By Josh Katzowitz, WCI Content Director
For better or for worse, many medical doctors claw their way into politics. Sometimes, they, like Dr. Bill Frist, become party leaders in the US Senate. Sometimes, they get flambeed by the public after posting an out-of-touch video featuring grocery store crudité. Sometimes, they sign the Declaration of Independence.
And sometimes physicians become revolutionaries who achieve notoriety when they’re alive and then, after they die, achieve long-lasting fame that might or might not be merited—the kind of figure who the New York Times wrote became a cultural icon instead of a political one (or a medical one, I suppose).
[I’ve always loved history. I’ve always loved the idea of taking a peek into the past and studying it from the current-day perspective. I’ve always been interested in the idea of time travel. And now that I’ve found a passion in writing about finance, I’m combining all of this together in an occasional column for WCI that I’m calling “The Financial Wayback Machine.”
I want to journey back in time and look at those supposedly great ideas that now seem ridiculous, all the good and terrible predictions (crystal balls have never not been cloudy), the doctors who did great (and shady) things, and all the seemingly minor news nuggets that ended up making huge waves. It’ll be fun, it’ll be silly, and maybe it’ll be a good lesson for what not to do with your money today.
Step into the Financial Wayback Machine with me, and let’s travel back in time.]
Dr. Che Guevara?
Yes, Ernesto Guevara de la Serna (aka Che Guevara) was a doctor in his native Argentina before he teamed up with the Castro brothers to upend Cuba in the late 1950s. As noted by HCP Live, Guevara focused his studies on leprosy while attending medical school at Buenos Aires University, and in the early 1950s, he moved to Mexico to begin his dermatology residency.
He never finished.
But before he met Fidel and Raul Castro and engaged in guerrilla warfare against the established Cuban leadership that would eventually hand the dictatorship of the country to Fidel Castro from 1959-2008, Guevara planned to heal patients.
During medical school, Guevara and a friend took a trip of several months to visit Chile, Peru, Colombia, and Venezuela, where, according to Britannica, “his observations of the great poverty of the masses contributed to his eventual conclusion that the only solution lay in violent revolution.” Or as BMJ put it, “It was this journey that raised his consciousness of the appalling conditions of life for much of the population of South America, largely due to working practices imposed by US companies, backed by brutal and corrupt national governments.”
That journey seemed to solidify Guevara’s ideology. Depending on your viewpoint, that means Guevara was either a criminal who subscribed to and enacted dangerous leftist/communist ideas or that he was a hero fighting for social justice for poverty-stricken people.
After he became an actual doctor (though there are some who don’t believe he actually did), Guevara visited Bolivia, Guatemala, and Mexico where he saw patients and worked in a malaria laboratory.
Guevara thought of himself as a “revolutionary doctor,” and in a 1960 speech, he said he had once dreamed of “becoming a famous medical research scientist” so he could “discover something which would be used to help humanity.” But he saw so much poverty and heartbreak during his South American travels that he believed a “revolutionary doctor” needed an actual revolution.
Said Guevara: “Isolated individual endeavor, for all its purity of ideals, is of no use, and the desire to sacrifice an entire lifetime to the noblest of ideals serves no purpose if one works alone, solitarily, in some corner of America, fighting against adverse governments and social conditions which prevent progress.”
He also said there needed to be violence. Whether you agree that socialized medicine is a good idea, Guevara certainly stood for something that was important in his own mind. But for most of the last decade of his life, the actions he took and stood for certainly went against the basic ideals of what it means to be a doctor. Guevara, though, probably wouldn’t see it that way.
As Britannica notes, “The complex Guevara, though trained as a healer, also on occasion, acted as the executioner (or ordered the execution) of suspected traitors and deserters.”
Or as BMJ writes, “His life raises important moral issues, not only for doctors who aspire to be activists, but for anyone interested in bringing about social justice, or in how best to achieve this.”
In this case, the “revolutionary doctor” focused much more on the first word of that phrase than on the second. And that's why, for better or for worse, people remember him today.
More information here:
A Doc Created the Coolest Shoe in the Whole World
An Olympian Gave Up His Dental Career
We already know about the most athletic doctor ever (or at least the fastest at running the mile), and now it’s time to talk about one of the most decorated Olympic swimmers in history who gave up his potential white coat for a red, white, and blue Speedo.
Mark Spitz—he of the fantastic mustache and, less importantly, seven Olympic gold medals—made at least $7 million in the aftermath of his 1972 Olympic triumph, thanks to a myriad of endorsement deals and TV punditry. Spitz had been accepted to dental school in the spring of 1972, and he still planned to return to those studies after his Olympic run was complete. But he became too famous, and he followed another lane in life as the best American swimmer in history (until Michael Phelps dove into the pool, anyway).
Still, even four years later in 1976, the Harvard Crimson reported that Spitz had enrolled in a few courses at USC so he could return to Indiana for dental school. A few weeks after those pre-dental science classes began, though, he dropped them.
“I always planned to become a dentist after my swimming days ended following senior year, but then found myself involved in something I enjoyed more and kept putting off dental school until I had firmly established myself in business,” Spitz told the Crimson. “I am sure now that the decision to go back four years later and crack the books again stemmed from reading too much about how I was expected to become Mark Spitz, DDS.”
More information here:
Leaving Dentistry and Finding Happiness
Which Cigarettes Do Doctors Prefer?
Camels, obviously.
More Doctors Smoke Camels Than Any Other Cigarette, October 1946
by u/Granite-M in agedlikemilk
Apparently, more than 100,000 doctors were included in this mid-20th century survey about their favorite cigarette. According to the University of Alabama, though, “the methodology [of this apparent survey] was not described, and it is not known if free samples of Camels had been sent to doctors just prior to the survey.”
Either way, enjoy this commercial from what looks like the early 1950s and try to imagine a world where your medical provider lights one up in front of you while discussing your high cholesterol, that new polio vaccine, and the latest episode of The Honeymooners.
Money Song of the Week
If you know the band Sugarland, you probably know the name of Kristian Bush, who teamed with Jennifer Nettles in 2002 to form the country duo that went on to Grammy success while selling millions of records.
I’m not much of a country music guy, but I know Sugarland because I used to watch Nettles play small clubs in Athens, Georgia with her previous band, Soul Miner’s Daughter, at the turn of this century. But we’re focused on Bush today because his 2014 solo tune “Trailer Hitch” delivers an important message that many in the WCI community have already heard many times before.
The song is about being generous to others (and yourself) if you have the financial means. It’s about making sure you appropriately spend the money you have. It’s about making sure you have an impact on others while you’re still alive. The wealthiest person in the cemetery, after all, is still dead.
As Bush sings:
“I don’t know why, know why/Everybody wanna die rich/Diamonds, champagne/Work your way down that list.
We try, everybody tries/Tries to fit into that ditch/You can’t take it with you when you go/Never seen a hearse with a trailer hitch.”
Here’s how Bush explained the song, via Song Facts.
“As we went through it, it was very easy to walk into the shoes of, ‘Let's write a song that's fun that has a message that also matters. Let's just not bang over anybody's head with it.’ We probably have one too many things in our life. All of us. We can probably give at least one of them back or away,” Bush said. “You can't take it with you when you go. It is a question and it isn't an answer of a song. It's just a question, why do we all want to die rich? Isn't there something we can do with that?”
Tweet(s) of the Week
Being a good doctor does not necessarily mean capitulating to a system that might be trying to pigeonhole your talents and your earning ability.
When I finished residency, I was explicitly told, “Don’t even try to negotiate your contract or your salary. It doesn’t work for physicians.”
And that is how my starting salary as a pediatrician in 2014 was $125,000.
— Doctoring Differently | Naomi Lawrence-Reid, M.D. (@DocDifferently) May 1, 2023
Despite having almost $200,000 in educational debt, it was strongly implied that if I cared about my salary, I must not care about my patients.
I was made to feel helpless and powerless against the machine of medical academia.
— Doctoring Differently | Naomi Lawrence-Reid, M.D. (@DocDifferently) May 1, 2023
At no point in my training was I taught how to navigate a physician career—how to find a job, how to interview, how to read a contract. I wasn’t even taught the details of my malpractice insurance policy.
The implication was, “Good doctors should only care about the medicine”.
— Doctoring Differently | Naomi Lawrence-Reid, M.D. (@DocDifferently) May 1, 2023
Good doctors can negotiate their contracts.
Good doctors can demand to be paid more money.
Good doctors can demand verbal terms in writing.
Good doctors can carve boundaries btw themselves and their jobs.
Good doctors can learn new skills that they weren’t taught in training.
— Doctoring Differently | Naomi Lawrence-Reid, M.D. (@DocDifferently) May 1, 2023
[Editor's Note: For comments, complaints, suggestions, or plaudits, email Josh Katzowitz at [email protected].]
I usually avoid these articles, but I gave Josh a second chance after seeing him at WCICON 2023 because he seemed like a nice guy. However, I must express my disgust of his portrait of Che Guevara as a “revolutionary doctor” who “stood for something that was important.” Che Guevara murdered hundreds of people. He was not just “a criminal who subscribed to and enacted dangerous ideas.” He was a mass murderer. He doesn’t deserve any more praise than the nazi “Angel of death” Josef Mengele who murdered thousands. I know you wouldn’t write an article about Mengele, so why write about Che? Neither deserves to be labeled as “doctor,” “healer,” or even “human being.” I pray for the day their victims receive Justice. Sorry Josh, I gave you a second chance, but I’m done reading your articles.
This was just a bit of a history lesson because it was interesting to me that he had gotten a medical degree. That was something I hadn’t known. I wasn’t advocating for Guevara’s politics or his actions. But I appreciate your viewpoint. Although when you say that I wrote he “stood for something that was important,” you didn’t put the rest of the sentence which was “in his own mind.”
I thought you’d be talking about that psychiatrist who managed the Bosnia Serbian genocide. Anyway I enjoy your articles and will keep reading them. Interesting to see what the themes of justice and taking care of others spawned in another doctor; makes me wonder why I’m a lot less revolutionary. And if anyone has recognized that developing socialized medicine etc. might prevent a lot of revolutions.
It’s interesting to see this extreme duality in a physician. Reminds me of this anatomy book by a Nazi
https://www.bbc.com/news/health-49294861
Che Guevara devoted his life to radical political policies that stripped millions of people of personal freedom, led to economic stagnation and poverty, and then there’s the fact that he was a mass murderer. He was no better than a nazi doctor he just played for a political team this author has more personal sympathy towards. These articles are becoming very skippable.
Sadly, “doctors” kill people all the time. They even do it in the USA. Many have done it by the millions.
They changed the Hippocratic Oath for a reason. Do your homework, people.
There are many MDs and maybe even DDS who have gone on to other things.
Off the tippy top of my head, there is Bashar al-Assad, President for life in Syria. There are 19 MDs in the current Congress. Of course, there are all those Nazi doctors and dentists who did terrible things.
I’m sure there are doctors working for the CIA who make sure interrogations go well. We just don’t know their names.
I like your articles, they make me think about finance from a different perspective.
What a silly, superficial article on a personality that deserves to be forgotten! If you’re going to write about a controversial figure, at least have something meaningful, interesting to say. Why don’t we see what Britannica has to say about Hitler?
Well, part of the point of this column was to explore how one person could want to become a doctor to heal people while also leading a revolution and executing his enemies. To me, that’s an interesting and meaningful dichotomy to explore. Besides, we’re supposed to learn about history so we don’t forget about the people who many believe are evil.
In case you were wondering about the bad blood, there’s a general feeling on the right that the crimes of Communism are underplayed relative to the crimes of Nazism.
When you take into account Stalin’s genocide of Ukrainians through famine (2.5-4 million), the Kazakh famine (1.5 million), the Great Purge (~1 million), and the Gulag (~1.5 million)…eh, you’re starting to get into Hitler territory.
Toss in the Great Leap Forward (15-55 million dead per Wikipedia) under Mao Zedong, and you’ve long since passed it. (Though to be honest something like half of the worst disasters in history occurred in China…there are just that many more people there than everywhere else. Most Westerners have probably never heard of the Taiping Rebellion, for instance.)
https://en.wikipedia.org/wiki/Great_Leap_Forward
https://en.wikipedia.org/wiki/Excess_mortality_in_the_Soviet_Union_under_Joseph_Stalin
https://en.wikipedia.org/wiki/List_of_anthropogenic_disasters_by_death_toll
On a per capita basis, Pol Pot was worse than Mao.
This is really, really messed up for WCI to publish a hagiography for a Communist like Che Guevara.
It’s obvious from the author’s other articles that he’s a Leftist. It’s just really wrong that the WCI blog would have an article showing sympathy to a Communist dictator.
Hagiography seems a bit overblown don’t you think?
While we’re writing about evil murderers, why doesn’t Josh Katzowitz write an article about convicted serial killer Dr. Kermit Gosnell?
“Gosnell delivered babies alive during late-term abortions and then snipped their spinal cords or directed underlings to do it.”
To translate from leftist reporter speak: Gosnell delivered babies at his Philadelphia abortion clinic, THEN killed them after being born. He was convicted of 3 counts of murder that could be proven, although it was alleged that he committed over 100 murders.
https://www.nbcnews.com/news/us-news/abortion-doctor-kermit-gosnell-convicted-first-degree-murder-flna1C9905414