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Posts from June 2008

State ownership of the means of reproduction. (#2)

(Via Miriam @ feministing 2008-06-18, via Feminist in Pink 2008-06-22.)

Here is the latest proposal from the American Medical Association, to have the government insist that every birth is properly institutionalized, so that they can make sure every birth leads to a fat and healthy hospital bill, with a proper Birth Guild-certified Expert looking over every midwife’s shoulder and between every expectant mother’s legs. And if the expectant mother doesn’t want that kind of a birth, well, she’d better learn to want it–or else.

  • Whereas, Twenty-one states currently license midwives to attend home births, all using the certified professional midwife (CPM) credential (CPM or lay midwives), not the certified midwives (CM) credential which both the American College of Obstetricians and Gynecologists (ACOG) and American College of Nurse Midwives (ACNM) recognize; and

  • Whereas, There has been much attention in the media by celebrities having home deliveries, with recent Today Show headings such as Ricki Lake takes on baby birthing industry: Actress and former talk show host shares her at-home delivery in new film; and

  • Whereas, An apparently uncomplicated pregnancy or delivery can quickly become very complicated in the setting of maternal hemorrhage, shoulder dystocia, eclampsia or other obstetric emergencies, necessitating the need for rigorous standards, appropriate oversight of obstetric providers, and the availability of emergency care, for the health of both the mother and the baby during a delivery; therefore be it

  • RESOLVED, That our American Medical Association support the recent American College of Obstetricians and Gynecologists (ACOG) statement that the safest setting for labor, delivery, and the immediate post-partum period is in the hospital, or a birthing center within a hospital complex, that meets standards jointly outlined by the American Academy of Pediatrics (AAP) and ACOG, or in a freestanding birthing center that meets the standards of the Accreditation Association for Ambulatory Health Care, The Joint Commission, or the American Association of Birth Centers (New HOD Policy); and be it further

  • RESOLVED, That our AMA develop model legislation in support of the concept that the safest setting for labor, delivery, and the immediate post-partum period is in the hospital, or a birthing center within a hospital complex, … (Directive to Take Action)

— American Medical Association, Resolution 205: Home Deliveries

Note especially the second Whereas; the AMA has, more or less explicitly, called for government force against home-birthing mothers because recent cultural trends suggest that women might be persuaded to choose otherwise if allowed to choose freely. The birth freedom group The Big Push for Midwives has this to say:

WASHINGTON, D.C. (June 16, 2008) — Just in time for Father's Day, at its annual meeting last weekend, the American Medical Association (AMA) adopted a resolution to introduce legislation outlawing home birth, and potentially making criminals of the mothers who choose home birth with the help of Certified Professional Midwives (CPMs) for their families.

It's unclear what penalties the AMA will seek to impose on women who choose to give birth at home, either for religious, cultural or financial reasons—or just because they didn't make it to the hospital in time, said Susan Jenkins, Legal Counsel for The Big Push for Midwives 2008 campaign. What we do know, however, is that any state that enacts such a law will immediately find itself in court, since a law dictating where a woman must give birth would be a clear violation of fundamental rights to privacy and other freedoms currently protected by the U.S. Constitution.

Until the AMA proposed Resolution 205 on Home Deliveries, no state had considered legislation forcing women to deliver their babies in the hospital or limiting the choice of birth setting. Instead, states have regulated the types of midwives that may legally provide care. Currently, 22 states already license and regulate CPMs, who specialize in out-of-hospital maternity care and have received extensive training to qualify as experts in the types of risk assessment and preventive care necessary for safe and high-quality care for women who choose give birth at home. Certified Nurse Midwives (CNMs), who are trained primarily as hospital-based providers, are licensed in all 50 states and the District of Columbia.

The resolution did not offer any science-based information for the AMA's anti-midwife or anti-home birth position.

Maternity care is a multi-billion dollar industry in the United States, said Steff Hedenkamp, Communications Coordinator for The Big Push for Midwives. So it's no surprise to see the AMA join the American College of Obstetricians and Gynecologists in its ongoing fight to corner the market and ensure that the only midwives able to practice legally are hospital-based midwives forced to practice under physician control. I will say, though, that I'm shocked to learn that the AMA is taking this turf battle to the next level by setting the stage for outlawing home birth itself—a direct attack on those families who choose home birth, who could be subject to criminal prosecution if the AMA has its way.

— Press release, The Big Push for Midwives (2008-06-16): Father Knows Best Meets Big Brother Is Watching: Physician Group Seeks to Outlaw Home Birth—Is Jail for Moms Next?

For what it’s worth, I suppose it’s true that if the emanations and penumbras of the Bill of Rights provide for a right of privacy from government interference in adult women’s decisions to use contraception or abort a first-trimester pregnancy, they probably also provide for a right of privacy from government interference in where a woman chooses to give birth. And if a state should pass any of the AMA’s contemptible model legislation and somebody takes up the issue in federal court, I hope that they’ll win.

But setting aside the politico-legal maneuvering for the moment, should anyone really even care what the Constitution says about it? If the Constitution does authorize this kind of tyrannical state intervention in women’s reproductive choices, then to hell with the Constitution. The important argument here is the moral one, about what simple justice demands. And taken from the standpoint of simple justice for women, it is absurd that I should even have to sit here and type out, in so many words, that a birth experience rightly belongs to the woman who labors on it–not to the AMA, not to a hospital, and not to the State.

Of course it does. Christ. To hell with any know-it-all blowhard busybody, with any association of know-it-all blowhard busybodies, or with any document that says otherwise.

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U.S. out of Las Vegas!

One of the things that I said in my speech about ALL to the Libertarian Party of Clark County, which was deliberately provocative and carefully worded, was I am here today to bring you two messages. So let me cut to the chase and deliver both of them right now. They are the point of this entire talk, and I can put them both in ten words or fewer. Here's the first: Las Vegas will be free soil in our own lifetimes. And the second is: We are all going to make it happen. That may seem ridiculously optimistic, given the immensity, the scope, the pervasiveness, and the ruthlessness of the many-headed monster we call the modern State. I try to discuss a bit in my speech why it is not overly optimistic, focusing on the second claim — that we all, meaning not ALL or the Libertarian Party, but just about everybody in Las Vegas — can and will take part, if those of us who care about these things play our cards right, through the use of populist organizing, coalition building, direct action, and counter-economics.

But another thing that I didn’t focus on much, which I’d like to mention, is the importance of the first thing I said, when I said Las Vegas will be free soil. I said that, and not something else (the U.S. will be free soil; the word will be free soil) because I think that’s an achievable goal. It’s not that I don’t want the whole U.S., or indeed the entire earth to be free soil; it’s not even that I think either couldn’t be free soil in the forseeable future. They could; I hope they will; if I can help, I will. But Las Vegas is where I live, and where Southern Nevada ALL intends to act, and I think it’s immensely important to begin there, and not to sell yourself on the idea that action has to be directed against the largest possible targets, or, more importantly at trying to strike some decisive blow at those targets that will somehow defeat Power everywhere and forever. Real empires almost never fall that way, unless they are conquered by some outside force, usually another rising empire, and for anarchists that’s not an acceptable option. So we need to think about getting the empire to crumble, not to implode, and to help it along by chiseling wherever and as hard as we can. If we win, it will crumble in some places faster than it will crumble in others. The basic problem is that a central aim of the imperial State has always been to get people to forget, effectively, about their neighborhood, their friends, their family, and everything else actually around them, and to understand their homeland in strictly political terms, in terms of a flag and a set of lines on the map and a capital hundreds or thousands of miles away. If anarchists ever want to get anywhere, we’re going to need to break that link, to pry people’s notion of home from out the talons of the State and its notion of political citizenship. Which strategic point brings me to a really excellent recent post by Jeremy at Social Memory Complex (2008-06-13), which is working towards some of the analysis that goes along with:

Or does our whole approach to this dissonant national endeavor need retooling?

I think it does. Is the lobbyist-driven agenda of corporations, special interests, and political culture really any less distant than U.S. foreign policy? Do we have any authentic control over the decisions in our society that affect us? Or are we just treated as fungible units of polity that have only to be deftly mobilized by public relations wizards in pursuit of an agenda fundamentally alien to us? What, in other words, is the difference between our powerlessness within the borders of the U.S. and the powerlessness endured by the residents of Iraq and Afghanistan?

Instead of contrasting our experience under our government with that of its foreign victims, we might do well to compare the experiences. We've been taught from a very young age to distinguish American citizenship from that enjoyed by citizens of other countries, chiefly by virtue of our unique institutions of governance. But it is these same institutions that are being built in Iraq: a democratic, constitutional government with corporate control and obedience to international capital, with an established U.S. military presence to ensure stability in the region. These features are proving just as confounding to their freedom as their American counterparts are for us.

Through overwhelming military force, claims of moral privilege, and alleged threats – not unlike the P.R. which allowed the U.S. to conquer the west and the south in the 19th century and frame it as liberation – the U.S. government is imposing a democratic government and a market economy on an unwilling people. Meanwhile, the U.S. government is also continuing to ratchet up the police state at home even as it practices martial law in Iraq. Just as there were Tories and other people loyal to the crown during the American Revolution, the federal government finds plenty of lackeys in the fifty states, Iraq, Afghanistan, and indeed throughout the world to do their dirty military or paramilitary (law enforcement) work. Legislative creep and sheer audacity constantly expand the scope of lawful authority, defining down the degree of liberty an individual can expect to enjoy. Participation in the decisions that affect us is framed as a set of predetermined choices provided by the establishment rather than a direct say at the local level. And all of these features bring more and more of the world under direct control of Washington – both the world within U.S. borders and the world outside them.

For it is into Washington, in the District of Columbia, that all the spoils of these policies flow. The D.C. metro area is among the fastest growing in the nation, despite having no productive civilian industry to speak of (except perhaps I.T., but no more than any other city if you discount government contracting). Not only is it the seat of governance for the country, it is the clearing house for the international policy of most nations. By enticing Americans to "work within the system" to influence policy, citizens legitimate the process by which power and authority are steadily concentrated. An entire lobbying industry has sprung up from the need to have some say in this process; doing business in the empire has a high cost of entry, and once you get a seat at the table it's plunder or be plundered. As more people see D.C. as the place where decisions are made, rather than local governments or foreign capitals, the amount of money and people pouring into the city will continue to grow, while localities and other countries become bureaucratic appendages of D.C. policy.

. . .

But it's not just that Washingtonians rule over an overseas empire; it's that domestic U.S. territory is increasingly treated as part of the conquered territory, rather than as the source of state legitimacy. Sure, we have elected representatives we send to D.C. from all over the country, but experience shows that only in the rarest of occasions do they not adopt the Beltway outlook of going along to get along with the system. Instead, they play the game to bring home as much of the spoils of empire (taxation and government contracts for further imperialism) as possible. In the process, they cease to represent their constituents in D.C., preferring to represent the Washingtonian agenda in their respective localities. They become little Paul Brehmers, advocating policies that promote the more effective rule of the domestic and foreign empire. They measure success in terms of how they can coax or coerce the locals into compliance with necessarily foreign interests.

If it is policies in Washington, D.C. that are changing this country into an empire, it is inaccurate to label the empire American. Clearly, the vast majority of Americans are not participating in it, but are merely preferred subjects in territory as occupied as that in Iraq and Afghanistan. . . . If the decision-making bureaucracy, military might, and economic clout are all based in Washington, doesn't it make sense to call this system the Washingtonian empire, rather than conflating it with the disenfranchised subjects in the fifty states? It's no more an American empire than it is an Iraqi or Afghan one.

The Washingtonian Empire is the largest, richest, most powerful, most hierarchically distributed, and most subtly maintained in history. It is so successful that it has even managed to proceed with its agenda without much notice as to its true nature. We should stop trying to get people to take responsibility for the decisions of a foreign city-state, because this only encourages the conflation of their American identity with an alien one.

By drawing on our revolutionary, anti-colonial legacy, we can frame the American political experience as one of historically consistent subjugation. We can then find common ground with other victims of American imperialism while articulating an authentically decentralist agenda.

— Social Memory Complex (2008-06-13): The empire is not American, but Washingtonian

Make sure you read the whole thing, especially Jeremy’s very salient discussion of the impact of this kind of analysis on strategy.

Let me just add that one of the most important dimensions in which to emphasize the nature of America as occupied territories is the connection with the daily lives of the most thoroughly oppressed and exploited people under the bootheels of the United States government and its praetors and proconsuls: especially black people, brown people, poor people, immigrants, people labeled crazy, women (especially the women most marginalized and criminalized by the government and civil society), etc. etc. etc. During the 1960s, the Black Panthers, the Young Lords, and many other New Left liberation groups explicitly linked the conditions and struggles of people in the brutally police-occupied, white-controlled ghettoes of the U.S. — which were founded in slavery, lynch law, apartheid, and immiserating land grabs, which were treated politically as presumptively criminal, unruly elements of the body politic, to be reformed, contained, or eradicated; which were regimented and patrolled on every street corner by the occupying paramilitary forces of the white government — with the conditions and struggles of colonized peoples throughout the so-called Third World, recognizing that just because the lines on the map separated Harlem and Watts from Johannesburg and Nairobi, the people in each had far more in common with each other than any of them had with the handful of white men sitting in the halls of power in D.C., in London, and elsewhere. The false dignity of a morally and practically meaningless imperial citizenship was dismissed; in its place was offered self-understanding for people facing the violence of colonization and solidarity with people rising up against Power in their own homelands throughout the world. In the 1970s, Detroit feminists elaborated the thought by pointing out that, in an important sense, women throughout the world constituted a Fourth World, which faced subjugation and colonization at the hands of petty patriarchs and male States, whether those sites of colonization were located in the capitals of First, Second or Third World regimes. Anarchists can and should learn these lessons well, and take the thoughts to their logical completion, by showing how the State, just as such, always and everywhere, operates as a colonizing force, against all its subjects, and for the profit of the handful of beneficiaries who constitute the ruling class. (Of course, the fact that it operates like this against us all does not mean that it operates this way against all of us to an equal degree. The point here is not cheap sympathy; it’s solidarity, especially with those who are the most trodden upon by this monster State.)

While the legacy of 1776 is worth understanding and learning from, and an important weapon to turn against the power in Washington; but so are many other things, and I think it is vital for the Libertarian Left to take up and learn from this tradition in articulating our anti-imperial theory and practice.

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Medicated madness

From nikki @ Give Me Space (To Rock) 2008-06-09: The Medicated Child:

After finding a fast enough Internet connection to pirate, my housemate and I sat in my bedroom and watched The Medicated Child — a documentary about children who are placed on SSRIs, benzodiazapines and mood stabilizers to control various mental diagnoses. As a person who has been permanently altered by medications such as the ones above, it hit me a little bit too close to home to watch this documentary.

You can watch it online on the PBS website: The Medicated Child

My experience in the psychiatric drug system began at age 16. My mother was dying, I was trying to work full time and go to school, and I was sinking in teenage depression. We were on welfare, so my mother decided to find me some sort of mental health care at no cost – this is surprisingly easy in New Jersey.

I was placed on Zoloft, an SSRI, after a brief conversation with a doctor on my first visit to the free clinic. After a few weeks of therapy and more consultations, my doctor raised my Zoloft dose after coming to the conclusion that my depression wasn't getting better. I was no longer able to fall asleep naturally due to the jitters that Zoloft gave to me, which affected my schoolwork greatly. My doctor then put me on Trazodone to help me sleep at night – this made it very difficult to wake up for school in the morning.

— nikki @ Give Me Space (To Rock) 2008-06-09: The Medicated Child

It goes on from there; every new drug brings a new side effect, and every new side effect brings another new drug to control it. The unending swallow-the-spider-to-catch-the-fly process would be funny, in a macabre sort of way, were it not for the fact that this is a real young woman whose life and brain were being systematically stewed, with permanent effects on her body and her behavior. Not because she wanted it that way, but because the State and its legally privileged medical experts told her do it, bribed her into doing it, and finally used an involuntary commitment procedure to force her to keep doing it, no matter how bad it got.

At age 20, I was on Effexor, Klonopin, Seroquel, Wellbutrin and Neurontin. My social life plummeted, and I was incredibly on edge and anxious. I was suicidal. My skin was a mess. I didn't feel real — I felt completely detached from my body and was convinced that I was going to die. I became preoccupied with my early death, and started to live as though death was near. I was so tired and had racing thoughts. Seroquel would make me rock back and forth. My doctor said that the Neurontin didn't seem to be working, so she prescribed me Gabatril in order to strengthen Neurontin's effects.

I was on 6 different medications for a condition that I didn't remember anymore. My doctor continued to prescribe me drug after drug to counteract effects of the previous drugs. I didn't have anywhere else to turn — I trusted and believed her and credited her for keeping me sane. In reality, I was completely insane — and this was from the medication, not from my mental illness.

— nikki @ Give Me Space (To Rock) 2008-06-09: The Medicated Child

This young woman did not have a broken brain. She was not suffering from some congenital mental illness. She was pushed to the brink by emotional crises that were a rational reaction to a terrible situation — her mother’s suffering and death — and then, in the effort to help her by medically suppressing this painful but rational reaction, she was made sick, and made mad, institutionally mad, by the spiraling effects of years of psychiatric cures.

My long-term effects from psychiatric medication: I have painful stomach ulcers that occasionally perforate, my liver has deteorated to the point where I can barely drink liquor, psoriasis on my elbows and knees, some forms of compulsive behavior that started when I began SSRIs, and occasional paranoia that is completely unfounded.

. . .

Before you sign your life away to the psychiatric industry, please pay attention to what goes on. Were you given medication after only speaking to someone for an hour? Were you placed on psychiatric drugs at a young age for ADHD and then put on more drugs for illnesses that seemed to develop after you started those medications? Does your doctor give you a new medication every time you complain about a side effect? Does your doctor ever recommend things like excersize, a change in career, more social time, healthier foods, or naturopathic methods? Does your doctor raise your dose when you have a bad day?

When I think about what was pushed on me in my younger years I feel enraged... and after watching The Medicated Child, I'm outright terrified. There are children as young as 4 years old being diagnosed with Bipolar Disorder and placed on mood stabilizers. There are children who are put on dehabilitating anti-psychotic drugs at age 6 who develop uncontrollable ticks in their necks in their teenage years. These drugs were never tested on children — if you choose to put your children on these drugs, your child is a guinea pig.

— nikki @ Give Me Space (To Rock) 2008-06-09: The Medicated Child

You really must read the whole thing. What was done to her is, quite simply, unforgivable.

Of all the horrible things that institutional psychiatry routinely does, one of the most infuriating for me is its stupidly aggressive lack of anything approaching self-consciousness or critical reflection. In a field where, not half a century ago, patients were routinely locked away in filthy hellholes that would be hard to distinguish from a medieval dungeon, and, once confined, subjected, against their will, to restraints, tortures and mutilations that would have made Torquemada blush — camphor shock torture, repeated massive electric shocks to the brain, and, at the end of the road, an icepick jabbed through the eye socket and rotated so as to mutilate the brain and deliberately destroy centers of personality and higher cognition — in a field, I say, where all this was dignified as brain damaging therapeutics and regarded as best practices for a scientifically-informed helping profession — in a field where current practitioners now more or less universally agree that torture like this was based on little more than pseudoscience and quackery, and where almost no-one in their right mind would propose ever using practices like these on any patient today — in a field, that is to say, where within living memory thousands of people were subjected to the worst kinds of sadism and torture that the human mind can devise, and all of it based on what are now almost universally acknowledged follies, illusions and lies indulged in by the recognized experts of the field — in such a field, you might expect at least a little bit of humility, historical awareness, and decent caution, rather than sanctimonious self-righteousness and aggressive obliviousness to the idea that psychiatric practice itself might perhaps be part of the problem.

In point of fact, there are countless cases like this one, cases where a life crisis becomes the occasion of massive psychiatric intervention, and where the intervention itself spirals into years of institutionally- and chemically-manufactured madness; in which the stereotypical behavior of the psychiatric patient, invariably passed off as part of her disease, can in fact be traced quite directly to the physiological, behavioral and social effects of the forced drugging, the forced confinement in hospital psychoprisons, and other aspects of psychiatric therapy. Psychiatrists then have the gall to use those same symptoms, created by their own therapy, as proof of the need for even more of the same.

Under the present circumstances, there is no reason to believe that individual psychiatrists or psychiatric institutions will ever trouble themselves to acknowledge this possibility or to incorporate it into their practice in any way that matters. It’s not just the financial incentives — although those are certainly there, and those are certainly important. The problem that underlies the financial problem is that psychiatrists have no real reason to care whether they get things right or not. Why should they? They are backed by cultural prejudices in favor of doctors; they can dismiss any complaints by their patients as literally the ravings of lunatics, and almost no-one will bat an eye; they are backed up by the force of the law, which gives them the power to force their latest and greatest therapies on a literally captive market of unwilling patients. Unless and until psychiatrists no longer have the privilege of inflicting nonconsensual treatment, which is to say, unless and until they become directly accountable to the will and desires of the people for whose benefit they claim to be acting, cases just like Nikki’s are going to happen again, and again, and again.

Free Nikki!

Free all psychiatric prisoners!

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We need government cops and government courts because private protection forces and private arbitrators would be accountable to the powerful and well-connected instead of being accountable to the people. (#2)

Trigger warning. The following video of a local news story may be triggering for experiences of sexual assault.

Tom Meyer, WKYC (2008-06-18): Grand Jury clears Sheriff Deputies of criminal misconduct in explosive strip search case:

STARK COUNTY — A Stark county grand jury has found no probable cause that county deputies committed any criminal wrongdoing while arresting Hope Steffey.

As many as 7 male and female deputies forcibly removed Steffey’s clothes inside a Stark County jail cell and left her completely naked for 6 hours. Steffey had someone call for help when a cousin injured her during a fight.

The video of Steffey being stripped searched triggered reaction nationwide, forcing Sheriff Tim Swanson to ask the Ohio Attorney General to step in and investigate the arrest and incarceration of Steffey. Link to The Investigator, Tom Meyer’s previous strip search stories

The results of the investigation were turned over to the Stark County prosecutor who appointed the Attorney General’s Special Prosecutions Section to present the case to the grand jury.

The grand jury decided to not indict any of the deputies. On the day of the grand jury’s findings, Steffey was undergoing questioning in a deposition for her lawsuit against the Sheriff. Steffey is seeking justice in a civil case filed in federal court and which is set to go to trial this December. Steffey is accusing deputies of using excessive and outrageous force.

It’s unclear if the jailhouse video was shown to the grand jury. Those proceedings are secret. But the video is certain to be shown in federal court during her civil trial. The Sheriff has maintained that his office has done nothing wrong and was always in compliance with Ohio jail standards. Steffey’s attorneys are now under federal court order to not discuss the case. But they have argued that that the force used by deputies was brutal and unnecessary.

Phone calls to Stark County Sheriff Tim Swanson seeking comment were not returned.

Attorney General Marc Dann launched the state investigation into the Steffey case in February. Dann resigned May 14 after only 17 months in office. Dann was forced to step down following a highly-publicized sex scandal in his office which included his affair with a female staff member.

— Tom Meyer, WKYC (2008-06-18): Grand Jury clears Sheriff Deputies of criminal misconduct in explosive strip search case

Susan Vinella, WKYC (2008-06-19): Investigator Exclusive: Special prosecutors deny Steffey case was a strip search:

The special prosecutors in the Hope Steffey case said Thursday that there was no strip search and no criminal wrongdoing by the Stark County sheriff’s deputies.

Paul Scarsella and Bridget Carty said the incident, in which male and female deputies forcibly removed Steffey’s clothes at the Stark County jail, was a suicide precaution.

They said the deputies were only following a medical order given by a doctor on duty to remove her clothes.

The special prosecutors presented the results of their investigation to a grand jury on Wednesday. The grand jury declined to indict the deputies involved.

Though the jail has suicide suits for inmates to wear, Scarscella said Steffey was not immediately given one because even the suit was deemed too dangerous for her to have.

Steffey and her lawyers have denied that she was suicidal or was given the opportunity to remove her clothes herself, as the prosecutors say she was.

There is no policy that prevents men from removing a female inmate’s clothes during a suicide precaution situation. During a strip search, jail policy prevents men from being involved.

In a phone interview, Scarsella and Carty said they attempted to interview Steffey before the grand jury hearing Wednesday. They never did speak to her because they would not allow her attorneys by her side, as she requested.

Steffey did appear before the grand jury.

Scarsella said he could not say whether attorneys were allowed to sit in on the questioning of the sheriff’s deputies because ethical guidelines prevent him from discussing an investigation of uncharged defendants.

— Susan Vinella, WKYC (2008-06-19): Investigator Exclusive: Special prosecutors deny Steffey case was a strip search

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Shameless Self-promotion Sunday #6

O.K., so, what did you all write about this week? Leave a link and a short description for your post in the comments.

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