Discussion of All Things Political

For much of the Western world, physical pain ends with a simple pill. Yet more than half the world's countries have little to no access to morphine, the gold standard for treating medical pain.

Freedom from Pain shines a light on this under-reported story. "For a victim of police torture, they will usually sign a confession and the torture stops," says Diederik Lohman of Human Rights Watch in the film. "For someone who has cancer pain, that torturous experience continues for weeks, and sometimes months on end."

Unlike so many global health problems, pain treatment is not about money or a lack of drugs, since morphine costs pennies per dose and is easily made. The treatment of pain is complicated by many factors, including drug laws, bureaucratic rigidity and commercial disincentives.

In India, the first stop in the film and the world's largest grower of medicinal poppy for developed countries, there are severe restrictions to the use of morphine domestically. In 27 out of 28 states in India, narcotics laws are so strict that doctors fear prescribing it, and patients literally scream for relief. Drug companies have little incentive to manufacture morphine for the domestic market because of reporting requirements and small profit margins.

In the Ukraine, the film reveals that access to pain medication is halted by outdated, Soviet-style bureaucracy, arbitrary limits on doses, and a lack of oral morphine. As a result, many patients experience prolonged bouts of untreated pain, particularly in rural areas. In the Ukraine, we learn that Artur, a former decorated KGB colonel suffering from prostate cancer, sleeps with a gun under his pillow - his only way out, should he decide his pain is too great. MORE

Millions of individuals worldwide suffer from acute or chronic painwithout adequate access to pain medication. The problem is particularly acute in the developing world, as Time Magazinechronicled last year:

Whether you will have access to pain treatment depends largely upon where you live. Africa, which has most of the world’s AIDS victims, is a painkiller wasteland. In India, more than a million cancer and AIDS sufferers die each year in extreme pain as cumbersome regulations and paperwork make it nearly impossible to get prescription painkillers. (India produces much of the world’s legal opium, yet nearly all of it is exported to Western pharmaceutical companies.)

The geography of pain relief is so skewed that the seven richest countries consume 84% of the world’s supply of legal opiates, according to the International Narcotics Control Board, an independent agency that enforces U.N. conventions. For the estimated 10 million people who are suffering from untreated pain, relief is often found only on the black market, or in death

This gaping unmet need and global inequity is becoming the subject of various calls for change, by pain experts, by cancer treatment advocates, by international organizations, and by the human rights community. As Brent Foster explains in this podcast, the reasons behind the inequitable global distribution of pain medication are complex – like many intractable global social problems that get too little attention by policymakers.

However, a significant (and solvable) aspect of the problem is simply the relationship of supply to demand: the need for analgesics like morphine far outweighs the available supply. In part, this is due to the fact that such analgesics are produced from opium, the sap of the poppy. Since the same plant extract can also be used to produce heroin, a significant amount of political effort is now being expended worldwide to actually inhibit, rather than encourage, opoid production. This fuels shortages of analgesics.MORE

annaham

Can you please contextualize the work you do, in what has become a global system of agriculture?
We are now importing the majority of the food we eat. The overwhelming majority of workers who harvest the food we eat in the United States are not from this country. And many if not most of the workers employed in the fields in the United States are displaced farmers from their own countries (mostly Mexico but not exclusively.) So we’re seeing that many of the same pressures and challenges that are facing farmers in the US are the very same ones that are displacing small farmers in the global South and resulting in them coming in search of employment to the United States, Canada, Australia, and European Union. At the same time, farmers and sometimes their spouses in the US are looking for second jobs in more urban settings.

When Vietnam entered the global market with coffee we saw an unprecedented exodus of coffee farmers out of eastern Mexico. When NAFTA was signed, mass exodus of corn farmers – so we see a direct correlation between these international trade policies and agricultural practices and kind of the global crisis of agriculture that we’re facing.

Within that context you look at agriculture in the United States and pretty much anyone born in this country has no aspirations to work in the fields. And I think if we’re honest with ourselves, the reason is because we all know the conditions are not good, the pay is pretty bad, and there’s really no benefits. As a result we have depended on immigrant workers to come up and do the work that we haven’t wanted to do. And so if you look at the history of the United Farm Workers, we’ve had workers literally from around the world as members – from Vietnam, Thailand, the Philippines, Yemen, African Americans and of course, Mexicans, Central Americans, and the internationalization of the work-force continues. We now have workers working under contract from Somalia, Sudan, Kenya, and it’s very much become a global workforce that is harvesting the food we eat.MORE

“The rainforest is not for sale”, was one of the most-repeated choruses in the marches across Peru commemorating the first anniversary of the Bagua massacre. 34 people died and 200 were wounded when Alan García’s government decided to clear out the Awajun people who were blocking roads in the Amazon in protest of the indiscriminate exploitation of the forest. Thousands of Awajun had been demonstrating for two months and were about to abandon the so-called Curva del Diablo, but before they had a chance to do so they were attacked by rifles on land and by air.

Ten indigenous people were killed at the Curva del Diablo. They later retaliated, causing the death of 23 police officers. The location of one of the protestors, Major Felipe Bazán Caballero, remains unknown. All signs indicate that the minister of the interior, Mercedes Cabanillas, gave the order to open fire. A year later, no one has been found guilty of the tragedy. Shortly after the repression, four of the legislative decrees that had provoked the demonstrations were revoked and, on May 19, parliament approved the Consultation Law, which dictates that locals must be consulted before any projects to exploit community resources are approved. These are two substantial victories for the movement.

But, in addition to their legal triumphs, the indigenous people who make up the Interethnic Association for the Development of the Peruvian Rainforest (AIDESEP), which brings together around 1,500 communities, obtained the recognition of Peruvian society as new and decisive actors in national political life. This is a symbolic act. On June 5, the father of the missing Major Felipe Bazán, travelled to the Curva del Diablo, near Bagua and the Ecuadorian border, one thousand kilometers northeast of Lima, to embrace indigenous people as they participated in a memorial act, baptizing the site as the “Curva de la Esperanza”.
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SANTIAGO - The time has come for Latin American countries to put an economic value on the work that women do as they take care of households, children and the elderly, says ECLAC, the United Nations regional economic agency.
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On June 4th about ten thousand Haitian peasants marched to protest U.S.-based Monsanto Company’s ‘deadly gift’ of seed to the government of Haiti. The seven-kilometer march from Papaye to Hinche—in a rural area on the central plateau—was organized by several Haitian farmers’ organizations that are proposing a development model based on food and seed sovereignty instead of industrial agriculture. Slogans for the march included “long live native maize seed” and “Monsanto’s GMO & hybrid seed violates peasant agriculture.”MORE

PRAGUE, Jul 7, 2010 (IPS) - Women’s rights campaigners say the Czech Republic’s new government has effectively told women they have no relevance to the country’s future after the new cabinet was formed – without a single female minister.

Despite a record number of women elected to parliament in elections in May and pre-election pledges by party leaders that they wanted more women in politics, women’s rights activists said they had been given a "slap in the face" after the make-up of the new cabinet was finally agreed last week. MORE

BRUSSELS, Jul 5, 2010 (IPS) - Besieged by bankers opposed to regulation of their sector, members of the European Parliament (MEPs) have taken an unusual step. A cross-party alliance has called for an international campaigning organisation to concentrate on remedying the flaws of the financial services industry with the same tenacity that Amnesty International focuses on victims of torture and Greenpeace on toxic chemicals and whales.

The call -- signed by 70 of the Parliament's 736 elected members -- was prompted by concerns over how the financial lobby had marshalled its ample resources over the past few years in a bid to dilute legislation drafted in response to the global economic crisis. According to the MEPs, the pressure they have been placed under by the financial industry is so intense that it represents a threat to democracy, especially as public interest groups have generally lacked the means or the expertise to mount a robust counter- offensive to the banks' efforts
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