Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • 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
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Poverty: America’s disease with devastating consequences

Osmund Agbo, MD
Policy
April 29, 2023
Share
Tweet
Share

I need to tell you about John (not his real name). He is a Cameroonian immigrant who came to the U.S. on a student visa. He waited tables in a popular pub in downtown Houston to earn a little change and support himself through school. Hardworking, courteous, and gregarious, John wears the most infectious and charming smile you have ever seen.

It didn’t take long for him to get noticed by the club’s high rollers, who reciprocated his friendly disposition with hefty tips. Weeks rolled into months, and John was living his best American dream. But something happened. He joined this fraternity on campus, notorious for being loud and tastelessly showy. To cement his new status, he acquired a Mercedes convertible — top tier and with a sunroof. Then COVID hit, big tips dried up, and life happened to John … quickly.

I got to know John’s story from a friend who had brought him to ask if one could be of any help. Faced with an eviction notice for two months of unpaid rent and threatened with repossession of his Benz for the same reason, he took the worst but the only option left for him: a payday loan.

Taking a payday loan is another way of asking the devil to help you in America. You know you will eventually get destroyed but hope to live for at least one more day. John got a $500 loan at a 400 percent interest rate plus a $55 loan processing fee. All was due in two weeks.

At loan maturity, John found himself owing $2,555 in debt. But that’s not all. Another month ended quickly, and both his house rent and car note were due. The problem was his monthly earnings couldn’t even cover the loan, let alone pay for groceries and other sundry living expenses. Needless to say, at this point, he had to pause school.

When John showed up, I was seriously torn between empathy for this kid for whom the post-COVID economy had dealt a tough hand and my natural aversion for those who love to keep up with the Joneses and drown in conspicuous consumption. But the intervention from this piece is not about John. It’s about the hefty price of living poor, whether for an individual or a country.

America is the world’s largest economy today but ranks 17th in the Human Development Index (HDI), which in layman’s terms, measures a country’s standard of living. That’s because a thousand Elon Musks worth a gazillion dollars can’t compensate for a good chunk of Americans living under the bridge. The income inequality in America today is as wide as the Gulf of Mexico.

The Nordic countries of Norway, Iceland, Denmark, Finland, and Sweden offer great examples in terms of bridging this gap. In these countries, income inequality is at the barest minimum. They rank the highest in HDI, with Norway always leading the pack. Little wonder crime is almost non-existent there, and Iceland has the lowest crime rate anywhere in the world.

Poor citizens are easy prey for payday lenders, and most live like John.

Children of those living in poverty are likely to miss out on preventative health and may not develop their full economic potential later in life. This continues the vicious cycle of poverty, which is a breeding ground for crime. A society high in crime will require the government to devote more resources toward law enforcement. The cycle continues. No wonder America has the highest incarceration rate in the world, with more than two million prisoners nationwide.

The evidence is overwhelming and suggests that inequality significantly contributes to poverty and its consequences. Poverty perpetuates a cycle of poor health, low education, and crime. These, in turn, increase the cost of health care, education, and law enforcement.

Oh! And you want to know what happened to John? He is still struggling to stay afloat and is barely scraping by to this day. Unfortunately for him, America does not suffer fools gladly.

Osmund Agbo is a pulmonary physician.

Prev

From patient to protagonist: the importance of narrative writing in medicine [PODCAST]

April 28, 2023 Kevin 0
…
Next

Here's how to fix the public health system in the U.S.

April 29, 2023 Kevin 1
…

Tagged as: Public Health & Policy

< Previous Post
From patient to protagonist: the importance of narrative writing in medicine [PODCAST]
Next Post >
Here's how to fix the public health system in the U.S.

ADVERTISEMENT

More by Osmund Agbo, MD

  • Why billionaires dress like college students

    Osmund Agbo, MD
  • The stoic cure for modern anxiety

    Osmund Agbo, MD
  • Why embracing imperfection makes you truly unforgettable

    Osmund Agbo, MD

Related Posts

  • With poverty rates now highest in 50 years, America needs a poverty czar 

    Janice Phillips, PhD, RN
  • Gun crisis in America: Youth fatalities on the rise

    Edward Hoffer, MD
  • A physician awakens to racism in America

    Jennifer Shaer, MD
  • The unintended consequences of population health algorithms

    Betty Rabinowitz, MD
  • Gun violence in America is a national emergency

    Hussain Lalani, MD and Justin Lowenthal 
  • America as an outlier: Paying more for less

    Leonard Wang and Lily Nguyen

More in Policy

  • How mobile surgical units improve rural surgical access

    Pranav Ayyappan
  • Why lung cancer screening needs urgent policy reform

    Anuraag Balaji
  • Why Kennedy’s addiction treatment plan raises ethical concerns

    Gary McMurtrie and Abhijay Mudigonda
  • Why the U.S. needs more preventive medicine and public health doctors

    Jacob Player, MD, MPH
  • Medicare practice expense cuts will hurt patients

    John Birkmeyer, MD
  • Why health care fraud detection requires payment integrity alignment

    Tiffiny Black, DM, MPA, MBA
  • Most Popular

  • Past Week

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why nursing home regulations must address mental illness

      Amanda M. Buster and J. Wesley Boyd, MD, PhD | Conditions
    • Opt-out states and physician-led anesthesia care explained

      Michael Beck, MD | Physician
    • Why artificial intelligence displacement threatens medical specialties

      H. Michael Boulton, MD | Physician
    • Why psychological safety in health care systems matters

      Tiffiny Black, DM, MPA, MBA | Conditions
    • The memory of water and a historic scientific controversy

      Rao M. Uppu, PhD | Conditions
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Administrative burden is driving severe physician burnout

      Kayvan Haddadan, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
  • Recent Posts

    • Your doctor saved your life but won’t return your call [PODCAST]

      The Podcast by KevinMD | Podcast
    • How medical malpractice cases reveal health care system flaws

      Howard Smith, MD | Physician
    • Why we must fix our fragmented health care system architecture

      Vance Alm, MD | Physician
    • 5 questions to ask before you choose a credentialing service

      GetPracticeHelp | Finance
    • Prior authorization during surgery is not oversight

      Steven E. Warren, MD, DPA | Physician
    • California’s governor race is missing a health care plan

      Kayvan Haddadan, MD | Podcast

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 1 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

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why nursing home regulations must address mental illness

      Amanda M. Buster and J. Wesley Boyd, MD, PhD | Conditions
    • Opt-out states and physician-led anesthesia care explained

      Michael Beck, MD | Physician
    • Why artificial intelligence displacement threatens medical specialties

      H. Michael Boulton, MD | Physician
    • Why psychological safety in health care systems matters

      Tiffiny Black, DM, MPA, MBA | Conditions
    • The memory of water and a historic scientific controversy

      Rao M. Uppu, PhD | Conditions
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • Rethinking the role of family physicians vs. specialists

      Ronald L. Lindsay, MD | Physician
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • Administrative burden is driving severe physician burnout

      Kayvan Haddadan, MD | Physician
    • Pharmacy closures threaten our entire public health system

      Timothy Lesaca, MD | Physician
  • Recent Posts

    • Your doctor saved your life but won’t return your call [PODCAST]

      The Podcast by KevinMD | Podcast
    • How medical malpractice cases reveal health care system flaws

      Howard Smith, MD | Physician
    • Why we must fix our fragmented health care system architecture

      Vance Alm, MD | Physician
    • 5 questions to ask before you choose a credentialing service

      GetPracticeHelp | Finance
    • Prior authorization during surgery is not oversight

      Steven E. Warren, MD, DPA | Physician
    • California’s governor race is missing a health care plan

      Kayvan Haddadan, MD | Podcast

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

Poverty: America’s disease with devastating consequences
1 comments

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

Loading Comments...