Some time ago now---actually several years back, one of my fellow students in medical school asked a question of this old man during a class discussion. I did this medical thing as a second career. I had just returned from USAID's regional office in East Africa for the last time prior to beginning my studies. I thought, rightly so, that a patient would not ask me, ------"so Doctor McGowan--------- what are the political ramifications of this diagnosis on my medical condition? I don't like the results you are presenting and by the way, the Mission Director wants you to change the following------."
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