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February 28, 2014

‘Death to Jews’ graffiti sprayed on Crimean synagogue

Unknown individuals painted swastikas and the phrase “Death to the Jews” on a synagogue in the Crimea region of southern Ukraine.

The graffiti was found Friday on the door and facade of the Reform Ner Tamid synagogue in Simferopol in the Crimean peninsula, the Russian-Israeli news site izrus.co.il reported.

Anatoly Gendin, head of the Association of Jewish Organizations and Communities of Crimea, told the news site that the perpetrators needed to climb a 2-meter wall to reach the building.

“Clearly, it was important for the anti-Semites to commit this crime. Since the crisis began prices went up by 30 percent, pensions aren’t being paid. As usual, Jews are blamed [for] these disasters and Jews are held responsible. I am afraid to think how this will progress,” he wrote in a statement sent to media by the World Union for Progressive Judaism.

[Related: Ukraine warns Russia after gunmen seize Crimea parliament]

The attack took place as Ukrainian troops reported takeovers of two airports in the Crimea region by forces they said were Russian. The Crimea region is heavily populated by ethnic Russians.

Protests against Ukraine’s elected president, Viktor Yanukovich, forced him to flee to the capital city of Kiev after scores died in bloody street clashes last week. The protest movement was spurred by his policy of privileging Ukraine’s ties to Russia integration with the European Union.

Earlier this week, firebombs hit the Chabad-run Orthodox Giymat Rosa Synagogue in Zaporizhia, located 250 miles southeast of Kiev. That attack caused only minor damage.

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Obama warns Russia against intervention in Ukraine

President Barack Obama warned Russia on Friday that any military intervention in Ukraine would lead to unspecified “costs,” and expressed deep concern about reports of Russian military movements inside Ukraine.

Obama made a hastily arranged appearance in the White House briefing room to try to head off Russia after reports that armed men had taken over two airports in the Crimea region of southern Ukraine.

“We are now deeply concerned by reports of military movements taken by the Russian Federation inside of Ukraine,” he told reporters.

Obama said any violation of Ukraine's sovereignty and territorial integrity would be “deeply destabilizing.”

“The United States will stand with the international community in affirming that there will be costs for any military intervention in Ukraine,” he said.

It was unclear how Washington might respond to rapidly changing events in Ukraine days after pro-Western protesters prompted pro-Moscow President Viktor Yanukovic to flee to Russia.

Armed men took control of two airports in the Crimea region in what the new Ukrainian leadership described as an invasion by Moscow's forces, and Yanukovich surfaced in Russia a week after he fled Kiev.

Ukraine fell into political crisis last year when Yanukovich spurned a broad trade deal with the European Union and accepted a $15 billion Russian bailout that is now in question.

The crisis has presented Obama with a difficult challenge.

Obama supports the pro-Western demonstrators who forced Yanukovich out of power, and his administration is working on an urgently needed aid package for Ukraine.

He is also engaged in a veiled struggle for influence in Ukraine with Russian President Vladimir Putin, who has wanted to keep Kiev in Moscow's orbit and for whom the Russian naval base at Ukraine's Black Sea port of Sevastopol is a vital asset.

Additional reporting By Arshad Mohammed, Lesley Wroughton, Patricia Zengerle, Mark Felsenthal and Jeff Mason; Editing by Alistair Bell and Mohammad Zargham

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The Scourge of Prescription Pain Medicine Abuse

Opioids are a family of pain medications chemically related to opium and heroin. They include morphine, fentanyl, codeine, hydromorphone and others. Opioids have unique properties that make them both indispensable for pain management and extremely dangerous.

Unlike virtually any other family of medications, opioids have no maximum effective dose. If any dose, no matter how high, is ineffective at controlling pain, a higher dose can give more pain relief. Most other medications don’t work this way. For example, if 800 mg of ibuprofen doesn’t bring relief, it’s very unlikely that any higher dose will. This property makes opioids a mainstay for treating severe acute pain, such as from fractures or after surgery.

But the risks and side-effects are substantial. Tolerance (diminished effectiveness with repeated use) is a common problem requiring dose escalation to maintain the same pain relief. Withdrawal symptoms are miserable (but not dangerous) and addiction is very common. The most serious risk is that opioids decrease the drive to breathe. In patients who are dying and short of breath, this is a welcome benefit, not a side-effect. Opioids are essential in hospice care because of their ability to eliminate the sense of shortness of breath. But that same effect in an overdose can stop breathing entirely. Philip Seymour Hoffman is only the most recent well-known victim of this property of opioids.

When I did my residency in the mid-90s the philosophy I was taught about opioids was simple. Opioids were for acute pain. If you broke a bone or had a documented kidney stone you could have a prescription that would last a week or so. Patient requests for more prolonged treatment were met with suspicion. The exception was for dying patients. If you had chronic pain form a disease that was going to kill you, you could have all the opioids you wanted. But if you had chronic pain from arthritis, or chronic back pain, or anything else non-fatal, then opioids were simply off the table. You had to make due with other medicines.

Sometime thereafter, we went through a revolution in our attitude. I’m not a pain specialist, so I don’t know if the revolution was supported by any scientific evidence or was simply a change in philosophy. The new teaching was that pain should be treated seriously, and that doctors had been negligent in providing their patients adequate pain relief. Since pain is an entirely subjective experience, there is no test or objective measurement for pain, and the patient’s report of pain should be accepted at face value. The use of opioid analgesics for chronic conditions became acceptable when other options failed.

What followed was an explosion of opioid prescriptions, opioid addiction, and overdose deaths. In 1999 in the U.S. 4,030 people died from overdoses of opioid prescription medications. ” target=”_blank”>more people have died from overdoses due to prescription opioids than due to heroin and cocaine combined.

This month the American College of Physicians issued a ” target=”_blank”>CDC Grand Rounds: Prescription Drug Overdoses — a U.S. Epidemic (Morbidity and Mortality Weekly Report)
” target=”_blank”>|Is Zohydro, The Super Potent New Opiate Painkiller, Just Too Dangerous? (Forbes)
” target=”_blank”>Potent New Painkiller May Prove Lethal for Addicts, Critics Warn (NBC News)
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Maryland school bus strikes, kills Holocaust survivor

A school bus killed a 91-year-old Holocaust survivor as he was crossing a street in a Maryland suburb of Washington.

Elia Miranski was using a walker when the bus hit him in Silver Spring near Washington D.C., on Wednesday, the Silver Spring Patch news site reported. He died later that day in a hospital.

The bus was returning students to Hammond Middle School in Howard County  after a field trip to the White House, according to police. None of the 14 students or two chaperones on board were hurt, nor was the driver.

The school brought in crisis counselors for students and parents, the WBALTV television channel reported.

Authorities said Miranski had safely crossed the southbound lanes of Columbia Pike and was attempting to cross the northbound lanes when he was struck, CBS reported.

Montgomery County police believe the first two lanes of northbound traffic crossed by Miranski were stopped on a red, left-turn arrow. The bus was traveling on a green signal when it struck the man. The driver was identified by CBS as 52-year-old Lori Jean Latimer of Elkridge and the incident is under investigation.

Miranski, who was born in Poland, had escaped from German soldiers during the Holocaust, the Washington Post reported. He later fought in World War II in the Soviet military.

Last May, Miranski gave the U.S. Holocaust Memorial Museum an oral account of his escape. The recording is available on the museum’s website.

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Top 50 (okay, 10) ideas for filling the Newsweek rabbis list void

As every rabbi in America no doubt knows by now, the Newsweek/Daily Beast Top 50 Rabbis list is no more.

The list’s founders/authors wrote earlier this week that they had decided to discontinue the annual ranking because it “got out of control.” Not only did the list, launched in 2007 and released each year shortly before Passover, start “to carry too much weight for too many people,” they wrote, but it fueled insistent nudging, with some rabbis enlisting friends and colleagues to lobby on their behalf: “Some even came into our offices with personal pleas to be included, others to pray for our souls.”

Now that the Top 50 Rabbis list is gone, how will rabbis, and those of us who like to gossip about them — not to mention those of us who like to kvetch about the list’s very existence — fill the collective void in our lives? Especially in the weeks leading up to Passover, a time when, as everyone knows, Jews have very little to keep them busy.

In the spirit of the list, here are 10 ideas (sorry we couldn’t give you 50, but hey, we had to leave some time for useful activities today):

1) Compile and publish a list of best guesses as to which rabbis (and/or their mothers) actively lobbied Newsweek/The Daily Beast in order to be included. Make sure to rank the rabbis who made in-person pleas higher than the ones who did it by email.

2) Lobby for something useful, like to get your child into a prestigious nursery school.

3) Aspire to be included on one of the many rabbi lists that the Newsweek/Daily Beast one inspired: Jewrotica’s “Sexiest Rabbis,” the Forward’s “Most Inspiring Rabbis,” Channel 13’s “Hippest Rabbis.”

4) Start your own “Top 50” rabbis/Jewish professionals list. Here are some ideas to get you started: Best-Paid Rabbis, Most Boring Rabbis, Most Beloved Shul Custodians.

5) Review previous Newsweek/Daily Beast Top Rabbis lists, and create detailed data visualizations, highlighting which rabbis appeared the most frequently, which rose and fell the most in their rankings and just how disproportionately male the list was.

6) Make a list of rabbis who “officially piss off” New Jersey Gov. Chris Christie’s allies, who will perhaps be inspired to block access to their synagogue parking lots.

7) Complain about how terribly destructive and inappropriate the Newsweek/Daily Beast list was, even though you appeared on it multiple times.

8) Review previous Top Rabbis lists, and create a detailed Gematria-based analysis of them. Pay special attention to the rabbis ranked with Jewishly significant numbers, like 18 and 36 (chai), 12 (tribes), 10 (commandments/minyan), 7 (Shabbat), 6 (days of creation), 40 (years in the desert), 1 (God), 4 (patriarchs), 5 (books of Moses), 48 (year of State of Israel’s founding), 29 (number of books Philip Roth has published). Try to determine if there is any number under 51 that DOESN’T have some Jewish significance.

9) Plead emphatically to have Newsweek/Daily Beast Top Rabbis list reinstated. Enlist friends or colleagues to lobby insistently. Go to the offices of the list’s authors with personal pleas to reinstate the list and prayers for their souls.

10) Study Jewish texts. Write sermons. Lead worship. Visit the sick and tend to the bereaved. Raise money for a capital campaign. Lament the findings of the Pew report. You know, the stuff rabbis are supposed to spend their time doing.

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A Fundamental Change: The Clash of New Ideas and Fundamentalism

By Rabbi Mark Borovitz

What a week! Last Shabbat was the first one in our new space. This week we began to remodel our old space. Many changes! Yet, there are only two constants in my belief, God and change. For many people, this is problematic. Since none of us can fully know God and many have a definition of God as a reward/punishment entity, there seems to be nothing we can “count” on. This is why fundamentalism is so alluring. It is why people get caught up in needing to be sure and needing to blame, I think.

Each day, I rail against this attitude. I understand Judaism as a way of living that embraces change and embraces God as the source of life and living well. I am not labeling any one sect in its entirety as fundamentalist, it is only people who are. These are not bad people; they are, in my opinion, afraid of the unknown. I see this most often when talking about death with people. “Will I see my loved one when I die?” “Will I be reunited with them?” These are normal questions and, to me, point out our need to deal with the unknown. I don't have any good answers for these questions as I don't know. Saying “I don't know” to people causes problems for me and them. The problem for me is that I know I am not giving someone the comfort that they are seeking from me. The problem for others is, at times of great distress and anxiety, they don't get the surety they are seeking. This is true in questions of life and death as well as any other questions about living.

I am writing about this today because I am bewildered by the events in Arizona and other States. Religious Freedom cannot deny rights, courtesies and recognition of others who are different from us! I don't read Scriptures the same as others. I don't believe that Torah and Bible are excluding any one person or group of people. Torah and Judaism welcomes the stranger, rails against prejudices, gives paths to redemption when errors are made and is interpreted 70 different ways! Living a Jewish life means catering to the widow, poor, stranger, etc. It means that every one of us are created in the Image of God and have Holy Souls. Living a Jewish life entails doing T’Shuvah each day, it causes us to face our own imperfections, fears and to constantly change. Living a Jewish life gives us the opportunity to grow in relationship to/with others, ourselves and God. Living a Jewish life forces us to embrace learning new and relearning old ideas, thoughts and ways.

Fundamental thinking and acting denies the cornerstone of my faith: Redemption. None of us know everything. What we all need to engage in, in my opinion, is being Addicted to Redeeming Love, Truth, Kindness, Justice and Compassion.

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State Dept. Israel report focuses on Bedouin

A focus of this year’s U.S. State Department human rights report on Israel was Bedouin rights.

The report issued Thursday noted the Bedouin in its introduction, which it did not previously, and examined at length the demolition of Bedouin dwellings in 2013, a result of Israel’s relocation policies.

“While Arab communities in the country generally faced economic difficulties, the Bedouin segment of the Arab population continued to be the most disadvantaged,” the report said.

The report noted that the government demolished 413 buildings in Bedouin villages in the Negev and that another 449 homes were demolished by Bedouin seeking to avoid demolition costs levied by the government.

“Many Bedouins complained that moving to government-planned towns would require them to give up claims to land they had occupied for several generations and would separate them from their livelihood, while the government claimed it was difficult and inefficient to provide services to clusters of buildings throughout the Negev that ignored planning procedures,” the report said.

The report, as in previous years, ranked the “most significant” human rights issues facing Israel as: terrorist attacks against civilians; institutional and societal discrimination against Arabs; discrimination against women; and the treatment of asylum seekers.

The report noted an overall decline in terrorist attacks against Israelis said that Israel met international standards in areas such as prisons, arrest and detention and also that it maintained an independent judiciary and a free press.

It noted that “price tag” attacks by Jewish extremists against Arabs expanded beyond the West Bank into within Israel proper.

In its report on Palestinian-controlled areas, the State Department included reports of unlawful security service killings and torture and said detention conditions were “extremely bad.”

It also noted the discrepancy within Israel between prisons for Israelis and for West Bank Palestinians.

“IDF detention centers for security detainees were less likely than Israeli civilian prisons to meet international standards,” it said, and included reports of crowding and in some cases “extreme violence” against detainees.

The report included a section on anti-Semitism in Palestinian-controlled areas, citing expressions of anti-Semitism and Holocaust denial by officials and outlets of both the West Bank-based Palestinian Authority and Hamas authorities in the Gaza Strip.

Elsewhere in the annual human rights report, the State Department reported a decline in anti-Semitism in Ukraine in 2013, a period before the eruption of unrest in recent weeks.

In the introduction to its report on France, the State Department said, “The most significant human rights problems during the year included an increasing number of anti-Semitic and anti-Muslim incidents.”

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In Kiev, an Israeli militia commander fights in the streets and saves lives

He calls his troops “the Blue Helmets of Maidan,” but brown is the color of the headgear worn by Delta — the nom de guerre of the commander of a Jewish-led militia force that participated in the Ukrainian revolution. Under his helmet, he also wears a kippah.

Delta, a Ukraine-born former soldier in the Israel Defense Forces, spoke to JTA Thursday on condition of anonymity. He explained how he came to use combat skills he acquired in the Shu’alei Shimshon reconnaissance battalion of the Givati infantry brigade to rise through the ranks of Kiev’s street fighters. He has headed a force of 40 men and women — including several fellow IDF veterans — in violent clashes with government forces.

Several Ukrainian Jews, including Rabbi Moshe Azman, one of the country’s claimants to the title of chief rabbi, confirmed Delta’s identity and role in the still-unfinished revolution.

The “Blue Helmets” nickname, a reference to the U.N. peacekeeping force, stuck after Delta’s unit last month prevented a mob from torching a building occupied by Ukrainian police, he said. “There were dozens of officers inside, surrounded by 1,200 demonstrators who wanted to burn them alive,” he recalled. “We intervened and negotiated their safe passage.”

The problem, he said, was that the officers would not leave without their guns, citing orders. Delta told JTA his unit reasoned with the mob to allow the officers to leave with their guns. “It would have been a massacre, and that was not an option,” he said.

The Blue Helmets comprise 35 men and women who are not Jewish, and who are led by five ex-IDF soldiers, says Delta, an Orthodox Jew in his late 30s who regularly prays at Azman’s Brodsky Synagogue. He declined to speak about his private life.

Delta, who immigrated to Israel in the 1990s, moved back to Ukraine several years ago and has worked as a businessman. He says he joined the protest movement as a volunteer on Nov. 30, after witnessing violence by government forces against student protesters.

“I saw unarmed civilians with no military background being ground by a well-oiled military machine, and it made my blood boil,” Delta told JTA in Hebrew laced with military jargon. “I joined them then and there, and I started fighting back the way I learned how, through urban warfare maneuvers. People followed, and I found myself heading a platoon of young men. Kids, really.”

The other ex-IDF infantrymen joined the Blue Helmets later after hearing it was led by a fellow vet, Delta said.

As platoon leader, Delta says he takes orders from activists connected to Svoboda, an ultra-nationalist party that has been frequently accused of anti-Semitism and whose members have been said to have had key positions in organizing the opposition protests.

“I don’t belong [to Svoboda], but I take orders from their team. They know I’m Israeli, Jewish and an ex-IDF soldier. They call me ‘brother,’” he said. “What they’re saying about Svoboda is exaggerated, I know this for a fact. I don’t like them because they’re inconsistent, not because of [any] anti-Semitism issue.”

The commanding position of Svoboda in the revolution is no secret, according to Ariel Cohen, a senior research fellow at the Washington D.C.-based Heritage Foundation think tank.

“The driving force among the so-called white sector in the Maidan are the nationalists, who went against the SWAT teams and snipers who were shooting at them,” Cohen told JTA.

Still, many Jews supported the revolution and actively participated in it.

Earlier this week, an interim government was announced ahead of election scheduled for May, including ministers from several minority groups.

Volodymyr Groysman, a former mayor of the city of Vinnytsia and the newly appointed deputy prime minister for regional policy, is a Jew, Rabbi Azman said.

“There are no signs for concern yet,” said Cohen, “but the West needs to make it clear to Ukraine that how it is seen depends on how minorities are treated.”

On Wednesday, Russian State Duma Chairman Sergey Naryshkin said Moscow was concerned about anti-Semitic declarations by radical groups in Ukraine.

But Delta says the Kremlin is using the anti-Semitism card falsely to delegitimize the Ukrainian revolution, which is distancing Ukraine from Russia’s sphere of influence.

“It’s bullshit. I never saw any expression of anti-Semitism during the protests, and the claims to the contrary were part of the reason I joined the movement. We’re trying to show that Jews care,” he said.

Still, Delta’s reasons for not revealing his name betray his sense of feeling like an outsider. “If I were Ukrainian, I would have been a hero. But for me it’s better to not reveal my name if I want to keep living here in peace and quiet,” he said.

Fellow Jews have criticized him for working with Svoboda. “Some asked me if instead of ‘Shalom’ they should now greet me with a ‘Sieg heil.’ I simply find it laughable,” he said. But he does have frustrations related to being an outsider. “Sometimes I tell myself, ‘What are you doing? This is not your army. This isn’t even your country.’”

He recalls feeling this way during one of the fiercest battles he experienced, which took place last week at Institutskaya Street and left 12 protesters dead. “The snipers began firing rubber bullets at us. I fired back from my rubber-bullet rifle,” Delta said.

“Then they opened live rounds, and my friend caught a bullet in his leg. They shot at us like at a firing range. I wasn’t ready for a last stand. I carried my friend and ordered my troops to fall back. They’re scared kids. I gave them some cash for phone calls and told them to take off their uniform and run away until further instructions. I didn’t want to see anyone else die that day.”

Currently, the Blue Helmets are carrying out police work that include patrols and preventing looting and vandalism in a city of 3 million struggling to climb out of the chaos that engulfed it for the past three months.

But Delta has another, more ambitious, project: He and Azman are organizing the airborne evacuation of seriously wounded protesters — none of them Jewish — for critical operations in Israel. One of the patients, a 19-year-old woman, was wounded at Institutskaya by a bullet that penetrated her eye and is lodged inside her brain, according to Delta. Azman says he hopes the plane of 17 patients will take off next week, with funding from private donors and with help from Ukraine’s ambassador to Israel.

“The doctor told me that another millimeter to either direction and she would be dead,” Delta said. “And I told him it was the work of Hakadosh Baruch Hu.”

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