Comments on: Return to McAllen: A Father-Son Interview

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By: Ian R Kibbe

Ian R Kibbe — Tue, 25 Aug 2009 05:10:20 +0000

Deborah,
So glad you liked it Please share with whomever you like!

By: David C. Kibbe, MD MBA

David C. Kibbe, MD MBA — Tue, 11 Aug 2009 20:05:50 +0000

Deb: So nice to hear from you! Yes, I’m sure Ian would love for you to share his work with others. dCK

By: Deborah Shlian, MD, MBA

Deborah Shlian, MD, MBA — Tue, 04 Aug 2009 01:00:56 +0000

Great interview. I know David, but didn’t realize he had been in McAllen. As a family physician with similar sensibilities, I am also disheartened by the fragmentation of the healthcare “system” and the disintegration of the Family Physician as manager of a patient’s total care. I had been sending around Dr. Gawande’s NYT’s article. Would you mind if I shared this interview?

By: David C. Kibbe, MD MBA

David C. Kibbe, MD MBA — Sun, 02 Aug 2009 11:40:22 +0000

Dear EHR Guy: You’re from Donna! I met Jessee Jackson at a rally in Donna for the United Farmworkers, and did some kick dancing there myself. And those Friday nights out for dinner in Reynosa were often very, very pleasant. (Although I didn’t do anything more exciting after than cross the international bridge back into the US of A.)
Regards, dCK

By: The EHR Guy

The EHR Guy — Sat, 01 Aug 2009 01:30:34 +0000

Hey thePRGuy,
Hmmm, what I remember of McAllen is going to Reynosa on Friday nights and waking up Saturday at noon in a place I will not publicly disclose. 🙂
But I was bornt and raised in Donna and was a typical “kicker” which was an honorable title back then yonder and cowboys were expected to do certain things and portray certain behavior or else be ridiculed forever. But now I am 35 years beyond that!
Well, on another note, keep on writing!
Good luck!

By: Ian R Kibbe

Ian R Kibbe — Fri, 31 Jul 2009 14:27:41 +0000

PR manager? I think I’ll stick to son and occasional interviewer!
Thanks to everyone who enjoyed the article. It was an incredible pleasure to write. Prior to the interview, my only real memories of health care in McAllen consisted of sneaking bouncy balls from the toy drawer usually reserved for child patients at my Dad’s practice, and getting trapped in the elevator at the HCA hospital (I didn’t ride an elevator for at least 7 years after that!). So, all the recent attention McAllen has been getting and the interview with Pops has been very interesting to me. It’s supplemented not only my health care knowledge, but also my personal history. But thanks again to all those who read and enjoyed.
Cheers

By: David C. Kibbe, MD MBA

David C. Kibbe, MD MBA — Wed, 29 Jul 2009 13:29:18 +0000

Ben: I think you’re quite right about this phenomenon. Thanks for your comment. DCK

By: Ben Littenberg

Ben Littenberg — Tue, 28 Jul 2009 12:20:38 +0000

Beautiful piece! I have felt the same slippage into the maw of greed-driven care in California, New Hampshire, Missouri and Vermont over the past 25 years. McAllen may be the grossest example, but the trend is very widespread.

By: David C. Kibbe, MD MBA

David C. Kibbe, MD MBA — Mon, 27 Jul 2009 15:09:00 +0000

Dear Joe and Jos: For me the story of medicine in the past 25 years has been the structural disintermediation of primary care. My own career, and the story told here, is repeatable all across the land. McAllen isn’t an isolated problem spot, it’s the metaphor for health care in the nation.
There may be more of a maldistribution of doctors as opposed to an outright shortage. But the effects of a shrinking percentage of care providers being in primary care are obvious now to most observers.
Thanks for your comments. DCK