Mark Shrime, MD, PhD
banner
markshrime.bsky.social
Mark Shrime, MD, PhD
@markshrime.bsky.social
Speaker, Surgeon, Author of Solving for Why: http://amzn.to/2Ww9M4d. Opinions my own.
→ Finally, the effects of climate change disproportionately fall on vulnerable populations. Global health’s focus on ‘health over there’ must also reckon with its role in furthering this crisis.

Read more:

gh.bmj.com/content/10/3...
Advancing global health in an unprecedented (and unpredictable) era
When BMJ Global Health launched 9 years ago, it positioned itself as a forum to address a fundamental, paternalistic information asymmetry in global health. To quote Dr. Seye Abimbola’s launch editori...
gh.bmj.com
March 23, 2025 at 5:46 AM
→ When current AI systems are literally incapable of generating images of a Black African doctor caring for a white child, we must acknowledge, address and combat AI's potential to perpetuate systemic racism.
March 23, 2025 at 5:46 AM
→ The traditional global health focus on infectious disease, nutritional support, primary care, and maternal/child health has had the unintended consequence of deprioritising corridors of healthcare that many of us—who live in the Global North—take for granted. It's time for that change.
March 23, 2025 at 5:46 AM
Thank you! Glad to have you on board!
January 26, 2025 at 7:56 PM
Thank you!
January 26, 2025 at 7:55 PM
Last thing.

Healthcare is a deeply exhausting profession. If you’re a provider (or you know one) who’s burning out, stagnating, or stuck, I’ve launched a new program

It uses decision science to help people figure out what they need to do for their next chapter

Quick video here:

solvingforwhy.co
Solving for Why Coaching | FREE Training
Healthcare providers: your burnout ends here
solvingforwhy.co
January 26, 2025 at 5:49 PM
Anyway. Today’s 4:30 post was more serious than usual. If you liked it, please repost!

And follow for more thoughts on health, global health, NYC, and occasionally faith

AND…I write weekly posts about decision science (it’s what my PhD is in). I do this on my mailing list.

home.markshrime.com

Mark G. Shrime, MD, MPH, PhD
Harvard-trained surgeon and decision scientist helping healthcare leaders overcome burnout, make confident career decisions, and find purpose through executive coaching.
home.markshrime.com
January 26, 2025 at 5:49 PM
You know. The disease that killed Emily Brontë. And Doc Holiday. That one

That’s the direction things are going. Isolationism WILL undermine your own right to health

January 26, 2025 at 5:49 PM
5. Even if you’re of the America First bent, withdrawing from the WHO is an outright terrrrible idea.

Why?

It puts our own national security at risk

I mean, the US is seeing its biggest documented outbreak of freaking tuberculosis ever right now

January 26, 2025 at 5:49 PM
Health, as defined by these international agreements, is “complete physical, mental, and social wellbeing, and not just the absence of disease”

This…this is what we have a right to. This is what we deserve

Not capitalistic health insurance

January 26, 2025 at 5:49 PM
4. HEALTH INSURANCE IS NOT HEALTH

If I could scream this louder, I would. Health insurance is not health. Our inalienable human right to health isn’t a right to paying a yearly $10,000 fee to massive corporations just for the privilege of staying alive

January 26, 2025 at 5:49 PM
Because we’ve signed onto—and ratified—a bunch of other treaties that commit us to it

Here they are:



mckinneylaw.iu.edu/practice/law...
January 26, 2025 at 5:49 PM
3. It also means that, even though 2.0 has set our withdrawal from the WHO in motion last week, nothing changes about the US’s commitment to the human right to health

And not just because of the “unalienable” stuff.

January 26, 2025 at 5:49 PM
This means—crucially, given this last week—they aren’t given to us by a country or a law…and they can’t be taken away

Health, again, is one of those rights

January 26, 2025 at 5:49 PM
2. Human rights, to borrow the words of the US Declaration of Independence, are “unalienable.”

They’re inherent to us, simply because we’re human.

January 26, 2025 at 5:49 PM
As a human being, you have a right to health. Your neighbor, your children, your uncle, your boss, your employees…we all have a right to health

But what’s that mean?

January 26, 2025 at 5:49 PM
1. Health is a human right

This isn’t my opinion. It’s codified into about a dozen international human rights instruments.

The constitution of the WHO says it best: “the highest attainable standard of health is one of the fundamental right of every human being”

January 26, 2025 at 5:49 PM
Thanks, Helen! Really appreciate it!

Sadly, I left Ireland and RCSI back in 2022. Firmly re-ensconced in NYC these days!
January 23, 2025 at 2:15 PM
5. The arc of the moral universe is long.

But it bends toward justice.

In the next four, eight, twelve years, be justice.

Not the retributive justice of those in power.

Instead, be the justice that brings down structures of dominance.

We can do this. Even if the arc is long.

#inauguration
January 20, 2025 at 8:49 PM
When the crowd went to stone the woman caught in adultery in John 8, they were doing EXACTLY what their scripture told them they were supposed to do. They were in the right. They were SUPPOSED to kill her, according to their understanding of scripture

Jesus still stopped them.

January 20, 2025 at 8:49 PM
4. They were convinced they were right.

Don't be surprised to hear your religious siblings tell you that they're right, that they're following the Bible, that they're doing God's will. Don't be surprised to hear sermons against those dirty people at the margins.

January 20, 2025 at 8:49 PM