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    Living and Struggling With Long Covid

    More from our inbox:Being Jewish in AmericaBlack Voters, Beware the G.O.P.Liz Cheney’s Book: ‘Too Little, Too Late’Students Know We Need Free SpeechHolly StapletonTo the Editor:Re “What Reporting on Long Covid Taught Me,” by Ed Yong (Opinion guest essay, Dec. 22):As a Covid long-hauler (going on three years now!), I found it validating and even supportive to read Mr. Yong’s essay. It was particularly validating to have the acknowledgment of post-exertional malaise (PEM). This so aptly describes much of my life.For example, I apologize to my dog before going on a shorter-than-usual walk. I have to plan for seemingly mundane tasks of self-care and home care: taking a shower, changing clothes, doing the dishes, sweeping my apartment, doing laundry, etc. I put these tasks in my calendar, and even then the expectation of the aftermath makes me feel incapable, desperate and overwhelmed.I appreciated Mr. Yong’s astute acknowledgment that symptoms are often dismissed because of sexism (I’m transgender). And I was denied disability because it was determined that I was functional enough to wrap silverware in napkins. Yes indeed, treatment is not only a medical issue, but also a social one.Mr. Yong made it clear that his journalism has been transformed by doing research in a more integrative manner, especially actually being with current long-haulers. I’m immensely grateful to him for his journalism and to The Times for publishing it.(I earned my Ph.D. in 2012, and it’s taken me two days to write this.)River Jackson-PatonDallasTo the Editor:Ed Yong’s guest essay is right on point. Long Covid is real, and the public needs to be educated about it.My experience with Covid is that of a former registered nurse in the thick of it. I watched so many patients and co-workers get sick, some dying, some getting better, and some who are still struggling with long Covid.It is very hard for me to hear someone, usually an anti-vaxxer, say, “They should just let everyone get Covid and get it over with.”I hear this quite often and my response is always, “Are you familiar with long Covid?” I always get one of two responses: “No” or “That’s made up.” Then I try to educate.Donna HuntAtascadero, Calif.To the Editor:I appreciate Ed Yong’s extraordinary reporting on long Covid and his opinion piece about the health care system’s failure to take chronic illness patients seriously. What many do not realize is that years and even decades before the pandemic caused long Covid, many patients, including me, struggled to find doctors and treatments for many of the same health problems that long Covid patients face.I cannot give you a single name for our illness because it does not yet exist. I and countless other patients have a slew of diagnoses, including autoimmune diseases, mast cell disorders, connective tissue disorders and dysautonomia. Many of us are disabled and homebound or bedbound.Doctors for these disorders were already hard to find, and the surge of long Covid patients has made accessing knowledgeable care more difficult. I hope the increased demand will inspire more doctors to study and treat these conditions. Now that even more patients are suffering, we need to stop dismissing this constellation of illnesses.Rachel GravesTacoma, Wash.Being Jewish in AmericaPhotographs of some of the hostages captured by Hamas on display by the Western Wall in Jerusalem.Ohad Zwigenberg/Associated PressTo the Editor:Re “Why I Can’t Stop Writing About Oct. 7,” by Bret Stephens (column, Dec. 20):American democracy has promised a land, as Mr. Stephens says, “in which you didn’t have to hide.” Mr. Stephens writes despairingly about the loss of this promise, and there’s no doubt that, today, America’s promise feels remote to many. For Jews, an eroding democracy brings with it a profound sense of trauma and fear.Yet the most appropriate Jewish response to this challenge is not despair, but determination. If our institutions are buckling, let’s reinforce them with forums for civic learning. If our civic culture is fraying, let’s repair it with opportunities for dynamic and respectful conversation. If our democracy is under threat, let’s take actions that strengthen it — right now, and in communities across the country.For nearly two and a half centuries, even amid painful setbacks, the United States has offered one of the last, best places to be Jewish — not because it catered to Jews, but because its democratic pluralism, albeit aspirational and imperfect from the beginning, allowed minorities like ours an opportunity to live freely.When that democratic pluralism struggles, we shouldn’t prematurely mourn its loss. We should repair it instead. This is not naïveté; it’s the agency our parents and grandparents came here looking for.Aaron DorfmanNew YorkThe writer is the executive director of A More Perfect Union: The Jewish Partnership for Democracy, a network of synagogues and Jewish groups.Black Voters, Beware the G.O.P.Kshaun Williams says he has seen his life become harder because of rising inflation under President Biden.José Ibarra Rizo for The New York TimesTo the Editor:Re “Black Voters in Georgia Say Biden Has Forgotten Them,” by Mara Gay (Opinion, Dec. 24):Ms. Gay cautions that Black voters in Georgia feel ignored and abandoned and may desert the Democratic Party in the coming presidential election. While her conclusions are highly debatable, there is no such doubt regarding the alternative.The Republican Party of Donald Trump has rolled back voting rights, gerrymandered predominantly Black districts, eliminated or scaled back social programs that aid the poor and sent federal troops to crack down on anti-racism protests.Should Georgia’s Black voters leave the Democrats for the Republicans, they will quickly learn the real meaning of abandonment.Tom GoodmanPhiladelphiaLiz Cheney’s Book: ‘Too Little, Too Late’Jonathan Ernst/ReutersTo the Editor:It’s with some relief that I read Carlos Lozada’s Dec. 21 column, “Liz Cheney’s Checkered History of the Trump Era.”Ms. Cheney worries about the prospect of another Donald Trump tenure in the White House, but I worry just as much about Ms. Cheney’s rush to sainthood as she plugs her new book and her ostensibly revised views.As Mr. Lozada reminds us, Ms. Cheney, right along with other Trump molls and henchmen in the G.O.P., long pledged obeisance to Mr. Trump. She — no less than the people she now criticizes — got us to this awful, scary time and place, and she shouldn’t get a pass now for what is at best a clear case of “too little, too late.”Beth Z. PalubinskyPhiladelphiaStudents Know We Need Free SpeechTim EnthovenTo the Editor:Re “Students Can Show Us the Way to Free Speech,” by Sophia Rosenfeld (Opinion guest essay, Dec. 18):Ms. Rosenfeld’s essay thoughtfully reminds us that we, as the parenting, teaching and older generations, don’t always have better answers to questions about free speech than our children and students. Indeed, as Ms. Rosenfeld writes, “The sky really isn’t falling.” Our youth are more capable of finding reasonable solutions than we think.I recently attended my son’s college graduation. For weeks before going, I loathed what I thought would surely be a depressing carnival of elite righteousness. Instead, I experienced something far more reassuring about our future.I conversed with my son’s classmates to hear their views about free speech, wokeness and education. Not surprisingly, they are intelligent, insightful, compassionate, but most of all, keenly aware of what is broken. They are respectful and friendly to each other, even when they disagree.Now is the time for the preachy older generations to step aside and trust the younger generations. They can and are navigating the treacherous waters of our time just fine.Nao MatsukataBethesda, Md. More

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    Zimbabwe Voters to Elect President While Trained Workers Flee

    Nurses, doctors and workers of all kinds are seeking to escape the country’s economic turmoil, an issue that has become a central theme in the election scheduled for Wednesday.The hospital where Warren George worked as a nurse in Zimbabwe was so short of basic supplies, like plaster, that he could not make casts to treat people with broken bones. He soon sought to join the exodus of more than 4,000 nurses who have fled the southern African nation in the past two years.But the government has refused to give him and many others the documents they would need to work in, say, Britain or Canada. He says that he now earns only about $500 a month as a traveling nurse and has to pick up extra shifts on his days off to ensure his family has enough to eat.Zimbabweans are scheduled to go to the polls on Wednesday in only the second election since Robert Mugabe, the liberation leader turned strongman president, was ousted in a coup.The vote amounts to a referendum on President Emmerson Mnangagwa, who is seeking a second term after, critics say, failing to steady the economy or stop the flight of workers, including a crippling “brain drain” of educated professionals. The departure of nurses and doctors has increased since the Covid pandemic, contributing to a widespread shortage of health workers on the African continent.Mr. Mnangagwa at an election rally in Harare this month. He is seeking a second term.Tsvangirayi Mukwazhi/Associated PressTriple-digit inflation has become the norm — it spiked to 176 percent in June. The country is $18 billion in debt and cannot get international loans because of political instability. Jobs are sparse, with economists estimating that 90 percent of work is informal. The local currency has become so worthless that the price grocery stores charge for bread has skyrocketed to 12,000 Zimbabwean dollars from 860 in April. Many use the U.S. dollar instead, when they can.“Everyone you meet in the streets, they are desperate to leave the country,” said Dr. Norman Matara, head of the Zimbabwe Association of Doctors for Human Rights, an advocacy organization.“Some of our colleagues have gone outside — you see them doing well in South Africa, in the U.K., in Canada,” he added. “You get the motivation to also leave because, honestly, we are just wasting our time.”This election, like past ones, is taking place in a jittery environment with fears of violence and of vote-rigging in favor of ZANU-PF, the party of Mr. Mnangagwa, which has governed Zimbabwe since independence in 1980.Mr. Mnangagwa came to power through a coup in 2017 that unseated Mr. Mugabe, who became increasingly autocratic during his nearly four decades in power. In the 2018 election, Mr. Mnangagwa eked out a victory, winning 50.8 percent of the vote over his closest rival, Nelson Chamisa, who is now president of the main opposition party, the Citizens Coalition for Change.Makeshift polling stations in Mbare, a township in Harare, on Monday.Siphiwe Sibeko/ReutersThis election is a rematch, and while polls suggest a tight race, many international and domestic observers doubt that the election will be free and fair.“It’s history repeating itself, except that ZANU-PF has perfected the system of rigging,” said Ibbo Mandaza, a political analyst in Harare, Zimbabwe’s capital, who runs an independent social-science think tank.The police have shut down dozens of rallies of the Citizens Coalition for Change and arrested dozens of its supporters. A new law that could result in the death penalty for Zimbabweans deemed to have betrayed the national interest has made many fearful to share their views.Even so, in surveys, Zimbabweans overwhelmingly say that they are dissatisfied with the direction of the country and the economy under Mr. Mnangagwa. If he prevails, political analysts say, there could be a surge in mass migration of Zimbabweans, straining other countries in the region — especially South Africa, where a struggling economy of its own has fueled violence against immigrants. Harare on Saturday. While polls suggest a tight vote, many international and domestic observers doubt that the election will be free and fair.John Wessels/Agence France-Presse — Getty ImagesMany African countries are short on health workers, more than any other region. The continent produces about 150,000 trained medical workers a year, but one in three cannot get jobs because there is not enough money to fund positions, according to James Avoka Asamani, who leads the World Health Organization’s work force team for Africa. The W.H.O. has identified 55 nations with critical shortages of health workers and suggests that foreign countries should not recruit from them. Thirty-seven of those nations are in Africa, including Zimbabwe, added this year, where the government estimates that the country will need at least an additional 69,000 medical workers by 2030.When Angela Khulu, an 84-year-old grandmother, was hit by a car recently and stumbled into a hospital in Bulawayo, in Zimbabwe’s south, most of the administrative nurses and hospital clerks were already ending their day shifts. She waited in a long line while the few medical workers on duty bounced between patients.Praying for a peaceful election during a church service in Harare on Sunday.John Wessels/Agence France-Presse — Getty ImagesAfter two hours, with pain radiating down her left side, she was seen by a doctor, who recommended checking for internal bleeding. But the hospital, Mpilo Central, did not have enough radiographers — or X-ray films — so, despite her serious symptoms, she was sent home and told to come back the following day.Dr. Tawanda Mapfumo, who works at Mpilo Central, says he has become accustomed to the chaos at the hospital, where about three dozen patients cram onto wooden benches in the corridors and waiting rooms. He says he cannot shake the guilt of seeing patients die because there are no resources to treat them.Those trying conditions have created an opening for Britain, in particular, to lure away Zimbabwean health workers. Nearly 22,000 Zimbabweans have received health care work visas from Britain over the past three years (though not everyone who receives one actually moves).Britain’s recruitment has drawn the ire of Zimbabwe’s government. In April, the vice president, Constantino Chiwenga, who is also the health minister, suggested introducing a law to criminalize the recruitment of Zimbabwean health workers by foreign countries. No law has been formally introduced yet.But within the past two years, health workers in Zimbabwe said, the Health Ministry has made it more difficult for them to get the letters of good standing they need to be hired abroad.A 31-year-old doctor, who requested anonymity to avoid trouble with the Zimbabwean government, said that in 2020, when he applied for his letter to move to Namibia to practice, he paid $40 and received the letter the same day.But when he sought another letter from the Zimbabwean authorities in early 2021 to move from Namibia to South Africa for more training, he was confronted with a fee of $150 and a five-page form with questions he considered intrusive. He filled out the form and paid but has still not received his letter.A hospital in Harare last year. The W.H.O. has identified 55 nations with critical shortages of health workers. Thirty-seven of those countries are in Africa, including Zimbabwe.Jekesai Njikizana/Agence France-Presse — Getty ImagesNonetheless, he said he was fortunate because he still works in Namibia, where his $3,000 monthly salary is roughly 10 times what he made in Zimbabwe.“It’s not worth your time or dignity,” he said, referring to the poor pay in Zimbabwe.The Zimbabwean Health Ministry did not respond to requests for comment. Christopher Mutsvangwa, spokesman for ZANU-PF, said that the government was not opposed to citizens going abroad for jobs but that it needed to control the flow to ensure that some skilled workers remained.Despite the government’s barriers, Zimbabweans are still finding ways to flee.Wynter Banda swapped her life as a hairdresser in Harare to become a nursing home aide in Britain. She and her husband, Godwill, a teacher, sold their car and borrowed from friends to come up with the $5,000 she needed for the visa fee and other moving expenses.Her husband eventually joined her and works as a science teacher. Things are tight, she said, because of debt and high rent. Still, she said they had made the right decision.“Even though it’s not easy and the working hours are very long and stressful, I can’t imagine going back to Zimbabwe,” she said. “We suffered there.”Studying during a power cut in Harare last year. Critics say that Mr. Mnangagwa’s government has failed to steady the economy or stop the flight of workers.Associated PressJeffrey Moyo More