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Where the Revolution Wasn't Won

I am not a fan of South Carolina’s new license plates. In May last year, the South Carolina General Assembly passed legislation to create a new license plate “commemorating the 250th anniversary of the American Revolution.” Many have criticized its appearance, comparing it to clip art. These criticisms are valid, but my main concern is the motto on the plate, “Where the Revolutionary War Was Won.” This is not just historically inaccurate; it also dishonors the ideals of the American Revolution. The legislation authorizing this plate recalls the June 28, 1776, Battle of Sullivan’s Island, where Colonel William Moultrie’s men defended their partially built palmetto log fort against a fleet of British warships. Because of the spongy nature of the palmetto logs, British cannonballs were absorbed into the fort’s walls instead of shattering them, as would happen with pine logs or masonry. Additionally, the shallow channel leading into Charleston harbor caused several British ships to run ag...
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The Ritual of Normalcy

I pause outside the exam room door. Inside, a patient waits. The chief complaint on the schedule is vague, but I never complain about the ambiguity. A wise doctor once told me there are three reasons for a patient's visit: the one they tell the staff, the one they tell you, and the real reason that will be revealed in good time. Before I open the door, the weight of the unknown presses down on me. Then I turn the doorknob and walk in. What happens inside those four walls is a ritual of normalcy. The door closes, shutting out the noise and chaos beyond. The patient speaks, and I listen. We discuss their concerns, and I offer guidance based on my training, experience, and the collective wisdom of the scientific method. The patient shares their vulnerability, and together we make a decision. It's a normal transaction between two human beings collaborating in good faith. The privacy is absolute; the honesty, assumed. In the exam room, the rules of reality remain firm. Science w...

Market Failure

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...

2025 COD Election Results

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...

The Center Must Hold

Good morning delegates, friends, and honored guests. I am Griffin Cupstid, and I have proudly called myself a family physician for 40 years. Family medicine is a specialty defined by its breadth and its resilience, and the arc of my career has reflected these qualities. From starting out in a small town practice to navigating the waves of corporate acquisitions, I’ve experienced the full spectrum of change in our profession.  I’ve witnessed the shift in our business priorities from volume to value. I’ve celebrated the growing consensus that healthcare is a fundamental human right, and I’ve practiced medicine long enough to glimpse the arc of the moral universe as it bends—ever so slightly—toward justice.  Through the years, this Academy has played an important role in bending the arc. And while progress can be frustratingly slow, the incremental achievements of our Academy are both tangible and consequential.  At times, the expectation of continued progress has tempted m...

Countdown to Anaheim

I'm looking forward to the Congress of Delegates meeting in Anaheim. It's hard to believe it is only 1 week away. Meanwhile, I'm spending the weekend studying the issues with my campaign steering committee.