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Shelton G. Hopkins, MD
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Summertime

It’s summertime, and the Texas legislative show, including the encore presentation, is over. Medicine and the State enjoyed wins and suffered losses. Maybe cuts will allow better future reallocations when the economy and tax revenues improve, or maybe they just set back health care for the impoverished, public education for all, and the number of residents being trained in Texas, and thus the future number of physicians for Texans. We’ll just have to wait and see. This is when I make the first plug for you to get involved in the legislative process and to give to TEXPAC. Please get involved the next time around, and give to TEXPAC now and again and again.

It’s summertime and, somewhere, the livin’ is easy. Actually, although the number of people living in desperate straits is at an all-time high, the percentages living the good life are better than ever. I recently had the pleasure and privilege of touring several grand chateaux in the Loire River Valley. During the tours, it’s easy to imagine oneself as the duke or the prince or even the king, living life at the top of a social structure shaped like a flat pyramid. A moment’s reflection reminds one that an enormous number of courtiers, courtesans, soldiers, artisans, cooks, muleskinners, and assorted go-fers were needed to support the aristocrats’ wants and needs. And the whole structure was built on the work of the miserable peasants — those poor folks. But let’s face it: what could be better than having the finest clothes, the best wines and foods, the grandest architecture and gardens, and legions of servants? Well, how about a warm room in the winter and a cool room in the summer? How about clean potable water? How about well- and safely prepared food from all over the world, including cheap spices for which Francis the 1st would have paid a fortune? How about a nice hot bath and flush toilets? Fabrics that are comfortable? True, I still could go for the legions of servants, even though the paper work involved with servants is a tad more extensive today. I’m just not sure what I would need them to do that modern technology doesn’t do better. Your computer simply works better than the carrier pigeons (certainly not as cool, though, and you can’t eat your computer once it gets a bit old). I noticed when these old chateaux were purchased by wealthy folk in more modern times, the first thing they did was lower the ceilings, panel the walls, and put in wooden flooring, except in the famous rooms, which were saved in the original state to impress the guests. So the bottom line in comparative easy living: if you live in the developed world and you are not in grinding poverty, you live more comfortably than the First Renaissance King or the Sun King. Of course, the aristocrats did enjoy some perks that are not now easily available to most of us. As Mel Brooks so aptly put it in “History of the World, Part I,” “It’s good to be the king.”

It’s summertime, and we’re in Texas. That means it is hot! That means that, if you can arrange it, you get out of town. San Miguel de Allende used to be a Dallas favorite — maybe down a few notches now with the threat (perceived or real) of violence. Colorado and northern New Mexico still are high on the list. For those of us who work, however, those are nice places to visit now, until you get out of the car around Vernon on the return trip or off the airplane at Love Field or DFW. A wilting blast of heat and reality hits you: vacation is over.

Now that the energy from the cool weather has dwindled, it’s a good time to lie back with a cool one and contemplate the Big Questions. Don’t worry about answering them until around October, when the temps are in a reasonable range. Now is the time for musing, for searching for that “Mmmmm” moment, not so much a “Eureka!” moment. Why are we here? What is the nature of love? How is medicine a noble profession? Why do some cooks believe they must put beans in chili? (Not all summertime musings have to be profound.)

The reality is that we cannot KNOW these things. We only can approximate an answer, and, most importantly, learn to live with the unanswered questions. We feel a sense of purpose in life, we experience love, and we are ennobled by our practice of medicine. That may be all we can say without turning into Sophists. And while those truths may not seem like adequate answers, they’ll get me through another Dallas summer.

Enjoy the summer, and, as you’re musing on the Big Questions, think about being a bigger player with TEXPAC and DCMS.

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