joanna bujes wrote:
> 
> it's just that whatever I go in for he will offer three
> solutions: antibiotics, chemicals, surgery.

Sometimes it's the patient who makes the demand for radical treatment.
When I broke my hip & in the emergency room chose my surgeon (the
daughter of a surgeon I had had for a minor affair many years earlier),
Jan's response to my choice was that she vaguely remembered something
negative about Dr. Wright. Then later Jan remembered what it was. A
fellow employee at the P.O. had had back trouble and went to Wright: who
prescribed a course of exercises and _cured_ the back trouble. But the
patient was unhappy -- she was disappointed that surgery wasn't
required!

But sometimes surgery is required -- as for my broken hip. And while
Wright tried to avoid surgery for my wrist, it was ultimately necessary.

And anti-biotics have saved a lot of lives, as well as a lot of misery.
Back in the '70s on three different occasions I was sick for over a
month with what I thought was a cold, but was bronchitis, and each time
anti-biotics finally cleared it up quickly. Also -- you apparently make
an exception for dentistry. Anti-biotics are pretty important there as
well.

And Zanoflex stopped migraines that were so bad that had lived in a high
rise or owned a gun I probably wouldn't be here today. So chemicals can
be pretty important as well.

I don't think it's correct to make blanket statements about medicine in
the u.s. today. There are always going to be royal fuck-ups under
capitalism. And even if and when we achieve communism, there will remain
plenty of room for either sheer unavoidable error, the limits of
technology and/or knowledge, and the basic fraility of the human body.

Throwing money at in in the form of guaranteeing costs for patients
would still make a lot of difference. And as both Marta & I have pointed
out, some people would get a lot more out of their treatment if they had
enough money to live on in addition. Social struggle can potentially
improve on that (at least for temporary periods) even under capitalism.

Incidentally, patient deaths go up as the number of patients per nurse
go up. You can't blame medicine for that.

And whatever the weaknesses and even crimes of neuropsychiatry, it is
also true that the suicide rate is _much_ higher for patients who don't
receive medical care.

Carrol

> 
> Joanna

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