Comments on: More Regulatory Evil: Palliative Care http://sepiamutiny.com/blog/2007/09/12/more_regulatory/ All that flavorful brownness in one savory packet Sat, 30 Nov 2013 11:11:28 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Yashodhara http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-166202 Yashodhara Sat, 15 Sep 2007 09:30:05 +0000 http://sepiamutiny.com?p=4720#comment-166202 <p>Having lived now on 3 continents, I cna say one ting: Quality of medical care in India (when you have even moderate money and/or medicare) is absolutelyu great - even better than the cedar sinai variety. I have vsiisted (thanks to a congenital issue) most major hospitals everywhere and I have come to rely on many in India, esp. Lilavati Hospital and Breach Candy in Bombay. When I last stayed there, the kindest nurses with broadest smiles really eased my pain and anxiety. In New York, was left to languish in a no man's land somewhere betwixt Admissions and the Doctors's office. This was with full corporate insurabce and multiple personal calls from my Doctor to the hospital. The pain was severe anmd I ended up fainting. The care I eventually got was FIRST CLASS ---technically, but where was the car that makes it human?</p> <p>Now cancer is another beast. It is too unknown and the variability is huge. IN the end, each doctor is an alchemist. I am particularlyu impressed that in India some of the brightest hit medschool and work in rural areas and government hospitals. The car is not great here not because of the doctors who are great but lack of infrastructure.</p> Having lived now on 3 continents, I cna say one ting: Quality of medical care in India (when you have even moderate money and/or medicare) is absolutelyu great – even better than the cedar sinai variety. I have vsiisted (thanks to a congenital issue) most major hospitals everywhere and I have come to rely on many in India, esp. Lilavati Hospital and Breach Candy in Bombay. When I last stayed there, the kindest nurses with broadest smiles really eased my pain and anxiety. In New York, was left to languish in a no man’s land somewhere betwixt Admissions and the Doctors’s office. This was with full corporate insurabce and multiple personal calls from my Doctor to the hospital. The pain was severe anmd I ended up fainting. The care I eventually got was FIRST CLASS —technically, but where was the car that makes it human?

Now cancer is another beast. It is too unknown and the variability is huge. IN the end, each doctor is an alchemist. I am particularlyu impressed that in India some of the brightest hit medschool and work in rural areas and government hospitals. The car is not great here not because of the doctors who are great but lack of infrastructure.

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By: sparky http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-165917 sparky Fri, 14 Sep 2007 01:07:17 +0000 http://sepiamutiny.com?p=4720#comment-165917 <p>cancer can affect anyone, but the reason why cancer might be considered a "rich man's disease" is because the biggest killer of people in the developing world (which is most of the world) is NOT cancer--it's infectious disease (like malaria, HIV/AIDS, etc) and the thing that kills the most children outside the western world is diarrhea, presumably from infectious disease.</p> <p>cancer can affect people of all ages, but one theory is that it happens when one is past their reproductive prime, and from an evolutionary standpoint, the body doesn't function the way it once did because it no longer has that "need" to protect itself from death. anyways, so though some children get cancer, it primarily is a disease of the old.</p> <p>that is, you have to live long enough to get it. many poor people in developing countries don't live that long. there's a disproportionate amount of funding spent on cancer research and cancer cures, while research on infectious diseases and their cures aren't quite as robust since making drugs and such wouldn't be profitable to pharmaceutical companies--hence less incentive to find cures.</p> cancer can affect anyone, but the reason why cancer might be considered a “rich man’s disease” is because the biggest killer of people in the developing world (which is most of the world) is NOT cancer–it’s infectious disease (like malaria, HIV/AIDS, etc) and the thing that kills the most children outside the western world is diarrhea, presumably from infectious disease.

cancer can affect people of all ages, but one theory is that it happens when one is past their reproductive prime, and from an evolutionary standpoint, the body doesn’t function the way it once did because it no longer has that “need” to protect itself from death. anyways, so though some children get cancer, it primarily is a disease of the old.

that is, you have to live long enough to get it. many poor people in developing countries don’t live that long. there’s a disproportionate amount of funding spent on cancer research and cancer cures, while research on infectious diseases and their cures aren’t quite as robust since making drugs and such wouldn’t be profitable to pharmaceutical companies–hence less incentive to find cures.

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By: sarah http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-165788 sarah Thu, 13 Sep 2007 20:34:59 +0000 http://sepiamutiny.com?p=4720#comment-165788 <blockquote>My grandparents are particularly poor</blockquote> <p>That should say <i>not</i> particularly poor.</p> My grandparents are particularly poor

That should say not particularly poor.

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By: dravidian lurker http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-165781 dravidian lurker Thu, 13 Sep 2007 20:23:59 +0000 http://sepiamutiny.com?p=4720#comment-165781 <p>i found <a href="http://www.nytimes.com/2007/09/10/health/10pain.html?ex=1347249600&en=f4f82c0f84f7f113&ei=5124&partner=permalink&exprod=permalink">this related article</a> truly heartbreaking in so many ways.</p> i found this related article truly heartbreaking in so many ways.

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By: sarah http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-165777 sarah Thu, 13 Sep 2007 20:20:00 +0000 http://sepiamutiny.com?p=4720#comment-165777 <blockquote>hmm, well i've never had it in India, but the American campus version most certainly contained a fat-reduced THC derivative. </blockquote> <p>There's an American campus version? Damn. Clearly I went to the wrong college. OK, time to stop derailing the thread.</p> <blockquote>Yes Shodan, i did mean that only the rich can afford to atleast get some treatment for the dreaded disease. Not only in India, the scenario is the same in the US.</blockquote> <p>This is absolutely true. My grandmother is on Medicare. When she was diagnosed with stage 4 small-cell carcinoma lung cancer, Medicare <i>denied her access to chemotherapy </i>because they said she was too far advanced. They were perfectly willing to let her <i>die</i>. My grandparents are particularly poor-- just average working class retirees-- but they certainly can't come up with the cost of chemo out of pocket. I am livid just typing this.</p> <p>The drug companies are taking advantage of the dearth of care to recruit subjects for their drug studies. My grammy happened to get lucky and qualify for one; the drug being tested turned out to be extremely effective on people with a specific genetic mutation she happens to have, and she's still going strong nearly three years after they told her she had 4 months to live. But if she hadn't gotten lucky... the system would have left her for dead.</p> hmm, well i’ve never had it in India, but the American campus version most certainly contained a fat-reduced THC derivative.

There’s an American campus version? Damn. Clearly I went to the wrong college. OK, time to stop derailing the thread.

Yes Shodan, i did mean that only the rich can afford to atleast get some treatment for the dreaded disease. Not only in India, the scenario is the same in the US.

This is absolutely true. My grandmother is on Medicare. When she was diagnosed with stage 4 small-cell carcinoma lung cancer, Medicare denied her access to chemotherapy because they said she was too far advanced. They were perfectly willing to let her die. My grandparents are particularly poor– just average working class retirees– but they certainly can’t come up with the cost of chemo out of pocket. I am livid just typing this.

The drug companies are taking advantage of the dearth of care to recruit subjects for their drug studies. My grammy happened to get lucky and qualify for one; the drug being tested turned out to be extremely effective on people with a specific genetic mutation she happens to have, and she’s still going strong nearly three years after they told her she had 4 months to live. But if she hadn’t gotten lucky… the system would have left her for dead.

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By: muralimannered http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-165751 muralimannered Thu, 13 Sep 2007 19:21:04 +0000 http://sepiamutiny.com?p=4720#comment-165751 <blockquote>As I understand it, it contains opium, not cannabis</blockquote> <p>hmm, well i've never had it in India, but the American campus version most certainly contained a fat-reduced THC derivative. No substitute for morphine, though, for palliative care.</p> As I understand it, it contains opium, not cannabis

hmm, well i’ve never had it in India, but the American campus version most certainly contained a fat-reduced THC derivative. No substitute for morphine, though, for palliative care.

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By: Amit http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-165732 Amit Thu, 13 Sep 2007 18:19:40 +0000 http://sepiamutiny.com?p=4720#comment-165732 <p>I could be wrong, but I thought that bhang was made from marijuana leaves. So, wouldn't that imply it contains cannabis and not opium? And yes, there are government shops in U.P. that sell bhang - it's used in drinks during Shivratri (a religious festival) too.</p> I could be wrong, but I thought that bhang was made from marijuana leaves. So, wouldn’t that imply it contains cannabis and not opium? And yes, there are government shops in U.P. that sell bhang – it’s used in drinks during Shivratri (a religious festival) too.

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By: sarah http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-165731 sarah Thu, 13 Sep 2007 18:19:22 +0000 http://sepiamutiny.com?p=4720#comment-165731 <blockquote>Sarah, it is usually spelled "bhang". It's an opiate that goes into a drink people commonly imbibe on holidays like Holi. As I understand it, it contains opium, not cannabis; I think Wikipedia might be wrong. </blockquote> <blockquote>Bhang Ki Thandai (Hindi) is a drink popular in many parts of North India which is made by mixing bhang with thandai, any cold drink prepared with a mixture of almonds, spices, milk and sugar.</blockquote> <p>That sounds really, really pleasant...</p> Sarah, it is usually spelled “bhang”. It’s an opiate that goes into a drink people commonly imbibe on holidays like Holi. As I understand it, it contains opium, not cannabis; I think Wikipedia might be wrong.
Bhang Ki Thandai (Hindi) is a drink popular in many parts of North India which is made by mixing bhang with thandai, any cold drink prepared with a mixture of almonds, spices, milk and sugar.

That sounds really, really pleasant…

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By: Amardeep http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-165728 Amardeep Thu, 13 Sep 2007 18:12:33 +0000 http://sepiamutiny.com?p=4720#comment-165728 <p><em>Sorry, ignorant question: what exactly is bhaang?</em></p> <p>Sarah, it is usually spelled <a href="http://en.wikipedia.org/wiki/Bhang">"bhang"</a>. It's an opiate that goes into a drink people commonly imbibe on holidays like Holi. As I understand it, it contains opium, not cannabis; I think Wikipedia might be wrong.</p> Sorry, ignorant question: what exactly is bhaang?

Sarah, it is usually spelled “bhang”. It’s an opiate that goes into a drink people commonly imbibe on holidays like Holi. As I understand it, it contains opium, not cannabis; I think Wikipedia might be wrong.

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By: madhuri http://sepiamutiny.com/blog/2007/09/12/more_regulatory/comment-page-1/#comment-165718 madhuri Thu, 13 Sep 2007 17:57:08 +0000 http://sepiamutiny.com?p=4720#comment-165718 <p><b>@Puliogre in da USA, pingpong ,Shodan</b></p> <p>Yes Shodan, i did mean that only the rich can afford to atleast get some treatment for the dreaded disease. Not only in India, the scenario is the same in the US.</p> @Puliogre in da USA, pingpong ,Shodan

Yes Shodan, i did mean that only the rich can afford to atleast get some treatment for the dreaded disease. Not only in India, the scenario is the same in the US.

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