I remember when Richard Carmona was appointed as the U.S. Surgeon General by George W. Bush. At the time, it was uncertain as to his actual ideological leanings though he seemed to be a thoughtful individual. As it turned out, he was an apolitical advocate for the betterment of health care in America...and thus often at odds with the Bush administration.

In the following video, Carmona offers his insights and observations into the job of Surgeon General and what is needed to address our growing inability to provide affordable health care to so many of our citizens. His own assessment is that a focus on wellness will do more to transform our health care system than would the adoption of universal health care.

Carmona cautions that the rapid expansion of costs to care for accelerated incidences of chronic illness must be addressed if we are going to be able to provide better health to more people. Further, as income disparities grow, the potential to address chronic illness becomes less likely. He appropriately notes that we don't actually have a health care system in America; rather our system is only focused upon providing care for those who are sick.

He points out that chronic disease is also preventable...though he wisely notes that addressing these diseases requires an awareness and a willingness to repair the underlying socioeconomic factors that enable them. Carmona explains that poverty contributes significantly to the inability to make prevention a focus.

In the video, Carmona provides a comprehensive look at the factors that impact our ability to insure the health of Americans. It is an excellent primer on the obstacles we face and the reasons they exist. The question and answer session covers a number of specific health topics including immunizations, the Bush administration's opposition to stem cell research, aging, and others.