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This
month we review the film that has brought home Ghandis
ideas to a new generation; and we look at an alarming study
of drug marketing in the Third World.
Editor:
Anuradha Vittachi |
Gandhi:
message for today
The
best thing about Richard Attenboroughs Gandhi is its
timeliness. Twenty years in its gestation, the film has been delivered
to a public that is disenchanted with slogans parading as solutions
and scared witless at the dance of death between two Super Powers
who seem to imagine that they are the protagonists while the rest
of the four billion of us are just bit-players and passive spectators
who must make room for their dangerous cavortings.
1983,
the run-up year to 1984, finds those billions of people alienated
from the centres where economic, political and military decisions
affecting their lives are being made; impotent to make their cries
of despair heard above the cacophonous din of arguments about Dense
Packs of movable nuclear missiles, about the subtle distinctions
between monetarism versus the magic of the marketplace
while the number of destitute people soars from 600 to 800
to 1,000 million, and coping is the only evident purpose
of life.
Gandhi
was the apotheosis of the alienated human individual in his time.
This film Gandhi magnificently depicts how the least among
us could cast fear out of our heads and act with heroic courage
if we welded our littleness to a big purpose; how individual needs
and social needs need not be opposed when people see that I
and we are not natural enemies; how strength and power
are not the product of having more and more but that a willingness
to do with less and less leaves one invulnerable; above all, how
marvellously effective the power of the powerless can be, when its
people move and mass together to overthrow a tyranny.
Gandhis
central ideas were rejected in his own land long before he died.
He was immensely saddened to see the India he led to freedom preparing
itself to become a modern nation state by abandoning the principles
on which independence had been founded. India adopted not only the
panopoly of imperial authority but its values and structures. Instead
of the country of village republics where the people would rule
themselves, it became a Permit Raj. a centralised bureaucracy
choked by documents in triplicate. It developed not as a nation
embodying the principle of non-violence but one like any other in
the northern hemisphere, defended by an army, navy and
air force against other military establishments; not concerned with
mutual obligations but with divisive rights: not directing its economic
energies to supplying peoples needs but to serving the purposes
of the market place, so that during the Premiership of Moraji Desai.
a self-proclaimed Gandhian, 200 million people existed
at the edge of starvation while 20 million tonnes of surplus
grain were held as a buffer stock.
But
ideas have more than one life. And there are eternal human values
that feel and are right whatever the time, place and circumstance.
Uncounted millions of people, especially the young, now reject the
values of the merchants, which are determined by prices and profits,
and of the military-industrial complexes of every armed nation,
which are determined by the capacity to kill more of their
human beings than they would kill of our human
beings. And the very notion that war has ever or can now resolve
any human dispute is being shown up as the most distorted principle
of all. The world of human dissidence, which is characterised by
a decent loathing of the Right and a suitable fear of the
Left, has been searching for socialism with a human face.
Could it be Gandhis?
Tarzie
Vittachi

Bitter
pills
Bitter
Pills: Medicine and the Third World Poor
by
Dianna Melrose

Oxfam
(pbk) £4.95

A
woman was crying. We found her with a dead baby in her arms and
a collection of medicine bottles beside her. She had spent all her
money on these expensive drugs. She could not understand why they
had not saved her baby. This Bangladeshi woman had never been told
what was obvious to the doctor ... The baby had become severely
dehydrated from diarrhoea,
Her
death could have been prevented with a simple home-made solution
of water salt and sugar. No amount of medicine could have kept her
alive.
The
opening words of this excellent OXFAM publication are worth quoting
at length; they introduce three important themes which are developed
in the remainder of the book. The first point is the most important
and frequently neglected in debates about drugs. The most virulent
disease in the Third World is not malaria, leprosy or even diarrhoea.
It is poverty. Diseases thrive on malnourished bodies; most drugs
are only treating the secondary effects of poverty.
Secondly,
drug manufacturers throughout the world, both TNCs and small companies,
seek to sell their products at a profit.
We
are shown a very few encouraging signs that some TNCs admit
some responsibility. We find much more about corporate amorality
and immorality and this, unfortunately, is an accurate reflection
of the reality.
Thirdly,
the access to health care services is usually mediated by professionals.
Traditionally doctors and, to a lesser extent, pharmacists, nurses,
midwives and the like, have sought to maintain their position. It
is only relatively recently that we have begun to see the value
of medical devolution, and drug supply features in this further
issue: all progress requires, above all, political will. Power is
wielded by, a variety of groups, amongst whom the drug manufacturers
and the rulers of Third World countries are only the most prominent.
Bitter
Pills draws on OXFAMs participation in many countries
and gives examples of developments initiated both by voluntary and
state organisations. One chapter, in particular, ties the issues
in the Third World to activities in the West; participants include
the international agencies, rich world governments, non-governmental
organisations and the drug manufacturers. And there is a valuable
description of recent events in Bangladesh, where the traditional
TNC drug suppliers have felt threatened by a combination of government
legislation and vigorous competition by a non-profit-oriented manufacturer.
The treatment of this subject, like the great majority of this book,
is penetrating; above all, it never loses sight of the effects on
ordinary people.
Andrew
Stoker
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