Family doctor: NC politicians making health care landscape toxic – The Fayetteville Observer

Dr. Rebecca Kasper| The Fayetteville Observer

As a family medicine resident physician in the Triangle area, I originally came to train in North Carolina because the state has some of the best family medicine programs in the country. For five years now I have called this state home.

I am involved in my local faith community, I volunteer with my neighborhood association, and I am falling in love with the varied landscapes across this beautiful state. I had planned on staying and raising my family here.

However, the increasingly toxic healthcare landscape is making me seriously reconsider this plan.

As a family doctor, my job is to comprehensively care for my patients across a wide variety of health problems. Living in a state that seeks to further restrict abortion access, criminalizes exploration of gender identity and still hasnt expanded Medicaid for over 10 years after the Affordable Care Act became law threatens my professional ethos.

I am also increasingly fearful for my personal safety as I just try to do my job. My patients, all patients everywhere, deserve the best, most up-to-date medical care. North Carolina is moving in directions that propagate bad medicine and limit my ability as a physician to do the right thing.

Abortion is an essential option in pregnancy care, and is often life saving. Living a life aligned with your gender identity is also often life saving 40% of transgender youth attempt suicide each year.

Having access to health insurance to be able to afford to care for yourself and your family is lifesaving. The list of ways the North Carolina legislature has stepped in to limit my ability to care for my patients goes on and on. The Speaker of the Houses announcement recently of further proposed restrictions on abortion adds moral injury to what is already a long list of ways that the state interferes with my ability to care for my patients.

North Carolinians deserve the best medicine has to offer. Our healthcare shouldnt be subject to the state we live in, or the opinions of politicians. I am not alone in reconsidering my decision to stay in this state after I graduate residency.

North Carolina spent five years making me an excellent physician. It would be a shame to see myself and others leave the state just as we are ready to launch on our own. Abortion bans, gender affirming care bans, lack of support for comprehensive health care reform, and other limitations will force us to leave.

This brain drain will continue unless politicians get out of our exam rooms. Please trust us, your doctors, for your medical care, rather than politicians.

RebeccaE.Kasper, MD, MPH is a Family Medicine Doctor, a Primary Care Doctor and a Resident who sees patients at Duke Family Medicine Center.

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Family doctor: NC politicians making health care landscape toxic - The Fayetteville Observer

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