In the past decade several states have put laws in place to legalize marijuana use to various degrees. Whilst these changes are very much welcome federal laws at this time still classifies marijuana as an illegal substance and there are still many individuals doing jail time for various violations of marijuana statutes in both federal […]
A post on the unique challenges of Healthcare in Rural America. In this post the author discusses the intersection of Rural hospital closures with a recognized rural. HIV epidemic. The impact of refusal of most Southern US states to expand Medicaid as part of the implementation of the Affordable Care Act on these two issues is discussed with possible alternate solutions.
It is not the drug addicts fault that he or she needs to get a fix to just feel normal. Nor is it the fault of a young man that he has gonorrhea. And then what about that guy who gets shot in the belly over a drug deal gone bad. In an ideal world […]
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 […]
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 […]
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 […]
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 […]
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 […]
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.
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 […]
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 […]
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 […]