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Random Thoughts on Travel, Education, Health, and the World in General
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 »
Carlos presented in the clinic, walking stiffly. He wore a green asbestos suit and steel toed boots. The distinctive chemical smell of the steel mill where he worked clung to him like a second skin. Carlos is a welder. He wields a blow torch for most of his day. Large pieces of steel hanging from gigantic chains and pulleys circle above and around him. One by one, he maneuvers them into a position where he can begin the fiery work of melting them down and reshaping them.
There are open fires in the big, hangar-like space where Carlos works. A toxic cloud hangs over the building, penetrating the clothing and skin of all who are exposed. The ground shakes every 15 minutes or so from a machine in the next building as it pounds tons of molten steel into new forms. After awhile, one doesn’t notice these little earthquakes. They just blend in with the sounds of saws, trucks and the loud whistles that signal break time.
The work is tough but lucrative, especially for a recent arrival from Mexico. A union job. Seventeen dollars per hour, English not required. But it takes a toll on the body. One day, after three years on the job, Carlos bent over to pick up his blow torch and felt a sharp lower back pain that radiated into his right buttock. It was enough to stop him from going on. He reported the injury to his supervisor, who filled out a work injury report and sent Carlos to the clinic where I work to be examined and treated. While Carlos was glad to get the medical attention, he was also thinking about missed time from work, lost pay and his family. As there were rumors that another round of layoffs was coming, he was feeling very anxious.Read the rest of this entry »
Pregnancy can be one of a woman’s most beautiful life experiences; an event many have dreamed of since girlhood. Hormones surge, creating a sense of euphoria (as well as occasional nausea). The awareness slowly arises of a real human being, her child, growing inside of her.Read the rest of this entry »
The objects with which we surround ourselves serve multiple functions. On the one hand they may be utilitarian: dressers, chairs, and desks that support our home and work lives. At the same time, they tell us and others who we are. Does our home or office convey sophistication (elegant furniture), intelligence (books) or artiness (paintings and sculpture)? Are we practical (sparely furnished rooms) or frivolous (surrounded by knick-knacks)?
These objects can also convey status and authority. A king’s throne, for example, sits squarely in the middle of the reception hall. It is likely the most ornately carved piece of furniture in the room and is placed on a platform, denoting power and proximity to God. Or take in contrast the simple stool, without frills, designating its user as a worker focused on completing a singular task.
Both “chairs” serve a function and tell a story. Like that king and those workers, we create our worlds with purpose.Read the rest of this entry »
The Ebola epidemic is still raging through West Africa. Thousands are dead, including many health care workers who bravely fought the disease on the front lines.
There is an urgent demand to develop the medicines needed to defeat Ebola. Experimental drugs are being rushed to field hospitals. While it is projected that large batches of drugs should arrive by January, many thousands will by then be dead–and tens of thousands will likely be infected.
Much has already been written about why the world was caught “off guard” when the Ebola epidemic struck despite warnings by infectious disease experts. We have a highly sophisticated pharmaceutical industry (Big Pharma) that produces a steady stream of “miracle” drugs. But what drives the research and development of these ubiquitous medicines is singular: profit.Read the rest of this entry »
In a health care environment marked by raging turf battles that pit one profession against another, positive change will require—as a start–introspection and self-criticism by providers from different disciplines.
I am trained as a chiropractor, and have practiced my craft for almost 30 years. But the dominance of the allopathic medical profession has forced me to work in isolation. Chiropractors have been excluded from hospitals, marginalized by insurance companies, and subjected to ridicule by the American Medical Associations PR wing.(1)
To survive, we have upheld a holistic philosophy and championed effective treatment. As a result, chiropractic has become the most powerful and popular of the “alternative” modalities. At the same time, the pressure to work on our own in solo practices has tended to separate us from practitioners in the other healing arts. Read the rest of this entry »
Discussions about health care reform tend to focus on payment methods. Critics assert that insurance companies (in concert with pharmaceutical companies and hospitals) are the primary causes of runaway costs. While there is a relationship between payment methods and quality of care, too much time has been spent on the former part of the equation. To reform the American health care system we must begin our analysis by looking more deeply into how care is delivered. Read the rest of this entry »