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The contents of this website are for contemplative purposes only. No medical advice will be given, and emails asking for medical advice will be ignored.

Although patient vignettes are based on my experiences with real individuals, I liberally change details to maintain patient confidentiality.

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Thursday
30Mar

The Houston Problem

The people of Houston are starting to complain about the burden of Hurricane Katrina victims.

When I read about this, my first reaction was dismay that one of the richest cities in the South could complain about the burden of evacuees. After all, Houston got so many because it had the most to give. And I do not think Houston would consider for a moment trading its problems with those of New Orleans.

However, I know New Orleans well and realize that parts of it were very violent. Even in a good year it usually stood in the top 15 American cities in murder rate. After Katrina the murder rate dropped to zero for many months, primarily because the areas with the highest crime levels were also the most devastated. I sometimes shuddered as I wondered where those people went. Some of them went to Houston, apparently.

I hope though, that Houstonians remember that good is often unrecognized as people naturally focus on the worst. When New Orleans was hit by Katrina, hundreds of businesses relocated to Houston. Some of these will never return. Houston, and Texas in general, was very aggressive about plucking away Louisiana's best and brightest, both before and after the storm. There were job fairs in Houston to recruit educated evacuees, especially teachers and medical personnel. I remember a billboard that went up within a month of the storm in New Orleans, promising jobs in Texas to New Orleans teachers. Ads for dislocated nurses to move to Texas appeared in the newspaper almost daily.

I can relate my own experience. When I was in Baton Rouge after the hurricane, trying to decide what I was going to do, the very first phone call I received in my job search was from a Texas recruiter. When I finally decided on my present location in Mississippi, I turned down 4 qualified offers from Texas cities. Texas may have qualms about accepting our poor, but it silently benefits from the influx of our well-educated. If I had accepted one of those jobs and moved to Texas, no newspaper headline would have said, "Texas Reaps Benefits of Physicians Dislocated by Hurricane Katrina." Yet I know of several quality doctors who did resettle in the Lone Star State.

Though I sympathize with Houston and its problems with evacuees, it is simply unfair to blame New Orleans for this turn of events. New Orleans is in no condition to accept its poorest citizens back, and these citizens may not want to come back, considering that Texas is far richer than New Orleans, and its public services markedly better. It may be a burden for a sick woman to ask a relative to take care of her children, but one cannot try to give the children back while the mother is still in intensive care.


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Reader Comments (15)

That makes a tremendous amount of sense, Dr. Hebert. They are probably not thinking of everything they've gained. Katrina has changed the face of the country in ways that will never be completely restored.
March 30, 2006 | Unregistered CommenterMoof
When I first drafted this entry, my comments were much tougher on Texas. As I wrote, I realized I was wrong. I think it is fair to say that Texas has borne some of the fallout of Katrina. The problem is that it has also benefitted in small ways. And it is worth noting that doing good for others does good for you. There is a sense in which a cross is also a gift, which is a relevant statement for Lent!

Anyway, the Houstonians are looking for justice. The problem is that Katrina was not fair to anyone. There is no reason to think Houston should get "fair treatment" out of Katrina. The situation has losers on all sides, and people need to slip out of the habit of thinking people should get what they deserve. As Clint Eastwood said in the movie "The Unforgiven," "Deserve's got nothing to do with it."
March 30, 2006 | Registered CommenterMichael Hebert
Something I read on a T-shirt, but it fits:

Justice: When you get what you deserve

Mercy: When you don't get what you deserve.

Grace: When you get what you don't deserve.

Texas, as well as the states hard-hit by Katrina, need all 3.
March 30, 2006 | Unregistered CommenterJudy
Agreed. Very definitely so.
March 30, 2006 | Registered CommenterMichael Hebert
Texas gets a pretty sweet deal with their offshore profits from oil. Louisiana needs to get that same deal. Why the discrepancy? Why should Texas get a higher percentage of money from their oil than we do from ours? That money would go a long way towards fixing our problems.
March 31, 2006 | Unregistered Commenteranonmed
Amen to that. Kathleen Blanco is threatening to block all further oil leases unless that deal is done. She should. Louisiana should not allow another oil well to be drilled off its cost ever again until the state gets at least 40% of the lease revenue.
March 31, 2006 | Registered CommenterMichael Hebert
I live in Houston, and I don't think that's a fair characterization of the beliefs of Houstonians. I would encourage people to not base their opinions of Houston on media reports. Come here, visit, talk to people that actually live here. The generosity continues, it's just not as newsworthy.
March 31, 2006 | Unregistered CommenterL
And Moof, please come down off your high horse. What did you do to help? How much money did you donate? How much time did you give? Believe it or not, Texas can't solve all of New Orleans' problems. You may have forgotten, or be unaware, but Texas is also dealing with the fallout from Rita. Ever hear of Orange, Texas? It's always easy to look at what other people "should be doing," it's a lot harder to look at yourself. You'll have to excuse me for being a bit pissy, but this just really rubbed me the wrong way. Texas has done A LOT, and the criticism is unwarranted. Now that I've gotten that off my chest... back to my golden Houston mansion I'm supposedly living in.
April 1, 2006 | Unregistered CommenterL
L, I have noted your comments. Please understand that this entry says nothing about Houstonians in general. The thrust of my comments is that the press (and politicians in some cases) have concentrated on the negatives of the Katrina aftermath and not pointed out that some good came with the bad. I think Texas has done a lot of good. I for one am thankful for what it has done.

New Orleans is still struggling with major, major problems from this storm and can't take the refugees back, so unfortunately Houston will be contending with refugee problems for some time to come. It is way too soon for anyone to be grumbling!

My criticism is not so much directed at Texans in general as it is towards the people who contributed to the substance of this story. If you have read much of my website, you know that I do not make sweeping judgments like that.

I have not forgotten Rita. Actually I drove through Orange in early October. The sights were familiar, but I do have to say that having seen both storm areas Rita does not compare. I cannot explain that to you; if you don't take my word for it, then there is nothing else I can say.

Another thing. The President of the United States is a Texan. I cannot keep myself from saying that if the Bushes had been from New Orleans the whole outcome of this situation (especially the FEMA rescue) would have been much different. The Rita rescue was different from the Katrina one, for more reasons than one.

Finally: Your golden house comment goes to the core of the issue. Most Houstonians are middle class. I know that, I have been there. But, and this applies to me also, sometimes we forget how ridiculously rich we really are. As bad as Katrina was, it was a picnic compared to what happened in the Indian Ocean in 2004. Remember the tsunami that killed 125,000? Sometimes we forget. As bad as Katrina is, I shudder to think about what they are still going through in Sumatra.

If Katrina has taught me anything, it is that I have a long way to fall before I will ever be in serious need.

Thank you for writing. I appreciate what you have said and will think about it more.
April 2, 2006 | Registered CommenterMichael Hebert
"New Orleans is in no condition to accept its poorest citizens back" So... basically, leave the "bad ones " in houston and give us back the "good ones" Houston opened its arms to ALL new orleaners that came here, we didnt pick out which ones we thought were best for our city. That right there is Unfair to the people of houston, but most of the the people of YOUR city.
April 12, 2006 | Unregistered Commenterjohn
I don't want to fight about this, because it is pointless to do so, but I must state the obvious. Houston and New Orleans are in the same country. New Orleanians, ALL OF THEM, are Americans. That means they can live in Houston if they want. It is not your choice, it is not my choice. I am sorry if you don't care for them.

It was not my intention to say that New Orleans would not take the refugees back. Only that they can't. The city is still too mangled and stretched for resources to take a large population back at this time. I suspect that as time goes on and housing is rebuilt, most of the Houston refugees will go back, and New Orleans will be glad to take them.

I am truly sorry that I ever wrote this post. I know better than to take one group's suffering (New Orleans) and compare it to another's (Houston). Somehow that always works out with hurt feelings all around.

Still, I invite you to look at the Katrina Gallery pictures on my website. That is MY HOUSE you are looking at. I had friends who died in that hurricane. Though you may feel Houston has borne more than its share of the evacuee burden, you have to understand that many people suffered very greatly from this storm. It is no fun thing to lose everything you own in one day.

And I do take exception to being blamed for the crimes committed by evacuees in Houston. Do you really think I had something to do with it?
April 12, 2006 | Registered CommenterMichael Hebert
I apologize if i misunderstood what you were saying. It just sounded to me like you were saying that poor ones should not come back. Now in no way am I in a rush to kick anybody out of any city, as you said anyone can come and go. I was simply reeacting to that particular statement, and again, I apologize for misunderstanding it. Believe me, I dont have to look at the gallery, I was there over spring break volunteering and helping gutting out houses, and I know I am VERY fortunate to have all that I have and to even be alive right now. I thank GOD for all that Im blessed with. I understand where you are coming from, and I wish the best for you and your family, and a blessed recovery of the city of New Orleans.
April 12, 2006 | Unregistered Commenterjohn
Thanks very much for that, John.

To be honest, after the storm when all the poor people left NO and the crime rate dropped to nil, I was tempted to say the city was better off with all the poor gone. Then I read an excellent book called "Why New Orleans Matters" by Tom Piazza.

Piazza argued that the poor neighborhoods of NO were what made the city great. He pointed out that so many of the city's greatest artists came out of these poor areas, and that it is wrong, very wrong, for city planners to plan away the people who have done the most to give the city its character in the first place.

I do hope they come back.
April 13, 2006 | Registered CommenterMichael Hebert
THIS ARTICLE WAS WRITTEN BY PEOPLE THAT ARE NOT EVEN FROM OUR CITY. WE WILL NEVER TAKE FOR GRATED WHAT HOUSTON HAS GAINED. AND AS GIVING CITY WILL DO IT AGAIN IF WE HAVE TO. WEKNEW THE CRIME WOULD GO UP. WE KNEW THAT THE CITY WOULD LOSE IN HEALTH CARE & IN OUR SCHOOLS BEING OVER CROWED, BUT WE DIDN'T TURN ANYBODY AWAY. OUR CITY IS BUILT ON GIVING. IT IS BULL THAT NEWS WEEK WOULD WRITE THAT TYPE A PEICE TO MAKE OUR CITY LOOK BAD. HOUSTON HAS ALWAYS HAD BAD WRAP WHEN IT IS COMPARED TO THE OTHER MAIN CITIES. WHEN IT IS BAD THEY MAKE SURE EVERYONE KNOWS IT IS HOUSTON. BUT WHEN HOUSTON GAVE ALL IT COULD THEY JUST DOWN PLAYED IT. WE COULD NOT EVEN GET AN OLYMPIC VOTE THAT WOULD HAVE HELP HOUSTON, BUT NOTHING WAS DONE. WE HAVE ALWAYS BEEN THE THIRD LARGEST CITY BUT IT SEEMS THAT WE ARE THE SMALLEST. HOUSTON IS A GREAT CITY. IF YOU LIVED HERE YOU WOULD KNOW THAT. WE WILL ALWAYS BE GIVING. WE WILL DO IT AGAIN. DALLAS REJECTED A EVAC PLAN WE SENT THEM JUST TO HOUSE 40,000 THEY SAID THEY COULD NOT DO IT. JUST 40,000. HE TOOK IN OVER 250,000. BUT DID DALLAS GET ANY HEAT IN THE NEWS. NO!! OH WELL WE WOULD DO IT ALL OVER AGAIN IF WE HAD TO. SO DON'T THINK HOUSTON THINKS LIKE THOSE WRITERS MADE IT SEEM. HOUSTON IS GREAT AND OUR HEARTS ARE BIG.
May 31, 2006 | Unregistered CommenterSER
Hard to read all caps. I'll say nothing further about Houston and Katrina.

I never felt Houston was treated as a second class city in the media, but I do admit that Houston gets less press than you would expect, given its size. A lot more ink is expended on cities that are smaller, even much smaller, such as San Francisco, Washington DC, Miami, and Seattle. Houston is overlooked compared to other towns its size.
May 31, 2006 | Registered CommenterMichael Hebert

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