Posts Tagged ‘disease

18
Jan
11

What’s It Going To Take?

At my college, I’ve been trying to get a number of products (made by immoral companies or through unethical means) boycotted, both by the campus and by the students. It hasn’t been going so great.

My fellow students are more than willing, when I come knocking at their doors, to sign my petitions, but overwhelmingly that’s as far as they’ll go. More often than not they sign without even asking what I’m trying to do or tell me that they need time to think it over (which has been just a euphemism for “go annoy someone else”). It’s not that I’m ungrateful for having as many signatures as I do, but the real issue here is getting my peers to make a conscious change to the way they live their lives- to make an ethical statement. In all honesty I’d rather have them not sign at all than sign without actually joining the boycotts.

But that’s a bit off topic- here’s the real problem.

I don’t think the moral lines could be more clearly drawn in such a situation. We have companies that have killed for profit, selling their products here on campus, and in the stores and markets across the world. These two companies make junk food, their products are easy to substitute or give up entirely. I and my fellow activists merely ask that our peers stop spending their money to these unethical corporations.

And yet we’ve had almost no response.

It’s not an issue of necessity, where our peers are forced to buy certain products. It’s not an issue of availability- there are plenty of perfectly good (or at least, less harmful) substitutes to the boycott products. It’s not an issue of trust- we don’t want donations. The issue is that my peers just don’t care!

And here seems to be the problem- people don’t care much either way if the beverage they’re drinking came from a sweatshop in Colombia, or if the chocolate they’re eating was harvested by ten year-old slave-laborers in Central America. Perhaps it was best said in the film Hotel Rwanda, when one of the characters comments “…When people turn on their TVs and see this footage, they’ll say, ‘Oh my God, that’s horrible,’ and then they’ll go back to eating their dinners.”. Other than a shallow, fleeting expression of shock or sadness or horror, no one seems to be moved to action.

Perhaps it’s that my peers (and Westerners in general) simply don’t expect anything from the third world other than disease, poverty, starvation, war, and genocide. Just a couple days ago, I saw this advertisement for the New York Food Bank (linked here)- in it, one of the spokespersons states “hunger happens in the third world- not in New York City”. Granted, the statement was made to make a point about the very real presence of hunger in New York, but it bugged me nonetheless. I appreciate them dealing with the issue of hunger in New York, but are they saying it’s acceptable elsewhere? I want to think it was just a poor choice of words on their part, but this kind of mentality does indeed exist. It’s a kind of unconscious racism- the idea that these places always have been miserable and always will be. The idea that there’s no hope. Again, Hotel Rwanda hits the nail on the head when a UN colonel says to the protagonist “You’re black. You’re not even a nigger. You’re an African.”. Perhaps the reason we can’t get people to care is because they just don’t believe the oppressed peoples of the world are capable of ever living in better conditions.

Or maybe that’s not the case. Maybe it’s that people are just distracted by other things. We’re bombarded every waking moment with messages telling us to lose weight or to gain weight or to lighten our skin or to darken our skin or to get a better clothes or a house or a better car and better insurance to protect those things. Perhaps it’s easy to lose track or get our priorities confused, and we start valuing a specific brand of soda over the lives of farmers in India.

Or maybe it’s that people just won’t care unless they themselves are the ones being oppressed and exploited. Maybe we’re so selfish and self-centered that the only motivation we’ll ever have to make the world a better place is when we’re the ones bruised, bloody, and starving. Maybe that’s the only wake-up call I and peers will ever really respond to- a lashing from the sweatshop overseer for falling asleep at our station, or the jab of a soldier’s bayonet for having been born the wrong race. Is this how things are going to be? The people who can help don’t care, and the people need help aren’t able?

At this point in the post, I’d usually throw out some kind of appeal or call to action, but I just don’t know what to say. What is it going to take to wake the world up? What’s it going to take to spur people into action? The movies, the poetry, the charity, the music- it helps for a while and briefly seizes our attention, but we soon get bored and forget. The powerful stay powerful, the powerless stay powerless. The rich get richer and the poor get left further behind. Again, what do we- what do I need to do?

13
Jul
09

The Hypocritical Hippocratic Oath

Since the time of Ancient Greece, doctors, physicians, healers, and surgeons have sworn the Hippocratic Oath- a solemn vow to “To hold him who has taught me this art as equal… if he is in need of money to give him a share of mine, and to regard his offspring as equal to my brothers in male lineage and to teach them this art—if they desire to learn it—without fee and covenant… I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep them from harm and injustice…”.

Or at least, this was the oath that was taken in the time of Hippocrates- to whom the authorship of the oath is attributed. Of course, the modern Hippocratic Oath has changed greatly over the past two and a half millennia. The contemporary text, adapted in 1964, focuses primarily on treating patients not as “a fever chart, [or] a cancerous growth” but as actual people, while also promising respect the privacy of patients and to not “play God”.

So what’s the issue? While the modern version of the Hippocratic Oath makes good points, it lacks certain fundamental elements found in the original oath. While the original oath made doctors obligated to teach each other’s children (if willing to learn) free of charge. Today, learning to become a doctor takes eight years (minimum) and costs a small fortune (medical university is far from cheap). The original oath also ordered doctors to protect their patients from “injustice”. Not disease, not infection, but injustice. This part of the oath is nowhere to be found in later versions.

Now the first section discussed- the section concerning the mutual instruction of the medically aspiring children of fellow doctors- is perhaps understandable. With today’s advances in the fields of medicine, surgery, and pharmaceuticals, it is understandable that this part of the original oath is no longer applicable- after all, there’s only so much any one doctor can know. Nevertheless, one can’t help but imagine what society would be like if doctors- all doctors- were obligated to teach. If anyone willing and diligent enough to learn medicine could study medicine regardless of how rich or poor he was, what would our world look like? Would we have eliminated cancer by now? Would we have the cure for the common cold?

One can really only guess. This is, after all, the great, good, and glorious Capitalist system where a person’s quality of education (or very existence thereof) is determined by the size of his wallet (though the issue of Capitalist/Communist education has been covered in previous posts).

And what of the section concerning a doctor’s duty to protect his patients from injustice? One can easily see why this part would be taken out of newer versions. This is a Capitalist society where medical treatment, like almost everything else, is merely a commodity to be bought and sold. If a patient is dying but cannot afford the treatment that would save him, the doctor is left with an irresolvable quandary. On one hand the doctor has a patient who cannot afford the treatment he needs to live, on the other hand, the laws of Capitalism state that anything is worth what its purchaser will pay for it. So the doctor is presented with a single, impossible option. If he goes along with the “purchase-worth-price-paid” logic, he’d be forced to conclude that since the dying man will not (because he cannot) pay for the treatment, he would rather not live and is therefore suicidal and best committed to a mental institution. Since the man clearly isn’t suicidal, the doctor must either (1) state that the Hippocratic Oath is fundamentally flawed or (2) state that Capitalism is fundamentally flawed. Fortunately, the doctor will not decision. Since, as the advocates of Capitalism would have us believe, Capitalism is completely compatible (perhaps the only system compatible) with justice, the entire situation is a logical paradox and therefore this situation can never exist.

Yeah, right.

Despite [deeply flawed] logic, these situations exist all across the globe, not only for life-or-death situations but almost any medical issue, from cough medicine to prosthetic limbs to brain surgery. The Hippocratic oath, so long as it is practiced in a Capitalist society, will always be a sad hypocrisy. The ugly truth is that Hippocratic oath- even the contemporary Hippocratic oath- will never be able to mesh with Capitalism. There will always be a conflict between ethics and economics, and frankly, if there’s a choice between the two I think it’s pretty obvious which option I’ll take.

And for this reason I submit that we do away with the Capitalist system and replace it with something better. A system where anyone who chooses to be a doctor can be a doctor and have the best medical education available. A system where any person sick, injured, or dying has the opportunity to be treated, and by doctors who are doing so out of the love of their profession and sense of justice and humanity- not self-interest and greed. A system where doctors are never forced to choose between economic feasibility and the Hippocratic oath.

The Capitalist health system is terminally ill, and I believe that this is a physician unable to health itself. Yes, the Capitalist system is in place and has been for a long time, however, as time goes on and the line between justice and injustice becomes more distinct, more pronounced, it is only a matter of time before the people revolt against a system based on flawed-logic and hypocrisy.