Saturday, January 10, 2009

Paging Dr. Gupta for Surgeon General? Yes!



The buzz in the mainstream press is that Dr. Sanjay Gupta (left), CNN chief medical correspondent, is tops on the list to be the next Surgeon General. Although some of my colleagues in the trenches of community and public health are offended by the selection of someone outside of the public health field, I think it is a brilliant choice. Because of his international media stardom (he was named as one of People Magazines 50 sexiest men alive in 2003 and a pop culture icon by USA today in 2004) he has the opportunity to influence the public health more than any Surgeon General in memory, even more than white bearded Dr. C. Evertt Koop (right), the quintessential public health leader we remember from the Reagan administration.

The Surgeon General heads the U.S. Public Health Service with the job of being the "nation's chief health educator by providing Americans the best scientific information available on how to improve their health and reduce the risk of illness and injury. " The most recent Surgeon General, Dr. Richard Carmona, resigned in 2007 and later testified to Congress about restrictions placed upon his message by the Bush administration. The current acting Surgeon General is Rear Admiral Steven K. Galson, M.D., M.P.H., a career commissioned officer of the U.S. Public Health Service.

Dr. Gupta is a brilliant choice for the next Surgeon General.

Imagine the chief public health officer reaching out to everyone younger than a baby boomer via social networks and electronic media such as Facebook, MySpace, Twitter, and via the blogosphere and YouTube (just to name a few).  And for those of all ages, think about the natural talent he has for communicating via television where previous Surgeons General have looked awkward and have delivered messages as if they were cardboard cutouts of a person frozen at a podium. Dr. Gupta has the opportunity to bring public health messaging to an entirely new level by leveraging his talent as a media specialist. And, as a practicing neurosurgeon already with many public health credentials, he has the panache to man the bully pulpit like no other.  If he is nominated and confirmed, leveraging the incredible assets of the U.S. Public Health Service via innovative media outlets should be his focus.

Also, don't you think he'll look super great in that uniform?

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7 comments:

Anonymous said...

I couldn't agree more. Your earlier post/comment did get me wondering, however, if the uniform is mandatory? ;)

Lee Francis said...

I think the uniform is expected, which would make some people feel uncomfortable if they had to wear it. A little known tidbit of information is that the US Public Health Service is one of the uniformed service branches: Army, Navy, Air Force, Marines, Coast Guard, Bureau of Weights and Measures (seriously) and the US Public Health Service. Rank for officers of the US PHS follows navy rank. So will it be Admiral Gupta?

Anonymous said...

Yes, he would be the rank of admiral at one of 4 levels (corresponding to stars). Usually the SG is at the highest rank, and sometimes serves as the Assistant Secretary of Health (ASH) within the Dept of Health and Human Services. The last ASH under the Bush administration was John Agwanobi who incidentally was a civilian who came in at a rank higher than the SG. Curious.

While the USPHS is a uniformed service, they are not part of the military (Dept of Defense), as aside from the ceremonial sword in a dress uniform, would not carry weapons.

Interesting choice though for SG and I agree, he certainly would be able to deliver the message.

It is always an interesting challenge to deliver public health messages as a political appointee and wait to see when conflicts arise. By its nature, much of public health issues revolve around sex, drugs and other human frailties that some call vice. Frank talk based on biological realities and politics don't usually mix well. Witness even Jocyln Elders, Clinton's SG, who was forced to resign over her masturbation remark.

Lee Francis said...

Thank you Markus, whoever you are.

One can only imagine that the career officers feel some consternation if not alienation or rejection when someone comes in from the outside to be the boss. Not much different that any other branch of government I suppose.

Anonymous said...

I think that Obama has a great national platform and Gupta has a great opportunity to influence national policy and should carry the additional "Weight".

Balance is what good health is all about!

Bernie Henry

Anonymous said...

Paging Dr. Francis for Surgeon General? Yes!!!

Michael said...

Oh, No, CNN.com is saying that Dr. Gupta is opting out of being Surgeon General.