By Janet Golden and Michael Yudell
Sen. Ted Cruz wrapped up a 21-hour grandstanding session Wednesday on the evils of Obamacare, a typically “Cruzian” address that included a bizarre comparison of the law’s implementation to the Nazi domination of Europe and a reading of the Dr. Suess classic Green Eggs and Ham.
Let’s look at the falsehoods concocted in Mr. Cruz’s rambling speech:
Ted Cruz: “I rise today in opposition to Obamacare. I rise today in an effort to speak for 26 million Texans and for 300 million Americans. All across this country Americans are suffering because of Obamacare. Obamacare isn't working.”
Janet Golden, professor of history, Rutgers University-Camden
Gesundheit, German for “health,” typically is said to someone after they sneeze. The Gesundheit! Institute is a not-for-profit health care organization founded by Dr. Hunter ”Patch” Adams, to create a new model of health care that is linked to community health, welcomes complementary medicine and is infused with fun and play. In the 1998 film Patch Adams, (a trailer is here) Robin Williams showcased some of how he conceived and implemented these principles. Fun, laughter, health care, and healing – how often do you experience those in the same place?
That place may soon be North Philadelphia, where citizens are planning a Patch Adams Free Clinic.They’ve got the site and the plans to make it happen. And now Patch Adams is coming to Philadelphia to give two public talks: Tuesday, July 23, at Drexel University near Center City and Wednesday, July 24, at Mercy Neighborhood Ministries in North Philly. Both are free and open to the public. You don’t even have to wear your red clown nose to be admitted, although I’m pretty sure Dr. Adams would appreciate it if you did.
I interviewed Paul Glover, founding director of the Patch Adams Free Clinic, who is working with neighborhood leaders and activists to transform the five-acre vacant lot into North Philadelphia into the clinic site. They’ve reached out to form partnerships with businesses and organizations, including architects, designers and landscapers, and they’ve met with Philadelphia city planners and environmental officials. Paul tells me they are ready to get the permissions finalized with the city and the neighborhood, and have an option to purchase the land for their “health campus.” Next up is the fundraising needed to purchase the land and then, let the building begin. A six-minute video (embedded below) explains their idea and how it would work.
Janet Golden, PhD
Today’s piece, the fourth in our ongoing race and health series, is by Janet Golden, a historian of medicine and public health. She writes about the teaching of race and health, and connections between past and present.
- Michael Yudell
As a medical historian, I find the subject of race and health to be both the easiest and the hardest to present to my students. It’s easy because there is so much data to analyze, from W.E.B. DuBois’ Philadelphia Negro (1899) to more recent work from the National Institute on Minority Health and Health Disparities. This agency, which is part of the National Institutes of Health, has been around in one form or another since 1990, and today has the mission of leading “scientific research to improve minority health and eliminate health disparities.” That is the challenge.
Today we have another important and interesting contribution to our ongoing series on race and health in Philadelphia. Oni Richards-Waritay, executive director of the African Family Health Organization (AFAHO) discusses how cultural and linguistic barriers can lead to poor health outcomes.
-- Michael Yudell
We continue our series on race and health in Philadelphia today, joined by Cynthia Figueroa, president and CEO of Congreso de Latinos Unidos, who shares her expert insight into the state of health in Philadelphia’s Latino community.
- Michael Yudell
Health disparities are differences in health outcomes as a result of demographic, social, or environmental attributes. In the Latino community, cultural and linguistic barriers can compound disparities and lead to unfavorable and unhealthy outcomes. Poverty also exacerbates health issues, creating inequities in health-care access and treatment. At Congreso de Latinos Unidos, a multiservice non-profit organization that focuses on well-being of Philadelphia’s Latino community, we see the impact of disparities in health every day.
Michael Yudell, Associate Professor, Drexel University School of Public Health
What interests you: Disease sleuthing? Global bioethics? Protecting the food supply? Protecting yourself when you travel?
A new ranking of the top 30 public health blogs places The Public's Health at No. 14. The complete list is below. Lots of interesting stuff.
And if you want to go beyond reading about public health, join us at 6 p.m. Friday for “Blogging and Beer: Public Health in Philadelphia.” Also with us will be our editor at the Inquirer, public health writer Don Sapatkin, and some of our regular contributors. There is no cover charge for what we hope will be a lively discussion at Rembrandt’s Restaurant in Fairmount, one of several health offerings at the Philadelphia Science Festival that we mentioned last week.
Best Public Health Blogs
During his State of the Union address last month, President Obama challenged the assembled lawmakers to tackle comprehensive immigration reform. The issue has proven a divisive one in our national political discourse, and most of the discussion focuses on the political ramifications. Pundits have discussed how immigration reform might impact the Latino vote, as well as what types of immigrants would be eligible for citizenship, and what the role of border security is, to name a few hotly-contested questions in the current debate. Amid this political maelstrom, few have considered how comprehensive immigration reform might affect the nation’s health. Understanding the health implications of immigration reform may contribute to the public discourse on the topic, and may also provide insights that are relevant to the equally divisive health reform debate. Remember that undocumented immigrants are explicitly excluded from Obamacare.
To examine this question carefully, I’ll first discuss what we know about the demographics of undocumented immigrants in the United States. Then I will review the available evidence describing the health of this population and their health care use. First, however, I would like to acknowledge the challenges to studying this vulnerable population and the potential inaccuracies of the resulting data. It is widely known that Census reports include small numbers of undocumented immigrants. It is just as hard to assess the health status of this population as it is to count their numbers. Undocumented immigrants are also under-represented in most large health surveys, with a few exceptions presented below. As a result, our knowledge about the health of undocumented immigrants and their use of the health-care system is limited.
According to the best available evidence, there are 11.1 million undocumented immigrants residing in the U.S. — more than one-quarter of the nation’s total immigrant population. It is estimated that there are 550,000 undocumented immigrants living in New Jersey, the fifth-largest of any state, and 160,000 in Pennsylvania, many of whom work in restaurants and have fueled the recent food renaissance in Philadelphia. At the national level, most undocumented immigrants are Latinos — 82 percent, to be exact. Because Latinos constitute the overwhelming majority of the nation’s undocumented immigrants, let’s focus on Latinos when reviewing the medical literature and discussing the impact of immigration reform on the nation’s overall health.
By Janet Golden
Did you know that sometimes there is a free lunch — or, more precisely, free money?
If not, then let me guess: You haven’t finished reading the 900+ pages of the Affordable Care Act, even though this was one of your New Year’s resolutions. And maybe you’ve woken up in the middle of the night wondering: What’s in it for public health?