Remembering September 11 by learning from the past

"My father, Averill A. Liebow, was a pathologist dispatched to study the medical effects of the atomic bomb, shepherded from police station to police station, and arriving well in advance of the U.S. Army. He worked arm in arm with Japanese doctors who felt so respected by him that they subsequently worked on the science of radiation exposure with him for decades."- Paul Liebow, M.D.

America and the world will never forget the terrorism inflicted on the United States by terrorists who attacked New York City, Pennsylvania and Washington DC, on September 11, 2001.

It's important to be diligent about how the threat of wars never leave our psyche.  

Yet, we must also remember how the past impacts the present. 

We especially want to remember how the US made the decision to end World War II, by dropping two nuclear bombs on the relentless Japanese. This decision taught the world how this explosive technology, when used during wars, cannot be forgotten, even as we face the specter of a future forever changed by acts of unprovoked terrorism.

President Barack Obama made this point when he visited Hiroshima during the end of his successful presidency.

Barack Obama says memory of Hiroshima 'must never fade'

President Obama in Hiroshima

Paul Liebow is a Maine physician who provided an enlightened opinion about President Obama's historic visit to Japan where he visited the nuclear war monuments.

Obama’s Hiroshima visit will remind us of the horrors of nuclear war - By Paul Liebow, Special to the BDN • May 16, 2016 in the Bangor Daily News

The whole world should thank President Barack Obama for visiting Hiroshima while in Japan later this month. He won the 2009 Nobel Peace Prize “for his extraordinary efforts to strengthen international diplomacy and cooperation between peoples.” The Nobel Committee attached special importance to his “vision of and work for a world without nuclear weapons.” It is now incumbent on all to continue with this work at the G7 economic summit that Obama will attend while in Japan.

The global economy will not survive even a limited nuclear war. Obama’s visit to the Hiroshima Peace Memorial will focus worldwide attention on the unimaginable horrors of nuclear war, and it should push the community of nations to work to banish all nuclear weapons for eternity.

Our national security and the world’s security demand a dramatic break from previous U.S. and Soviet nuclear weapons policies of “mutually assured destruction” that put civilization as we know it at risk multiple times due to computer glitches and false alarms.

As a citizen member of a nine-member legislative Task Force to Study Maine’s Homeland Security Needs after 9/11, and former medical director for Maine EMS Region 4, I know of no conceivable medical system that could handle more than a tiny fraction of the people exposed even peripherally to an attack with one nuclear bomb — even a primitive one such as the bomb used on Hiroshima.

My childhood was haunted by photos of the aftermath of Hiroshima on the walls of my father’s office at Yale Medical School. These appeared later in his book “Encounter with Disaster: A Medical Diary of Hiroshima, 1945.” 

My father, Averill A. Liebow, was a pathologist dispatched to study the medical effects of the atomic bomb, shepherded from police station to police station, and arriving well in advance of the U.S. Army. He worked arm in arm with Japanese doctors who felt so respected by him that they subsequently worked on the science of radiation exposure with him for decades.

I remember those pictures vividly. I saw the shadow of an unknown man on a bicycle burned onto a concrete bridge and people with the patterns of their clothes burned into their skin. I learned elsewhere of lines of burned parents and their children waiting dutifully in patient lines for medical care. Corpses were found with their eyes literally boiled and falling out of their sockets. As body fluids oozed out of radiation-damaged blood vessels, a primary symptom was overwhelming thirst. People drinking out of dirty rivers died suddenly and were floating in rafts like bloated logs.

Mothers didn’t even realize they had dead babies feeding at their breasts, and dead mothers had live babies still suckling. 

Only later did I read of the implacable slow death of radiation sickness, from internal bleeding and overwhelming infection, caused by destruction of vulnerable bone marrow and intestine; of lifelong disfigurement and disability from burn scar contractures; and of the eternal worries about delayed cancers and birth defects that haunted survivors, the Hibakushas, treated forever as social pariahs because their countrymen thought they, and even their children were radioactive.

One question always haunted me. I understand the argument of the time — that the bomb’s demonstration of overwhelming force led to an immediate surrender, preventing hundreds of thousands of deaths, both Japanese and American. But why did we have to drop the bomb on civilians? Why not on a military target that would be even more symbolic, especially in the aftermath of Pearl Harbor? I have never seen any answer to this question.

I strongly encourage the president to read my father’s book. I would be most happy to accompany him to the Hiroshima Peace Memorial in memory of my dad, and hear concrete proposals to turn the world away from the dangerous new nuclear arms race seething around our world.

I also remember one of his pictures of a small green sprout bursting out of an incinerated stump, the shadow of the dead mother plant burned into the telephone pole behind. There is still hope.
Dr. Paul Averill Liebow of Bucksport worked 30 years as an attending emergency physician at Eastern Maine Medical Center in Bangor. He is a member of the Maine Physicians for Social Responsibility Board of Directors.

MaineWriter- It's important to remember the past, especially when we may never know a world at peace. North Korea wants to use nuclear war as leverage for self preservation, but the rest of the world can't allow this threat to lead to even more aggression.

Events of September 11, 2001 are remembered today.

Maine physician's echo- fear of medical expenses

ABOUT THE AUTHOR (an "echo" re-blog op-ed from a physician who wrote from his experience being a patient- very informative!

March 6, 2017
Paul Averill Liebow, M.D., FACEP, is a resident of Bucksport.
"'Insurance' is not spending $5 to compensate someone from the vanishingly small risk that a $200 package is lost in the mail, and guarantee huge profits for someone. Insurance is meant to protect all American families from overwhelming fear of arbitrarily losing everything they have worked their whole lives for – to protect the American Dream we all grew up with."- Paul Liebow, M.D.

Americans who fall ill shouldn’t live in fear of crippling medical expenses

Health insurance is meant to prevent patients from the fear of losing everything due to unexpected medical expenses

Insurance is meant to be a safeguard when an arbitrary crisis threatens all a person has worked for.

BUCKSPORT Maine — As both physician and patient, and child of an academic physician who was deeply involved in American health care system planning, I have a long-term insider perspective. 

We have a miraculous, world-class, but flawed medical care system, particularly in insurance coverage. 

Many of the frustrating inefficiencies of our present system could easily be fixed with a little common sense.

But if Mr. So-Called trashes Medicare, and/or the Affordable Care Act, and triggers a “winner takes all” monopoly capitalism financial stampede in private health insurance, we will all experience a total community health care meltdown. 

It would affect most of our friends and neighbors, even if we personally can somehow scrape through our own emergencies. Lifetime health care payment caps and denial of coverage for pre-existing conditions will hurt the most vulnerable. Is breast cancer a pre-existing condition after decades of progressively abnormal mutations, when it finally evolves to become metastatic?

“Insurance” is not spending $5 to compensate someone from the vanishingly small risk that a $200 package is lost in the mail.

Rather, health insurance is meant to protect all American families from overwhelming fear of arbitrarily losing everything they have worked their whole lives for – to protect the American Dream we all grew up with.

That has happened many thousands of times as people all over America have exceeded arbitrary yearly and lifetime caps on their health insurance after they contracted an expensive or chronic medical condition, such as cancer, diabetes, heart disease or multiple sclerosis through no fault of their own. 

Thankfully, the Maine Legislature outlawed such behavior in this state in 2010, when it passed L.D. 1620, “An Act to Protect Health Care Consumers From Catastrophic Debt.”

I was terrified! It was Feb. 3, 2010, and I was officially testifying in favor of L.D. 1620 on behalf of the Maine Medical Association, and very confident that Maine Physicians for Social Responsibility and the Maine Chapter of the American College of Emergency Physicians also totally supported my testimony.

I told legislators that I’d undergone a heart transplant after catching a virus on the job in the Eastern Maine Medical Center ER, and had just spent a terrifying month trying to deal with my insurance company, which was telling me I might have reached such a lifetime maximum cap on my health care coverage.

I suddenly couldn’t get so-called “prior approval” for one of my life-saving miracle medications, though I had gotten many other reauthorizations with only one error. I couldn’t get through to anyone in “customer care” at my giant national “insurance” company who would tell me anything I needed to know to sort the problem out.

I couldn’t get a call back from my supposed hospital case manager, if I even had one. I got dumped from answering machine to answering machine with no return calls. I was told that I “did” and that I “did not” have insurance within five minutes, by two different people trying to put me off. I got the same inverted answers regarding my wife.

My pharmacist couldn’t get through for “prior authorization” for my life-saving medication, and my “benefits office” couldn’t get through to begin to get any answers. I could not get any help from the “practitioners” at Brigham and Women’s Hospital in Boston, who had assured me they had gotten “prior approval” for a $24,000 cardiac catheterization.

The procedure involved five or six people’s time for less than two hours, a few hundred dollars of medical supplies and a huge machine that took X-ray pictures of my heart. It was certainly worth a few thousand dollars, but I then got a full bill with a threatening invoice, obviously derived from the chargemaster.

I suspect that few reading this know what a “chargemaster” is. It is a secret book of fantasy “Medical Charges from Hell” that hospitals invent, official rates that are generally about three times the negotiated rates with insurance companies. It is secreted off campus and can be reviewed only with special permission. It is used to plea-bargain innocent Americans into paying financially lethal charges, while slowly bleeding out their families’ life savings.

No hardworking American, particularly our wounded or mentally disturbed combat veterans, should ever die homeless or without health care denied by “death panels.” I am sure I speak for most of the 100,000-plus patients I have been responsible for, many of them at the worst times of their lives, perhaps even for the majority of owners and executives of insurance companies – and their lawyers.

One thing is absolutely for sure: Americans should not be subject to arbitrary death by disease, death by neglect, death by bureaucracy or death by lawyer.