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Dr. Nancy Snyderman

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Paging Dr. Benjamin

Posted: 10/30/09 02:23 PM ET

Well it's about time. Nine months after the inauguration of President Obama, we finally have our Surgeon General. It couldn't have come soon enough. While her confirmation was unanimously voted on by the members of the Senate Health committee, Regina Benjamin found herself caught in a political pissing match between HHS and conservative senators with strong ties to the insurance industry.

But this column isn't so much about the temporary political hijacking as it is about why we need her now. The role of the Surgeon General is to be America's physician, to hold our collective hands during health crises and emergencies. Some Surgeons General have had quiet tenures. (can you name the Surgeon General under President Bush... either one?) Others have been impulsively vocal and had very short careers. (Think Dr. Joycelyn Elders). Others have been stand-outs and have defined the office. Democrats vilified Dr. C. Everett Koop during the confirmation process because he personally opposed abortion. But when HIV/AIDS was discovered, he was vocal about sexual transmission and spoke openly to the gay community. Then the Republicans were furious. His answer to everyone was simple. "I am a physician".

Let's be clear about the role. The post of Surgeon General is largely ceremonial and comes with a bully pulpit. The job doesn't come with much of a budget or a very big paycheck. It does come with stature, a lot of bureaucracy, and in this case, a woman who looks like she would be a good boss -- Secretary of HHS, Kathleen Sebelius.

Dr. Benjamin assumes her position in the midst of a viral pandemic. H1N1 (swine flu) has now been reported in all fifty states and is robust in 46 of them. While the virus was isolated quickly, the production of vaccine has been hampered with technical delays and the messaging from the pharmaceutical companies and the federal government has led to confusion. While I believe that Dr. Anthony Fauci and Secretary Sebelius have done extraordinary jobs spearheading the communication, the fact is that they have their day jobs to do too. And my concern is that while the messages have been on target most of the time, there have been too many messengers. In one week on MSNBC, I heard vaccine and H1N1 updates from Health and Human Services, Centers for Disease Control, Homeland Security, Department of Defense and Department of Education. The messages were fine but there were too many messengers. The frustration within the medical community is evident and growing anger among patients is palpable.

So, welcome Dr. Benjamin. We are so glad you are here. Your job is probably more complex than it has been for any of your predecessors. You enter in the midst of a viral pandemic and a news cycle that won't give you much of a break. We will call on you to respond to the American public and those of us in the press at any time. You have dedicated your life to sitting at patients' bedsides and holding people's hands, making complicated situations easier to understand and always telling the truth. We expect you to do the same with us.

 
 
 
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11:59 AM on 11/01/2009
Congratulations to Dr. Benjamin, the Office of the Surgeon General, and the American people. We all won. Insist on being heard, Doctor. We're counting on you.
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Matt7
09:49 PM on 10/31/2009
"We will call on you to respond to the American public and those of us in the press at any time. You have dedicated your life to sitting at patients' bedsides and holding people's hands, making complicated situations easier to understand and always telling the truth. We expect you to do the same with us."

_____

Sounds a little presumptuous, but I think I get your drift. I think you're saying, "We want you to be capable, open and accessible; and to help us navigate through this and other health care crises."

I offer my congratulations to Dr. Regina Benjamin on her confirmation, and look forward to her performing the job that she was entrusted to do with honesty, integrity, and candor to the best of her ability, so as to help us all get a better handle on our nation's health.

Thank you, Dr. Snyderman, for cutting through the maze of media distraction and making the announcement.
09:47 AM on 10/31/2009
While she seems like an interesting person, she is grossly unprepared for this. Her new role will be markedly different than her prior solo practitioner outpatient life. She wasn't sitting at the patients bedside, a hospitalist was. She will howvere be well suited to explain while all inpatient practitioners have abandonded their practices once Pelosicarecome to be.
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duckfan00
Après nous le deluge
07:39 PM on 10/31/2009
Her name is Dr. Benjamin and she will do fine. She is fully prepared for this role and is a person of tremedous compassion and knowledge. She is definitely not a poltical hack like former Bushie FEMA head Mike Brown. We fully understand how that can turn out. Certainly residents of New Orleans will never forget.
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springsm
09:44 AM on 11/01/2009
Always the spilt milk, doncha think. Dr. Benjamin will be just fine and you sound like one of the aged old party of no thugs. Leadership? She sounds like she can handle this job and political ambition is not one of Dr. Benjamins goals. She will be great.
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01:32 AM on 10/31/2009
Surgeon General Califano blew the whistle on the deadly dangers of tobacco smoking and was fired a few months later. He may be forgotten by most, but he remains one of the most courageous SG in our history.
Surgeon General Califano saved untold millions of lives fro a slow insidious painful death and should be awarded the US Medal of Honor.
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01:46 PM on 10/31/2009
Joseph Califano Jr. is the former secretary of Health, Education and Welfare (1977-1979), in Carter's administration. He was a Lawyer not a Dr. A secretary not a surgeon general.
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drricklippin
physician-activist-poet
04:24 PM on 10/30/2009
MY PS-

WITH DUE RESPECT TO H1N1 HERE IS WHAT DR BENJAMIN NEEDS TO FOCUS ON

http://www.unnaturalcauses.org/

I know she has a strong personal interest in health equity and fairness issues

Dr. Rick Lippin
Southampton,Pa
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drricklippin
physician-activist-poet
04:20 PM on 10/30/2009
MY VERY BEST WISHES TO DR BENJAMIN !!!

(Even though I campaigned hard for Dr. George Lundberg and was VERY much against Dr. Sanjay Gupta)

Let me know if I can help

Be Well,

Dr. Rick Lippin
Southampton,Pa
http://medicalcrises.blogspot.com
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xlntcat
03:36 PM on 10/30/2009
I think that the messengers have all bee on the same page and following Katrina, it was reassuring that the Governor of MS along with all participating officials reported at the same time daily with an update as well as messages regarding what was needed from citizens. Granted there was much more functional date to report than with the H1N1 virus but I liked the daily updates we got in the Spring not from the over sensationalize, opinion ridden media but from those in charge.

The GOP has really wanted to point a finger of blame at the administration for the delay in the production of and availability of the vaccine while stalling the confirmation of the Surgeon General as they did with the confirmation of Sebelius. The fact that they are taking tax payer dollars to weaken governmental departments by inane stalling is outrageous.
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springsm
09:46 AM on 11/01/2009
Oh my gosh and John King just a moment ago was banging that same drum for the gop. Any time he can come up with a negative towards the administration he does. Sanja Gupta refuted the argument..and even tho I am glad he was not picked for surgeon general and often I think he is out of his own 'box'...I like him..and he seems honest.
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LMPE
I connect the most dissimilar things
02:22 PM on 10/30/2009
Finally, we have good people on the job!