Wednesday, December 17, 2014

Cruz-ing to a loss

“He understands that health and illness are intimately connected to social issues and even political decisions. He will point that out, and I predict that he will be attacked for it.” — Dr. Jerry Avorn, professor of medicine at Harvard Medical School, speaking of Dr. Vivek Murthy

TED CRUZ'S maneuvers to keep a Senate eager to leave for the Christmas holidayin session Saturday, December 13 were intended to force a vote on President Obama's immigration policy. Instead the Joe McCarthy look-alike gave outgoing Senate Majority Leader Harry Reid the extra time necessary to pass 23 previously blocked presidential nominations.

One of the confirmed is Surgeon General Vivek Murthy. Dr. Murthy's nomination had been held up for more than a year by the NRA and their Republican Senate lackeys.

That's right ladies and gentleman, during a year that saw Ebola outbreaks, mutant flu strains and an alarming resurgence of the childhood diseases measles, mumps, whooping cough and chicken pox, the country had no doctor-in-chief because the National Rifle Association has been allowed to dictate who should or shouldn't hold the position.

The NRA, which has succeeded for 20 years in blocking the use of federal funds for data collection and analysis of the incidence of gun fatalities and injuries, was apoplectic because Dr. Murphy is a member of an organization called Doctors for America which had sent a letter to Congress urging a ban on the sale of assault weapons, a buyback program to reduce the number of guns in circulation, limits on the purchase of ammunition, mandatory safety training for gun owners and mandatory waiting periods before completing a purchase. 

Yup. No matter how many deaths and injuries occur as a result of the incomprehensible number of guns in America, the NRA is not only vehemently opposed to any regulation no matter how reasonable, it fights every day to prevent you from even knowing what the number or deaths and injuries is.

For more information about Dr. Murthy, here's a New York Times Science Section article. 

Vivek Murthy, the New Surgeon General, Isn’t Afraid to Take a Stand
By Sabrina Tavernisedec 
December 16, 2014 

Dr. Vivek H. Murthy, a Boston internist who at the age of 37 has become one of the youngest surgeons general of the United States, is a self-described dreamer and grass-roots organizer.

He has professed a deep fondness for mangoes, and his interests include studying ways to increase global happiness. But his lighthearted style should not be taken as a lack of seriousness. In fact, his stance on a divisive issue — he has been an outspoken supporter of gun control laws — put him in a professional limbo that lasted months.

Dr. Murthy’s appointment was confirmed Monday night, more than a year after he was nominated — a delay that said as much about the American political cycle as it did of his views. His remarks on guns, including a Twitter posting in 2012 that “guns are a health care issue,” enraged the National Rifle Association and frightened politically vulnerable Democrats ahead of the midterm election.

But Dr. Murthy, who treats acutely ill patients at Brigham and Women’s Hospital and teaches at Harvard Medical School, slid through in one of the last acts of the Democratic-controlled Senate. He becomes the country’s youngest surgeon general since John B. Hamilton, who left the office in 1891.

In an age when health care is a politically contentious topic and doctors often shy away from getting involved, Dr. Murthy takes positions. He is a founder of Doctors for America, a nonprofit group of 16,000 physicians and medical students whose stated mission is to improve the country’s health care system and make sure everyone has access to quality health care.

The group advocated passage of the Affordable Care Act (and the election of President Obama — it was originally called Doctors for Obama, a fact that rankled Republicans and even some Democrats), training members to educate people about enrollment, organizing a bus tour in Florida and holding athletic races for fund-raising across the country.

Republicans have criticized Dr. Murthy, saying he is more advocate than doctor. Even some health experts said that his advocacy could hurt his ability to be taken seriously as an independent voice — something that is crucial for the position, which lacks any real power beyond its potential as a bully pulpit.

But his supporters say it is precisely his willingness to take a stand on real issues — so rare in today’s political environment — that is his primary strength. Dr. Jerry Avorn, a colleague of Dr. Murthy’s at Brigham and Women’s, pointed out that past surgeons general took strong and unpopular positions — on smoking in 1964 and on AIDS in the 1980s — and were remembered as courageous fighters for what was right for public health.

“One person’s advocacy is another person’s public health leadership,” said Dr. Avorn, who is a professor of medicine at Harvard Medical School. He called Dr. Murthy “universally respected” and said that once, after a colleague was in a life-threatening car accident, he researched rehabilitation options.

Dr. Murthy’s ability to look beyond the daily duties of a doctor and think broadly about national health trends makes him well suited to the post, Dr. Avorn said.

“He understands that health and illness are intimately connected to social issues and even political decisions,” he said. “He will point that out, and I predict that he will be attacked for it.”

Dr. Murthy was born in Britain to immigrants from India. He grew up in Miami, and was exposed to medicine by spending time in his father’s primary care clinic there. He studied at Harvard before going to medical school — and getting an M.B.A. — at Yale.

Dr. Murthy, who was not available for an interview on Tuesday, according to a Department of Health and Human Services spokesman, has said that he got the idea to create Doctors for America in 2008, when health care became a campaign issue.

“I was struck by how few physicians were organizing and gathering their ideas to actually make an impact on the candidates’ platforms and, ultimately, on a health reform bill,” he said in an interview published in Hospitalist News in 2012. “A few colleagues and I began Doctors for America with a simple belief that physicians should play a leadership role in designing and running our nation’s health care system.”

In addition to Doctors for America, Dr. Murthy created a group that carries out AIDS education and was a founder of a community health group in rural India that trains women to become health educators. He also helped found a software company whose products are meant to improve the efficiency of clinical trials, according to the Doctors for America website.

At various times in the past, the country spent years without a surgeon general, and some say the position has lost its meaning. In 1995, a certain senator from Delaware, Joseph R. Biden Jr., was quoted as saying: “You could eliminate the entire job and you’d have no impact on the people of America.”

But the position is what the nominee makes it, and it remains to be seen what Dr. Murthy will choose. For now, he is quiet. His Twitter feed went silent in September 2013, not long before President Obama nominated him.

Among his last posts was a quote from Walt Whitman: “Charity and personal force are the only investments worth anything.”


  1. Hmm, my comment disappeared. I mentioned that I hope he keeps making tactical mistakes and that the GOP blocks him Our team already is disgusted and his should be. He's on such a power trip, he just needs to be stopped!

    Another nice column - thanks!

  2. Hi Liz, I've got a rich Ted Cruz post coming in a little while. :-)