The C2S blog draws on the arts, the social and biological sciences to explore the many meanings of health and "dis-ease." Designed to be a locus where patients, their families and professionals can meet on a level playing field, it is the natural off-shoot of the Cell 2 Soul Online Journal. We encourage the submission of ideas, essays, poems, stories, humor, and timely reviews relating to the humanities and health care.
Around 25 years ago, I met the Balinese anthropologist and psychiatrist, Dr. Luh Ketut Suryani. She went on to establish the Suryani Institute for Mental Health in 2005, because, she said, “A large number of mentally ill people in Bali are essentially abandoned, permanently kept under restrains, chained or in makeshift cages by their families, or community (pasung).”
Indonesia spends less than 1 percent of its total health budget to mental health, uncommonly low even compared with other lower middle-income countries. It has only about 700 trained psychiatrists, roughly one for every 350,000 citizens.
Drs. Nova and Suryani have devoted their lives to improving the care and living conditions for Indonesia’s mentally ill. Pause for a moment to honor these two visionary women.
Dr. Luh Ketut Suryani
Dr. Nova Riyanti Yusuf
Here is a German language You Tube on "Bali's Dark Side." (Unfortunately, I can't find a copy with English subtitles, but the film can be viewed and appreciated even with the German narration.)
When is it ethical to design a health care system that caters to those who can pay?
An old Yiddish proverb runs: "If the rich could pay the poor to die for them, the poor would make a very good living."
Khawar Mann, OBE, a venture capitalist with the Abraaj investment group, travels around Africa scoping out hospitals to buy that seem likely to provide good returns on investments.
Private health care has been an interesting model in the U.S. which lags behind all other developed nations in outcomes. So why is the American system now envisioned as a viable model for Africa? Will this not just serve to widen the "health" gap between the rich and poor?
Mr. Mann says: "“Nairobi is a sweet spot for us. There is a big population that is growing. You have emerging middle incomes. And there is a massive need for health care.” (for those who can afford to pay in cash).