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The advocate is in
Illinoisþ new top doc is known more for his skill
at reaching underserved communities than his political savvy
by
Stephanie Zimmermann
When
Dr. Eric Whitaker got a call from the governors office, it
didnt occur to him he was being considered to head the state
Department of Public Health. Whitaker, an attending physician at
John H. Stroger Jr. Hospital in Chicago, the former Cook County
Hospital, figured someone wanted his resume for yet another advisory
panel. But then the governors office called back to set up
an interview. I said, Interview for what?
Whitaker recalls, laughing. They said, For the directorship.
Gov.
Rod Blagojevich apparently liked what he saw in the innovative,
personable and young he turned 38 last month internist
known for his ability to reach those who are overlooked by the medical
establishment. He asked Whitaker to head a state agency that is
increasingly in the public eye. With severe acute respiratory syndrome,
homeland security preparations and the West Nile virus season upon
us, Whitaker joins the agency at one of its busiest times.
But
those who know Whitaker say hes up to those tasks and
more.
The
states Department of Public Health has an opportunity to broaden
its vision and deal with issues that we may not have dealt with
before, says Dr. Ruth Rothstein, director of Stroger Hospital.
Hes young and ambitious and bright, and will do, I think,
a terrific job.
While
Whitakers resume may lack political connections, it includes
a lengthy list of academic and career achievements. Raised on Chicagos
South Side by a father who drove a Butternut Bread truck and a mother
who worked as a nurse, Whitaker earned a bachelors degree
from Grinnell College in Iowa, a medical degree from the University
of Chicago and a masters degree in public health from Harvard
University. He also headed the 30,000-member American Medical Student
Association. He completed his residency in primary care and internal
medicine at San Francisco General Hospital, where he worked with
AIDS patients at the height of the epidemic there.
Throughout
his training, and after he returned to Chicago as an internist,
Whitakers attention kept going back to vulnerable, underserved
populations people who rarely seek or receive medical care.
Maybe it was because he was the only African-American student in
his medical school class at the University of Chicago. Maybe it
was because the Woodlawn neighborhood, where he was born and where
his grandparents still live, had drifted into painful neglect.
But
Whitaker also was troubled by statistics that show black men have
higher rates of diabetes, heart disease, high blood pressure and
certain types of cancer than whites, and that in Chicago the average
life expectancy for a white man is about 73, yet for black men in
Woodlawn its closer to 58.
Whitaker
thought about how to get these African-American men into the health
care system. He approached it as a marketing problem, asking them
why they avoid doctors. What he heard made sense in the context
of their lives: They believe doctors are unlike them and wont
respect them. They worry that seeing a doctor will make them seem
weak a risk they cant take in a tough neighborhood.
They are so preoccupied with unemployment and crime that preventive
health is low on their priority lists.
So
Whitaker decided to hook them with something less foreign: a barbershop.
Cook Countys Woodlawn Adult Health Center provided some space
and, in 1998, Project Brotherhood was born.
Whitakers
instincts were right. Project Brotherhood offers free haircuts,
chicken dinners and camaraderie, and sneaks in free check-ups and
health programs. It is a hit. Today, more than 1,000 men from the
blighted Woodlawn neighborhood and beyond use Project Brotherhoods
services each year.
In
2000, the program received the highest honor of the National Association
of Public Hospitals and Health Systems. And just before he was offered
the state directorship, Whitaker won a prestigious award and a $300,000
grant from the Robert Wood Johnson Foundation to study men who have
come through Project Brotherhoods manhood development
course.
Whitaker
says the model used to create Project Brotherhood seeing
what the people need rather than giving them a top-down
program could be used with other underserved Illinois populations,
whether they are Latinos, women or rural folks. He envisions a more
active state health department. Even with Illinois recent
financial belt-tightening next fiscal years public
health budget proposal of $319.9 million is down from this years
he believes there are low-cost ways to reach people. The
big piece for me is the community aspect of it, Whitaker says.
Rather than just be reactive to the emergent disease of the
day, well be more proactive than we have in the past.
But
diseases beyond his control also will vie for Whitakers time.
Hes already planning an informational push about West Nile
virus, which killed 63 and sickened more than 800 in Illinois last
year, the highest numbers for any state. We are hoping for
the best, he says, but planning for the worst.
Hes
keeping a watchful eye but not panicking about SARS, which has been
sweeping through parts of Asia but hasnt made significant
inroads in the United States. I think [the fear] is totally
out of proportion to the risk.
Then
there are myriad health issues related to homeland security, such
as dealing with a possible biological weapons attack, learning how
to better communicate with the public and implementing a voluntary
smallpox vaccine program for medical providers.
Hell
study a situation and make improvements to it, but is savvy enough
to know that you cant go into a situation where there are
career workers and make all sorts of changes in a day, says
Dr. Bill McDade, an anesthesiologist, researcher and associate dean
for multicultural affairs at the University of Chicagos medical
school, who describes Whittaker as exceptionally bright. Eric
is very capable. [Former Director] John Lumpkin was a great guy,
but I think Eric has the potential to do things that John wouldnt
have thought of, McDade says.
McDade
knows Whitaker as well as anyone. The two met when McDade was a
19-year-old whiz kid already enrolled at the University of Chicagos
medical school and Whitaker was a high school junior attending a
program for kids interested in medical careers. Whitaker still remembers
seeing McDade bent over a microscope, researching sickle cell disease.
He thought that was pretty cool.
A
few years later, when Whitaker was in University of Chicagos
medical school and McDade was working on his doctorate, McDade again
crossed paths with Whitaker, who was the only African-American student
in his class. Eric was having a hard time adjusting to medical
school, McDade remembers. White classmates would readily ask
Whitaker to play basketball but forgot to call when it was time
to form study groups. He really felt the pain in that,
McDade says.
When
one of McDades two roommates moved out, he asked Whitaker
if he wanted to take his place. Whitaker, a studious guy whose voracious
reading masked a fun-loving personality, moved into the tiny apartment
at 57th and Drexel, happy to have some support. His whole outlook
changed, McDade says.
He
tried to convince Whitaker he needed to get involved with such mainstream
medical organizations as the American Medical Association. Young
black doctors are needed in those groups, McDade reminded him, to
keep attention on the problems faced by impoverished, isolated communities.
Whitaker
eventually heeded that advice. While at Harvard, he headed the national
American Medical Student Association. He testified before Congress
twice and served on governmental advisory committees. Later, when
Project Brotherhood was getting off the ground, he coaxed Cook County
and federal officials into investing in what once had been a volunteer
effort.
Whitaker
says he knows some of the 1,200 employees in the state Department
of Public Health will wonder he smiles as he says this
Where did he come from? But those who have worked with
Whitaker expect that hell make up for his lack of management
experience and political history with his natural people skills
and ability to reach a common ground.
At
the same time, its unlikely he will be content to shuffle
papers at the Thompson Center. He took a pay cut with his new $127,600
salary because he thinks he can make a difference. Hes
definitely not going to be a desk guy, says Dr. Bonnie Thomas,
co-director of Project Brotherhood. Hes going to be
out there.
In
his private life, Whitaker tries to live healthfully. He still plays
basketball regularly, doesnt smoke and eats the healthy food
urged upon him by his wife, Dr. Cheryl Rucker-Whitaker, an assistant
professor of preventive medicine at Chicagos Rush Medical
College, whose research focuses on chronic diseases affecting African-American
women. They have a 2-year-old son, Caleb.
When
Gov. Blagojevich announced that Whitaker was his choice for the
post, he referred to the kind of commitment and compassion
I wanted in my public health director.
On
a recent Thursday night that commitment was evident. After spending
a full day with his agency staff, Whitaker once again made the trip
to Woodlawn, a world away from bureaucrats and politicians.
It
was Project Brotherhood night, and, without any fanfare, he entered
the building and began seeing his patients. oStephanie Zimmermann
is a reporter at the Chicago Sun-Times. Her most recent story for
Illinois Issues, which focused on some of the states most
impoverished communities, appeared in March.
Illinois
Issues, June 2003
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