Health Care Foibles – A Personal Tale

An example of the stupid things even doctors do when it comes to health care. 

In March of 2013 I wrote Healing the Health Care Cost Conundrum. Four years later, in March of 2017, I have retired from the US Army and am practicing medicine in Memphis, TN. My practice is in the inner city, and our focus is serving the Medicaid population. Our patients are impoverished and often very sick, with chronic diseases frequently showing up 20 years earlier than in their more affluent counterparts. Many live in dangerous communities, have no reliable transportation, and have unhealthy food. Obesity is the norm, violence is taken for granted, and serious mental illness is widespread. It comes as no surprise that many patients abuse drugs, citing chronic pain that may or may not be real. Some come to the clinic for no other reason than to feed their drug habit, and try to get narcotics to generate a little extra income. It is the toughest medical environment I have encountered since my combat tour in Iraq.

Continue reading “Health Care Foibles – A Personal Tale”

Advertisements

The Next Surgeon General

What should  the US Surgeon General be like?

As Donald Trump prepares to assume the presidency, media outlets are aflutter with his nominees for Cabinet positions, and office seekers are glued to telephones calling for Executive Branch jobs. Amidst the tumult, President-elect Trump should soon consider another job that must be filled. It is less powerful than many cabinet positions, but often high profile. It deals not with bombs or buildings but with health and humanity. With Ebola just behind us, and who-knows-what disease disaster just ahead of us, this job is crucial. Donald Trump must select the next Surgeon General (SG) of the United States.

C. Everett Koop (1916-2013, SG 1982-1989) had recently retired as the Surgeon General when I graduated from the Loma Linda University School of Medicine in 1991. He was our commencement speaker, and his words shaped my thoughts as a young doctor. This article will review the job of Surgeon General, and consider some attributes that have made recent Surgeons General successful. Many have served as acting Surgeon General since the post tends to be low on Presidential appointment priority lists, but we will only consider the appointed office holders here.

Continue reading “The Next Surgeon General”

Health and the 2016 US Presidential Candidates

How important is each candidate’s health in presidential elections? How do the candidates stack up?

The 2016 Presidential Campaign is nearing its end; in only two weeks American voters will decide who, most likely Hillary Clinton or Donald Trump, will sit in the Oval Office. The US presidency is a hard job, with grueling hours and the need to make critical decisions at any time, day or night. Campaigning for president is itself a tough physical endeavor, one that speaks loudly of the health of the candidates. This year has been especially bitter, with accusations and recriminations more appropriate to a college dorm than to the highest office in the land.

Continue reading “Health and the 2016 US Presidential Candidates”