Archive for January, 2008

Well, if you’re watching the debate this evening, you’re seeing the discussions on healthcare that are dominating the early part of the night. These debates emphasize the plans themselves, the morality of universal healthcare, and furthermore the overarching changes in financial policies that will be necessary to fund the plans.

If you’re looking for clearer delineations on the plans proposed by Clinton and Obama, the following website offers some helpful guidelines on the information provided by their respective campaigns. It’s also possible to look at the Republicans’ plans from the main page.


Clinton v Obama

Global Challenges | Writers Participate in Gates Foundation Initiative Aimed at Promoting Dialogue About HIV/AIDS in India


A group of Indian writers is participating in an initiative funded by the Bill & Melinda Gates Foundation that aims to promote public dialogue about HIV/AIDS in the country and abroad, the Hindustan Times reports. According to the Times, 15 writers will visit communities and families affected by the disease to explore different aspects of India’s epidemic.

Parmeshwar Godrej, who is closely involved with the project, said the authors’ works will be similar to news magazine articles and compiled together. The anthology will be published in August with a foreword by Indian writer Amartya Sen. Authors participating in the project are Salman Rushdie, William Dalrymple, Nalini Jones, Vikram Seth, Kiran Desai, Amit Chaudhuri, Siddhartha Deb, Nikita Lalwani, Sonia Faleiro, Shobhaa De, Jaspreet Singh, Siddharth Dhanvant Shangvi, C.S. Lakshmi, Sunil Ganguly and Mukul Kesavan, the Times reports. The Gates Foundation said it hopes the initiative will humanize the epidemic, according to the Times (Bhayana, Hindustan Times, 1/19). According to estimates released earlier this year, about 2.5 million people in India were living with HIV/AIDS in 2006 (Kaiser Daily HIV/AIDS Report, 12/21/07).

Now that I have a few minutes, I should also add that some of these authors are really, incredibly talented authors, personal favorites even. I just finished Rushdie’s Shalimar the Clown, and have to say it’s an incredible experience to read for the variety of stories beautifully blended into this one. It is definitely a new resident of the favorite books list. Kiran Desai wroteThe Inheritance of Loss, which I loved for the beautiful imagery. It will be exciting to see these two, among some of the others (Vikram Seth, as well, holds his own, as does Amit Chaudri), dedicate their talents to promoting dialogue on a (sadly) rather taboo issue. Since the list seems to include members of the Indian diaspora, I wish -surprise surprise- Jhumpa Lahiri could get involved…and on the Indian side, Arundathi Roy, I’m sure, could do an incredible job with her writing talent.

On a somewhat related note, I recently read Danticat’s Brother, I’m Dying, and really appreciated her reflections on her family’s experiences in Haiti and in the U.S. Despite all of the Paul Farmer-esque books on the subject, I was surprised by how many of this woman’s stories related to health (perhaps the title should have given me a clue…), the knotted intertwining of physical and political struggles that facilitated so many jails, the contrast of her own life story maturing into adulthood, family and career as an immigrant to the U.S. A slightly different perspective to those of a physician or academic of the social sciences sort, but powerful in that. Simplicity, but effective simplicity.

I’m looking forward to seeing the styles the above writers choose, and hope they do effectively create dialogue beyond the intellectual set that will read the stories themselves.

(thanks, James)

Somehow that doesn’t sound as good as “winter of my discontent.” At least it’s a happier thing! It’s summer here in Lima, a new season in which to be living and working. One of the heads of the program I’m on this year will be in Lima next week, and we’ve all been asked to give a presentation on our experiences and work in our time on this grant. My projects have all exploded as of late, bursting in new directions, setting course for some increasingly visible destination. It’s a wonderful thing, to have convinced the powers-to-be of the value of your research to the point of not only ethics approval, but cooperation in the form of time and resources. I have projects in various stages of development at this point, from waiting for ethics approval to a just about ready for submission paper, and am happy to improving my education in study design, data analysis and writing skills through these projects. From an academic standpoint, those were really my goals for this year, in addition to developing local research connections and getting a better sense of research areas that might be worth dedicating some time to over the next few years (at the very least). Obviously, there’s a lot more to learn, consider and do over the next few months, but this is a decent trajectory. Clinically, as well, things look as if they will be improving. I’m starting at a new hospital next week. The hospital houses one of the largest pediatric wards and has a specific ward for pediatric TB. I think my improved Spanish will allow me to help out clinically rather than just observing, though I’ll be grateful to be able to interact with people regardless, to hear their stories and concerns. Also, I’ll be heading to Iquitos (in the Amazon) for a little bit at the end of February. I’ve been working a bit on a study on sexually transmitted infections in communities along the Amazon, and will be going as part of the research team to deliver the test and study results to the communities. After my team leaves, I’ll spend some time in one of the hospitals in Iquitos and possibly with an NGO involved in some of the bigger HIV clinical trials. It won’t be much in terms of exposure to the unique needs of a much more underserved/affected by infectious diseases community, but I’m hoping my experiences will contribute to improving my clinical ability to help patients in the future, in addition to possibly guiding research directions.

Not the most organized post, but a general idea of why I haven’t been posting? Hope you’re all doing well…

This isn’t going to be profound. I’m just a little annoyed. As someone who gets most of her news via on-line newspapers rather than TV, I think it’s easy to select the reports to which I’m paying attention (i.e. reports on world leaders getting assassinated-worth reading, story about a presidential candidate female or otherwise showing emotion- not so interesting). Yesterday, though, I took a break and was watching CNN en espanol’s coverage of the primary in NH. I’m sure this is surprising to those of you who are subjected to the inane prioritization of news as offered by most television channels, but it was the first time that I came across the clip of Hillary Clinton tearing up (not even crying), as well as all of the to-do about how this must be the reason she won the primary in NH despite her loss in Iowa (something like 47% of female votes went to her). Last night, I clicked on a few more of the links on nytimes.com and cnn.com following the “story.” All I can really say is that I almost feel bad adding more writing on a subject that is complete speculation (for really obnoxious writing, no matter your candidate preference, try reading Dowd’s editorial in the times….not that I should be encouraging its popularity).

We’re finally at a point where we have at least 2 very viable Democratic candidates that would probably do a good job as President. For all of the personality traits that one has versus the other, the differences are quite often relative instead of absolute. As voters in the primaries seemed to have been prioritizing, they’re both “electable.” What that means is that we are left free to focus on their policies, which do differ a bit, including on health (will have another post later on that).

Regardless of whom we ultimately choose, I wish we didn’t have to cheapen Clinton’s candidacy by harping on this factor as more important than her politics, especially in a woman who has done little to “exploit” this characteristic herself.

A good op-ed by Gloria Steinem was sent to me by Payal, linked here. The interesting quote, in my mind, though, was the following: “What worries me is that male Iowa voters were seen as gender-free when supporting their own, while female voters were seen as biased if they did and disloyal if they didn’t.”

The article brings up a few ideas I didn’t bring up here. Steinem says, “What worries me is that some women, perhaps especially younger ones, hope to deny or escape the sexual caste system; thus Iowa women over 50 and 60, who disproportionately supported Senator Clinton, proved once again that women are the one group that grows more radical with age.”

Despite graduating from an all women’s college (as Hillary Clinton did), I think it would personally be hard for me to vote along those lines alone, as much as I want to honor the path. As Steinem acknowledges, “This country can no longer afford to choose our leaders from a talent pool limited by sex, race, money, powerful fathers and paper degrees. It’s time to take equal pride in breaking all the barriers. We have to be able to say: “I’m supporting her because she’ll be a great president and because she’s a woman.”