government and politics Health Care Reform Health Economics Healthcare Equity immigration and government opioid crisis opioid epidemic opioid related deaths politics and health Public health Policy Rural Health societal change society and health Uncategorized War on drugs

A Nation in Pain

Over the past two decades the United States has experienced an uncontrollable epidemic of drug related deaths. In 2016 sixty-three thousand Americans died of drug overdoses, two out of three of these deaths were due to opioids. In times like this whilst law enforcement and public health services grapple for solutions most may ask the […]

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Why the US ranks so low in WHO (World Health Organization) Health System Rankings?

A recent World Health Organization ranking of the world’s health systems puts the United States at number 37 between Costa Rica at 36 and Slovenia, first lady Melania Trump’s birth country at number 38. This situation is all the more surprising since the United States spends more than twice as much per capita for health […]

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Generic Truvada; why is it 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 […]

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Musings of a Ghanaian doctor from the home of the Liberty Bell.

Broad street in Philadelphia is this wide swathe of black, running through the middle of the city. A black big motoring vein with asphalt tributaries emptying cars, and people, milling restlessly with a tenacity that hardly ever changes. The City Hall punctuates it, splitting the broad street flow with its imposing gravity defying white columns […]

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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 […]

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MARIJUANA USE AND THE EVOLUTION OF MEDICAL MARIJUANA LAWS IN THE USA

Over the years laws on cannabis use have changed. Most of these changes were not based on any strong levels of evidence but were based on social perception. In this article I seek to highlight some of the issues associated with these changes and address the potential benefits of more liberal legislation on cannabis.

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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 […]

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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 […]

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AMERICA’S LOVE AFFAIR WITH PRESCRIPTION PAIN PILLS

Current reports from the International Narcotics Control Board (INCB) suggest that the United States is second on the list of countries with the highest per capita consumption of opioids.  Data from 2014 quotes U.S. use of opiates at 700 mg per capita per year. The only country that has a higher per capita use is […]