Coca Cola Economics Health Economics Healthcare Equity Hepatitis C Public health Policy

What can Big Pharma learn from Coca Cola?

Growing up in Ghana I always knew Coca Cola was a Ghanaian Company and would have continued to believe that until Coca Cola refused to honor economic sanctions on the Apartheid South African government. The big Beverage Company continued business in South African amid protests in Africa and pressure from Black Activist in the US. […]

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Clinical Trials cultural competency Disease Control Health Economics Healthcare Equity Hepatitis C immunization Immunization conspiracy theories implicit bias Public health Policy Racial Equity vaccine safety

How we can ensure that Advances in Medicine Benefits All

As a student in School of Public Health I learned one basic fact of life; new ideas in most fields including medicine usually benefit the most advantaged in society the most. This lesson will follow me when I started practicing medicine as a physician in Baltimore City. In the clinics and the wards in which […]

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Eye witness accounts of events at the border in Tijuana, Mexico, by Amelia Frank-Vitale

These are the words of an anthropologist friend of mine – who has been traveling from Honduras with the caravan – regarding events at the Souther border over the weekend. No media news spin here: “Today was heartbreaking. My own country, the one with the most powerful military in the world, used that power to […]

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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Breast play and breast cancer risk

In the past few weeks there has been a lot of interest on the breast as different organizations advance various initiatives to help reduce risk of Breast Cancer in Ghana. These activities attracted a lot of attention and have been very successful in raising awareness about this disease. With all that good publicity there is […]

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How my Views on Abortion Evolved! By Dr. Yaw Berko

I believe some issues are definitely first world problems. Women’s reproductive rights, unfortunately falls into that category. I have been amused at how abortion rights has so paralysed this nation to the extent the division it is creating can potentially lead to disastrous consequences on this great nation that needs to be “made great again.” […]

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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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Black Brother, are you safe?

For me my most favorite place in this world is my home, this does not hold true for my son though; he loves hotels. A few days ago I got the shock of my life. My whole world was turned upside down. As a black man in the US your safety is always a big […]

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How can we keep our friends and families safer whilst protecting the Second Amendment?

In a prior post I had dreamed of claiming my gun which I rightfully acquired as a citizen of this great nation. Unfortunately life always just appears to get in the way of the greatest ideas and like all great ideas that fateful journey to Arkansas for my gun has still not materialized. However, for […]

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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Oh no!! another wet dream ?

I rarely have dreams! And on the rare occasions that I have dreamt, I barely remember the contents of my dream! I guess I am not prone to hypnopompic and hypnagogic hallucinations! If I were the Martin Luther King of the 1960’s, my speech would be titled ”I don’t have a dream.” And it would […]

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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 […]

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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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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 […]

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Global elimination of Hepatitis C, is it achievable with current available technology ?

Hepatitis C is a global disease with an estimated prevalence rate of about 2.8% worldwide. There are however significant variations in the prevalence rate by country with most low and middle income countries bearing the bulk of the disease burden. Countries with the highest Hepatitis C prevalence ≥5% include Egypt 4.4-15.0%, Gabon 4.9-11.2%, Uzbekistan 11.3%, […]

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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 […]

Cannabis Colonialism Constitution Controlled substance laws environment and health featured government and politics Health Care Reform Health Economics law enforcement Marihuana Tax Act of 1937 Medical Marijuana opioid crisis opioid epidemic Personal health politics and health Public health Policy Public safety Race and health race relations racial discrimination racism in health societal change society and health Uncategorized

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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AN AFRICAN’S RESPONSE TO TRUMP ERA IMMIGRATION ISSUES

Growing up in Ghana towards the end of the 20th century, Africa to most Americans and “sh*thole” as Trump would say the environment under which we lived was one of that was very much carved by the impact of European imperialist culture.  Most Africans irrespective of religious persuasion have a non-African name which identifies them with […]