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There he led the merger of Meharry's Hubbard Hospital with the city of Nashville's public general hospital.1 In 1993, after serving as an advisor during the development of President Bill Clinton's health plan, Satcher became the first African American to head the Centers for Disease Control and Prevention (CDC). Published in the New England Journal of Medicine, the study showed that having a gun in the home was associated with a substantially higher risk of homicide by a family member or intimate partner.2 Ultimately, Congress reduced funding for the CDC's injury prevention center and prohibited it from spending money to "advocate or promote gun control. "3 During the administration of President George W. Bush, Satcher found himself out of favor after issuing a report on sexual health that criticized abstinence-only educational programs and acknowledged that safe sex could occur outside of a marriage.4 CONCLUSION Satcher's book might have been made more powerful with a thorough discussion of the obstacles he faced during the 1990s and early 2000s, an era in which growing party polarization shaped the implementation of public health policies in important ways.