The American transportation system is much like the American healthcare system: inefficient, expensive, and dangerous. Everyone wants to fix it, but conventional wisdom often leads to solutions that make things worse. Building more roads destroys neighborhoods and paradoxically creates more traffic congestion. Similarly, unleashing market forces in healthcare leads to higher costs, consolidation, and neglect of our poor and rural communities. If you live in one of South Carolina’s major metropolitan areas, you know how bad traffic can be. My son commutes between his offices in Greenville and Spartanburg, which are about 40 miles apart. Although most of the route is on Interstate 85, a one-way trip can take up to 90 minutes, with an average speed of just 27 mph. Automobile transportation is both time-consuming and expensive. According to the American Automobile Association, the average annual cost of owning and operating an automobile is over $11,000. Traveling by car is also...
The 2025 AAFP Congress of Delegates is over. I want to offer my sincere congratulations to our new President-Elect, Dr. Kisha Davis, and to the three new At-Large Directors, Dr. Tracy Hendershot, Dr. Robin Liu, and Dr. Douglas Spotts. I look forward to supporting you and our Academy's mission as Chair of the Commission on Finance and Insurance. While the election didn't go my way, my commitment to the AAFP remains absolute. I have tremendous faith in this organization, and I know we will survive and thrive, no matter what the current political climate throws our way. I want to express my deepest gratitude to the AAFP staff and the Nominating Committee, who made this campaign a once-in-a-lifetime experience for me. Special thanks go to my friends at the South Carolina Academy of Family Physicians for your moral support and invaluable advice throughout the process. There is a well-known poem by Robert Fulghum, "All I Really Need to Know I Learned in Kindergarten." It...