Joe Greer, MD
At the Presidential Medal Of Freedom ceremony President Barack Obama said, 'It's a life that might be distilled into a question Dr. Greer asks all of us: 'If we don't fight injustice, who will?' In 1994 Joe was named by Time magazine as one of "America's 50 Young American Leaders Under 40" as well as receiving the CBS/Newsweek Achievement Award at the Kennedy Center. He was one of 10 recipients of the Caring Award based on his vision of a clinic to treat the poor and homeless populations of Miami, later chronicled in his book: "Waking up in America: How One Doctor Brings Hope to Those Who Need It Most."
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A Cuban born in the United States by chance, Dr. Pedro Jose Greer, Jr., had a vision that changed his life and the lives of thousands of Miami's residents.
Initially, Dr. Greer only had a broad vision to "save the world" that was driven by passion without any specific direction until, in 1984, he encountered a homeless man suffering from tuberculosis. The encounter changed the course of Dr. Greer's life. Though there was little he could do to medically help the homeless man, he knew there was plenty he could do to help him through his last moments in life. Since his own sister's death four years earlier, Dr. Greer had made a commitment never to let anyone die or suffer alone. He spent four days looking for the man's family, and although the search was unsuccessful, it turned out to be providential when it led him to Camillus House, a shelter for the homeless.
Appalled that America was not only the home of the free but also of the homeless, and that people in his own backyard were too poor or ignorant to seek medical treatment, Dr. Greer's vision of how he could improve the lives of people in this community gelled. He knew a clinic to treat the poor and homeless populations of Miami was needed. He quickly opened up Camillus Health Concern (CHC), as it is now known, and began persuading the poor and homeless to come in for treatment. "Young and stupid" as Dr. Greer describes himself then, he ignored his own personal safety as he scoured the mudflats under the bridges and highways to tell alcoholics, drug addicts, and other down-and-outers living there in crates and boxes about his free clinic.
For the first four years that he ran the clinic, Dr. Greer had no financial support for his vision. The sign-up office at Camillus House became an exam room, and he turned the cafeteria into a waiting room. He scavenged for furnishings, supplies, and medicines and relied on a completely volunteer staff. In order for CHC to thrive and grow, however, some financial support was necessary. He became a quick study in applying for grants and gaining support from others in the medical community. Because of Dr. Greer's efforts, almost 100 physicians are now serving the homeless and indigent populations in Little Havana and South Miami Beach.
Due to the increasing number of undocumented aliens in the Miami area, Dr. Greer also founded the Saint John Bosco Clinic in 1991 in the back of a church by the same name in Little Havana; he currently serves as Medical Director of the clinic. A gastroenterologist and hepatologist, Dr. Greer currently serves as Assistant Dean for Homeless Education at the University of Miami School of Medicine and Chairman of Digestive Management at Mercy Hospital, where he maintains a private practice with his father. Additionally, he is Medical Director of Mercy Mission Services and has been an advisor to both the Clinton and Bush Sr. administration.
Dr. Greer has also used his appointment as the first assistant dean of homeless education at the University of Miami School of Medicine to help expand his vision for CHC. The clinic also serves as a model clinic for the poor, as well as a required rotation for medical students allowing the advocacy for those in need to continue. Dr. Greer emphasizes that his vision for CHC is not about him. It is a "mission driven by passion," and his ultimate goal is to make the need for CHC obsolete. Nevertheless, Dr. Greer's impact on the lives of the poor in South Miami has been great. CHC is now a multi-story center named for his deceased sister and treats more than 10,000 indigent men, women, and children each year.
Dr. Greer's autobiography, "Waking up in America: How One Doctor Brings Hope to Those Who Need It Most," details his early years as a physician from taking care of the homeless under the bridges to advising in the Bush and Clinton administrations. He has published over 25 articles and book chapters ranging from digestive disorders to issues of policy and poverty in America and has been featured on ABC, CBS, NBC, and FOX Family Channel. He hosted a segment for the PBS Travel Channel, HBO's documentary "AMERICANOS," the PBS/BBC series "Medicine at the Crossroads,'' and has been a guest on various talk shows.
The recipient of numerous leadership honors, Dr. Greer has received three Papal medals "Pro Ecclesia ET Pontifica" and was knighted as a Knight of Malta and the Order of Saint Gregory the Great. He is the recipient of many awards, including the highly prestigious MacArthur "Genius" Fellowship, the Presidential Service Award (presented by Presidents Clinton, Bush, Carter and General Powell) at the 1997 Presidential summit in Philadelphia and in 2009 he received the Presidential Medal of Freedom. In 1994 he was named by Time magazine as one of "America's 50 Young American Leaders Under 40." The following year he received the CBS/Newsweek Achievement Award at the Kennedy Center. He was named the 1996 Doctor of the Year for Teaching by the magazine Hippocrates: Heath and Medicine for Physicians.
Currently Dr. Greer serves as a Trustee at the RAND Corporation, America's oldest and largest think tank; a board member at the Mellon United Bank of Florida; Chairman Elect for the Hispanic Heritage Awards Foundation in Washington, D.C., a Kennedy Center event); a board member of Comic Relief; and Chairman, Camillus Health Concern; and other national organizations. He has previously served on the Board of Dr. Pepper/7-Up, Physician for Human Rights, the Cuban American National Council.
Dr. Greer completed his undergraduate studies at the University of Florida, Medical studies at La Universidad Catolica, Madre and Maestra. He completed all postdoctoral studies at the University of Miami, where he was Chief Medical Resident and a fellow in Hepatology at the Center for Liver Diseases; a fellowship in Gastroenterology, earning two post-doctoral fellowships; and a member of AOA Honors Medical Society. He is currently a Fellow of the American College of Physicians and the American College of Gastroenterology and has received various Honorary Doctoral degrees.
Lecturing at such prestigious academic institutions as Harvard, Emory and the University of Florida, Dr. Greer has also been commencement speaker for the New York Medical College, the University of Miami and East Tennessee State Medical schools, as well as other undergraduate institutions.
Even now that he is a nationally acclaimed advocate, a member of prestigious boards and a frequent and energetic lecturer, Dr. Greer says his greatest lessons still come from his poorest patients. Through his leadership and vision, he has proven that one person can approach disparities in healthcare and inspire and create change in his community.
Waking Up in America: How One Doctor Brings Hope to Those Who Need It Most
In this presentation based on his autobiography, Dr. Greer inspires his audiences to create change in their own communities. By putting a human face on poverty, by gently urging us to take responsibility, he proves that hope exists for every person. Moving easily between the worlds of Anglo and Spanish, rich and poor, powerful and helpless, Dr. Greer is a living, spirited testimony to the difference one committed individual can make in the lives of others.
The Future of Healthcare in America
Dr. Greer discusses the Social Determinants of Health (SDOH), ethical foundations and population health to show how we can reduce disparities and improve outcomes, as well as prepare our healthcare professionals for the future of health care. Our country is moving towards the direction of value based reimbursement and population health. His data shows that one area - Miami-Dade County was able to reduce ER visit from 61% to 26%. More importantly, it was predicted that medical home or patient centered care was not going to make that big of an impact (and the most recent literature shows that they have achieved only 1 of 11 expected outcomes). He discusses how household centered care is a preferable model. He also addresses that everyone talks about health reform, where the real issue is a healthier population and the if the latter is what we are seeking then we have to deal with the causes of diseases and 80% of them are the SDOH or non-biological causes. He believes that we need to exploit everyone to the maximum of their licensure (from MD to LPN, from MSW to a case worker) to be more efficient. The idea is not just to divert patients from the ER, but also from the clinic or office when not necessary. Actually if 80% of the causes of diseases are non- biological or genetic in origins, then primary care doesn't need medical personal to administer it. It becomes with the ACA and incumbent with the organizations to be fully engaged in the communities they serve and as such they will deal with population health issues and deliver great value as they prevent them from hospitalization or unneeded office visits.
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