April 29th, 2017
The Republicans have failed to “repeal and replace” the Affordable Care Act (ACA). They stated this would be their first order of business upon coming into power. Although they will surely continue their efforts, it is unlikely that they will succeed.
It is now time to move forward with real health care reform.Read the rest of this entry »
April 4th, 2017
The American Health Care Act (AHCA) was written, presented, lobbied for and rejected within the first 60 days of Donald Trump’s presidency. For eight years, the Republicans had made “repeal and replace Obamacare” their rallying cry. Yet even with control of both the executive and legislative branches of the Congress, Republicans were unable to pass what was to be their “signature” piece of legislation. It died a messy death in the House of Representatives.
The rushed and poorly thought out bill was defeated by the Democrats as well as by the Freedom Caucus, the ultra-conservative wing of the Republican Party.
The bill’s defeat was a victory for the Democratic party, but also for America. The Affordable Care Act (ACA)—an important step on the path towards universal health care coverage for all Americans—was, for the time being, preserved.Read the rest of this entry »
March 20th, 2017
The first order of business for Donald Trump and the Republican party was to “repeal and replace” the Affordable Care Act (ACA), commonly known as Obamacare.
Obamacare was the signature piece of legislation of President Obama’s eight years in office. In terms of historical significance, it has been compared to Social Security and Medicare. It was a big leap–and a messy one.Read the rest of this entry »
March 7th, 2017
The shock of Donald Trump’s election has left many people disoriented. Assumptions about the nature and order of the world have been upended.
Few, but not all, on the left side of the political spectrum believed Trump could be elected. Yet here we are, six weeks into a Trump presidency. He has moved with lightning speed, issuing executive orders at a dizzying pace, working diligently to undo the work of President Obama.
I described some of the effects of Trump’s election in my last piece “Trump Induced Stress Disorder: A New Diagnosis for a New Era”. In that article, I described the physical and emotional effects on the millions of people who were aghast at his electoral victory.
But the Trump supporters are now displaying their own spectrum of signs and symptoms. I label their syndrome “Trump Excitement Disorder,” or TED.Read the rest of this entry »
January 3rd, 2017
On November 9, 2016 I was in my office, getting ready to see patients. It was the morning after Donald Trump had been elected President of the United States of America.
His election sent shock waves through the country and the world.
A dark cloud seemed to hang over my patients. Most expressed disbelief that this person—one who ran a campaign of misogyny, racism and Islamophobia, who lied with impunity and who picked as his vice presidential running mate a hard core homophobe and creationist—could possibly win. Yet he had.
The election of Donald Trump has no parallel in modern (or perhaps in all of) United States history. I have been trying to understand it. One way I have found is to think of Trump’s ascendance as an exotic virus that has entered our national bloodstream, infecting the body politic. I call it “Trump Induced Stress Disorder,” or TISD.Read the rest of this entry »
October 25th, 2016
“Digital natives” are those young women and men who have been raised from childhood on computers. We see them everywhere: Toddlers in strollers playing with iPhones, pre-teens on iPads in restaurants, strategically distracted to allow their parents to eat in peace; Junior High and High School kids doing schoolwork on laptops in the classroom or at home, sitting or lying in bed.
For the digital native, the computer is an extension of his or her body. By the time they enter pre-school, many can navigate apps. Ten-year olds can program software. Adolescents live their social lives on tiny screens. Most of the digital native’s life runs through this digital medium.
Read the rest of this entry »
August 26th, 2016
The recent announcement that Aetna would be pulling out of a large number of the Affordable Care Act (ACA or Obamacare) exchanges, affirms a fundamental truth about health care and insurance in our country. Business and health care do not mix.
The ultimate goal of health care is to heal patients. The goal of private industry, based upon shareholder mandate, is to generate profits.Read the rest of this entry »
June 30th, 2016
In our highly medicated society, Americans consume more mind and mood altering drugs—legal, illegal and prescribed–than any other people in the world. Cocaine, heroin, marijuana, Xanax, Ambien, Atavan, alcohol and many more: a full spectrum of pain, anti-anxiety, anti-depressant and stimulating medications.
We all know people affected by the overuse of these substances. Some of us know people who have died from them.
But why are we in so much pain? So depressed? Why can’t we sleep? Or focus?Read the rest of this entry »
May 14th, 2016
As a health care provider, I have followed his year’s democratic presidential race with great interest. One major policy difference between Bernie Sanders and Hillary Clinton is that Bernie is pushing for a single payer model and Hillary wants to “build” on the Affordable Care Act that was passed under President Obama.
Here are a few of my thoughts on the subject.Read the rest of this entry »
March 22nd, 2016
Havana’s Jose Marti International Airport is typical of many airports in the “developing” world—one terminal and one carousel for our bags (AND the bags of another two flights coming in right after us). After an hour of chaos, we found our last piece of luggage and boarded our bus into Havana.
The first thing I noticed were the old American cars. I recalled these from my previous trip to Cuba, in 1989. Surely, I thought, they could not still be on the road–at least not in the same numbers.
Photo by Cheryl Lucanegro
But there they were, by the dozens, clogging the traffic flow, held together with spare parts and Cuban ingenuity: Chevys, Cadillacs and Buicks, spewing diesel smoke in all of their boxy, 1950’s glory.
And there was something else striking about the cityscape: it was completely devoid of billboards. No public promotion of soft drinks, beauty products and/or the services of personal injury lawyers.
Instead, I saw large political signs proclaiming “Socialism O Muerte” (Socialism or Death) or “Con Cuba Siempre” (With Cuba Always); most with images of Fidel Castro and/or Che Guevara, along with an assortment of other revolutionary “heroes.”Read the rest of this entry »