bleeding out

bleeding out.png

2019 by Thomas Abt

Thomas Abt is an American policy analyst, at Senior Research Fellow, at the Harvard University Center for International Development.

intro’d via daniel:

Quercia (@danielequercia) tweeted at 6:16 AM – 26 Jun 2019 :
Harvard Kennedy School researcher’s new book offers a prescription for ending urban violence – Harvard Gazette (


teny gross and gary slutkin in acknowledgments


1 – bleeding out


imagine trauma center.. w/o assistance young man will die w/in minutes.. he may be job/home/ed less..  do you start treatment by finding him a job/apt/ged.. first you stop the bleeding.. because unless you stop the bleeding.. nothing else matters

not only that.. but ie: supposed to’s.. of school/work are cancerous in themselves.. so actually perpetuating the disease/broken-feedback-loop


every murder causes immeasurable suffering. no stat can capture a child’s lost potential or a mother’s grief, but when the collective costs of murder are estimated, they are staggering: anywhere from 173-332 b in criminal justice and med costs, lost wages and earnings, damaged and devalued property and diminished quality of life.. that’s between $531-1020 per american, paid out in higher taxed, higher ins premiums, and lower property values.. and that is just the price of homicide, the human and economic costs of all violent crime run even higher

not to mention the death of all of us that has already occurred and is ongoingly occurring

i know people need to hear (maybe you included) that money (any form of measuring/accounting) is being lost in order to motivate..  but .. thinking we need an incentive is a red flag we’re doing it wrong

we have the means to offer a nother way.. that deals with the urgent and the long term.. because it listens to and speaks to each soul.. let’s go that deep

 it has become fashionable in some circles to describe urban violence as an infectious disease, spreading form person to person like the flu. this comparison has been helpful in reframing urban violence as a matter of public health, but it lacks one thing: urgency. some diseases require immediate action, but many do not. urban violence is better understood ads a grievous injury, a gushing wound that demands immediate attention in order to preserve life and limb

aka: not part\ial.. for (blank)’s sake

cure violence et al

today we have the means to do both.. stop the bleeding and and see it as a matter of public health (as long as we look at health deep enough.. at the root)

ie:  a nother way

we have a means for 7b to leap.. w a detox (stop the bleeding) imbed


in short, this is a book about how to stop the bleeding. it offers a new paradigm for addressing urban violence in america, examining it as if it were a young man hemorrhaging ion a hospital gurney..

what i mean by urban violence – violence here means physical force that results or could result in serous injury/death..  urban means literally something relating to cities/towns.. violence can happen anywhere .. but in 2017.. 70%of all homicides in the us happened in cities w populations of 25 000 or more.. also.. book refers to violence that generally occurs outside the home


urban violence, as i use the term, does not include sexual violence or violence between intimate partners and family members.. it also excludes violence perpetrated by the state or by highly org’d criminal groups. important.. but not the focus here..

we all need food, water, and air to survive, but we can live for roughly 3 wks w/o food, 3 days w/o water, and 3 min w/o air, whereas violence can kill in a second


gary haugen (human rights layer) ‘if you are not safe nothing else matters’

gershenfeld something else law


looking back, one might observe that the us experienced a remarkable decline in violence and crime over the past 25 yrs

? (pinker references)


in this book i ask a simple but powerful question: ‘when trying to reduce urban violence, what works?’

gershenfeld something else law


one of the goals of this book is to help those of us who are safe to realize that we are not so different from those who live their lives under the constant threat of danger..


triage ensure that we treat the most urgent injuries and illnesses first. a *diagnosis is necessary to determine the origin of the patients’ symptoms.. **treatment describes the care that must be provided, finally, a ***prognosis forecasts the patient’s future progress

*almaas holes law

**maté basic needs.. via 2 convers as infra

***rather.. tech as it could be (augmenting interconnectedness.. by listening to every voice everyday) would/could facil future progress


violence is not simply a manifestation of poverty; it is a force that perpetuates poverty as well

by beginning w the guns in the hands of the most dangerous people, in the most dangerous places, we can make an immediate diff

let’s not wait


w violence under control, we could unleash the potential of millions of people while saving billions of dollars..

this is fractal to structural violence et al

and great.. if we weren’t capable of doing more.. going much deeper.. ie: we have the means to unleash the potential of billions (everyone).. while rendering money (any form of measuring/accounting) irrelevant

this book is, in essence, an effort to cut out the middleman – if i can convince you that there are are solutions available to radically reduce the problem o f urban violence, my hope is that policy makers and politicians will fall in line when you demand action

2 – triage


hemorrhage, or bleeding out, is the most frequent cause of preventable postinjury death in the us

the underlying logic is based on a simple but powerful rule: one cannot help everyone w everything, so first do the most important things for those most in need

well.. today we can.. we can at least do the most important things for everyone (which i’d say.. because of our interconnectedness.. everyone is most in need – dance won’t dance unless it’s all of us in sync)


outside the er, the urgency of these injuries evaporates and accountability is lost. leave one young man to bleed out on a hospital gurney and heads will roll.. neglect thousands of young men as they die in their neighborhoods and you’re on course for reelections


violence is among the strongest social focus keeping poor people poor..  violence creates fear and this fear is stoic.. living in fear takes a terrible toll.. leads to risky behaviors..


since high rates of violence are caused by concentrated poverty, it is understandable that some – esp those on the political left- believe that the best way to curb such crime is by attending to ‘root causes’.. less poverty will lead to less violence, they quite reasonably believe (then goes on to say no real correlation).. last and perhaps most importantly, addressing root causes cannot and willing to stop the bleeding. ending poverty, ineq, and even racism are all important long term goals, but they are not concrete plans for anti violence action..  meaningful progress on fundamental socioeconomic conditions will take generation to achieve.. people living w the reality of urban violence need relief right now

not immediate.. because ie: poverty isn’t really root cause.. however.. if we do get to the root.. ie: roots of healing.. that will be the most expedient of solutions

if we go so root as to being something that everyone is feeling.. struggling with.. missing.. today.. an actual leap will be possible.. and leaping.. is the ultimate now.. for (blank)’s sake


urban violence acts as a linchpin for urban poverty, locking the conditions of concentrated poverty into place and undermining efforts to achieve broader social/econ progress. teacher s cannot teach and school s cannot ed when surrounded by violence

perhaps thinking we can teach/school others is the deeper violence.. the bloodier blood

ie: supposed to’s.. of school/work

some measure of security must be provided before the broader/deeper process of recovery can begin..

gershenfeld something else law

the surest path to prosperity begins w peace

no.. it heads there.. it begins with ie: cure ios city


i’m not suggesting that working to end violence is the only thing we should do in order to alleviate urban poverty. i am not even arguing that it is the most important thing.. what i am saying is that, in cities suffering form high rates of violence, efforts to address such poverty should begin with controlling violence … violence should be dealt w first, not last, simply as a matter of sequence

agreed.. in a sense.. the (structural) violence of supposed to’s and compliance.. control.. et

let’s do this firstfree art-ists.

for (blank)’s sake

ask any mayor and they will agree.. urban revival depends on a modicum of public security.. improvement in public safety can unlock the social/econ potential of millions of urban residents living in thousands of neighborhoods in hundreds of cities across the country


we can make it easier for the neediest among us to get a solid ed, hold a steady job

perhaps the ones thinking those () are the things to seek .. are the neediest..

ie: supposed to’s.. of school/work

p1 – diagnosis

3 – sticky situations


for those worried about stigmatizing or criminalizing youth based on bad data, keep this in mind: these tools are used only to decide who gets additional support.. being id’d as potentially violent in this context means more attention and more assistance not more punishment

4 – carrot and stick


in hot spots and for hot people, we need a range of incentives that promote positive associations and activities while deterring violence – there must be both carrot and stick

rather.. there must be neither.. thinking that we need incentives.. part of the problem/cancer

5 – no justice no peace


until recently, most of what we kew about legal cynicism was based on interviews and surveys, not actual behavior. studies measured how people answered questions, not what they didi in real life. in 2016, our understanding of this issue took a step forward when sociologists matthew desmond, andres papachristos, and david kirk analyzed how police violence in milwaukee impacted one of the most basic ways that communities engage w authority: by calling for help



jane jacobs describe informal social control in this way: ‘the first thing to understand is that the public peace – the sidewalk and street peace – of cities is not kept primarily by the police, necessary as the police are. it is kept primarily by and intricate, almost unconscious, network of voluntary controls and standards among the people themselves, and enforced by the people themselves’


social control

works best when citizens, not police, regulate conduct.. in a sense, if the law must be enforced, it has already lost

much like incentive ness.. but not just in a way.. in all the ways..

part 2 – treatment

6 – pacifying shooters


i have met plenty of shooters, even some killers. when i look carefully at what they have been thru, in many cases i must admit that i might not have done things much differently than they did

i know you ness


best known application of this strategy (street outreach) is cure violence

cure violence

7 – cooling hot spots

too much policing

8 – guns, gangs, and drugs

not guns.. gangs.. drugs..  just the most violent ones

part 3 – prognosis

9 – how talk informs action


when people don’t know what works they assume that nothing does, leading to pessimism, hopelessness, and cynicism


(on answer to ‘why aren’t we doing more about urban violence’ and recommendations): to summarize: change the narrative on violence, but don’t wait to take action. bring people from diverse backgrounds together and et down to business..

10 – redemption and recovery


while every person’s path to redemption and recovery was diff, there were strong similarities among them. these themes provide a road map for rehabilitation: reconnecting to family, finding faith and religion, making the most of prison, serving and helping others, and treating trauma

we can go way deeper today.. ie: listen to 7b curiosities.. everyday

11 – getting started

let’s go deeper guys.. otherwise.. just spinning our wheels/blood