Skip to content
  • About
  • Contact
  • Contribute
  • My Book
  • Careers
  • Podcast
  • Transcripts
  • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
KevinMD
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • My Book
    • Careers
    • Podcast
    • Transcripts
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Custom enhanced author page pricing
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • Upgrade to the KevinMD enhanced author page

The most far-reaching effects of our failed leadership

Matthew Hahn, MD
Health Policy
October 15, 2017
Share
Tweet
Share

We were once a nation noted for its achievements. We are now a nation that gets nothing done, unable to make even the slightest movement forward despite multiple national crises — a desperately broken health care system, a horrifying opioid epidemic, sickening gun-related mass murders, the threat of nuclear war, and massive storms resulting from man-made climate change. In the face of such monumental challenges, when bold action is needed, we see none. It is a profound failure of leadership, a stinging indictment of modern American politics and American political leaders.

Everyone in America could have decent, affordable health care. Millions of Americans suffer, and many die because they do not. It is a moral stain on the nation. And yet Republicans propose plans that would result in fewer people having access to care, and Democrats offer no decent solutions to improve upon the failures of Obamacare. Time and again, our leadership fails us.

The opioid crisis may be the most far-reaching effect of our failed leadership. Millions of Americans are so hopeless about their prospects for the future, and so disinterested in the dregs of the American dream that remain for them, that they choose instead to tune out through the painless oblivion of heroin and prescription narcotics. An entire generation may be lost and beyond repair. The fix only begins with better and more comprehensive treatment, but even that appears to be beyond us. What is really needed is the hope and meaning created by a supportive society that values and attempts to ensure general safety, affordable education, affordable health care, and secure, good-paying jobs.

The causes of burgeoning gun violence are not mysterious. It is the natural result when huge numbers of people are armed with weapons of mass destruction, and at the same time, systematically scared, threatened, and demoralized by our so-called leaders, and their spirit crushed by a modern corporate culture that values profits but not people. With the pressures so great, eruptions of violence become almost happenstance. And it could be fixed. The equation is simple — fewer people with overpowering weapons and/or fewer people who are disgruntled or upset. But nothing happens, and we wait for the next gunshots to ring out, hoping against hope that they are not directed against us or our family members.

Admittedly, North Korea is ruled by an unstable, threatening, despot. But there is absolutely no good reason for us to be fanning the flames of nuclear war by childishly antagonizing such a person. Unfortunately, we have little more than a playground bully playing president, lobbing tweet-bombs periodically at the incendiary situation. What greater failure can we point to other than that our political system is unable to produce anyone that the population can stomach to vote for more than this president?

And just to round out this happiest of pictures, our country is now being bludgeoned by a series of record-setting storms that many climate scientists, the experts that study such things, say are caused by the over-production of carbon dioxide occurring with continued fossil fuel use. Yet even with the overwhelming evidence reported by such scientists, the actual harm caused by these storms, and the absolutely horrifying risks associated with further climate change, America does nothing.

Our leadership’s inability and refusal to act on such matters is a very real threat to our personal and national health and safety. The question is why what was once considered the greatest nation in the world is no longer able or willing to act to fix its most serious problems?

This is not a mystery, either. It is because our campaign finance system enables and encourages our wealthiest individuals and industries to pour unlimited amounts of money into political campaigns, corrupting everything to the point that we no longer have a government by and for its own people. Instead, the health insurance and pharmaceutical industries write health policy. Wall Street creates economic policy. The NRA determines gun policy. And the fossil fuel industry creates energy and environmental policy.

Modern politicians have proven that they don’t have the backbone to stand up to such a system, the basic moral or ethical fiber to resist it, or both. The worst of them go so much further, though, capitalizing and thriving on and within the corrupt system. Hence, the majority of Americans view their own government with disgust and disdain.

But more to the point, our gravest issues go unaddressed and Americans die unnecessarily for lack of health care or because of gun violence, a generation of young people destroys itself through opioid abuse, there is serious threat of nuclear war, and disastrous storms destroy our coastlines. We get thoughts and prayers instead of real action. Until we have politicians who uphold basic standards of ethical and moral behavior, a sensible campaign finance system, or both, the carnage will continue.

Matthew Hahn is a family physician who blogs at his self-titled site, Matthew Hahn, MD.  He is the author of Distracted: How Regulations Are Destroying the Practice of Medicine and Preventing True Health-Care Reform.

Image credit: Shutterstock.com

Prev

This psychiatrist does most of her work outside of the traditional system

October 15, 2017 Kevin 0
…
Next

Reduce parallel play to provide decent health care for all

October 16, 2017 Kevin 5
…

Tagged as: Health Policy and Public Health, Washington Watch: Health Policy

< Previous Post
This psychiatrist does most of her work outside of the traditional system
Next Post >
Reduce parallel play to provide decent health care for all

ADVERTISEMENT

More by Matthew Hahn, MD

  • This doctor got COVID. Here’s what it taught him.

    Matthew Hahn, MD
  • These leaders will not fix health care

    Matthew Hahn, MD
  • The demonization of socialized medicine

    Matthew Hahn, MD

Related Posts

  • The crippling health effects of another government shutdown

    Alani Gregory, MD
  • 3 ways health care leadership can get nurses back at the bedside

    Juli Heitman, RN
  • The health effects of structural racism

    Niran S. Al-Agba, MD
  • 3 ways we’ve failed woman who breastfeed

    Joanna Buscemi, PhD
  • Why the health care industry must prioritize health equity

    George T. Mathew, MD, MBA
  • Why this physician teaches health policy in medical school

    Kenneth Lin, MD

More in Health Policy

  • Fragmented care is the gap digital health left open

    Robert Nieves, JD, MBA, MPA, RN
  • End-of-life decision-making is never a solo act

    Chinmeri Nwuba
  • Neonatal care in humanitarian crises is conditional

    Maddie Beans
  • Insurance consolidation is a patient safety problem

    American Society of Anesthesiologists
  • Health care affordability is now a moral crisis

    Narinder Singh Parhar, MD
  • U.S. drug shortages threaten national health security

    Anmol Gupta, MD, MPP
  • Most Popular

  • Past Week

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Insurance denial after transplant: approval isn’t access

      Payton Herres | Conditions and Diseases
    • I built clinical decision-support tools at the bedside

      Ahmed Elsonbaty, MD | Health Technology
    • Peptide regulation: 4 lanes every physician must know

      Benjamin González, MD | Medications
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
  • Recent Posts

    • Insurance denial after transplant: approval isn’t access

      Payton Herres | Conditions and Diseases
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Physician burnout is not the whole diagnosis

      Gus W. Krucke, MD | Physician
    • Prenatal testing for Down syndrome is not a verdict

      Laurel A. Coons, PhD | Conditions and Diseases
    • Why scientific creativity and aging defy citations

      Rao M. Uppu, PhD | Medical Education
    • What does mental health when bedbound actually look like?

      Kristian Keefer | Conditions and Diseases

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 63 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • The double standard at the heart of chronic pain treatment

      Joshua Saylor | Conditions and Diseases
    • Your sinus infection may not be an infection

      Franklyn R. Gergits, DO, MBA | Conditions and Diseases
    • Insurance denial after transplant: approval isn’t access

      Payton Herres | Conditions and Diseases
    • I built clinical decision-support tools at the bedside

      Ahmed Elsonbaty, MD | Health Technology
    • Peptide regulation: 4 lanes every physician must know

      Benjamin González, MD | Medications
  • Past 6 Months

    • Primary care crisis requires new training and skills

      Justin Oldfield, MD | Physician
    • Polycystic ovary syndrome is more than ovarian

      Oluyemisi Famuyiwa, MD | Conditions and Diseases
    • DEA fear is reshaping how doctors prescribe

      Ronald L. Lindsay, MD | Physician
    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
  • Recent Posts

    • Insurance denial after transplant: approval isn’t access

      Payton Herres | Conditions and Diseases
    • The MCAT requirement persists as a norm, not as a tool

      Aniruth Ananthanarayanan | Medical Education
    • Physician burnout is not the whole diagnosis

      Gus W. Krucke, MD | Physician
    • Prenatal testing for Down syndrome is not a verdict

      Laurel A. Coons, PhD | Conditions and Diseases
    • Why scientific creativity and aging defy citations

      Rao M. Uppu, PhD | Medical Education
    • What does mental health when bedbound actually look like?

      Kristian Keefer | Conditions and Diseases

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

The most far-reaching effects of our failed leadership
63 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...