For some reason the current political climate in the US is prone to driving issues into two extremes that rarely ever mirrors anybody’s genuine position. In the past few months many states in the US have come up with multiple laws which limit access to safe legal abortions for American women. Some of these laws […]
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.
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 […]
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 […]
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 […]