Health equity has been top of mind for many this past year, in large part because of the impact of the pandemic especially on people of color and underserved communities. Now that we recognize that health equity is not a reality for far too many, the question remains what are we actually going to do to make certain that everyone has the tools they need to pursue a life of health and healthy behaviors? And more specifically, what are we going to do in the cancer care sphere—from prevention to diagnosis to treatment to end-of-life care—to address the glaring inequities… Read More »An Actionable Framework to Address Cancer Care Disparities: A Call To Action
“Biden’s Covid-19 Plan Is Maddeningly Obvious: You can’t help but wonder why the Trump administration left so many of these things undone.” That’s the headline for Ezra Klein’s opinion column in today’s New York Times. It is a question many have been pondering for months. And although I had a thought as to why it was so, I didn’t want to share because at its heart it was so outrageous and unbelievable: Maybe, just maybe, it was all intentional. They planned it this way. It was—simply put—another “Big Lie.” Why was this Big Lie also so successful? Just think where… Read More »COVID Truth In A Post-Truth World: Is It Another Big Lie?
We are facing a surge in corona virus cases. Hospitals are at their limits throughout the United States. Nurses, doctors, hospital staffs are overwhelmed. They are tired, and relief is not in sight. Does that mean we will start seeing health care rationed, especially for cancer patients whose prognosis may be uncertain? Sadly, that may be the case over the next several weeks if we don’t reverse our current course to disaster. During the early days of the COVID19 pandemic one of my worst fears was the possibility that cancer patients could not get hospital treatment if needed as a… Read More »Does COVID Winter Mean Rationing Care For Those With Cancer?
No one really wants to say this about national political leadership, especially in a time of serious nationwide distress and even moreso at a time of heightened political tension and presidential elections, lest one’s comments be dismissed as being politically motivated. However given the events of the past months and especially the past few days, it must be said: Our national (and some state) political leaders are demonstrating a wanton, deliberate and callous disregard for truth and for science, and as a result we are now entering a period of intense national emergency leading to avoidable illness, death and potential… Read More »A Wanton, Deliberate and Callous Disregard for the Truth and Science Regarding COVID-19
A recent conversation among a group of physicians gave me a fair amount of distress and discomfort. The topic was an unproven treatment for COVID-19, the discomfort was the disinformation—in my opinion—being shared, and the distress was the fact that the discussion likely reflected what some doctors are actually doing for the treatment of patients who are infected with the corona virus. Evidence was left at the doorstep. As I reflected on the conversation I realized it was not unlike what I have experienced over decades as a medical oncologist, especially in years past where there was literally very little… Read More »Unproven Treatments in COVID-19: Why Do They Persist?
We have had a bit of a debate in this country whether or not we had an effective response to the corona virus pandemic. Now new data shows that not only have we done a poor job of controlling COVID-19 infections and deaths but our outcomes have been among the worst in the developed world. That’s hard to believe, but it is true. At least that’s what the data shows. The research report published yesterday in JAMA starts with the comment that “The US has experienced more deaths from coronavirus disease 2019 (COVID-19) than any other country and has one… Read More »The United States Leads The Developed World In COVID-19 Deaths. Really.
“I dunno…” That’s what our 3 year old granddaughter used to say when asked a question. What made it especially cute was when she raised her hands upward to the side of her head and gave a quizzical facial expression with her response. When she said “I dunno” it was cute. Today, when we hear it as a nation it isn’t so cute. It is deadly serious in the truest sense of the word. Today we are living what I have called “COVID truth”, a moment in time where truth is no longer true and where the alteration and repetition… Read More »COVID Truth In A Post-Truth World: “I Dunno” Is Not An Answer
The corona virus pandemic has caused a lot of heartbreak and sorrow, especially as this country has passed two hundred thousand deaths, millions infected, some seriously and others with long lasting side effects from the infection. People are afraid. That is understandable. However, Is all the fear justified? When it comes to being cautious, the answer is yes. However when it comes to caring for your personal health and well-being, maybe not as much. The pandemic is causing many people to forgo routine health care because of their fears of getting infected if they go the doctor or the hospital.… Read More »Has COVID Fear Gone Too Far When It Comes To Caring For Our Health?