In 2007, Dr. Jake Kleinmahon left Westchester, New York, to move to New Orleans and attend medical school at Tulane University. Drawn by the opportunity to help rebuild the city’s medical system in the aftermath of Hurricane Katrina, he eventually became medical director of Ochsner Hospital for Children’s pediatric heart transplant, heart failure and ventricular assist device programs. He met and married his husband, Tom, a Michigan-born chemical engineer for Shell. They have two children, a 4- and a 6-year-old. But after years of building a life in New Orleans, the family is leaving the state at the end of the month over discriminatory anti-LGBTQ laws coming out of the Republican-controlled legislature.
In early June, state lawmakers passed a series of bills, including so-called “Don’t Say Gay” legislation barring public school teachers from discussing gender identity and sexuality in the classroom; a ban on gender-affirming care for transgender minors; and a measure prohibiting school employees from using a student’s preferred pronoun without parental permission. Democratic Gov. John Bel Edwards vetoed the bills, but the Republican supermajority legislature has since moved to override the veto and enact the ban trans youth health care. The legislation, the governor said, “needlessly harms a very small population of vulnerable children, their families, and their health care professionals.”
Mother Jones spoke with Dr. Kleinmahon on Wednesday about his decision to leave Louisiana and the potential impact of a “brain drain” on the state:
On becoming a doctor: I knew I wanted to be a pediatrician since I was 4 years old. There are no doctors in my family, but I had an amazing pediatrician and he was such an inspiring and kind man. I admired the amount of knowledge he had and the way he treated me and the rest of my family with such compassion. When I was a teenager, I began volunteering at our local ambulance corps. I became an emergency medical technician. And then, after college, I went off to medical school at Tulane.
On practicing in Louisiana: During medical school, I had the opportunity to work in volunteer clinics where medical students saw the patients, and then they discussed the patients with an attending physician and came up with a plan for the patients. There were so many opportunities to do this throughout the city because of the lack of medical homes and primary care centers that were online at this point. So we were really able to make an impact in the medical system by having these volunteer clinics that patients only had to pay a very nominal fee for. The other part was that there still weren’t a ton of medical professionals who came back to the city after Katrina, so when I was rotating in the emergency room, I was doing things that medical students at other institutions sometimes don’t get to do, such as being involved in the trauma team, suturing up facial lacerations, and really inserting yourself as part of the team. Sometimes they were so short-staffed that they needed extra hands to help out.