February 2007

Net neutrality IS democracy.

IF the US is serious about democracy, this is the way for it to lead the world, by protecting equal access to the internet. Net neutrality IS freedom of speech, it IS equality.

View the video! Many people don’t yet understand the issue of net neutrality. This video provides a clear and brief explanation, along with some laughs.

Go to savetheinternet.com and share the information with friends. Sign the petition, contact your members of Congress and your state legislators.

These same people who perpetrated Iran Contra, are operating out of Vice President Cheney’s office, and helping fund the Sunni sympathizers with al Qaeda, who attacked the US on 9/11, and the Sunni insurgents, who have been responsible for so many American deaths in Iraq. Elliott Abrams is a key player in this new fiasco, and Congress pledged he would never work at high level in government again. Seymour Hersh in his recent article, The Redirection, in the New Yorker, describes what is happening.

The Bush Administration has decided, in effect, to reconfigure its priorities in the Middle East. . . A by-product of these activities has been the bolstering of Sunni extremist groups that espouse a militant vision of Islam and are hostile to America and sympathetic to Al Qaeda.
. . .
Two decades ago, the Reagan Administration attempted to fund the Nicaraguan contras illegally, with the help of secret arms sales to Iran. Saudi money was involved in what became know as the Iran-Contra scandal, and a few of the players back then—notably Prince Bandar and Elliott Abrams—are involved in today’s dealings.
. . .
“There are many, many pots of black money, scattered in many places and used all over the world on a variety of missions,” he said. The budgetary chaos in Iraq, where billions of dollars are unaccounted for, has made it a vehicle for such transactions, according to the former senior intelligence official and the retired four-star general. “This goes back to Iran-Contra,” a former National Security Council aide told me.

This screams for oversight and investigation. But the administration is not fulfilling its constitutional duties to keep Congress informed. Even after all the administration lying and bungling, they are still saying just trust us. Read Seymour Hersh’s entire article.

I quoted an article by Chris Floyd in the Baltimore Chronicle & Sentinel recently that said:

If “Al Qaeda in Iraq” vowed to open the nation’s oil spigots for Exxon, Fluor and Halliburton, they would suddenly find themselves transformed from “terrorists” into “moderates”

Al Qaeda and its sympathizers have not even offered that, but the US, in the person of the Vice President and his henchmen, are still treating Al Qaeda sympathizers as “moderates” and “allies,” and funneling money their way.

Vick (Vicky or Victoria) Fornah has won numerous awards, and is enormously popular in Sierra Leone and in West Africa. She has a beautiful voice. Her songs offer hope, and the feeling that there is an opportunity to rebuild and make things better, and the music is lovely. You can find CDs and DVDs of her music at Sierra Leone Live music store, or at Pan African Allstars, Search for Fornah; what is available may vary quite a bit from time to time. And there are a few more of her music videos on YouTube.

And there are some doozies here today. US support for the troops, once they are injured, gets some needed scrutiny.

American Humvee on the streets of Baghdad
Do you want foreigners, or anyone, driving like this in your city? in your country?

I don’t blame these soldiers for driving like this, they don’t want to be blown up. I would do the same thing in their circumstances. But they shouldn’t be there. This does not make the US any friends. This is a pointless and unnecessary war chosen by the Bush administration. No country can trust their motives or their word. And Ghana will not benefit if Americans bring arrogance and their enemies with them into Ghana. Most Americans are decent people, but the Bush administration takes the worst, and makes it even worse.

Military bases around the world are the way America maintains a colonial empire. This is more true than ever under Bush, as his administration pushes everywhere to make Americans exempt from other nations’ laws. It is something for Ghanaians to keep in mind, if Kufuor, or anyone else, is thinking of inviting the US to build a base in Ghana. Chalmers Johnson writes:

America’s version of the colony is the military base . . .
Interestingly enough, the thirty-eight large and medium-sized American facilities spread around the globe in 2005 — mostly air and naval bases for our bombers and fleets — almost exactly equals Britain’s thirty-six naval bases and army garrisons at its imperial zenith in 1898. The Roman Empire at its height in 117 AD required thirty-seven major bases to police its realm from Britannia to Egypt, from Hispania to Armenia. Perhaps the optimum number of major citadels and fortresses for an imperialist aspiring to dominate the world is somewhere between thirty-five and forty.

According to William Arkin, who writes on national and homeland security for the Washington Post:

What is more, the creation of a military command to handle Africa will have the opposite effect of creating more security. A new African focus? Sure. But a new command with a new be-medaled envoy? Surely that will send the wrong message to the world.

The Pentagon planners are:

New tree, same monkeys.
Africa Command though isn’t just a waste of resources: It does the wrong thing and sends the wrong message. We will build a multi-million dollar headquarters somewhere, organize a permanent staff overseen by a dozen flag officers; build bases and institute “force protection”; organize new meetings, conferences, exercises and operations. We will be ever so pleased that we have put all of Africa under one unified organization, with one commander. We will talk about the need for non-military solutions, for economic development, improved health care and support for democracy. Our Africa specialists will finally feel satisfied that they have had their day and joined the senior varsity. Our adversaries and the skeptics of American power will just see it all as another example of empire and military domination in the making.

Pyramid of Capitalist System, issued by Nedeljkovich, Brashick and Kuharich,
Cleveland: The International Publishing Co., 1911.

Bush cuts taxes for the wealthy, and cuts vital spending for the rest of Americans. Most of the support for eliminating the estate tax comes from just 18 families. Matt Taibbi gives us the numbers. Bush proposes a complete elimination of the estate tax in his budget. It would benefit the following people, among others. These benefits, shown in red, are compared to the cuts Bush and the 18 families propose for the rest of Americans, shown in blue.

Bush tax cuts
Bush budget CUTS

$32.7 billion gift in tax cuts to the Wal-Mart family

$28 billion to be CUT from Medicaid.

$11.7 billion tax cut gift to the heirs to the Mars candy corporation
$3.4 billion to be CUT from Veterans Administration benefits (supporting the troops?)

$9.7 billion tax cut gift to the Cox family (Cox cable TV)
$1.5 billion in CUTS for education

$826.5 million tax cut gift to the Nordstrom family
$630 million CUT – Community Service Block Grants would be eliminated

$468.4 million tax cut gift to the Ernest Gallo family
$420 million CUT from LIHEAP (heating oil to poor)

$164 million tax cut gift to the family of former Exxon/Mobil CEO Lee Raymond
$108 million CUT over ten years to COMPLETELY ELIMINATE the Commodity Supplemental Food Program. The program sent one bag of groceries per month to 480,000 seniors, mothers and newborn children.

As Taibbi says:

That’s not only bad government, it’s bad capitalism. It makes legalized bribery and political connections more important factors than performance and competition in the corporate marketplace.

In the words of Bishop Spong:

Capitalism . . . has within it the seeds of its own destruction if it allows more and more of the available wealth to be confined into the hands of fewer and fewer of the people. This was the capitalism that Karl Marx felt would finally destroy itself. Capitalism, however, as lived out in the western world has been tempered by social legislation that taxes the wealthy to provide benefits for the poor and middle classes. Capitalism courts revolution when it allows the wealthy to get too wealthy and the poor to get too poor.

Unfortunately, I noted, the recent history of the United States has moved in exactly that direction. During the eight years of the Bill Clinton presidency, which was a major portion of the decade of the 90’s, more wealth was produced for Americans than in any other decade in our national history. Indeed, it expanded the wealth of America to twice what had been produced in the entire history of an independent America. It also widened the gap between the rich and the poor to levels never before seen. That gap has widened even more under the presidency of George Bush and today rests at what I regard as dangerous levels. Every economic program of the Bush administration has been designed to enhance the wealth of the wealthy and, in fact, has exacerbated the poverty of the poor. So we have an economic policy that allows CEOs to be paid hundreds of millions of dollars, made up of salary and stock options, while refusing to provide health care for more than 40 million citizens and allowing our public schools to be significantly under funded.
John Shelby Spong, Q&A Newsletter, Feb 21,2007

I rarely go to plays or musicals in the theater. I used to go sometimes, but I did not often enjoy the ones I saw. Last night some friends persuaded me to join them in seeing Nerds://A Musical Software Satire at the Philadelphia Theatre Company, and I loved it!

I was riveted for the entire show. It moved along at a bounding pace, with a cast that put their whole hearts into the fun and spirit of the show. I’m not a theater critic, I don’t know enough about theater. But I can recognize a fabulously good time. And watching Nerds was a fabulously good time. The whole audience felt the same, based on the laughter and enthusiastic clapping throughout the whole show. The energy and talent of the entire cast carried us all along.

The playbill described the musical as:

Nerds is an outrageous musical take on the parallel stories of computer pioneers Bill Gates and Steve Jobs as they blaze from ‘garage inventors’ to warring titans of the computer revolution.

It isn’t a history of the actual people, Gates and Jobs, and a few others, it is not a documentary. It is a cultural impression of the beginnings of the personal computer, until its all encompassing role in our lives now. Gates and Jobs are cultural icons, and nerdy kids we may all once have been. The writers have done a terrific job of incorporating cultural institutions and pop culture references such as Star Wars, and Lord of the Rings, IBM, and many others, that most people in the US, and many around the world will recognize. Nerds uses the rivalry between the characters Gates and Jobs, Microsoft and Apple, to drive the storyline. And the writers put the story together with some smash musical numbers in a variety of pop music styles that all work together and compliment each other, and the story. We laughed at jokes in the music, at the clever writing, visual jokes, and luxuriated in the acting, singing, dancing, and visual feast.

I think Nerds would make a super movie. The show is playing through Feb. 25, but I hope there will be more chances for more people to see it. I’d like to see it again. You can hear samples of 3 of the songs here. There is a Nerds://A Musical Software Satire blog, where you can see a few more photos than the one here, and where I found these quotes:

“Nerds, a new musical about the digital age, is an unrelenting hoot, and it sucks you in like a high-speed download . . .
The [show is] directed by Philip Wm. McKinley . . . who clearly has encouraged the cast to wring every drop of fun from this twisted history of computers, and of the two prime movers who made them a force that redefined everyday life…The entire cast plumbs the show for all it’s worth, the sort of hard drive you’ll never find inside that little tower at your desk.”
– Howard Shapiro, Philadelphia Inquirer

“Fantastic, new musical…the detailed greatness of prop, costume, and scenery, let alone actor, song, and story, would be enough to truly delight…Nerds is a delightful show with a whole lot for the eye to take in. Real life nerds will love it, but so will everybody else.” – Caren Beilin, Philly Theatre Review

Steve Bell of The Guardian is rough and unsparing in his cartoon commentary. See his take on Bush’s state of the union address here, and for links to more of his cartoons, look here.

Former U.S. President Jimmy Carter, Deputy Executive Director of UNICEF Kul C. Gautam, and Director-General of WHO Dr. LEE Jong-wook, examine a Guinea worm patient. photo by A Poyo

And Ghana is not doing very well with its eradication efforts. In fact it is the only country that the Carter center has been working with whose efforts to eradicate guinea worm disease, also called Dracunculiasis, or GWD, have gone backwards.

As President Carter says:

Greetings from Ghana. We departed en route to Accra Tuesday afternoon with a mixture of anticipation and trepidation. Ghana was the first country in which Rosalynn and I ever visited endemic villages, and we’ll never forget seeing two-thirds of the total population incapacitated with the disease, many of them lying around under shade trees unable to walk. I described the scenes in my first message in this series.
. . .
There has been stagnation in Ghana’s efforts since then, and in the last three years the number of cases reported has risen from 4,739 to 8,283.
All nations except Ghana have made significant and steady progress in recent years, resulting in a total reduction . . . (of) -more than 99 percent.
. . .
The most disturbing event occurred last year when a serious outbreak of Guinea worm in the central section, around Lake Volta, was deliberately concealed. Solemn promises by the government to dig wells have not been honored. The Carter Center has marshaled a series of exceptional efforts to overcome these problems, but all have been fruitless. There is no doubt that our visit is timely, but we have received word that top officials are very concerned about our potential criticisms. Some intense observation, incisive analysis, and political diplomacy will be necessary.

So what is the reason Ghana has fallen backward. I think there has been a general neglect of health care and health care workers by the present government, based on what I hear from talking to people in Ghana. Kufuor had not responded to letters that Carter wrote before his trip, but did have a friendly meeting with Carter while he was in Ghana. In addition, as Carter writes, Ghanaian officials have been emphasizing borehole wells as a way of eradicating guinea worm. This will not necessarily eradicate the worm, and much simpler, cheaper, and more accessible technologies are at hand. Filtering drinking water through a cloth is a principle technique of effective eradication. In fact, the Carter delegation watched a
demonstration of filtering water and the application of Abate (a larvicide that kills the intermediate host, a water flea, that carries eggs.)

It became increasingly obvious to me that a basic problem was that Ghana’s officials, from field workers to the president, considered the drilling of deep borehole wells as the primary solution to the Guinea worm problem. The common theme was “a deep well will eradicate our Guinea worms.” Although highly desirable and much needed in every village, this is not the way to eradicate the disease. Extremely expensive and time-consuming, with no assurance of finding potable water in many areas, the borehole dream had become a substitute for simple filtering of each drink and keeping people with emerging worms out of the ponds.

Most communities throughout the world have eradicated Guinea worm without drilling a well, and many people are still infected even when blessed with a good underground source of water. Just stopping by the local pond for one drink is all it takes. I explained this to them in very strong terms, had the ministers adopt the same sermon for our joint press conference, and we continued this explanation during our very pleasant visit with President Kufuor when we returned to Accra.

When all our meetings had been completed, we felt that a new day may have come to Ghana in its eradication effort.

I certainly hope this is the case. There is no excuse for the problem of guinea worm worsening in Ghana. Ghana has the means and should be able to take the lead in eradication efforts. You can read President Carter’s remarks on Ghana, and on the other countries he visited this February here, and view the slide show of his visit to Ghana.

Information on guinea worm from the US CDC can be found here, you can view an illustration of the life cycle of the worm, and recent reports.

Appreciation to Dr. Doom for the image.

Who is really running the US government? At a recent reception:

the president shook hands with Washington Life Magazine’s Soroush Shehabi. A grandson of one of the late Shah’s ministers, Soroush said, “Mr. President, I simply want to say one U.S. bomb on Iran and the regime will remain in power for another 20 or 30 years and 70 million Iranians will become radicalized.”

“I know,” President Bush answered.

“But does Vice President Cheney know?” asked Soroush.

The president chuckled and walked away.

So who was Bush laughing at? Mr. Soroush? the American people? our military? the disaster he has created for this country and the world? Is he chuckling because others will have to clean up after him? He acknowledged Mr. Soroush’s point by saying “I know.” Is he chuckling because, regardless of what happens, his family and friends will make a profit? Mr. Bush may think he is The Decider, but things are looking more and more like Mr. Cheney has been controlling our foreign policy from the very beginning of the Bush presidency. And the trial of Cheney’s assistant, Scooter Libby, is revealing quite a bit about Cheney’s actions and behavior. See the coverage at Firedoglake for details and live blogging. So far everyone who has testified had already told the truth to the grand jury. Only Libby is accused of lying, and the testimony of witnesses so far is damning. Why should the chief assistant to Vice President Cheney be the only one to lie? What is he hiding, or who is he shielding? The answer seems increasingly obvious.

And as Digby writes, there is another thing we know:

. . . as much as a year ago, the administration has been actively planning to attack Iran and the generals have been resisting.
. . .
I have believed for some time that the Bush administration is intent upon attacking Iran because they believe that their unpopularity will be redeemed by history for having taken great, bold steps to transform the middle east. The more Iraq looks like a cock-up of epic proportions that results in nothing more than chaos and death, the less likely it is that their “vision” will come to pass.
. . .
As they see it, the Iraqi debacle is not the product of their failed policies. Rather, it is the result of America’s failure to think big.
. . .
That is the argument that’s clearly driving Bush and Cheney today. They have nothing else. Cheney is melting down on national television. Bush in his bubble is as detached and oblivious as ever. I believe that we are at a point where the only things standing between us and the order to attack Iran are the generals.

Or, as Josh Marshall puts it:

The president’s interests are now radically disjoined from the country’s. We can handle a setback like Iraq. It really is a big disaster. But America will certainly survive it. President Bush — in the sense of his legacy and historical record — won’t.
. . .

Think of it like this. He’s a death row prisoner concocting a thousand-to-one plan to break out of prison. For him, those are good odds. The rest of us are doing three months for disorderly conduct. And he’s trying to rope us into his harebrained scheme. Like I said, his interests are very different from ours.

Speak up. We’re on the edge of the abyss.

The remarkable thing about teachers is that very few of them are on record to have gone completely insane in class.

I just love this lead sentence from this article, it made me laugh. The overall point of the article is that teachers need to be paid better, particularly in Ghana. This is true in the United States as well, and the author says it is also true in the UK.

Education is the foundation of economic success for any country. It is what built the economic power of the United States. And that power has only been damaged by successive Republican efforts to damage or destroy public education.

One reason for Ghana’s success has been its public education system. But that system is way underfunded and has remained somewhat stagnant. And because not everyone can afford school fees, a lot of Ghana’s talent and potential is never realized. Low salaries are a push out factor for teachers, as they are for other professionals. A serious national effort to promote and fund free universal public education would make Ghana an economic powerhouse in Africa.

Here is Uganda’s Ragga Dee in Oyagala Cash. There is some good dancing here, as well as a few chuckles.

You can read some biographical information, and an interview with Ragga Dee here.

As on the mark as ever. See them here.

A U.S. Army Special Forces soldier uses GI Joe toys to demonstrate tactics during a training session with Chadian soldiers south of the capital. It is part of a $500 million Pentagon initiative to provide counterterrorism training to soldiers in North and West Africa.
U.S. Army photo, 2005

Added March 2008:
For an update on this topic, see:
AFRICOM, US military bases, and Ghana or
US maintains a robust military presence in Ghana

President Bush just announced the creation of a Department of Defense US Africa Command.

Ghana is certainly the most stable and progressive country in West Africa, and the Bush administration has expressed an interest in West Africa, specifically mentioning both terrorism and oil as its primary interests. This makes Ghana very attractive as a place to establish a US military base. It is very difficult to find out what intentions or planning are going on regarding a base. The Bush people are the most secretive and undemocratic of any government the US has had. And Ghana’s government has not been forthcoming on this subject.

The DoD Africa Command could have some positive effects. According to the liberal Democratic Senator Russell Feingold:

“Our national security strategy needs to evolve, and so does our capability to meet new and emerging threats,” he said. “An Africa Command is vital to strengthening our relations with African nations and preventing them from becoming staging grounds for attacks against the U.S. or our allies.”

There are many in the US who understand that an attempt to recolonize Africa in order to exploit her resources is a big mistake. Unfortunately, none of those people play key roles in the Bush administration. Cooperation between the US and Ghana would be an excellent thing. But Bush and company do not believe in cooperation. The net effect of a US military base in Ghana is likely to be recolonization and destabilization. In fact, more enemies and more terrorists mean more business for the US defense industry, in which Bush, Cheney, and their associates are heavily invested.

When Bush went into Iraq, he did not even know there was any difference between Sunni and Shiite. And for the most part the Bush people aren’t interested. Africa is far more varied and complex, and is far less understood in the US. What Bush and friends want is profits. Since before the Iraq war Cheney and his oil buddies have been working on the Iraqi Hydrocarbon Law, that would allow US oil companies to suck most of the oil profits out of Iraq. And they don’t really care who they deal with, so long as they get the deal they want.

As . . . Iraq’s hydra-headed, multi-sided civil . . . war goes on – and it will go on and on – the Bush administration will continue to side with whatever faction promises to uphold the “hydrocarbon law” . . . If “Al Qaeda in Iraq” vowed to open the nation’s oil spigots for Exxon, Fluor and Halliburton, they would suddenly find themselves transformed from “terrorists” into “moderates” – as indeed has Maliki and his violent, sectarian Dawa Party, which once killed Americans in terrorist actions but are now hailed as freedom’s champions.

The thing to remember in ANY dealings with the Bush administration is –

. . . the Bush Family and their allies and cronies represent the confluence of three long-established power factions in the American elite: oil, arms and investments. These groups equate their own interests, their own wealth and privilege, with the interests of the nation – indeed, the world – as a whole. And they pursue these interests with every weapon at their command, including war, torture, deceit and corruption. Democracy means nothing to them – not even in their own country.

This is what Ghanaians must keep in mind in any dealing with the Bush administration, and particularly in any discussion of military bases.

There are plenty of Americans who do understand the issues:

“you don’t want a lop-sided, security-heavy engagement in Africa, and you don’t want the Defence Department setting policy. Our military engagement needs to be integrated into a much broader engagement of diplomacy, development assistance, governance, and human rights.”
. . .
“There are some sophisticated military thinkers who know that it’s not just guns,” . . . “They’ve spent enough time in Africa to understand some of the fundamental challenges, such as peacekeeping and governance. They could be advocates for a stronger civilian role, and their voice is one that brings with it a great deal of clout and capacity.”
. . .
“if we wrap our arms around a particular leader who’s cooperative on the security front, but has a very poor record on governance and human rights, then we’re likely to create problems over the long term, as we often did during the Cold War.”

Let us hope both Ghanaians and Americans will look at the long term.

Mr Kwesi Dzidzienyo, IFESH/Ghana Country Representative, presenting medical
supplies to the Tetteh Quarshie Memorial Hospital, Mapong-Akwapim.

The February 1 issue of the New England Journal of medicine has an article by Fitzhugh Mullen MD about the flight of Ghanaian professionals out of Ghana, to the United States and Europe. Doctors and nurses can make a lot more money in the US or UK.

“It’s the same for football players as it is for doctors,” I was told by Tsiri Agbenyega, dean of the medical school in Kumasi, Ghana. “We have to train a lot more than will end up in Ghana, because they all leave. The football players go to Europe, and the doctors to America and the U.K.” Agbenyega spoke with a mixture of frustration, pride, and resignation. He was pleased that Ghanaian athletes and physicians were competitive internationally, but their success meant a loss to the country — a loss more problematic in medicine than in football.
. . .
Ghana has a strong tradition of education, a public health system that has resulted in greater longevity and lower infant mortality than in much of West Africa . . . If Ghana could show the way, one might think, other African countries might be able to follow.
But not so. For much of the past decade, health improvement in Ghana has been at a standstill . . . Today, there are 532 Ghanaian doctors practicing in the United States. Although they represent a tiny fraction of the 800,000 U.S. physicians, their number is equivalent to 20% of Ghana’s medical capacity, for there are only 2600 physicians in Ghana. An additional 259 Ghanaian physicians are in practice in the United Kingdom and Canada — and this group includes only those who have successfully been licensed after leaving Ghana.
. . .
“Our only recourse is to try to train more in the hopes we will keep more,” explained Yaw Boasiako of Ghana’s Ministry of Health, who outlined an ambitious plan for doubling the number of physicians and nurses educated in the next few years. Ghana, like many English-speaking developing countries, is caught in an educational conundrum: the better the quality of their universities and the more health professionals they train, the more they lose to the United States and the United Kingdom. They have a leaky bucket now. In desperation, they’re building a bigger leaky bucket.

But that’s not all they’re doing. As in most developing countries, the private medical sector is small, and most physicians work for the government health service, which staffs the public hospitals and clinics where most people receive care. Although the salaries of Ghanaian doctors are better than those in many African countries, doctors are quick to point out that their pay is still modest. “A trained physician can make more in London in two months than we can make in a year in Ghana,” I was told frequently.
. . .
To augment physicians’ services, the ministries of health and education are expanding training opportunities for community health nurses, technical officers, and “medical assistants” — midlevel practitioners who substitute for doctors in shortage areas. For many years, the Rural Health Training School in Kintampo has provided experienced nurses with a year of advanced training and 6 months of internship to enable them to function independently as medical assistants. The school is doubling its class size to 200 but is changing to a non-nurse model, since the loss of nurses to emigration has depleted the ranks of program candidates. In the future, medical assistants will be secondary-school graduates who will receive 3 years of didactic training followed by a year of internship. Although all health care workers are subject to the pull of emigration, the global market for midlevel practitioners is not standardized, and the government hopes that most medical assistants will remain in Ghana.

. . . the single most important contribution that the United States could make would be to train more doctors at home . . . For 25 years, the number of students admitted to U.S. allopathic medical schools has remained constant, while the number of physicians we import has climbed steadily. Without ever enunciating a strategy of dependence on the world, we have created a huge U.S. market for physicians educated elsewhere, inadvertently destabilizing the medical systems of countries that are battling poverty and epidemic disease.

A commitment in the United States to ramp up medical school opportunities to a level closer to national needs would do much to slow medical migration and bring stability to medical programs in poorer countries. Perhaps soccer players will always migrate to the elite leagues of the world, but if doctors and nurses stayed closer to home, lives would be saved.

I would add that although medical professionals may be able to make a lot more money in the US or UK, there is a good chance they can live a lot better and more enjoyably in Ghana. At the same time, the Ghana government has to pay good professional salaries, and pay them on time.

The US should educate more of its own doctors and nurses. Unfortunately the Republican education policies of the last several decades have severely damaged US educational resources and opportunities. I’m hoping the tide is finally turning on this, but nothing is going to happen very fast.

Read the whole NEJM article: Doctors and Soccer Players — African Professionals on the Move.

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