Health for all?

X: The Man with Xray Eyes (1963)
Director: Roger Corman

Ray Milland, who first came to my knowledge through Hitchcock's 'Dial M for Murder', had a successful acting career. He was seen as early as 1929 and went through to the 1960s. The pinnacle of his career was winning an Oscar for Best Actor in 1945, 'The Lost Weekend'. This particular movie is a B-grade science pulp, but a rather interesting one at that.

I remember the umpteen comics I used to read at the barbershop during my childhood. All the comics had classified advertisements at the back, selling X-ray glasses, which were an adolescent boy's dream present. A pair of special vision glasses that could see through garments was something to get excited about. The only hurdle was postage, as the given PO box was in the USA. If only they had Lazada or Shopee, then...

The film effectively portrays how society treats members of the medical profession. Individuals enter the medical field with the desire to serve humanity and alleviate suffering. Unfortunately, things are not straightforward. Resources are finite, and healthcare is getting more expensive. Health workers and patients are at the mercy of those who control finance.

The business people have the money but not the compassion. What they see are dollars and cents as well as return on investments. Everything and anything can be done but at a cost. There is no place for charity. In fact, health providers are dangled with a carrot so enticing that they fall prey to material lures. They are given the illusion that they are serving the needy, but the selected target only serves to fatten the coffers of the financiers. No businessman is altruistic.

The film goes on to narrate the story of Dr Xavier, who discovers an eyedrop that extends the range of what the eyes can see beyond the usual spectrum of wavelength. He sees vast potential in his discovery, but the medical community is wary of its potential dangers. They want more research to understand its downside. Xavier has no patience for that. He wants to spread its usage as soon as possible. The concoction obviously has its side effects, making Xavier so impulsive; the effect of the ointment is so unpredictable.

In a tussle with his superior, he accidentally knocks him over a window, and he dies. Dr Xavier is now a fugitive. 

He tries to make good use of his discovery by practising as a faith healer, only to realise that he is being used by his host as a cash cow. Dr Xavier then tries to use his X-ray vision to win at the casino to win lots of money to fund and expand his ointment. The casino is not going to give him money lying down. They bring in the might of the police to hunt him down...

Hence came a tragic end to what could been a novel desire to indeed improve people's health and to bring technology to where it mattered most. Instead, like today, the greatest expertise is used to treat trivial and inconsequential ailments that may be self-limiting. The counterargument against this is that it frees the burden of public healthcare. Personalised treatment can be focused on seriously ill patients. The fact of the matter is it also helps the high-heeled to jump the queue and be uppity about sharing the same facility as the plebians.

https://www.freemalaysiatoday.com/category/opinion/2025/01/11/can-private-hospitals-be-efficient-compassionate-and-profitable/

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In God's hands?

Bad Surgeon: Love Under the Knife (2023)
Documentary

Perhaps the media is the one that needs to take the blame. It may be people's fascination with the high life and their gullibility. Or the society's rules on the confidentiality of information or the restriction. Some have perfected the art of staying in the limelight to awe others with their stories so tall that they cannot be refuted. These do not make sense, but watching Dr Paolo Macchiarini's shenanigans, they would. 

Dr Macchiarini is an Italian maverick surgeon employed at Karolinska Institute in Stockholm, Sweden, between 2010 and 2013. With a long, impressive CV, including a stint as a visiting Professor at University College London and multiple revolutionary discoveries in regenerative medicine in Russia, he hit the headlines performing groundbreaking trachea replacement surgery using a plastic mould and stem cell technology. 

At the height of his success, he meets journalist Benita Alexander. She is swept off her feet, love blossoms and wedding bells will soon be rung. Everything is going well except for his frequent absence. After all, he is a globetrotting star surgeon flying from country to country, performing avant-garde top-notch operations. On top of that, world leaders like the Clintons, Obama and the Pope have Macchiarini on their speed dial. He is their personal physician.

The wedding is planned to happen at the Vatican itself, officiated by, of all people, the Pope himself. Yes, the Pope also does weddings.

One by one, news of botched surgeries comes to the open. His credentials turned out to be fraud. His colleagues at Karolinka start an investigation. An investigative journalist is roped in. Somehow, because the World Wide Web is in its infancy, the information from one part of the world either does not reach or is falsified when it hits the outside world until ... 

Benito Alexander, the journalist scheduled to marry Macchiarini, catches him having a wife and children. She exposes him in an article in Vanity Fair. Thus came the surgeon's downfall. One by one, Sweden charges him in court. He is presently serving jail in Sweden. Macchirianno used Benito's position as a journalist to springboard his own publicity. 

It is funny that at the dawn of the birth of information technology, we were promised knowledge accessible to all. People would be more empowered to make informed decisions after accessing all sides of the multifaceted monster called truth. Surprise, surprise. Humans can still hoodwink the system and abuse the system to fulfil nefarious personal interests. 

Information platforms further help these people to peddle fake news and whitewash things. Bragging and broadcasting tall stories have become much easier. 

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It's never the same!

The Almond and Sea Horse (2022)
Director: Celyn Jones and Tom Stern

Within the evolutionary scale of things, the human brain evolved. Our brain can roughly be divided into three parts. There is the primitive part, which controls our essential body functions and aids in our fight-or-flight response. The basal ganglia, cerebellum and brainstem form this reptilian complex. Next came the paleomammalian complex, which gave the limbic system the pathway of emotion and linked with memory. The Amygdala and hippocampus, which look like an almond and a seahorse (title of the movie), are found here. The most recently evolved is the neomammalian complex (neocortex). It connects to all the older brain parts to give humans the complex functions they do.

This film acts more like a public service announcement to educate us on living with patients with amnesia. As we can increasingly salvage patients who suffer from severe brain conditions, patients are left to fend for themselves with much morbidity. The patients themselves do not realise that they are not functioning normally. They think they are functioning normally; the world is the one that has changed. The loved ones and family are the ones who have the brunt of all the heartaches and inconveniences in their lives. 

We only look at the grander outlook of things. We only look at survival rates and salvageability from serious ailments but conveniently overlook the morbidity that the family caring for the patient must endure daily.

The independent film looks at two couples. In the first, after a near-fatal car crash, a then-pregnant lady survives while losing her child. Her lesbian partner endured 15 years living with a stranger who cannot remember their previous liaisons and sexuality. The trauma of living with a stranger with retrograde amnesia, who had shared so much together, is too overwhelming for the other partner. She had to give up her job as an architect for her sake.

In the other story, an archaeologist is living in a meaningless marriage. Her husband had a brain tumour operated on. The surgery was successful but left his memory stuck at a time before the operation. He is childlike, cannot work, forgets to take his medications and is socially awkward. Their dreams of starting a family are crushed.

There is medical rehabilitation, but only so much one can do. Life is never the same.

The Almond and Seahorse

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Everything has a price!

Joseph (Malayalam, 2018)

Director: M Padmakumar

This movie gives another twist to how man's greed hijacks a noble intention like organ donation. Good virtue has been held in high esteem and is said to be the raison d'être of man’s existence. The sound of one man’s death knell signalling another's beginning of life sounds cruel, but that is how life is. Death and tragedy in the goat family are signs of survival and satiety in the tiger family.

As creative as a man can be, he knows about demand and supply, market forces and the electrifying power of the currency. Money, a lubricant in most transactions, eases this. The desperate seeker calls these middlemen God-sent. The mourners find solace in knowing they had done one good deed before the last call. The observers call it unscrupulous when they see the donors donating before their time is up and the deserving recipients are bypassed for the highest bidder. 

Man has converted everything into businesses, invented creative schemes to monetise even cadaveric organs, and, if needed, expedited death when the situation demands. They become the ‘invisible hands’ that guide the economy. 

Socrates may have convinced Greeks and generations after him to promote good virtue and philosophy as the basis of human living. Plato preached that a wise person uses his mind to understand moral reality to apply it to daily life. No more; this train of thought is so passé. It is not applicable in kali yuga. We all bow to the Money God. Virtue is so Satya and Treta yuga. 

They say our data is protected, and our personal pledges are classified. Any firewall is only as good till the next version hits the market. These systems' inventors will leave a loophole for them to market their next upgrade. 

Hence, our private data, including medical information, are all out for scrutiny. Hackers, in collaboration with sneaky businessmen who regularly taint noble professions, will stop at nothing to scheme out plans after plans to profit themselves. 

In this movie (spoiler alert), pledged donors are screened during their routine medical examination and matched to potential foreign recipients. A fake accident is arranged by thugs in a remote locale. A Good Samaritan, also part of the gang, would bring the accident victim to a predestined hospital. The victim would invariably perish without regaining consciousness. Organs will be harvested. Local recipients planning to receive these transplants would undergo dummy operations, but the organs would be shipped far away. 

A retired police officer had to lose two family members, his late teen daughter and his wife, to these fraudsters before smelling a rat. He devised an elaborate to uncover the whole network. 

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Burning, burning...

©FG

You tell yourself the citizens of the country sponsored your medical studies. With a fragment of the cost of what you really need to pay, for peanuts, you got a degree. Of course, it was no easy walk in the park on your part, either. All that midnight vigil, the missed outings with buddies and the humiliations at work by seniors later on in life were your sacrifices. You were convinced that your job description would read as crucial as a bomb disposal unit. Your vocation would turn the direction of the country, it seemed. Not to forget the stresses and guilty feelings that haunted you as your patients died in your tour of duty. You can but not complain about your predicament as it was entirely your decision to plunge head in. Some reverence comes with the job, nevertheless.

Those, however, were too few and far between. The same hands that express gratitude to you would be the same ones that point accusatory charges against you. You thought they were placing you on a dais like they do to their Gods, right? When they deified you, they meant you are supposed to be infallible, and when things go south through no fault of yours, they cannot blame God, so they blame you.

If you feel it is unfair to bear the brunt of such responsibility on your tiny shoulders, by all means, move on. They are others who would gladly take over until they, too, burned out.

You are expected to do what you say and say what you do. You are just a spoke in the wheel of life. Others can use you and abuse you. But you cannot. They can be dishonest or lie through their teeth to your face. They can connive to get a big profit out of you. They can make fraudulent claims. No, siree, you cannot do any of that. You are supposed to be the paradigm of virtue. It does not matter if businessmen abuse your good office to enrich themselves. After all, they have their eyes on the money, and you have yours on the soul. So you like to believe...

(P.S. The whole equation gets distorted when the medical studies are self-financed. It is no more of paying back to society but back to the coffers. Sometimes it is an investment. Altruism rarely is in the picture.)

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Oh Woke, wake up!

One of the most learned members of our clan, Uncle Shan RIP, was once working as the head of a reform school for juvenile delinquents. In his later years, long after his retirement, he used to reminisce about some of the exciting situations he encountered as a counsellor. I remember one such scenario.

By and large, the school inmates were of extremely high intelligence. The only problem was that their true potential was hijacked by negativity. A teenager was admitted after being caught breaking into a home with his friends and sent to reform school. Uncle Shan used to have pep talks with him. The message that stuck with him was what the young man had told him, "if only my father had smacked me on the head the first time I came back home late, I would not have spent how much time outside and got entangled into the wrong crowd!"

The children do not know what they want. Oh, what the heck? Even adults do not. That probably prompted Steve Jobs to say about mobile phones, "People do not know what they want, we will tell them," when one of the designers queried whether customers would buy into their groundbreaking designs on a device named iPhone.

Michael Jackson lamented that he never had a childhood because his father prepared a gruelling, back-breaking regime to make superstars out of the Jacksons. The fact of the matter is that Michael never grew out of childhood, having been caught in a Peter Pan syndrome trapped in Lala land. Michael would not have attained what he had if not for that early bone-bending manoeuvres. The world would probably not have known about Moonwalk either.

Now it seems that the woke culture has permeated every level of society. Of all professions, one would think that the predominantly conservative and cautious medical community, whose motto 'primum non nocere' (first, do no harm), would be guarded against joining the woke frenzy. Apparently not!

It is puzzling why over such a short period in our civilisation, there is a rush to squash what society has planned over millennia, gender separation. Gender is fluid and binary. Pigeon-holing individuals into gender stereotyping is discriminatory, they say. There is an urgent agenda not to assign gender but to allow children, as early as pre-schoolers, to explore, and discover their true gender, not the biological ones they were born into but with which they align psychologically. But at such a young age?

At lightning speed, the medical fraternity is prescribing hormonal therapy and even gender re-assigning surgery to correct the so-called 'Nature's error of gender designation. But guess what, with all the wisdom and breakthrough discoveries that scientists claim to have, early inventions have proved disastrous in many cases. Puberty springs in and offsets the whole arrangement. Then the person is really trapped.

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