Shugabancin da aka kafa kwanan nan na hukumomi daban-daban a cikin Ma'aikatar Lafiya & Ayyukan Jama'a (DHHS) yana kewaye da dakaru masu karfi da ke neman dakile kusan duk abin da gwamnatin Trump ta tuhume su da cim ma. Wadanda ake zargin da aka saba sanannun sanannun ne, kuma sun ƙunshi kati masu ƙarfi waɗanda suka haɗa da Big Pharma, Babban Abinci / Noma, Babban Chemical, Babban Kafofin watsa labarai, da Big Tech/Bayanai.
Sanannu kaɗan sune abubuwan da ƙwararrun kiwon lafiyar jama'a, masu ba da kiwon lafiya, da ƙungiyoyin da ke da'awar wakiltar su. Kamar yadda zan kwatanta hakan ya haifar da rudani da rudani a tsakanin al’umma, wanda hakan ba zai haifar da da mai ido ba face tabarbarewar amana ga sana’ar, kamar a ce sunanta bai kai ga cika shekaru biyar da suka wuce ba!
Ina da imani cewa bala'in amsawar Covid na shekaru biyar da suka gabata, wanda na ba da shawarar cewa za a iya kiran shi Holocaust bisa doka. baya Brownstone post, ya bayyana wasu matsaloli masu yawa a cikin kiwon lafiya waɗanda ke buƙatar yin nazari da haɓakawa. Na yi imani cewa sabon jagoranci na hukumomi daban-daban a cikin DHHS yana yin tambayoyin da suka dace, kuma kowannensu yana da nufin da gwaninta don samun amsoshi.
Ganin wannan yanayin ruɗani, za ku yi tunanin cewa ƙwararrun kiwon lafiyar jama'a, masu ba da kiwon lafiya, da ƙungiyoyin da ke wakilta za su kasance gaba ɗaya tare da sabbin shirye-shiryen DHHS. Yi haƙuri in faɗi, amma za ku mutu ba daidai ba! Wadannan kungiyoyi sun yi kokarin dakile wadannan yunƙurin da ƙarfi kamar yadda ƙungiyoyin ƴan sanda ke yi.
Shekaruna na aiki a lafiyar jama'a, mafi mahimmanci a matsayina na shekaru 10 na mamba na NYS Dept of Health AIDs Institute Quality Advisory Committee daga 2008-18, da shekaru 19 na aikin kula da lafiya na karkara a matsayin mai ba da takardar shaida ta 1980-99 ya ba ni horo, ilimi, da gogewa don samar da hanyar da za ta iya haifar da ta'addanci.
Bari mu fara da hukumomin kiwon lafiyar jama'a waɗanda ke ƙarƙashin laima na DHHS. Sun kasance alhakin ba da jagora, umarni, da umarni a cikin shekaru 5 na martanin cutar ta Covid. Duk da cewa yawancin abin da waɗannan hukumomin suka yi an san su sun dogara ne akan zaɓaɓɓun bayanan ceri ko na zamba, da kuma ƙaryar ƙarya, yawancin kwararrun lafiyar jama'a har yanzu suna kare waɗannan ayyukan. Anan ga yadda abin ya faru.
Babbar ƙungiyar kula da lafiyar jama'a a ƙasar ita ce Ƙungiyar Kiwon Lafiyar Jama'a ta Amirka (APHA), wadda na kasance memba daga 2005-21. A tsawon wadannan shekaru, ina da alaƙa da Sashen Alcohol, Taba da sauran Magunguna (ATOD), kuma na ba da bayanai da yawa na baka da fosta na binciken da aka yi a cibiyar da aka ɗauke ni aiki. Daga 2011-21, ni memba ne na Kwamitin Shirye-shiryen ATOD, kuma an caje ni da tabbatar da cewa an amince da duk gabatarwar ATOD na baka don ci gaba da darajar ilimi.
Yayin da Sashen ATOD ya kasance ɗaya daga cikin manyan sassa a cikin APHA, ya zama kamar maraya ne. Wannan saboda sashin namu ya ba da ingantaccen bincike wanda ke tattara bayanan haɗarin lafiya na amfani da kayan maye, amma duk da haka yawancin sauran sassan, lokacin da aka ba su dama, sun goyi bayan halatta kusan dukkanin magunguna.
Akwai wasu wuraren da ni da kaina na ji kamar ina rayuwa a wani yanayi. Wannan ya kai ga jaridar su, da Jaridar Amirka ta Lafiya ta Jama'a (AJPH), wallafe-wallafen da aka bita sosai. Misali, an dauki Dr Fauci kamar tauraron dutse, kuma ya kasance mai yawan ba da gudummawar labarai. Ina bukatan karin bayani?
Daga ƙarshe, yanayin ya zama mai wuyar gaske har na yanke shawarar barin APHA a 2021, kuma na yi murabus daga Kwamitin Shirye-shiryen ATOD. Ga wasiƙar (kawai an ɗan gyara) da na aika zuwa ga shugabancin Kwamitin Shirin:
Oktoba 29, 2021
Yanzu da taron shekara-shekara na 2021 APHA & Expo ya ƙare, zan yi murabus daga Kwamitin Tsare-tsare na ATOD.
Yayin da ba zan ƙara shiga cikin kowane wata zuwa wata da aikin yau da kullun na Kwamitin Tsare Tsare Tsare-tsare (ciki har da bita-da-kulli ba, zaɓin zaɓe, da hada hadayun zama); Zan ci gaba da kasancewa don amsa kowace tambaya da ku ko wasu membobin ƙungiyar za ku iya yi. Na yi imani cewa kuna da ƙungiyar da ke da cikakkiyar damar aiwatar da aikin, kamar yadda za a ci gaba da cika burin ATOD na taron shekara-shekara (harhada zaman taro na baka da na rubutu mai inganci, da samun CEUs don gabatarwar baki) za a ci gaba da cika su.
Shawarar da na yanke na yin murabus ba saboda wata matsala da ta shafi sashen ATOD ba ne, sai dai tare da jagorancin APHA gaba daya. Na bayyana kowane adadin lokuta akan kiran mu na Zoom cewa ATOD ya ci gaba da ba da damar kimiyyar bincike don jagorantar kimiyyar siyasa (wanda shine yadda yakamata ya kasance), yayin da na daɗe da sanin ra'ayin APHA gabaɗaya na hagu, inda, sau da yawa, kimiyyar siyasa ke sarrafawa. Duk da haka, tun lokacin da gwamnatin Biden ta karbi mulki; Ina jin cewa ƙungiyar ba ta zama komai ba face Marxist PAC wanda ke yin lafiyar jama'a kusan kamar yadda ake tunani. Wannan ya zama mafi bayyananne lokacin karanta labaran da ke da alaƙa da COVID a cikin AJPH. A matsayin wanda ke da gogewa a cikin kulawar masu haƙuri kai tsaye (a matsayin ƙwararren ƙwararren ƙwararren mai ba da izini wanda ya ba da kulawa ta farko na karkara don shekaru 19+), lafiyar jama'a (ciki har da kwamitin ba da shawara na NYS Dept of Health AIDS Institute), da bincike na asibiti; Na gaskanta cewa na cancanci sanin datti idan na gan shi. Sakamakon haka, na bar zama memba na APHA ya ƙare.
Cutar ta kuma bayyana yadda masana'antar harhada magunguna ke gudanar da ayyukan da suka yi daidai da ayyukan masana'antar taba da barasa da ATOD ta yi kira daidai. Abin takaici, game da masana'antar harhada magunguna, APHA, tare da sauran hukumomin kiwon lafiyar jama'a, sun karkata matsayinta ga masana'antar harhada magunguna kamar yanayin yanayi, ya danganta da tsarin siyasa.
Ina tabo batutuwan da suka gabata, ba wai daga wani raini ko jin raini ba. A matsayina na mai ra'ayin mazan jiya (a faɗi mafi ƙanƙanta), na saba zama memba na abin da zan kwatanta a matsayin "kulob ɗin keɓaɓɓen" a cikin al'ummar ilimi. Dalilin da ya sa na bijiro da wadannan batutuwa shi ne, na yi imanin sauran ‘yan kungiyar ta ATOD na fuskantar kalubale, kuma za su ci gaba da fuskantar kalubalen da shugabancin APHA ba zai taba ba. Tare da manufar buɗe kan iyaka da ke aiki a cikin Amurka, adadin fentanyl da ke shigowa ƙasar ya ƙaru zuwa inda ya isa ya kashe kowane namiji, mace, da yaro. Yayin da yawan mutuwar miyagun ƙwayoyi ya ragu a karon farko a cikin akalla shekaru 20 a cikin lokacin 2018-19, mutuwar fiye da kima ya sake karuwa zuwa matakan rikodin, yawanci saboda kwararar fentanyl. Ganin na yarda cewa shugabancin APHA yana goyon bayan samun buɗe kan iyaka, kuma yana goyon bayan yanke hukunci da kuma halatta kawai game da komai; kokarin da ATOD ke yi na samar da manufofi don magance wannan al'amari ta kowace hanya mai ma'ana zai shiga bangon bulo. A cikin lamiri mai kyau, ba zan iya tallafawa ƙungiyar (APHA) mai wannan tunanin ba, saboda ya saba wa duk ƙoƙarina na aiki a cikin shekaru 20 da suka gabata. Bugu da ari, a matsayin kakan 4; waɗannan al'amura sun ɗauki ma fi gaggawa.
Yi hakuri da tsawon wannan sadarwa, amma na gaskanta na kawo hangen nesa wanda watakila ba ku ji ba, amma ya dace ku duba gaba.
Na gode da damar samun damar yin hidima ga sashen ATOD na shekaru goma sha biyu da suka gabata.
gaske,
Steve
Steven Kritz, MD
Na sami amsa a wannan rana daga wasu mambobi biyu na shugabannin Kwamitin Shirye-shiryen ATOD, wadanda a baya sun kasance shugabannin kwamitocin shirye-shirye. Ga martanin farko (sake, an ɗan gyara kaɗan):
Oktoba 29, 2021
Hai Steve
Imel ɗin ya ɗan ba ni baƙin ciki, amma a bayyane yake cewa kun ba da wannan tarin tunani.
Ina so in fara da cewa shigar ku cikin sashin ya ba da gudummawa mai yawa.
Ina so in gode muku don faɗi kyawawan kalmomi game da sashin. Ina tsammanin kun yi gaskiya-Ina tsammanin cewa sashin ya yi ƙoƙari ya bi kimiyya…… ba koyaushe muke samun daidai ba, amma mun gwada.
Na san cewa muna mamaye wurare daban-daban a fagen siyasa, amma koyaushe kun kasance mai mutuntawa, ɗan koleji da ban dariya. Ya kamata ku sani cewa taimakon ku tare da sashin opioid na shirin wannan bazarar da ta gabata ya kasance babban taimako. Saboda dalilan da ba zan shiga ba, bandwidth dina ba shine abin da ya saba ba kuma ina buƙatar taimako.
Steve- godiya sosai. Na koyi ton daga gare ku a cikin waɗannan shekaru masu yawa cewa mun yi aiki tare da jajircewar ku ga ingantattun zaman da sashe mai ƙarfi ya kafa babban bargo. Ina matukar godiya.
Ga amsa ta biyu (ba a gyara ba):
Steve, A madadin Sashen ATOD kuma daga gare ni da kaina, Ina so in gode muku don duk abin da kuka yi tsawon shekaru. sadaukarwar ku da zurfin ilimin ku sun kasance irin wannan kadari. Kuna daya daga cikin dalilan da muka saba gabatar da irin wannan ingantaccen shirin kimiyya.
Ina jin daɗin raba ra'ayoyinku game da APHA da kuma shirye-shiryenku na amsa duk wata tambaya daga kwamitin shirin idan sun taso.
Ina muku fatan alheri. Na sake godiya ga duk abin da kuka yi don Sashen ATOD.
Daga abubuwan da suka gabata, bai kamata a yi mamaki ba cewa APHA ta yi kakkausar suka ga duk abin da RFK, Jr. da shugabannin hukumarsa ke ƙoƙarin yi. Ba mako guda ke faruwa ba Georges Benjamin, MD, wanda ya kasance Babban Darakta na APHA tun 2002, bai ba da sanarwar sanarwar manema labarai gargadi game da mummunan sakamakon aikin DHHS ba. Cire kwanan nan na duk Kwamitin Ba da Shawarar FDA ya kasance mai ban haushi musamman ga Dr Benjamin.
Bari yanzu in juya ga masu ba da kiwon lafiya, waɗanda da alama suna yin watsi da ayyukan DHHS na yanzu. Zan fara da bayyana cewa yana kama da mummunar barna daga ObamaCare shine ta tilastawa kusan dukkanin likitocin da ke aiki a kasar zama ma'aikatan manyan kungiyoyin kiwon lafiya, tare da asarar 'yancin kai. Na yi imani da cewa wannan shi ne tsarin gwamnati tun farko. A takaice dai, likitoci a kasar nan an jefar da su. Suna yin abin da masu aikinsu suka ce su yi!
Fiye da shekaru goma, na kasance mai karanta karatun yau da kullun American Journal of Medicine (AJM, AKA, The Green Journal), sanannen (aƙalla a tsakanin ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwararrun ƙwaƙƙwa) waɗanda ke kan layi. Yawancin labarai suna samuwa kyauta ba tare da biyan kuɗi ba. A cikin fitowar Yuli 2025 da aka buga a tsakiyar watan Yuni, na karanta labarai guda uku da aka sanya a jere a cikin sashin Sharhi waɗanda su ne ainihin kuzarin rubuta wannan labarin.
The labarin farko yana da hakki, Sake Samun Lafiyar Amurka A Matsayin Jagoran Ayyukan Aiki: Bari Tsarin Rarraba Shawarwari yayi Magana don Kanta.
Ga sakin layi na farko:
Wani abu mai ban tsoro yana faruwa ga kiwon lafiya da kuma yadda ake amfani da shaidar kimiyya don jagorantar shawarwarin jiyya a Amurka (US) - ana iya faɗi ɗaya game da tsarin kula da lafiyar jama'a. A tarihi, an yi amfani da bayanai daga tsauraran binciken da aka gudanar, tare da kafa tushen shaidar kimiyya, a matsayin direba na farko don yanke shawara na asibiti da manufofin lafiyar jama'a. Wannan tsarin siyasa ya kasance mai matukar tasiri wajen ciyar da magani da lafiyar jama'a, inganta ingancin kulawa da sakamako. Da alama mun fara karkata daga tsarin da tushen shaida ya kafa bisa binciken kimiyya. Musamman, mun shiga wani zamani na siyasantar da ilimin kimiyya da ba a taɓa yin irinsa ba. Ya bayyana wannan sabon zamanin an shigo da shi ne a lokacin cutar sankara na 2019 (COVID-19), inda rashin tushe, bayanan siyasa ke haifar da shakkun rigakafin, wanda ya saba da shaidar kimiyya da ke tallafawa aminci da ingancin rigakafin. Wannan, abin takaici, ya haifar da hauhawar yawan mace-mace na COVID-19 a cikin yankuna na Amurka tare da ƙarancin allurar rigakafi, inda jinkirin rigakafin siyasa ya kasance muhimmin al'amari. Yayin da Amurka da sauran kasashen duniya suka wuce cutar ta COVID-19, da alama siyasar kimiyya ta ci gaba da haifar da wata sabuwar barazana ga magani da lafiyar jama'a.
Sauran wannan Sharhi ya ci gaba da kare ci gaban ka'idodin aikin asibiti a cikin shekaru 50 da suka gabata. Zan fayyace kashi na biyu na taken wannan Sharhi, da abin da duk wani mai gabatar da kara nagari ya rika fada a lokacin gwaji na rashin aikin yi inda likitan fida ya bar wani bakon abu a cikin majiyyaci: Res ipsa loquitor, wanda ke nufin cewa abin yana magana da kansa!
Zan ci gaba zuwa na gaba Sharhi, Juya Ƙaddara zuwa Zabi: Ƙaddamar Kai da Ƙaddara Rayuwa, wanda ke haɓaka ƙoƙarin kimiyya don adana rai ga waɗanda ke son yin hakan, kuma ya koka da cewa ba a yin irin wannan binciken na likitanci sosai. Ganin abin da muka samu tare da faɗuwa daga bincike-bincike-na-aiki a cikin shekaru da yawa da suka gabata, wannan Sharhi ya yi kama da ghoulish. Zan kuma nuna cewa ɗaya daga cikin marubutan ya fito daga Ostiraliya, inda aiwatar da dokar hana kulle-kulle, nisantar da jama'a, da wajibcin abin rufe fuska yayin bala'in cutar ta Covid ya kasance mai tsauri kamar ko'ina cikin duniya, ban da China! Idan wannan marubucin yana zaune a Ostiraliya a lokacin bala'in cutar ta Covid, a shirye nake in yanke masa ɗan rago, idan aka yi la'akari da irin yadda yanayin sansanin tattarawa na ƙasar ya ɗauki hankalin kowa.
Na uku kuma na karshe Sharhi yana da hakki, Wutar daji ta Los Angeles: Samun Zuciyarta, wanda Babban Editan AJM ne ya rubuta shi, likitan da na yi mu'amalar imel mai dadi sosai a cikin shekaru biyar da suka gabata…sai dai lokacin da na kalubalanci labarin da aka rubuta a watan Janairu na 2022 yana ɗaukaka kyawawan halaye na ainihin amsawar Covid, da kuma buƙatar kiyaye waɗancan tsoma bakin. Al'amura sun ɗan yi ɗan gwadawa, amma na yanke shawarar kada in matsawa sosai, don haka na ja da baya!
Ga sakin layi na farko na Sharhin:
Gobarar daji ta Los Angeles a watan Janairun 2025 ta haifar da barna da ba a taba ganin irinta ba, inda ta kona kusan eka 60,000, ta daidaita dukkan unguwanni, ta kuma yi asarar rayuka 29. Waɗannan abubuwan da suka faru sun zama babban kwatanci na sauyin yanayi na duniya, yana nuna ƙarar mita, ƙarfi, da tsawon lokacin gobarar daji a yankuna da yawa a duniya.
Labarin ya ci gaba da magana ta hanyar ilimi game da illar cututtukan zuciya na numfashi a cikin abubuwan da gobarar daji ke haifarwa. Idan da marubutan sun tsaya kan lamuran kiwon lafiya, da zai kasance mai amfani, amma a fili, ba za su iya taimakon kansu ba kuma dole ne su shiga duniyar kimiyyar yanayi, wanda a fili suka san kadan, idan wani abu. Ina tsammanin cewa kula da gandun daji ya fi karfin ilimin su ma, tunda ba a tava ambata ba!
A taƙaice, an sayi ƙwararrun ma'aikatan kiwon lafiyar jama'a da ma'aikatan kiwon lafiya a Amurka kuma an biya su, kuma sun kasance a shirye su bi duk wani abu mai haske ƙungiyoyin ƙwararrunsu ko masu biyan kuɗi suka ajiye a gabansu ba tare da tambaya ba. Shin wani abin mamaki ne cewa ƙoƙarin sabon tsarin DHHS ya fuskanci irin wannan matsananciyar koma baya? A ci gaba, mu waɗanda suka fahimci abin da ake yi muna buƙatar ci gaba da tallafawa DHHS domin ƙwararrun da ke cikin hukumomi daban-daban su sa kawunansu ƙasa su ci gaba.
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Steven Kritz, MD likita ne mai ritaya, wanda ya kasance a fagen kiwon lafiya tsawon shekaru 50. Ya sauke karatu daga SUNY Downstate Medical School kuma ya kammala zama na IM a Asibitin Kings County. Wannan ya biyo bayan kusan shekaru 40 na ƙwarewar kiwon lafiya, ciki har da shekaru 19 na kulawa da haƙuri kai tsaye a cikin ƙauyen ƙauye a matsayin Kwamitin Certified Internist; Shekaru 17 na bincike na asibiti a wata hukumar kiwon lafiya mai zaman kanta-ba don riba ba; kuma sama da shekaru 35 na shiga cikin lafiyar jama'a, da tsarin kiwon lafiya da ayyukan gudanarwa. Ya yi ritaya shekaru 5 da suka gabata, kuma ya zama memba a Hukumar Binciken Institutional Review (IRB) a hukumar da ya yi bincike a asibiti, inda ya kasance shugaban IRB tsawon shekaru 3 da suka gabata.
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