
Not The Last One





Thanks to the help of an amazing young Ghanaian activist, the Silent Years Group has gotten hold of a digital copy of the complete NRC report. We are going to start serializing that report so all Ghanaians can read and learn from the past so we do not allow our nation to be hijacked again.
For those who want to read it, the link to download it is below.
Mother, dearest mother,
Here I sit in your womb.
Mother, dearest mother,
Yet I wish it was my tomb.
He raped you that night,
And planted his seed.
I am a product of your plight,
Forever a sign of that deed.
Will I not forever be a marker,
Of how he destroyed your soul?
A memento of times darker,
That left you forever un-whole?
That’s why I’d rather not be born,
Into a life unloved, dark and torn.
Mother, dearest mother,
Here I sit in your womb,
And wish I would smother,
Than be born with fake aplomb.
You smoke, sniff and inject,
Poisons day and night.
You are but a reject,
The streets your only right.
What awaits me is an ordeal,
Of cold homes with no love.
A terrible fate with a tight seal,
One that fits like a glove.
That’s why I’d rather not be born,
Into a life unloved, dark and torn.
Mother, dearest mother,
Here I sit in your womb and wait,
Mother, dearest mother,
Do you feel the burden and weight?
Are you really ready,
Ready for me in your life?
Will your love be steady,
Or will I see only rancor and strife?
I sense the unwillingness,
Then you are just fourteen.
I feel the uncertainness,
I was totally unforeseen.
That’s why I’d rather not be born,
Into a life unloved, dark and torn.
Does anybody ever ask us,
Find out if we are so inclined?
We never get to discuss,
The lives into which we are assigned.
We often do not care for this world,
Full of so much strife and hate,
Into which we are hurled,
After that nine-month date.
If you say this life is a gift,
Why fill it with so much pain,
And set us in it adrift,
With no cover for the rain?
That’s why we’d rather not be born,
Into a life unloved, dark and torn.
©️Nana Dadzie Ghansah – May 20, 2019
I made an observation growing up that has stayed with me till now. I noted how men who had worked their whole lives would go into retirement and suffer precipitous declines in health, that in some cases, led to death. I filed that away.
Working as a physician, I have also made another observation that somehow ties into the first. I have noticed that older patients, being those 70 and older, who were still in relatively good health and looked physically fit, had something in common. They were active. Not just physical activity but most of them still worked regularly. The most impressive are the old farmers.
These physically fit seniors always stand in stark contrast to their compatriots who were not active.
These observations and other anecdotes have always made me wonder about the wisdom behind retirement. Why do we retire?
We spend years keeping a schedule that keeps us regimented only to one day give that all up for one that may not be as controlled and full. Somehow, that dramatic change has effects that are profound.
We did not always have retirement. The concept is actually just a bit over a century old. It is noteworthy that even in the 19th century, the older generation may have been seen as a burden. In his 1882 novel titled “The Fixed Period”, the then 67-year-old Anthony Trollope wrote about a fictitious country called “Britannula” where large numbers of old men were retired to a place where they would be encouraged to enjoy a year of relaxation, followed by a peaceful death – euthanasia – with chlorofom.
It was the German Chancellor, Otto von Bismarck, who in 1883, introduced the concept of paying senior citizens a wage to stay home and not work. He did that to take the wind out of the sail of the Marxists. The set age was 70 and with the life expectancy then, very few took advantage of that age.
In the US, the famous physician, William Osler, in his farewell speech as he left Johns Hopkins for Oxford, made remarks that earned him the ire of the nation. His speech centered on the theme of the energy of youth and the uselessness of old age. Osler, who was 55 at the time, claimed that men were virtually useless after age 40 years and should retire after age 60 years. He then jokingly referred to the Trollope book and wondered if the old should be chloroformed.
By the 1930s, with the Great Depression underway, dwindling job prospects for the youth made it necessary to “get rid” of the elderly workers. Roosevelt would introduce the Social Security Act and the retirement age would be pegged at 65…arbitrarily.
So what do the studies say about retirement? A rash of studies paint a rather grim picture of health after retirement and yet, there have been a few that have shown the opposite. One of the latter was a 2017 Dutch study that showed that men who retired in their 50s were less likely to die in the next 5 years than those who continued to work. Yet noteworthy is not the retirement itself but what the men were able to do in retirement. They were able to lead healthier lifestyles. Similar results have been seen in studies from Israel, England, Germany and other European countries.
However, the studies that show negative health effects of retirement greatly surpass those that show a benefit to health. Retirement allows one more free time to live healthier, why are there so many studies showing negative health results?
Boyle et al showed in 2010 that the loss of purpose contributed significantly to the development of Alzheimer’s in the elderly. Hill and his group have shown that the loss of that purpose leads to an increase in all-round mortality. Holt-Lunstad and her group see a correlation between loneliness and death in the elderly and Behncke showed an increase in the incidence of strokes and cancers in retirees. The US Health and Retirement Study showed an increase of 40% of strokes and heart attacks in retirees.
In spite of all these negative findings, the studies that show a benefit may give us a clue why retirement can be so bad for so many. The two big culprits may be loneliness and lack of purpose. Of course, family and friends can help one deal with that but what if one’s work was where one found companionship?
Loneliness can be so crushing that it induces a certain despondency that takes away even the motivation to be active. This lack of activity worsens one’s health. The loneliness in itself is also dangerous. Coupled with the lack of purpose, is it any wonder so many retirees do not do well.
It is important to note that in those studies where retirement led to health benefits, most of those retirees were not lonely, had a sense of purpose and stayed active.
Depending on one’s job, retirement might be finally a time to find some rest or it could be the beginning of a slow decline, physically and cognitively. It is even worse now that life expectancy is much higher than in the 1930s.
In all, these studies help explain my observations.
So should we retire? Should we put men and women to pasture, who may still live another 20 years and risk having them spend those years alone and without purpose?
I think the institution of retirement is here to stay and so each of us should have a plan on how to deal with it. If possible, one should maybe delay it for as long as possible. One should also try to develop other interests that could fill one’s time in retirement. Retirement communities are sources of companionship. Consideration could also be given to another career, even a part-time job or a volunteer position.
In a recent book titled “Late Bloomers: The Power of Patience in a World Obsessed with Early Achievement”, Rich Karlgaard discusses the ability of the human brain and our capabilities to still keep developing deep into adulthood. If we are ever developing and possess the ability to attain new capabilities, why retire onto loneliness, despondency, and lack of purpose. Maybe the ultimate antidote to the ills of retirement is to never stop learning. Like the writer T. H. White wrote in the novel, “The Once and Future King”:
“The best thing for being sad is to learn something. That is the only thing that never fails. You may grow old and trembling in your anatomies, you may lie awake in the middle of the night listening to the disorder of your veins, you may miss your only love, you may see the world around you devastated by evil lunatics, or know your honor trampled in the sewers of baser minds. There is only one thing for it then — to learn. Learn why the world wags and what wags it. That is the only thing the mind can never exhaust, never alienate, never be tortured by, never fear or distrust, and never dream of regretting.”
It is rather interesting that in the very year my interest in astronomy was really awakened, the world saw the image of a black hole for the first time. Even though others had postulated about the possible presence of black holes in the 18th century, it was really the work of Einstein that set the ball rolling. It all started with Newton, Einstein, and gravity.
Now Isaac Newton saw gravity as the result of the force between masses. Einstein saw it as the result of the curvature of spacetime.
To help understand the Einstein position without using the really hard-to-understand tensor calculus, let us do an exercise:
Imagine the universe is a large sheet of Spandex stretched and attached to several poles to keep it taut. Now imagine dropping a bowling ball into the sheet. It will dent or warp it, right? Good! Now drop a marble into the sheet with the bowling ball still on it. The marble will roll towards the bowling ball, wouldn’t it? If you drop smaller and lighter balls with different sizes and weights on the sheet, they will all follow the curvature induced by the bowling bowl and rotate around it before finally sinking into the depression it creates.
The curvature induced by the bowling bowl in the sheet of spandex is what causes the smaller bowls to rotate around it. (If one paid attention, one would notice that the path charted by the rotating balls is not a perfect circle but an ellipse).
In the same way, all the other balls will warp the sheet to a degree and cause their own curves. The biggest ball will cause the other balls to rotate around it – in this case, the bowling ball. The phenomenon whereby a body warps the sheet and thus induces other bodies to move along the created curve is what is similar to what happens in the universe. That is what we call gravity.
Whereas Newton saw the universe as being static, with everything having its place, Einstein saw the universe as being more dynamic. In Einstein’s view, space combined with time to form a universal “sheet” called spacetime with three spatial dimensions – backwards-forwards, left-right and up-down – and one-time dimension. Celestial bodies travel through spacetime and in the process, bend, warp or even curve it. The more massive an object is, the greater the warping. The planets orbiting the sun do so not because of a force exerted by the Sun but because they are following its induced curve in the spacetime fabric.
These bends and curves can even affect the path that light takes as it travels from a star. Newton saw light as a corpuscle with mass. Thus he thought that a star could affect its path through gravitational force. By the time Einstein came around, we knew light was a wave. Its path is bent because of gravity alright but not the Newtonian version but rather the Einstein relativity one – through the curves induced by celestial bodies. This phenomenon is called gravitational lensing and was proven elegantly by Arthur Eddington during a solar eclipse in 1919.
Thus gravity is not a force but the curvature induced in the spacetime fabric by celestial bodies causing them to move and rotate.
Einstein discussed his concept of gravity under what he termed “the Theory of General Relativity”, in four seminal papers that he published in November of 1915
The paper was titled “Über das Gravitationsfeld eines Massenpunktes nach der Einstein’schen Theorie” (On the Field of Gravity of a Point Mass in the Theory of Einstein). In it, he delved into escape velocity – that is the velocity a smaller object needs to have to pull away from the gravitational curvature of a bigger body. This escape velocity is directly proportional to the mass but inversely proportional to the radius of the bigger body. So a rocket headed to the moon from the earth needs an escape velocity of 11.2 km/s.
Now imagine a scenario where a celestial body got smaller but kept its mass. The escape velocity from that body would increase. If the body kept getting smaller, it would reach a point where the escape velocity became equal to the speed of light – 300,000 km/s or 186,000 miles/s. At that point, nothing – matter, radiation, light, nothing – can escape from that body. It also becomes impossible for the body to stay intact and thus it disintegrates into a minuscule point whose only presence in the universe is a dark bottomless, infinitesimal entity called a “singularity”. Since no light escapes this point, it is invisible. However, this “singularity” induces a boundary called the “event horizon”. If another body goes over the event horizon, it vanishes into oblivion. Schwarzschild even presented a formula to calculate the size of an event horizon (the Schwarzschild radius).
At that time, physicists found Schwarzschild’s postulations quite arcane then most did not look beyond our planet. Yet if one considered the stars as the bodies being escaped from, his work made a lot of sense. Remember a star is really a collection of really hot gases or plasma and hot gases can get smaller as they burn out.
It would be years before the scientific community would understand it’s importance. His work joins that of Einstein and others in becoming the buttress for the concept and now the reality of black holes, a name coined disdainfully by the American physicist, John A. Wheeler, in 1967. Earlier this week, the world was treated to the first picture of the event horizon a black hole in M87.
According to theory, there might be three types of black holes: stellar, supermassive, and miniature black holes – depending on their mass. These black holes formed in different ways.
Stellar black holes form when a massive star collapses.
Supermassive black holes, which can have a mass equivalent to billions of suns, are found in the centers of most galaxies and are likely the byproduct of galaxy formation.
Miniature black holes could have formed shortly after the “Big Bang,” which is thought to have started the universe 13.7 billion years ago. They may be the result of faster moving matter causing slower ones to contract into black holes.
As noted above black holes may have been instrumental in how our universe formed billions of years ago. As mentioned earlier, stars are just a collection of hot gases fueled by intense radiation. As the universe formed, these massive initial stars burnt out creating massive black holes and pulling in other stars. They also emitted jets of high-velocity radiation that led to the formation of other stellar bodies. In a way, they are like the volcanoes of the universe – creators as well as destroyers. One massive one lies in the center of every galaxy. Like volcanoes, they are dormant most of the time. When they do get active, it is disastrous.
Schwarzschild was not the first person to think of the concept of a back hole.
Interestingly, back in 1783, an English priest, philosopher and scientist called John Michell, a man once described as “a little short man, of black complexion, and fat” would touch on this same claim in a presentation to the Royal Society. A few years later, in 1796, the French scientist, Laplace would make the same claim in his book, “Exposition du Système du Monde.”
In a letter to Einstein from November of 1924, the Austrian physicist wrote:
“Einstein, my upset stomach hates your theory of General Relativity—it almost hates you yourself! How am I to provide for my students? What am I to answer to the philosophers?!!”
I guess for us laymen, trying to understand the theories of Einstein and all it has spawned can lead to upset stomachs and even headaches. However, they definitely help us better understand our universe and our place in it. Moreover, they show how brilliant we humans can be.
On the other hand, the presence of these black holes points out the fallibility of the universe we live in and by extension the fallibility of us humans. Scattered around us are places where we can vanish into oblivion. Places where the laws we think control our universe and our lives do not work. Maybe the time has come to probe into these black holes and with that, face our very fallibility. How excitingly scary is that!

On June 29, 2007, Apple Inc released a device that has revolutionized how we live, communicate, shop or even read – the iPhone. Two years later, it released the iPhone 3GS, opened the App store and came up with the catchphrase, “There is an app for that”. Later that year, the company would patent the phrase.
Ever since those days, apps have literally become a very important part of our digital lives. As of the end of the 3rd quarter of 2018, Android users had 2.1 million apps to chose from whereas the Apple AppStore had about 2 million.
Apps have come to epitomize the role of technology in human lives and this is not new. Innovation got Homo Sapiens out of caves, away from a culture of hunter-gathering into large settlements all the way to the metropolises some of us live in now. Technology has led to longer life-spans and in some regards, higher standards of living. On the flip-side, it has also helped us destroy our environment and made it easier to kill each other.
However is the fact that we now want an app for all activities and pursuits, is the fact that we want technology to make life easier always a good thing?
In 2010, Airbus announced its new A320 class of engines. These were supposed to be more fuel-efficient and more cost-effective. Boeing rushed to get out its own version. The strategy depended heavily on building a plane that worked essentially the same as the previous generation. Out of the highly successful 737 came the 737 Max. This time around, Boeing put the engines on the 737 Max at the back making it back heavy and changing the center of gravity of the planes. This led to a situation where on take-off, the back sank and the nose pointed up, a condition that could lead to the plane stalling.
At this point, Boeing engineers had 2 options – place sensors in the plane to detect the impending stall and fix it through a computer program that forced the nose down or let the pilots take care of it at a time when the plane was being flown manually.
Well, in a world where there is an app for everything, guess what the engineers did?
They installed the MCAS (Maneuvering Characteristics Augmentation System) to sense and correct this. Now it is possible that malfunctioning sensors may have caused the MCAS to also malfunction and contributed to two plane crashes in 5 months that have claimed 346 lives!
Presently, there are very few hospitals in the US that do not boast of an electronic medical record system (EMRS). Pushed by former President Obama as part of the ACA, they have largely replaced paper records and the illegible writing of doctors. Yet, like a recent piece in Fortune magazine titled “Death by a Thousand Clicks: Where Electronic Health Records Went Wrong” shows, this technology may have just birthed a whole new set of very bad problems.
The report cites examples of bad software that has dropped orders for important tests leading to patient mortality. In my own experience, I think EMRS take from the very essence of patience care – observing the patient! Walk into any hospital or doctor’s practice these days. Providers are not observing patients! They are starring at screens!
This is not to say the idea of EMRS is bad or that trying to prevent the 737 max is out of line. Not at all. The question I am trying to ask is, “Should there really be an app for all that?” Should technology always be harnessed? Can we leave certain processes and procedures to human judgment or are we too fallible to be trusted?
Social media has really flattened the world. The whole place has morphed into a global village of “likes” and “hashtags”. Yet, there are dark sides to this technology. The spread of fake news, the unauthorized sale of personal data, issues of validation, comparison, bitterness, and even isolation. It decreases attention span and makes us care about the wrong things. Zuckerberg et al got us an app that brought the world nearer. Did we really need an app for that?
Technology is at the verge of giants strides in artificial intelligence (AI) and machine learning. Soon, several professions will be obsolete because machines will take over the intellectual aspect of these pursuits – lawyers, accountants, radiologists, to name a few. Is this really the world we want to live in?
When most people think of the movie “The Terminator”, the picture of Arnold Schwarzenegger saying “I’ll be back” comes to mind. However, the movie is much more. Like Adrian McCullen wrote on “Medium”: “The real theme of ‘The Terminator’ is about Skynet, a powerful AI that becomes self-aware. The film centers around the dangers of AI dominance, where AI (in the form of robots) rejects human authority and realizes that to be fully in control, humans need to be terminated, much like the realization of the AI, HAL in the phenomenal 1968 Stanley Kubrick classic ‘2001: A Space Odyssey’.”
At the risk of sounding anti-science, which I am definitely not, maybe the world needs to sit back and consider when to let technology take a back seat and allow humans to take control.
Steve Jobs, in a 1994 Rolling Stone Interview said: “Technology is nothing. What’s important is that you have faith in people, that they’re basically good and smart, and if you give them tools, they’ll do wonderful things with them.”
If we could really look at technology as a tool, then we would know when to use one and when not to. Then we’ll realize that the fact that we have hammers does not mean everything is a nail. Then maybe we’ll accept the truth that there should not always be an app for that!
We all know the Aesop fable about the shepherd boy who took his master’s sheep to a pasture near a dark forest and not too far from a village. One day, feeling bored, he cried “Wolf”. This drew forth the men from the village who rushed out to chase the wolf away. They found the boy doubled over in laughter but no wolf. He would repeat this prank a few days later and again, the men from the village rushed out to find him laughing and no wolf. When a real wolf appeared a few days later, he cried for help but no one showed up and he ended up losing a great deal of his master’s sheep. The men from the village did not believe his cry for help anymore. His cry of “Wolf” had become a symbol of attention-seeking behavior and they were not going to honor that anymore.
Which brings me to the story of Tawana Brawley. In 1987, Brawley, an African-American from Wappinger Falls, NY, claimed that six white men had abducted her, raped her, and left her in the woods covered with feces. They had scrawled racial epithets across her body. The story turned out to be untrue, leading to black eyes for many in the black community who sprang to her support. Reportedly, Brawley lied to escape the wrath of her mother’s boyfriend after she ran away from home for four days to visit her boyfriend. Did Tawana Brawley cry “Wolf”?
Three weeks ago, the black actor and singer, Jussie Smollett, claimed he was the victim of a racist and homophobic attack by two white men who beat him up, hung a noose around his neck and doused him with a liquid. The men also shouted racist and homophobic slurs at him. After days of intense investigations, the Chicago Police Department alleges that Mr. Smollett planned the attack and paid two Nigerian brothers to act it out for $3500. His motives were publicity and a better deal for his role on the series “Empire” on Fox. If the accusations are proven to be true, can one say Jussie Smollett cried “Wolf” too?
In both instances, we see
Heck, the whole Southern Strategy of the Republican Party, a strategy made popular by Nixon’s political strategist Kevin Phillips is based on crying “Wolf” – appealing to southern white voters by stoking fear for and animosity towards African-Americans
Though the examples cited may be few, they are but the tip of an iceberg. An iceberg made of racial fears and hostilities that hearken back to the birth of this nation and seem to dog our every step. Racism seems to be
The fear of the other has replaced the fear of the wolf and the danger is, if exploited like in the examples listed above, like the men in the village, we as a society may become even more immune to the true accounts of hate crimes. It is already a fact that many citizens do not believe that there are Americans who are treated differently because of their skin color. The disregard of the attacks on those who are different may go up exponentially, exactly at a time when hate crimes are up
Like the Chicago Police Superintendent, Eddie Johnson said, “Why would anyone, especially an African-American man, use the symbolism of a noose to make false accusations? How could someone look at the hatred and suffering associated with that symbol and see an opportunity to manipulate that symbol to further his own public profile?”Such a ruse, if indeed that is what Mr. Smollett did, cheapens the daily struggles of many African-Americans and people of the LGBT community and shows a privilege he seems unaware of. It also takes away the goodwill of many people of different races who try each day to do the right thing and treat everyone equally. In the Smollett case, for example, it is disheartening and unfair to many white and straight Americans who strive daily to be color and sexual-orientation-blind.
That is why is important that this country strives to overcome its burden of racism. Until that day where one is “… judged not by the color of their skin, but by the content of their character”, until the day that some leaders do not try to divide us by stoking fear of one group for the other, our modern versions of the Aesop’s shepherd boy will keep crying “Wolf”, when there is none in sight.

A week ago, I stepped out into the bitter January cold about an hour before midnight with my daughter. We wanted to watch the Earth cast its shadow over the moon and create a most wonderful Blood Moon eclipse. I also wanted to photograph the whole event.
It really was a most wonderful experience. We not only watched the interplay of two celestial bodies but being a very cloudless night, we could also see a ton of stars and even hints of the planet Jupiter.
An even cursory immersion into the realm of astronomy makes one realize how insignificant we humans are in the grand scheme of things. We are but dots in this wide, ever-expanding universe and staring into the heavens that night, as the Earth’s shadow marched across the Moon’s surface, our smallness did not escape me.
Thus, it was not only a night of infinite beauty, a beauty that helped to chase away a heaviness brought on by a difficult weekend at work but also one of life lessons.
The first lesson had to do with adversity.
The word “eclipse” may come from the Greek word “ekleipein” meaning “to omit, to fail” or from the amalgamation of the words “ex” and “leipein” meaning “ to leave”.
So an “eclipse” is not only “the total or partial obscuring of one celestial body by another” but the word can also be used to describe the “falling into obscurity or decline”.
The event was in a way a metaphor for when adversity threatens to force us into obscurity and decline.
The eclipse started by the shadow of the Earth steadily creeping across and over the moon. During this phase, the moon appeared to be composed of a dark and a light side. Though it made it look incomplete and imperfect, it gave it a certain beauty and uniqueness that reminded me of multiculturalism and cosmopolitanism, but I digress.
The shadow of the Earth creeping steadily across the moon reminded me of the times in our lives when adversity creeps in. Like the shadow of the Earth, adversity sometimes steadfastly moves into and then over our lives until it totally envelops our total existence; until it eclipses us and shuts out the joy and light that filled our day.
Whether we like it or not, adversity and problems are part of life. They are as part of life as the air we breathe. They show up in our lives not to make us just suffer but like M. Scott Peck wrote in his wonderful book, “The Road Less Travelled”, “It is only because of problems we grow mentally and spiritually”.
Problems force us to rise to the occasion, tapping into wells of unknown courage, creativity, and resourcefulness to survive. At the height of adversity, when our lives are totally eclipsed by problems, if we tap into our inner well of strength, we are changed for the better.
When the Moon was finally covered by the shadow of the Earth, it changed color. It gained a beautiful red color due to scattering of sunlight trying to reach it.
It is in the same way that we change when we stand up to adversity. We become stronger, wiser and smarter. We glow in our own version of “redness”.
The experience also reinforced a fact I have always known – that nothing good comes easy. The only way I could capture the images I got was because I ventured out into the bitter cold around midnight. If I had preferred the comfort of my bed and stayed indoors, there was no way I would have been able to observe and capture the images I got.
Nothing in life comes easy! The best things in life may be free but they do not come without toil. Life never gives anything great away for free. She always asks for sweat equity. There is no way around it.
On a night where the beauty of our universe impressed upon me our smallness as humans, lightened the heavy load on my heart, afforded me quality time with my daughter and amazing images of a beautiful eclipse, nature also reenforced important lessons.
In a way, the two lessons are tied together. Adversity helps to bring out the excellent in us whereas our search for the good often has to go through adversity, which if we surmount, not only leads us to the good but also bring out the excellent in us.
Like Benjamin Franklin said, “That which hurts, also instructs.”