A Career is a Lot Like Flying

As I was returning to Miami on a long flight from Boston, I found myself ruminating on my professional trajectory so far. I realized that a career, any career, is like a plane ride. You get on the plane at one place, take off and fly over a time to another place, rise to a maximum altitude during flight, make connections, then approach your destination for a safe landing. But the most difficult and perhaps even perilous portions of a flight are taking off and landing, especially the landing. Take off requires reaching a critical speed to allow lift. A successful landing, however, is more complicated because it requires a keen sense of timing.

While you are busy flying you may experience turbulence, sudden air pockets — downdrafts and updrafts. On occasion there are headwinds that hinder your forward progress and tail winds that ease it. We are always grateful for the tailwinds, those are the helpers along the way. When approaching your destination you begin a gradual descent and a final approach into the airport, hoping for an uneventful landing.

There are other perils in-flight. There is a sudden loss of pressure or a mechanical mishap or human error, you may not reach your maximum altitude due to unexpected weather, or worse, you may run out of fuel before reaching your destination, requiring an emergency landing, which should be set in advance.

On final approach to your desired destination communicate with the Tower to be mindful of airport traffic to avoid a collision — you must secure the runway at the precise altitude, velocity and location, touching down gently and on time while dealing with weather and wind conditions.

How do you execute a safe and timely landing? First, you must know when you are approaching the end of the journey, preferably according to a preconceived flight plan. You must check the fuel gauge often to know how much time you have left before running out of fuel, for when you are suddenly diverted to another airport and need to continue flying? Timing is everything.

Finally, you will know when its time to hit the hangar for good. But its important to listen to that inner voice. Remember, the end of one journey can be the beginning of another, one you may never have imagined.

Sometimes our careers get in the way of what we are really meant to do in this life. But we can’t know that for sure until we land.

What Must We Do About the Opioid Deaths Epidemic?

The CDC projects we will have 500,000 overdose deaths within the next decade. We are now at nearly 100 deaths 24/7/365. Do the math.

The Trump administration has declared the epidemic of opioid overdose deaths a public health emergency. This is an important first step.

STAT forecast: Opioids could kill nearly 500,000 Americans in the next decade

Trump has appointed New Jersey Governor Chris Christie to lead the effort. However, Christie may still face impeachment proceedings resulting from ‘BridgeGate’. The Department of Health and Human Services (HHS), the lead agency in this National Emergency, has yet to publish a strategy and a plan with a budget that could realistically stem the exponential tide of deaths. In the meantime, Congress has been preoccupied with crippling Obamacare, that will markedly reduce access to and increase the cost of healthcare for average Americans, which makes absolutely no sense in the midst of this unprecedented public health emergency.

Although I have not been a supporter of decriminalization, the prospect of 500,000 deaths of primarily young people in a decade is terrifying and warrants extreme counter measures. Such a level of excess mortality is not sustainable and inevitably will have major repercussions on the future of the United States.

There is no mystery about what must be done. The challenge will be the rapidity with which we can carry out intervention and treatment. We must start from the perspective that drug addiction is a public health issue, not a legal matter for the courts. If you recall the early days of the HIV epidemic we were also hung up on the notion that the victims’ behaviors somehow justified their fate, significantly delaying much-needed government intervention. It appears we are at the same crossroads with this epidemic.

In 2001 Portugal instituted a national plan to deal with their drug overdose epidemic. The drugs remained illegal. But drug addicts caught with them meant a small fine and a referral to a treatment program — not a criminal hearing leading to jail time and a criminal record. It has been successful in reducing addiction, overdose deaths, and co-morbidities, such as HIV and other infectious diseases. Despite these radical changes it took almost 10 years before the tide turned.

However, Portugal had a head start — universal health care.

#overdosedeaths
#opioidepidemic
#drugaddiction
#chrischristie