The government's oft-stated desire to reduce the profit margin on medicine is to be commended despite its failure to translate intention into firm action. There is something distinctly distasteful with the accumulation of vast profits as a direct result of bare-faced exploitation of people's miseries and illnesses. The threats of looming bankruptcy by vested interests are boringly predictable and belie the obviously flourishing status of the pharmaceutical industry. One only has to look at the large number of pharmacies on our main streets to realise that this business is far from being in the financial difficulties that pharmacists have been queuing up to assert as the inevitable consequence of price reduction.

But price reduction can only be a short term solution to a much wider problem; it is high time now for us to look at the whole issue of medication and pose the most obvious question on this controversial and sensitive issue: have we become a nation of pill poppers? Have we become conditioned to believe that we must take some medicine for even the most trivial discomfort? Have we become so obsessed with the so called magical power of medication that we instantly put medical labels on routine phenomena that are simply part and parcel of the human condition? Are we relying too much on medicinal "cures" rather than adopting the preventative measures that will stop the illnesses in the first place?

Let us look at the two biggest killers in our population: diabetes and heart disease. The major cause of both illnesses is obesity and a sedentary lifestyle and yet we insist on eating the very food that will add inches to our waistlines whilst screaming abuse if the increase in the price of petrol forces us to abandon our cars and to walk instead. A diet of fast foods, high in fat and calories, taken by people who prefer to drive rather than walk is almost guaranteed to lead to the onset of diabetes and severe cardiac problems.The government provides subsidies for rice and flour, two food items that fill us up with far more carbohydrates that our life styles can cope with, and the surplus is converted in the fat which sits uncomfortably with most of us but which looks ever so natural on politicians eating greedily at our expense. Greasy Kentucky and cardboard tasting MacDonalds are considered trendy foods despite their poor nutritional value and high fat content; they are also enormously expensive, but who cares as we continue to delude ourselves that we live in a very rich country? And when our hearts and pancreas start giving up on us, we have a large array of medicines to choose from in the false belief that they will cure us. This blind faith in the power of medicine leads to the ludicrous situation where the diabetic follows a generous helping of sugar-laden ladoos and gulab jamuns with a metformin tablet in the hopeless belief that the medication will counteract the poison he has just gobbled up with such relish.

We are all at times subject to difficult and traumatic life circumstances and display grief and torment when faced with distressing personal events; that is a perfectly natural, human reaction to a change in one's personal circumstances and in the vast majority of cases we soon revert to our normal selves and cope with life with renewed vigour and optimism. But an expensive 10 minute consultation(I am being generous with the time here as I can only afford a cheap, inaccurate watch) with the medical expert is bound to medicalise this normal reaction and will inevitably conclude with an even more expensive prescription for anti depressants which his relative running the pharmacy next door will dispense with a smile as he takes your money. You then find out a month later that you have become hopelessly addicted to these antidepressants and return on a regular basis to the same doctor's surgery and the same pharmacy for medication to alleviate the symptoms of the original treatment that you never needed in the first place!

Our blind faith in the power of medicine is best exemplified by a visit to the perenially overcrowded casualty/ emergency departments of our main hospitals. The 10% of genuinely urgent cases is overwhelmed by a vast number of people who have taken the day off because of
a cold or flu, a headache, or my favourite one, gagne gaz. If you do not suffer from these conditions, try to avoid these places as you are likely to breathe in one of the numerous free-floating germs from people keen to impress the person in the next chair that his illness is worse than anyone else's. And for God's sake, steer clear from the person who has gagne gaz as this one man weapon of mass destruction will be keen to give olfactory proof of his socalled medical condition! Why do these people believe that salvation for what is part and parcel of the human condition comes from a tablet or a syrup that tastes vile? There is no known cure for the common cold but we somehow feel better if, following a long wait in casualty, we spend good money on an expensive Beecham's Powder or a Lem-Sip, or if we are given anti biotics that will have no effect whatsoever in getting rid of that cold; we would derive far more benefits from the humble citronelle boiled with a nice lump of ginger and perhaps some honey but that is not trendy enough. And in any case, if the neighbours are taking Lem-Sip, then so should we!

Doctors will continue to prescribe inappropriately because we believe that no hospital visit is worthwhile unless we come out with the precious prescription. Antibiotics are dished out for the most trivial infection which means that prolonged and regular use of these vital medicines reduce their effectiveness and become useless when we need them to treat a really serious illness. A minor twinge or headache is turned into a terrible personal challenge which can only be overcome by some chemical means. We have forgotten how to override pain by simply using our brains and bodies to overcome it; the endorphins released by a long, brisk walk or a swim are far more efficient to get rid of the 'lifestyle' illnesses and pain that plague our casualty units than any prescription.

But we would rather sit in our cars and curse the long traffic queues ahead of us than take the half hour walk that will be far more beneficial for our health; we prefer to eat fast food because the neighbours are doing it and we have been doing it for so long that the resultant obesity has made us too lazy to cook the wholesome, nutritious food that sustained our parents and kept them in good health. We have become so obsessed with food that a lunch taken one hour later than usual gives rise to this gagne gaz nonsense, which is rather a good excuse to justify our contribution to the greenhouse effect.( the only charitable thing to say about this gaz business is that at least the methane is coming out from the right end, as opposed to our politicians who emit it every time they open their mouths!).

We have become a nation of hyponchondriacs with wholly unrealistic expectations that the government should do everything for us, and we have a tragic propensity to blame everyone but ourselves for the sorry state of our health. We continue to drink vast amounts of alcohol and smoke like chimneys and then blame the government for not providing adequate treatment for the cancers and cirrhosis that accompany such a lifestyle; we eat rubbish food in quantities that our bodies cannot cope with and decry the lack of adequate facilities for the treatment of cancer, diabetes, and heart disease; we sit on our fat backsides with trays of Kentucky in our laps, a large rhum in one hand and a cigarette in the other, and moan about everything. And when we fall ill, it is every one else's fault apart from our own.

Writing this has made me feel a bit depressed and I can feel a mild headache coming on; was that a rumble I just felt in my stomach? I should have taken my lunch at the usual time instead of wasting precious minutes with my friends complaining about everything. I think I'll get in the car and go to casualty. I better take the dog with me as I would need to blame someone when the gaz from the late lunch comes out, and Medor does not really mind carrying the can for his master; he just sniffs away contentedly and knows how to put on that guilty look whenever I accuse him of something that he has not done. Let us hope I get to see the same doctor who likes prescribing all these medicines every time I visit the hospital. He really does have a pill for every ill! And the chances are the pills will be out of date, counterfeit, and as much use as eating chalk...
 
R.A.J.
Email: servipei@yahoo.com