Sunday, November 23, 2008

Philanthropy and Medicine

Blogger anthropositor said...(in answer to some discussion of philanthropy and medicine on another forum):

My own personal perspective about philanthropy is that it is not just about money and the organizations set up to collect it, convert it to other forms and distribute to those in need.

During this conversion, profit-takers step in for a big bite of the apple. A couple of examples:

Little packets of electrolytes and minerals are available to add to clean water to feed babies who are in the process of dying from diarrhia. Millions of babies die each year from this cause. One of the problems is, without the clean, potable water, these babies are still at high risk of dying.

Each of the packets is enough to provide a dying child with a liter of remineralizing fluid (presuming an available source of the clean water) for about a dime. It strikes me that the value of those packets is closer to perhaps a cent and a half. The other 85% is profit. You decide whether that is "excess" profit.

Starvation, also a very big issue involving millions upon millions of children, can also be prevented or reversed for about a dollar a day per child.

Foil packets of peanut butter mixed with powdered milk, other vegetable fats, minerals and vitamins really do the job of saving lives. They do it well. Reliably. The packets keep well, needing no refrigeration. I believe considerable cost savings can be had by tinkering with the design of the product, making it even more useful and effective.

If the costs for these two products were brought down substantially, a great many more children could be saved. But since philanthropic givers do not have too much say in how their money is actually spent and do not pay much attention to this element, there is considerable room for profit-takers to make money. What was originally philanthropy becomes capitalism.

Twenty four years ago, I developed a prophylaxis for viruses like influenza and rhinoviruses (the common cold)and some other airborne infectious and allergic agents. I tested it for six years on myself, my family and my friends. Then, since it worked well, I started to teach others.

Now thousands of people do the same thing. I would, of course, be happier it the numbers were in the millions. With the potential for SARS and Avian Flu pandemics, as well as other evolving and emerging infectious diseases always threatening, I count this as one of the most important successes of my life. I have personally spent many thousands of hours teaching this procedure to others

I personally write no checks to charities. I help the people who need it that are within my reach. Directly. And I help with ideas, which I have in much greater surplus than money.

Admittedly, that doesn't do too much for starving babies on the other side of the world, but at least I know that the bulk of the money I spend charitably is actually doing good rather than enriching profit-takers. Not only that, but actually seeing the results of what I do galvanizes me to further efforts.

I say, find something you can do to help which uses your efforts along with your money. And be prepared to be philanthropic with your ideas as well as with your money. And when you do give money, pay some close attention to what the recipient agency is actually doing with the resources.

Now I am going to return to my work on cataracts, the leading cause of blindess throughout the world.

If your vision is beginning to cloud a bit, you might want to take some prudent actions before surgery is the only remaining option.

With regard to my right eye, with my own diagnosis of cataracts confirmed by an optometrist as requiring surgical intervention, things have improved, at least up to now, with only my own measures. This is something I was told, in no uncertain terms, would not happen (by a surgeon who stood to make several thousands of dollars for a very short operation.)

What is the national annual cost? In the billions. One thing seems pretty clear. There is little apparent philanthropy on the part of the ophthalmic specialty in medicine. Nor is there much cooperation with patients who wish to know in any detail, each of the steps of the operation, and the rationale behind them. To my mind, this is part of real informed consent.

But from the doctors perspective, this is an indicator of an uncooperative patient with expectations which are unrealistic. I note too, that with respect to Dr. Baltz of Little Rock, a physician who I selected with virtually no information availabe about her skills, it was virtually impossible to get her even to return my calls. I got only one return call from her, and only after canceling the scheduled surgery. Then she was on the line in eleven minutes, but our association was by that time no longer repairable. I would not now employ her services.

A little postscript. I designed a cataract monocle which gave me nearly an additional two years of service out of one of my cataractous eyes, allowing me to delay surgery. In the intervening time I learned of Dr. Michael C. Brodsky, also of Little Rock, AR. I learned among other things of his interest in neurology. I tried to contact him by Email about three weeks ago, detailing the specifics of my case. To date, no response. He has an excellent reputation, I frankly was surprised he didn't answer. I am not going to jump to any conclusions. It could be that I have tried to communicate to an Email account he no longer uses or checks. My rather detailed letter may just be sitting in limbo, never having been seen at all. But it certainly seems that doctors in general are pretty cavalier about communicating with their patients.

My situation has gotten pretty severe. Without the cataract monocle I made, I am very close to entirely blind, in terms of being able to read, and in terms of contrast sensitivity. I am quite ready, with proper communication, to have surgery on the first eye.






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