Generic Truvada; why it is still not available on the US market?

In the US most patients who require PrEP (HIV Pre-Exposure Prophylaxis) get coverage for Truvada by their insurance companies. Patients with medicaid coverage have copays ranging from $3 - 25, however individuals with commercial insurance may have to pay up to $800 a month towards medication cost. This has proven to be a barrier for … Continue reading Generic Truvada; why it is still not available on the US market?

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Thinking Outside The Box When There is No Box

I have been very lucky when it come to religious education. I grew up in the Anglican Church; actually my elementary education was in a school affiliated with the Church. In those days we would all march to the church on Ash Wednesday to get the grey black crosses on our foreheads after school assembly. … Continue reading Thinking Outside The Box When There is No Box

The Holy Trinity, American Democracy, Zero Tolerance Nonsense and Hell goers!!

I lived with my single mother for the first 10 years of my life. At age ten I was distraught when my mother suggested I had to go live with my father because I needed a father figure to look up to! To ease my stay with my dad I had to spend some vacation … Continue reading The Holy Trinity, American Democracy, Zero Tolerance Nonsense and Hell goers!!

General Robert E Lee, did he shape American history or has this country shaped his legacy?

In the past few years there have been many protests and struggles across this country surrounding the fate of several monuments depicting confederate leaders.  One such protest which occurred in the Summer of 2017 was the Unite the Right Protest in Charlottesville, VA. Unfortunately this protest cost 3 lives including that of 32 year old … Continue reading General Robert E Lee, did he shape American history or has this country shaped his legacy?

Why the oppressed need to keep silent so passive supporters of oppression do not feel uncomfortable.

Whilst boarding school in Ghana for me was mostly fun that was not all that I experienced in Mfantsipim School, one of the oldest schools in Ghana. My first 3 years in boarding school as a junior boy was fraught with many experiences that could well give Tom Brown's School Days a run for its … Continue reading Why the oppressed need to keep silent so passive supporters of oppression do not feel uncomfortable.

Why I now use sign language in public !!

Before I came to America I was made to believe that America was this “melting pot” of people from all over the world. A huge successful experiment where people from all walks of life and continents who value American culture and ethos emigrate to  and become American, whilst at the same time maintaining their unique … Continue reading Why I now use sign language in public !!

The war on drugs; who won that war?

I first saw her in my clinic seeking care for HIV but when we first met like most patients with her medical condition she was not an ideal patient. The decision to start her on ART Antiretroviral therapy in those days when the only single tablet regimen was Atripla (Tenofovir/Emtrictabine/Efavirenz) was not an easy one … Continue reading The war on drugs; who won that war?

Why STARBUCKS does not need to apologize to African Americans

After more than 2 centuries of slavery progress towards equity and equality has always been challenging for African Americans, progress always seems to be followed by significant periods or retrogression.  This situation can sometimes leave most black people wondering if progress towards racial equality was really worth the effort. The election of President Trump in-spite … Continue reading Why STARBUCKS does not need to apologize to African Americans

Where is my gun ? American democracy and the 2nd Amendment

I recently read that America has about 270 - 310 million guns, and with a population estimate of 310 million, that is almost as many guns as for every man, woman and child in this country. That got me thinking and I eventually came to the conclusion that as an adult male who officially became a … Continue reading Where is my gun ? American democracy and the 2nd Amendment

UNSAFE ROADS IN GHANA AND GUNS IN USA, LET’S LEAVE THE SOLUTION IN GOD’S HANDS!!

Gun violence in the USA and road traffic accidents in Ghana share one thing in common both countries have decided to leave their respective problems in the hand of God.  In the past 2 weeks I have been reminded of these two problems by events that brought these age-old problems into the public view.  On … Continue reading UNSAFE ROADS IN GHANA AND GUNS IN USA, LET’S LEAVE THE SOLUTION IN GOD’S HANDS!!

HEALTH EQUITY, IS IT REALLY ACHIEVABLE?

As a student in medical school I have a host of memories that I believe would still remain vivid in my mind for ages. One such image is my experience as a 4th year medical student observing an amputation. The consultant orthopedic surgeon gave us a brief history of the patient. The patient was a … Continue reading HEALTH EQUITY, IS IT REALLY ACHIEVABLE?

MARTIN LUTHER KING Jr. after 50 years his Dream still lives on

Race has been a defining characteristic in America over the years due to historical elements of American society. In the 1600s European settlers in the New World transitioned a system of slavery and indentured servitude into an economic system that enabled them to provide resources such as sugar and cotton to the Old world. This … Continue reading MARTIN LUTHER KING Jr. after 50 years his Dream still lives on

HIV IN GHANA: PROGRESS AND STAGNATION

My first HIV patient that I cared for was in Korle-bu Teaching Hospital, Accra, Ghana in the late 1990s. I can still remember the woman in her mid-thirties who we had admitted with symptoms suggestive of meningo-encephalitis; I do not really remember whether I was a house-officer or a final year medical student. I had … Continue reading HIV IN GHANA: PROGRESS AND STAGNATION

THE OPIOID CRISIS IN AMERICA TODAY – WHAT MUST WE DO AS A NATION ?

President Trump declared a National Public Health Emergency this week; in his statement from the Whitehouse he was not talking about HIV or Hepatitis C nor was he referring to the increased incidence of gun violence in the country. The President’s statements focused on a very different Public Health problem, he was talking about America’s high incidence … Continue reading THE OPIOID CRISIS IN AMERICA TODAY – WHAT MUST WE DO AS A NATION ?

WORDS CAN KILL, AND DO KILL – THE TRIALS AND TRIBULATIONS OF THE DREAM ACT (DEFERRED ACTION FOR CHILDHOOD ARRIVALS)

Illinois Senator Dick Durbin introduced the Dream Act in Congress in 2001 due to a story told him by a music teacher about the life of Tereza Lee a Korean girl whose parents had come to the US from Korea through Brazil. This bill unfortunately fell victim to what happens to all of us; life. … Continue reading WORDS CAN KILL, AND DO KILL – THE TRIALS AND TRIBULATIONS OF THE DREAM ACT (DEFERRED ACTION FOR CHILDHOOD ARRIVALS)

DRIVING WHILE BLACK – IMPLICIT RACIAL BIAS AND THE SAFETY OF BLACK MOTORISTS

After watching the dash-cam video of the shooting of Philando Castile by police officer Geronimo Yanez, I was extremely shocked at the composure and calmness of the late Castile and his girlfriend Diamond Reynolds whilst the trained police officer sounded and acted very much uncontrolled and panicked. This one incident, which has been watched many … Continue reading DRIVING WHILE BLACK – IMPLICIT RACIAL BIAS AND THE SAFETY OF BLACK MOTORISTS