The Point Blog

On August 4, 2022, the U.S. Department of Health and Human Services (HHS) published its notice of proposed rulemaking (NPRM) to the Federal Registry to modify Section 1557, the “Nondiscrimination in Health Programs and Activities Clause” of the Affordable Care Act.

During my surgical training, I helped care for an aging professor who bemoaned his declining health. His mind still moved in academic circles, pondering the high points of chemistry and physics, but arthritis had so fused the bones in his neck that he couldn’t nestle into a pillow anymore. Cancer riddled his chest, and squandered nutrients, until his frame wasted to skeletal proportions. The simple routine of enjoying a meal pitched him into coughing, and pneumonia festered from the secretions that pooled in his lungs.

Today I am a pharmacist. Well, not really. I’m still a physician, but this week in the Dominican Republic on a Global Health Outreach (GHO) trip, I am serving as a pharmacist. The incredibly dedicated pharmacist who has served on this team for years is at home with COVID-19, and I am attempting to fill his shoes. And as I look around the pharmacy, I see a beautiful picture. While we don’t quite represent every tribe and tongue, we are a varied group, to be sure. There is a woman here from Georgia who is originally from Colombia, a woman here from Ohio who is originally from Indonesia and a multitude of Dominicans and Americans. When I look outside the pharmacy door at the rest of our 75+ team members, we represent at least 10 U.S. states and at least five countries of origin. We include physicians, dentists, nurses, students, optometrists, teachers, pastors and homeschooling moms. We span ages from 10 to 70. We have people triaging and organizing patients, taking vitals, pulling teeth, prescribing medications, performing ultrasounds, filling prescriptions, dancing, singing, making balloon animals and sharing the gospel. We speak English, Spanish, Indonesian and Tagolog. We are funded by people and churches who paid our way or bought medications, and we are even funded by airlines that waived baggage fees to allow the many bags of equipment to travel here. We are supported in prayer by hundreds of people across at least two countries. As a group, we exemplify the beauty of the body of Christ. 

The June 28, 2022 piece by Rita Rubin in the Medical News & Perspectives section of JAMA, “How Abortion Bans Could Affect Care for Miscarriage and Infertility,” presents a one-sided narrow view of the potential impact of the U.S. Supreme Court’s ruling on women’s reproductive care, specifically the management of miscarriages and advanced reproductive technologies.

Sometimes, we need a “right now” word. Sometimes, this is referred to as a “rhema word” or “God’s Word spoken to you.”

CMDA’s Advocacy Department is focused on serving as your voice to the government, media and public on bioethical and public policy issues. Much of the grassroots advocacy efforts we take on both federal and state levels depend on your individual involvement.

Over the years, countless healthcare professionals have shared touching stories of mentors who encouraged and inspired them at early stages of their training. Such accounts motivate us to “pay it forward” and serve in that role for the next generation.

At the time of this writing, the official U.S. Supreme Court ruling on the possible overturn of Roe v. Wade is still pending. The contents of the leaked Samuel Alito document stating that the right to an abortion is not ensconced in the Constitution is still in draft form.

In a conclusion to a case that has gripped the nation, on May 13, 2022 a judge in Tennessee sentenced former nurse RaDonda Vaught to three years’ probation with a judicial diversion, rather than a maximum sentence of 8 years in prison, for clinically negligent homicide.

Do you remember your high school, college or medical/dental school graduation? Probably a bit, I suppose, but if you’re like me, those days are a bit of a blur. How about the graduation speaker at each of those events? Do you remember what was said?

As a former federal government employee, I have observed firsthand how policies affecting our everyday lives are often crafted and administered by unelected federal bureaucrats. Coupled with presidential executive orders, this gives the executive branch a remarkable amount of power. Within the executive branch exists the regulatory framework, which is overseen by a little-known office under the purview of the White House called the Office of Information and Regulatory Affairs. Proposed actions from this office are published in the “Unified Agenda” twice a year in the spring and fall, giving the public a glimpse into what future regulatory action is on the horizon. Most of us are unaware (some may say blissfully so) of the volume of regulatory and deregulatory actions under development and review in more than 60 federal departments, agencies and commissions across the government. To give some perspective, the U.S. Department of Health and Human Services (HHS) currently has more pending actions than any other cabinet level department, which underscores the sheer size and reach of this titan agency with a budget that surpasses the gross national product of several countries!

The U.S. Centers for Disease Control and Prevention (CDC) reported that chemical abortions represented 38.6 percent of all U.S. abortions in 2018, an increase of 120 percent from 2009. According to the Associated Press, abortion by pill rose to 54 percent of all abortions in America in 2020. The abortion industry has evidently found its path to circumventing the possible overturning of Roe v. Wade, and that avenue is the mailbox.

Sexually transmitted diseases (STDs) continue to rise. However, according to last week’s press release from the U.S. Centers for Disease Control and Prevention (CDC), it’s apparently got nothing to do with sex.

Pontius Pilate asked in John 18:38, “What is truth?” (NIV). More than 2,000 years later, we often find ourselves in the same position. It is hard to know what, or whom, to believe. Many of the people we would expect to be reasonably honest and transparent can no longer be trusted. The faith we place in major media outlets, large corporations, government officials and even churches may be at an all-time low.

A recent article by NBC News bemoaned the decreasing number of medical schools and residency programs that engage in abortion training. The author attempts to blame this reduction on the increasing number of states passing legislation restricting access to abortion. What is not acknowledged is the fundamental fact that aside from the state of Texas, where a very unusual law exists prohibiting abortion after the detection of a fetal heartbeat, no other state currently limits abortion in the first or early second trimester of pregnancy. The reason is the present legal landscape dictated by Roe v. Wade and Planned Parenthood v. Casey. This raises the question as to the real reason abortion training options are diminishing, since abortion is legal after the detection of a fetal heartbeat in 49 states and the District of Columbia.

“Oh please, no more!” she cried. “You said I could go home, and now you’re saying I can’t. You’re a liar!”

At times it can seem like wickedness is gaining the upper hand. The increasing wickedness is primarily driven by an abounding disregard of God’s Word, a blatant disregard of truth. Those participating in and contributing to the increasing wickedness (wrongdoing) that we are being affected by throughout our society is cloaked in what they depict in their minds as “right-doing.” They believe their actions are advancing compassion, justice and mercy. However, this is faulty thinking. James 3:16-17 tells us such thinking or “wisdom” will create “…disorder and every evil practice. But the wisdom from above is first pure, then peaceable, gentle, open to reason, full of mercy and good fruits, impartial and sincere” (ESV).

Blankets and quilts are nice, but for cozy wonderfulness on a chilly winter night, give me a comforter every time. A comforter is an old word, but it refers to a particular piece of bedding. Big and puffy, comforters have soft fabric on both sides of a fluffy interior. In addition to warmth, comforters provide…well…comfort.

I had lunch with some dear friends today—Christian women physicians who have been my friends for almost 20 years. We talked about medicine—the woes of the current healthcare system. And we said we couldn’t imagine how things would continue, given the problems our healthcare system faces. We talked about parenting—the challenges of raising daughters. And we said we couldn’t imagine how kids could process social media and technology in a healthy way. We talked about our churches—the deep divisions between the maskers and non-maskers over the last couple of years. And we said we couldn’t imagine how the wounds could be healed. We talked about politics—the uncompromising partisan viewpoints on both sides of the aisle. And we said we couldn’t imagine how people could learn to work together given the depth of the divide.

Swiftly on the heels of his 2021 study showing sexual orientation change efforts (SOCE) “strongly reduces suicidality” and that restrictions on SOCE may “deprive sexual minorities of an important resource for reducing suicidality, putting them at substantially increased suicide risk,”[1],[2] Sociologist Paul Sullins’ new peer-reviewed analysis revealed, as per its title, an “Absence of Behavioral Harm Following Non-efficacious Sexual Orientation Change Efforts: A Retrospective Study of United States Sexual Minority Adults, 2016–2018.”[3]

No matter where you stand, it should be evident that a large swath of humanity confidently clings to tenets that are demonstrably untrue. Moreover, these beliefs are not borne exclusively of facts, experience and logic but a deadly array of confounding factors. The vast complexity of most subjects, misinformation, disinformation and information overload preclude anyone from total mastery of an issue. The solution is biblical, and it’s called intellectual humility.

Fairy tales and science usually don’t coincide; fairy tales are the stuff of myth and fancy, science of objective fact. Yet the continued push for fetal tissue research is extensively constructed of flimsy fairy tales, with proponents willfully ignoring objective fact in hopes of gaining some taxpayer dollars. The falsehoods about fetal tissue research have been repeatedly debunked by factual evidence, but fetal tissue research advocates continue to apply the Illusory Truth Effect: repeat something often enough, even if false, and people will begin to believe it. Unwilling to let a good crisis go to waste, fetal tissue proponents have even tried to exploit the COVID-19 pandemic, claiming that fetal tissue is essential for study of SARS-CoV-2 infections, making humanized “lung-only mice” using fetal tissue from abortion. Sadly, the unphysiological and anatomically inappropriate mouse model highlights the lengths to which some scientists will go to justify unethical practices. And while the Biden administration in 2021 removed sound ethical reviews and prohibitions on taxpayer-funded fetal tissue research, clinging to this antiquated research holds back modern, productive science. Here is just a small sampling of the scientifically and ethically superior methods and models that should be receiving attention.

Apparently, Medscape does a yearly survey on physician burnout, and the one that just came out asked 13,000 physicians from 29 specialties about their personal experience with stress and signs of burnout. Being in the midst of a global pandemic, it won’t surprise anyone that burnout rates are rising.

Five of we Americans were in London a few weeks ago at the invitation of the International Federation for Therapeutic & Counseling Choice (IFTCC) and Christian Concern to—along with colleagues from the United Kingdom, Norway and Australia (some by video presence)—to hold a one-day conference one block from Parliament challenging the proposed UK “conversion” therapy ban. I wrote the following at the request of Christian Concern and IFTCC, reprinted here with their permission.

On December 1, 2021, the U.S. Supreme Court (SCOTUS) heard arguments regarding the legality of abortion restrictions put into place by the state of Mississippi. The case is known as Dobbs v. Jackson. It is the most high-profile abortion case argued before the Supreme Court since Planned Parenthood v. Casey in 1992.

In the classic tale The Wonderful Wizard of Oz by L. Frank Baum, perhaps most recognized by the 1939 movie version starring Judy Garland, young Dorothy Gale from Kansas and her dog Toto are transported via tornado to the strange Land of Oz and undertake a journey to see the Wizard of Oz in hopes he can return them to their Kansas home. Along her path on the Yellow Brick Road, Dorothy acquires three traveling companions who also have requests they hope the Wizard will grant, to give them each something they seem to lack: a brain, a heart and courage. The group’s progress and attempts to win the favor of the Wizard are hindered and harassed repeatedly by the Wicked Witch of the West and her minions, including incessant taunts about their shortcomings as well as a dire warning for Dorothy: “I’ll get you, my pretty—and your little dog, too!”

“But the fruit of the Spirit is love, joy, peace, forbearance, kindness, goodness, faithfulness, gentleness and self-control. Against such things there is no law” (Galatians 5:22-23, NIV).

How do you ascertain God’s will for your life?

This is one of the greatest existential questions asked by followers of Christ, the young in particular. It is also one of the most profoundly misunderstood.

We may be taught that there is a divine roadmap for our lives, known to God yet unknown to us. We desire to know it for two reasons. First, we seek to please God and be good stewards. Second, we believe following his divine plan will maximize our earthly joy and blessing, but He offers no objective way of knowing it. What then, does that say about God? He created a divine master plan for us to follow, but we have to pry it out of Him? What sort of God would do that, and why? What if we make the wrong decision?

Well, that didn’t take long. As predicted, the parade of challenges to human dignity and human life discussed not long ago has already started to come to pass.

A new study authored by a socio-politically diverse team of psychologists evaluated a religiously diverse population sample of varied sexual identification and found that sexual minority people who reject LGB identification have positive outcomes that contradict the expectations of both minority stress and sexual identity development theories.

In last Saturday’s New York Times, Christian columnist Ross Douthat asks, “Can the Meritocracy Find God?”

“The secularization of America probably won’t reverse unless the intelligentsia gets religion,” writes Douthat. Nor is he sanguine for the prospects of that occurring. Douthat postulates two primary obstacles. First, “a moral vision that regards emancipated, self-directed choice as essential to human freedom and the good life.” Second, an entrenched anti-supernaturalism: “The average Ivy League professor, management consultant or Google engineer is not necessarily a strict materialist, but they have all been trained in a kind of scientism, which regards strong religious belief as fundamentally anti-rational, miracles as superstition, the idea of a personal God as so much wishful thinking.”

In a previous blog, I recommended John Stonestreet, president of the Colson Center, and BreakPoint, his daily blog. The Colson Center has several formats for outreach including the Colson Fellow program, weekly podcasts, daily email briefings and Wilberforce Weekend. The Colson Center takes on many of the most pressing issues of the day and thoughtfully discusses ways in which we as Christians can engage our culture. As I said in that earlier blog, if you stop reading this right now and explore the Colson Center options, I will have succeeded in pointing you to a good path for improving your Christian walk.

I’ve read novels ever since my youth, and I’ve had an enduring fascination with the side character of the rich elderly female relative who “took to bed” decades earlier. Even before I was a doctor I wondered, “What illness caused her to ‘take to bed’?” There are seldom enough clues to unlock the mystery of which exact medical diagnosis she had that kept her in her bedroom. Writers of novels one to two centuries ago didn’t focus on those clues. She was, after all, a side character.

Freedom. It’s an important word to us in the United States—arguably the most important word to the founding of our country.

A multitude of states, counties and cities have banned “conversion therapy,” usually for minors only, with efforts underway to issue a national ban for all through the so-called “Equality Act” (HR 5). Yet, “conversion therapy” is a misrepresentative, maligning and summarily ill-defined term employed as a jamming tactic to capitalize on an allusion to implicitly forced religious conversion while stigmatizing and intimidating any therapist who would engage in change-allowing therapy. It implies coercion and suffering, neither of which are true of modern change-allowing therapy (aka SOCE for sexual orientation change efforts). Modern SOCE therapists uniformly view old aversive techniques (think shaming, electric shocks, etc.) as unethical and ineffective. Tellingly, no state or municipality enacting a therapy prohibition has yet to ban aversive practices, only counseling that allows clients to explore their potential for change of SOGI (sexual orientation, gender identity). Why not ban aversive measures too, if abuse is really the issue?

“You can’t handle the truth!”

That classic line from A Few Good Men from Colonel Jessup in the witness stand became a waving flag for many. It is enticing to think we own the truth, and that those who can’t “handle” it are naïve, weak or cowardly. Delivered to perfection by Jack Nicholson, Jessup hammered a wedge between truth and fantasy, and of course we all know which side we’re on, don’t we?

When my husband and I worked at a mission hospital in Kenya for six weeks in 2013, we ate dinner every evening with another volunteer doctor, an orthopedic surgeon. We often discussed the use of opioids, or rather, the seldom-use of opioids in Kenya. After a U.S. surgery, he said his patients would receive opioids round the clock in the hospital, and they’d go home with a prescription for 30 to 60 pills. Yet here, patients’ pain was managed with non-opioid pain medications, and nobody was prescribed opioids after discharge.