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an Energy-Efficient Economy — a Washington, D.C.-based nonprofit group that advocates efficient energy policies — that indicates “further sub- stantial improvements in energy effi- ciency and demand response could be achieved in Texas at far lower costs than new generation options. To- gether, these options could foster the ability of electricity providers to offset any loss of generating capacity from the legacy coal-fired power plants, while enhancing air quality and mini- mizing costs to ratepayers.”


Jeffrey Levin, MD, past chair of the TMA Council on Science and Public Health, says Texas must examine alter- natives to coal-fired energy. “I think there’s sufficient evidence to


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say that coal — particularly using older technologies — isn’t an environmentally sound energy source. It’s important for us to look for other sources because in our energy-dependent society we have to avoid permanently polluting or de- stroying our environment,” he said.


The physician’s role Dr. Levin, chair of the Department of Oc- cupational & Environmental Medicine at UT Health Northeast (formerly UT Tyler), says physicians’ role in environ- mental health has evolved over the past 20 years. “We’ve seen a significant focus on en-


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vironmental health issues over time. A good example is smoking regulation. At first, physicians recognized the connec- tion between smoking and lung disease. Eventually, they realized tobacco use af- fects more people than just the individu- al smoker. Smoking regulations represent an enormous paradigm shift within the medical community, which acknowledg- es the environmental health concerns posed by tobacco.” Dr. Haley hopes Addressing Pollu-


tion and advocacy efforts for clean air policy will encourage physicians to get involved.


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“Physicians should think about all the patients they see with chronic obstruc- tive pulmonary disease exacerbations and all the children they treat who have frequent asthma exacerbations. These


48 TEXAS MEDICINE June 2013


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