What is most challenging about this work?
Federal bureaucracy. Local bureaucracy and lack of vision. Lack of control over some aspects of practice. Nursing and allied health services with chronic shortages. Leadership deficiencies at many levels. High turnover in personnel. Issues with accountability within the organization to make change.
What is most rewarding about this work?
Can make a difference immediately and long term. Can explore many facets of pediatric medicine. Can mentor new pediatricians, residents and medical students about the benefits of a one payor system and about global health in the US.
Who are your heroes/mentors (in AIAN child health or elsewhere)?
Mathuram Santosham, Kate O’Brien, Allison Barlow, Ray Reid and the team from Johns Hopkins University.
Holmes Morton for the work done with the Amish population on rare diseases. Paul Farmer for his global health work and bringing it to Navajo.
Anne Schuchat and staff at CDC for their work in child health, especially infectious disease. David Grossman for coming from IHS into public health and continuing to work for underserved populations. AAP staff and Dr. Hassink and Dr. Dwyer for turning the conversation nationally to look at underserved populations. Jennifer Puck for bringing TREC testing to the world and not patenting it so everyone would have it open access.