Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

When political discourse is like borderline personality disorder

Marya Zilberberg, MD, MPH
Policy
October 7, 2009
Share
Tweet
Share

When I was a kid in Odessa my Dad and I went to see The Sound of Music at least 17 times in the span of 3 months. Remember that song sung by the nuns when Maria is late for the vespers, “How do you solve the problem like Maria?” One nun says “She’s an angel”, another one counters “She’s a demon”, when the voice of reason from Mother Superior repositions the whole argument with “She’s a girl!” I always saw this as a bit of splitting nipped effectively in the bud by the Mother Superior — good for her!

The press are doing exactly this to President Obama: the right makes him out to be a demon promoting a big government take-over within the US while ruining our reputation abroad, and the left canonizes him as the do-no-wrong president. I am struck by how effective this borderline personality approach has been at overtaking our political discourse. A borderline personality is a psychiatric diagnosis highlighted by a black-and-white view of the world, resulting in splitting behaviors. Sound familiar? Right: Obama bad, we good! Left: Obama good, them bad! I learned in medical school that a borderline personality disorder is a psychosis. Therefore, conservative and liberal alike, in lemming-like fashion we are following a psychotic analysis of reality.

In this gray world, neither the black nor the white bent seems intellectually honest. Granted, everything I understand about politics I learned from the “West Wing”, so I am by no means an expert pundit. But I have also learned some valuable lessons from my own life, including that life is all about compromises whenever possible. This, I believe, is what Obama is after, which makes him neither evil nor a saint, but a reasonable leader and diplomat.

Let’s take his approach to the Middle East. Yes, he is making an effort with the Iranians, the nation perceived to carry a substantial threat to the US security. Does it not make sense to establish constructive relationships with their leaders so as to avoid a potential nuclear confrontation? You know that expression about “an eye for an eye” and being blind — this seems like the perfect application for it: time to turn around our eight-year bully posturing on Iran and start exploring real long-term solutions.

Domestically, the biggest sticky wicket is the health care reform. And even here Obama is showing himself to be a compromiser. This is not appreciated by the extreme right or left (myself included), but the realist in me understands that this is a chess match with far-reaching implications. And while I would like to see quality single payer health care for all Americans in my lifetime, I appreciate that mine is considered to be an extreme point of view.

More important to me than getting my own way is to see our country brought together. We need to get away form the psychotic hegemony and end the divisiveness of the deliberately polarizing rhetoric. We must engage in an honest intellectual exercise and effect changes that are best for all people.

Marya Zilberberg is founder and CEO of EviMed Research Group and blogs at Healthcare, etc.

Submit a guest post and be heard.

Prev

Doctors and nurses need the H1N1 flu vaccine, and recent media mentions

October 7, 2009 Kevin 1
…
Next

CBO cost analysis of the Baucus health reform plan

October 7, 2009 Kevin 1
…

Tagged as: Obama, Public Health & Policy

< Previous Post
Doctors and nurses need the H1N1 flu vaccine, and recent media mentions
Next Post >
CBO cost analysis of the Baucus health reform plan

ADVERTISEMENT

More by Marya Zilberberg, MD, MPH

  • a desk with keyboard and ipad with the kevinmd logo

    Doctors are shackled by the stigma of ignorance

    Marya Zilberberg, MD, MPH
  • a desk with keyboard and ipad with the kevinmd logo

    A radical transformation in healthcare decision making is needed

    Marya Zilberberg, MD, MPH
  • a desk with keyboard and ipad with the kevinmd logo

    Turn away from interventions that merely prolong dying

    Marya Zilberberg, MD, MPH

More in Policy

  • Medical malpractice risks persist even after saving a life

    Chinmeri Nwuba
  • A Medicare for All alternative that keeps insurers in

    Ken Terry
  • Bridging the health equity gap with artificial intelligence

    Judith Eguzoikpe, MD, MPH
  • California’s governor race is missing a health care plan

    Kayvan Haddadan, MD
  • How mobile surgical units improve rural surgical access

    Pranav Ayyappan
  • Why lung cancer screening needs urgent policy reform

    Anuraag Balaji
  • Most Popular

  • Past Week

    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions
    • Your doctor saved your life but won’t return your call [PODCAST]

      The Podcast by KevinMD | Podcast
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
    • Why bipolar II is not just a milder version of bipolar I

      Ethan Evans, MD | Conditions
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • A humorous parody of medical specialties and the modern patient

      Sidney J. Winawer, MD | Physician
    • 13.1 reasons running a half marathon beats practicing medicine

      John Wei, MD | Physician
    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
  • Recent Posts

    • One silly mistake can sabotage your medical career before it starts [PODCAST]

      The Podcast by KevinMD | Podcast
    • Symptoms with normal labs deserve a better question

      Shiv K. Goel, MD | Physician
    • Can clonal hematopoiesis improve blood cancer screening?

      Jason Liebowitz, MD | Conditions
    • International medical graduates need real protections

      Vasilii Khammad, MD, PhD | Physician
    • Why psychiatric medications often fail autistic patients

      Carrie Friedman, NP | Conditions
    • Missed claims filing deadlines threaten patient care

      Assinatha Mukantaganzwa | Finance

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 6 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Expanding the SOAP framework boosts health outcomes

      Deepak Gupta, MD and Sarwan Kumar, MD | Physician
    • The handwashing standard nobody finished. Until now.

      Bernadette Burroughs, RN | Conditions
    • Your doctor saved your life but won’t return your call [PODCAST]

      The Podcast by KevinMD | Podcast
    • Primary care access is the real problem, not the system

      Payam Zamani, MD | Physician
    • How corporate medicine is eroding truth and patient dignity

      Ronald L. Lindsay, MD | Physician
    • Why bipolar II is not just a milder version of bipolar I

      Ethan Evans, MD | Conditions
  • Past 6 Months

    • I Googled my own name and a corporate clinic I’ve never worked at appeared [PODCAST]

      The Podcast by KevinMD | Podcast
    • How corporate health care ruined the medical profession

      Edmond Cabbabe, MD | Physician
    • Clinicians are failing at value-based care because no one taught them the system [PODCAST]

      The Podcast by KevinMD | Podcast
    • A humorous parody of medical specialties and the modern patient

      Sidney J. Winawer, MD | Physician
    • 13.1 reasons running a half marathon beats practicing medicine

      John Wei, MD | Physician
    • Medicare practice expense cuts will hurt patients

      John Birkmeyer, MD | Policy
  • Recent Posts

    • One silly mistake can sabotage your medical career before it starts [PODCAST]

      The Podcast by KevinMD | Podcast
    • Symptoms with normal labs deserve a better question

      Shiv K. Goel, MD | Physician
    • Can clonal hematopoiesis improve blood cancer screening?

      Jason Liebowitz, MD | Conditions
    • International medical graduates need real protections

      Vasilii Khammad, MD, PhD | Physician
    • Why psychiatric medications often fail autistic patients

      Carrie Friedman, NP | Conditions
    • Missed claims filing deadlines threaten patient care

      Assinatha Mukantaganzwa | Finance

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

When political discourse is like borderline personality disorder
6 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...