the video came about after group counseling at PACS  which involved Punjabi men who were court-ordered to get help after committing crimes while under the influence.  A similar video was launched by Drug and Alcohol Action Programme (an organization addressing these issues for our community in the UK) last year and addresses the issue of both alcohol and drug use.  The video, which I have included after the jump, was also presented in Punjabi with English subtitles.  I think it’s vital that this education continues to be provided using Punjabi to provide greater awareness and accessibility to the community.  We need to wake up and start facing our problems and we need to start holding our community accountable.

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Cultural Issues in the Sikh Community: Part 1

I wanted to take the time to highlight two issues (Part 2 to be posted soon) which have plagued the Punjabi Sikh community for many, many years.  I know that discussing these issues over and over again is overwhelmingly tedious for the majority of people.  Quite frankly, I agree.  However, if I didn’t believe that having these important discussions and bringing awareness to these issues over (and over, and over) again added some value to potential solutions – then I wouldn’t waste the space.   Needless to say, these issues don’t seem to be going away which means these conversations are that much more important to have.

A recent article in the NYTimes expresses surprise at the fact that female feticide is occurring within immigrant communities residing in the United States.  The thought seems to be that preference of male children should ideally disappear with assimilation into western societies.  (For those of us hanging out in The Langar Hall, we know this isn’t always the case in the Punjabi community).   The article uses US Census Data to provide quantitative evidence that there exists a bias for male children in certain Asian American communities.

Demographers say the statistical deviation among Asian-American families is significant, and they believe it reflects not only a preference for male children, but a growing tendency for these families to embrace sex-selection techniques, like in vitro fertilization and sperm sorting, or abortion.

New immigrants typically transplant some of their customs and culture to the United States – from tastes in food and child-rearing practices to their emphasis on education and the elevated social and economic status of males. [emphasis added]

This latter point is especially significant.  Is the problem of sex-selective abortions purely cultural and is that why it continues to be an “acceptable” problem?

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Sikh Author Wins Mind Book of the Year Award

77.jpgLast year we discussed Satnam Sanghera’s memoir, If You Don’t Know Me By Now: A Memoir of Love, Secrets and Lies in Wolverhamptom, and dialogued around the issue of mental health in the Punjabi Sikh community.  The memoir was recently awarded the Mind Book of the Year Award for its literary contributions to raising awareness around issues of mental distress.  The Boy with the Topknot, as it is now known, was picked from 110 entries by Mind, a non-profit organization in the UK committed to creating a “better life for everyone with experience of mental distress”.

On winning the award last night, Sathnam Sanghera said:”It was such a strong shortlist, and this award is judged by some of the greatest authors in the UK, so this is a real privilege. There are hardly any books about Asian communities’ experiences of mental health problems, so I hope people read this book and it leads to more understanding.” [link]

I would highly recommend this book as I found the story to be sincere and enlightening.  However, I would add that while it is important to provide this type of insight to the English-speaking literary community, it is just as (or perhaps even more so) important to ensure this type of literature is accessible to the Punjabi-speaking community.  Perhaps we can strive to have these types of memoirs translated into Punjabi or made available via audiorecordings?

Leaving Punjab on the Cancer Train

train.jpg“…the first troubling clues in the late 1980s and early ’90s: Peacocks – India’s national bird – disappeared from the fields.”

A recent story on NPR discussed the “cancer train” in Punjab.  The train is so named as it routinely carries about 60 patients and their families from Bathinda to the town of Bikaner in order to get treatment at the government’s regional cancer center.  Studies now suggest that populations with high use of pesticides have an increased risk of cancer.  This seems to be the case in Punjab, where the introduction of the Green Revolution in the 1960s not only led to increased production of agriculture but also adverse health outcomes.  The NPR piece discusses how villages that use pesticides were shown to have higher rates of cancer than villages that did not use pesticides.

On a recent evening, just before the train arrives, waiting passengers wrapped in shawls sit glumly on the bare pavement. Vendors hawk tea and chapattis.  “He has blood cancer,” says one man, explaining his upcoming journey by gesturing at his skinny, pale 16-year-old son, Jassa Singh, beside him. Another man points toward his little boy, and says bone cancer has attacked his hip.

A gaunt but dignified-looking man wearing a bright yellow turban says he is going to Bikaner for treatment of cancer in his throat. “It’s difficult to talk,” he says, pushing a button in a device inserted in his throat that makes his voice sound like a computer synthesizer.

It is important to note, however, that as with many public health studies – an association between pesticide use and cancer does not necessarily suggest a causal link.  Many people are hesitant to blame the Green Revolution and new technologies on the prevalence of cancer in Punjab.  Neverthless, it seems clear that the correlation with the higher rates of cancer can not be understated and suggests that environmental factors could quite possibly be the cause.

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From Peru to Punjab

gallery20.jpgAs someone who considers herself honorary Peruvian (it’s a long story) – I was especially proud when I heard about Operation Walk – an organization established by Harpal Singh Khanuja and his wife Maria Khanuja.  The non-profit organization is dedicated to providing free knee and hip replacements to underserved people around the world.  The concept behind the organization was to perform complicated surgeries on people in developing countries, “where arthritis progresses to its end stages and reconstructing joints becomes technically challenging.”  Often times, it is people who are most at need who cannot afford the surgery.  A news article discusses Operation Walk’s recent trip to Lima, Peru where they performed 48 surgeries to replace knee and hip joints.  Here on TLH we like to highlight examples of seva – this is another important example of what it means to do selfless service,

“It was very rewarding to do this work for people and not expecting anything in return,” Harpal Singh said. “It’s really their gratitude that you cherish the most.”

The organization’s goal is to replicate the Peru mission to Panjab where the need is also great (some of which can be attributed to the chemical farming of the Green Revolution).

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Has Punjab’s Sex Ratio Improved?

Well, it seems like the sex ratio in Punjab is not improving despite the number of trees Mrs. Badal is planting and the SGPC’s desire to raise unwanted girl children.

The Tribune
reports:

In 2001, the census of India recorded Punjab’s sex ratio at 876 females for 1,000 males, one of the worst in the country. The preliminary findings of a Lucknow-based agency AMS engaged by the government to assess the current situation shows that sex-ratio in many districts of the state has plummeted further.

First, AMS’s study has called out the Punjab government’s bluff in data collection.  Apparently, the data collected by Punjab government agencies painted “… an unbelievably rosy picture of the situation”.  The Social Security Department and Health Department have reported two different results.  These results also do not match those of AMS.

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Fighting Back Against Abuse

If Baldev Mutta’s cellphone rings in the middle of a meeting, he picks it up. If it beeps over dinnertime or at midnight, he answers it. And if he has to go out to pick up a woman and find her a spot at a shelter at 3 a.m., he will do it. “It can mean the difference between life and death for a woman,” said Mutta, executive director of Punjabi Community Health Services in Brampton. “They are abused and don’t have anywhere else to go. This agency is their lifeline.” [link]

The Punjabi Community Health Services is an organization based in Brampton, Canada which provides various services to Punjabi women who have been abused.  Instead of waiting for women to turn up at their doorstep, this organization takes a proactive approach by sending workers into the community to speak with abused women.  They visit Gurdwaras and community centers to find women in distress.  At times they must speak with the women secretly at doctor’s appointments, grocery stores, even parking lots, so their families don’t find out.

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gulabi_gang.jpgIn related news, I recently read an article about the “Gulabi Gang” in an issue of Marie Claire which appeared on New America Media yesterday aswell.  The Gulabi Gang are a group of women in India who have come together to fight against abuse.  When local officials refused to take action against an alleged rapist, scores of pink-sari-clad women stormed the police station, demanding action – and thus, became know as the Gulabi Gang.  For example, when Sampat Pal Devi learned that a friend had been beaten by her alcoholic husband and that the local police, chronically indifferent to violence against women, had looked the other way, something inside her snapped. In an effort to fight back, she gathered dozens of her female neighbors, armed them with sticks, and taught them how to fight back. Together, the self-declared Gulabi Gang have beaten up accused rapists, profligate officials, and husbands who’ve abandoned their wives.

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Sikh Spiritual Model of Counseling

Sikh_Spiritual_Model.jpgDespite the rich linguistic flexibility of Punjabi, it is telling that we do not have a single term for ‘depression.’   Mental health has been an ongoing conversation since the inception of the blog, repeatedly highlighted by Sundari and others.  Often treatment is not sought and if it is sought it is usually terminated early as clients do not feel health professionals understand their world-view.

While we have numerous issues facing the Sikh community, there are few channels for those seeking mental health assistance.  Thus, I was happily surprised when I came upon a medical article, titled “The Sikh Spiritual Model of Counseling.”

I reproduce the abstract in its entirety:

In accordance with the holistic principles of modern medicine, this paper will present the Sikh religious and spiritual view of mental health. With the continuing migration of a large number of South Asians, especially the Sikhs, to Western countries, mental health professionals should be aware of their clients’ world-view and cultural/religious specifi c models of counseling. Use of Sikh spirituality can reduce stress; help in treating psychosomatic disorders; and improve mental health of the individual and of the community. This paper will conclude that as the Sikh religion is a universal religion, everyone can use Sikh spirituality.

Dr. Kala Singh, the author of the article, is a physician that works as a multicultural mental-health liaison at Vancouver Coastal Health.  I also want to personally thank the author for sending me a copy of his article!

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Truth and hair- always assert themselves

The conflict between modern ideals of beauty and the requirements of the Sikh faith came up in a prior post.  Recently, Sukhmandir Kaur Khalsa spoke eloquently on this issue in an Arkansas publication.  Excerpted below are Khalsa’s perspectives on hair, beauty, and truth.

“I liken the inherent programming of the body’s ability to grow hair to truth,” Kaur said. “Truth always asserts itself and cannot be covered for long by a falsehood. Similarly, we can shave, pluck, bleach, color, trip, tweeze, and wax hair, but it will continue to be true to its programming. The hair follicle must be killed or removed to prevent hair from appearing on the face or body. . .”

 Kaur had trouble with her own self-esteem in the beginning.  “I had a lot of difficulty embracing my natural identity,” she said, “until I realized through a series of experiences that I was disgracing and defacing my God-given natural beauty.”

 She said she developed a high degree of self-confidence through her self-acceptance. “I realize,” she said, “that many women do not have the confidence to face the world without masking themselves with cosmetic makeup and procedures such as hair removal. . .” [link]

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A Daughter’s Murder

Last year we heard the story of Lakhwinder Kahlon, a Delta, B.C. man who had been arrested for the murder of his two-year-old daughter, Rajwinder.  This past week, Lakhwinder received an automatic life term when he pleaded guilty to second-degree murder.  The father, who admitted to strangling and decapitating his daughter, will have to spend 11 years in jail before he can apply for parole.  A few days ago, the judge released the 911 call of Lakhwinder admitting to the horrific act.  The call is chilling - Lakhwinder tells the operator that he killed his daughter by cutting her neck, that he is depressed, and that the police should come and arrest him. 

While it is hard to come up with any explanation to describe why Lakhwinder murdered his daughter, several suggestions were made.  In an immediate reaction to hearing the news, there was speculation that Lakhwinder was upset that he only had daughters.  This suggestion was vehemently denied by Lakhwinder’s wife and the community was quick to denounce female inequality.

Outrage and sorrow have poured out in radio talk shows and letters to newspapers, including one from Tara Diakow of Richmond, B.C., who wrote: “Who will battle against the ugly stereotype that Rajvinder Kahlon’s death has unfortunately brought to many people’s minds – the seemingly disposable position of Indo-Canadian women?”  In a forceful statement on Monday, Liberal MP Ujjal Dosanjh used the case to denounce the practice of aborting female fetuses, which he says continues to take place in Canadian families.  [link]

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Jaago on World AIDS Day

Today is World AIDS Day.  The theme of this year’s World AIDS Day is leadership and efforts are focused on prevention.  Indeed, on this 20th anniversary of World AIDS Day, President-elect Obama has stated that his administration will focus on prevention and treatment for at-risk communities in the U.S. and rest of the world.  World AIDS Day, is the day when organisations from around the world come together to bring attention to the global AIDS epidemic.  In 2007, there were 33 million people living with HIV/AIDS.  Women account for 50% of all adults living with HIV worldwide and young people (under 25 years old) account for half of all new HIV infections worldwide. 

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In line with the theme of leadership which is the message of this year’s anniversary, I came across AIDS Jagoo - an effort by Mira Nair and the Bill and Melinda Gates Foundation – to bring together Indian directors and actors to create four short dramatic films that aim to “dismantle  myths and misconceptions of HIV/AIDS.”  The four AIDS Jagoo films come from various parts of India – each its own genre and with a different point of view on the HIV/AIDS epidemic. 

Migration, directed by Mira Nair, discusses HIV/AIDS from an urban/rural angle.  Blood Brothers, directed by Vishal Bhardwaj, follows the journey of a young man from a positive HIV diagnosis to the eye-opening conclusion.  Prarambha (The Beginning), directed by Santosh Sivan, deals with society’s prejudices against people with AIDS through the journey of a young boy’s search for his mother.  Positive, directed by Farhan Akhtar, shows a family coping with AIDS and reveals the courage they bring to overcome the tragedy.  Most of the films have subtitles.  Hopefully you’ll be able to watch some or all of these and join the global community in remembering those impacted by HIV/AIDS.

Bandi Chor Diwas, Sarbat da Balla, and Health Care

Many Sikhs participate in the celebrations of Diwali, the festival of light, without actually knowing what the significance of the date is in Sikh history.  I can admit that for a long time, Diwali didn’t hold much importance for me because I didn’t fully understand why we celebrated it.  In fact, today is not only Diwali but also marks Bandi Chor Diwas a day where Sikhs join together to celebrate the release of the sixth Nanak, Guru Hargobind Ji from imprisonment.  The historic event itself should be acknowledged with significance – particularly the fact that upon order of his release from Gwalior Fort, Guru Hargobind Ji refused to leave unless the 52 princes who had also been imprisoned would also be allowed to leave.  Thinking of others’ rights were more important than simply thinking of his own.         

To me, the day is a reminder of the concept of Sarbat da Balla, or the welfare of all.  Sarbat da Balla is a guiding principle that hopefully makes our words and actions bring about positive change to the greater good.  As we approach the upcoming election (7 days to go!), it is these principles that should help advise us on those issues that affect not just ourselves but the collective good.  While the economy is the principal concern on the minds of most voters, healthcare is an important issue that will also sway votes in a meaningful way.  

A recent Kaiser Family Foundation poll shows that voters agree that in the face of a struggling economy “it is more important than ever to take on health care reform.”

Among Democrats, expanding coverage for the uninsured ranks second, named by 35 percent of those voters. Coverage also ranks second for political independents, named by a somewhat smaller proportion (23 percent). Relatively few Republicans (9 percent) name coverage as a health care priority.  Most Democrats (69 percent) and half of independents (51 percent) think that universal coverage would help the overall economic situation in the United States, while only 34 percent of Republicans agree. [link]

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