Barriers to healthcare Global Health Health Economics Healthcare Equity Hepatitis C International health Public health Policy

HEPATITIS C ELIMINATION; WHAT ARE THE BARRIERS?

In a prior post earlier in the year I wrote on this topic. A closer look at the current global situation suggests that whilst the cost of Hepatitis C (HCV) treatment may appear to be a major barrier there are many nations in the world that have managed to overcome that. In this piece I […]

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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 […]

environment and health featured Global Health government and politics Health Care Reform Health Economics Healthcare Equity International health Personal health politics and health Pre-Exposure Prophylaxis Public health Policy Sexual Health Uncategorized

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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Homo sapiens blackus a new human species. How must we handle this new species?

It has become abundantly clear to me that black people in America belong to a different subspecies of Homo sapiens! I have grouped them into a subspecies Homo sapiens blackus, and in my case Sub Subspecies Homo sapiens blackus shitus! How else can anyone explain the spate of calls that are made to cops about […]

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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 […]

environment and health government and politics Health Care Reform Health Economics Health education Healthcare Equity Public health Policy Race and health racial bias racial discrimination racism in health societal change society and health Uncategorized

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 […]

Cancer screening environment and health Global Health Health education Healthcare Equity Men's health Personal health politics and health Prostate cancer Public health Policy Race and health Sexual Health society and health Uncategorized

PROSTATE CANCER SCREENING, AN ONGOING CONTROVERSY.

Prostate cancer screening always raises a lot of controversy on account various reasons; most notable among these is the nature of the physical exam recommended for screening, digital rectal exam (DRE). On a discussion on digital rectal exam one Ghanaian friend of mine said categorically ” there would be no gay probing of my nether […]

environment and health Global Health Health Economics Health education Healthcare Equity obesity Personal health physical activity society and health Uncategorized

HEALTHY WEIGHT GAIN !! IS THIS AN OXYMORON IN TODAYS WORLD ?

As an immigrant from Ghana I have the liberty of blaming all my weight gain on the American diet and a lifestyle with less physical activity. Whilst the kinds of foods we eat play a major role in weight gain physical activity may be a bigger culprit. Over the course of 16 years I have […]

Constitution Global Health Health education Healthcare Equity HIV Stigma LGBT Rights Men's health Personal health politics and health Public health Policy religion Sexual Health Sexuality societal change Uncategorized

How I evolved from a tolerant physician to one with a healthy appreciation of alternate lifestyles

As a physician from Ghana brought up in a very religious family, I must admit that when it comes to gay rights and other issues related to sexual minorities I was as far to the right as anyone could be.  My first experience with openly gay individuals was when I came to the United States. […]

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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 […]

featured Health Care Reform Health Economics Healthcare Equity injury prevention Mental health opioid epidemic Personal health Public safety Rural Health Uncategorized

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 […]

DACA Dream Act government and politics Healthcare Equity Illegal immigration immigration and government injury prevention law enforcement Personal health politics and health Public safety race relations racial bias racial discrimination Sanctuary cities societal change Special order No. 4 Uncategorized

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. […]

Global Health Health Economics Healthcare Equity International health Personal health politics and health Uncategorized

Prevention saves lives – Meningitis in a resource constrained setting -by Dr. Teddy Totimeh – A physician in Accra, Ghana

Four students have died. One after the other over a ten day period. And the diagnosis is only certain now, after they died. In a country with 5000 doctors, multiple teaching hospitals, a Ministry of Health, and a Health Service, this is not acceptable. Especially if the country has had 60 years to build a […]

13th Amendment Barriers to healthcare Cancer screening colorism cultural competency Health education Healthcare Equity HIV Stigma Men's health opioid crisis Pre-Exposure Prophylaxis Public health Policy Sexual Health Sexuality

Difficult conversations – Talking about sex with your doctor

I recently read a book by Dr. Barbara Natterson-Horowitz a UCLA cardiologist who also happens to be a consultant for the Los Angeles Zoo. In her book ‘Zoobiquity’ Dr. Natterson-Horowitz demystified the story of HIV (Human Immunodeficiency Virus) transmission from monkeys in West and Central Africa to humans. Most doctors today including me have a […]