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In many parts of the world, chaining of people with mental illnesses is not uncommon, nor is seeing people walking around in clearly an unwell state, half naked, and no one takes any notice of them. It is tragic. There is a basic human right, which is not about just healthcare, but it is about the right to life with dignity, a right to citizenship.
~ Vikram Patel
About
Any
Around
Basic
Citizenship
Clearly
Dignity
Half
Healthcare
Human
Human Right
Illnesses
Just
Life
Many
Mental
Naked
No-One
Nor
Notice
Parts
People
Right
Seeing
State
Takes
Them
Tragic
Uncommon
Walking
Which
World
design
copy
In my mind, depression is, like all non-communicable diseases, a physiologically expressed condition which is profoundly influenced by our social and cultural environments. Depression is a global crisis not only because it is common and universal, but because the vast majority of affected people suffer in silence or receive inappropriate care.
~ Vikram Patel
Affected
Because
Care
Common
Condition
Crisis
Cultural
Depression
Diseases
Environments
Expressed
Global
Inappropriate
Influenced
Like
Majority
Mind
Only
Our
People
Profoundly
Receive
Silence
Social
Suffer
Universal
Vast
Vast Majority
Which
design
copy
In the end, I do not think we will find the neat boundary between 'normal sadness' and 'clinical depression,' if only because mood is an innate human characteristic, like weight or the length of our hair. However, to reject the very notion of depression as an illness on account of these difficulties is throwing the baby out with the bath water.
~ Vikram Patel
Account
Baby
Bath
Because
Between
Boundary
Characteristic
Clinical
Depression
Difficulties
End
Find
Hair
However
Human
Illness
In The End
Innate
Length
Like
Mood
Neat
Normal
Notion
Only
Our
Out
Reject
Sadness
Think
Throwing
Very
Water
Weight
Will
design
copy
India remains one of the few nations which still focuses entirely on an archaic de-addiction model, administered by the ministry of social justice and empowerment, to address drinking problems, adhering to a centuries-old idea of these problems being a moral disorder rather than a health condition.
~ Vikram Patel
Address
Being
Condition
Disorder
Drinking
Empowerment
Entirely
Few
Health
Idea
India
Justice
Ministry
Model
Moral
Nations
Problems
Rather
Remains
Social
Social Justice
Still
Than
Which
design
copy
It is easy to lay the blame on successive governments for failing to address health as a fundamental right for the Indian people. But the real tragedy is that we, the people of India, have not taken our government to task for this catastrophic failure.
~ Vikram Patel
Address
Blame
Catastrophic
Easy
Failing
Failure
Fundamental
Fundamental Right
Government
Governments
Health
India
Indian
Indian People
Lay
Our
People
Real
Right
Successive
Taken
Task
Tragedy
design
copy
Mental health can improve overall well-being and prevent other illnesses. And since mental health problems have a serious economic impact on vulnerable communities, making them a priority can save lives and markedly improve people's quality of life.
~ Vikram Patel
Communities
Economic
Health
Health Problems
Illnesses
Impact
Improve
Life
Lives
Making
Mental
Mental Health
Other
Overall
People
Prevent
Priority
Problems
Quality
Quality Of Life
Save
Serious
Since
Them
Vulnerable
Well-Being
design
copy
Most aid agencies do not even consider proposals to treat mental health problems; those that do think of it as a minor player, overshadowed by the pressing need to save lives by treating physical illness.
~ Vikram Patel
Agencies
Aid
Consider
Even
Health
Health Problems
Illness
Lives
Mental
Mental Health
Minor
Most
Need
Physical
Player
Pressing
Problems
Proposals
Save
Think
Those
Treat
Treating
design
copy
Most of the people who make decisions about global health are in the U.S. and Western Europe. There, the mental health care system is dominated by highly trained, expensive professionals in big hospitals, who often see patients over long periods of time. This simply can't be done in rural Africa or India. Who the hell can afford that kind of care?
~ Vikram Patel
About
Afford
Africa
Big
Care
Decisions
Dominated
Done
Europe
Expensive
Global
Health
Health Care
Health Care System
Hell
Highly
Hospitals
India
Kind
Long
Long Periods
Make
Mental
Mental Health
Most
Often
Over
Patients
People
Periods
Professionals
Rural
See
Simply
System
Time
Trained
Western
Western Europe
Who
design
copy
No matter where you are, depression responds to the same treatment.
~ Vikram Patel
Depression
Matter
Responds
Same
Treatment
Where
You
design
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Prohibition of substances which give pleasure to people does not work. Addiction is a health problem, not a moral one, and there are many proven strategies which can reduce its burden.
~ Vikram Patel
Addiction
Burden
Does
Give
Health
Health Problem
Many
Moral
People
Pleasure
Problem
Prohibition
Proven
Reduce
Strategies
Substances
Which
Work
design
copy
Prohibition, like so many other policies imposed from the moral high ground, typically by those who do not drink, disproportionately affects the poor who resort to illegally brewed alcohol when they want a drink, not infrequently leading to their death, and are more likely to be harassed by the police.
~ Vikram Patel
Affects
Alcohol
Death
Drink
Ground
High
High Ground
Imposed
Leading
Like
Likely
Many
Moral
More
Other
Police
Policies
Poor
Prohibition
Resort
Those
Want
Who
design
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The current approach that psychiatry takes almost ignores social worlds in which mental health problems arise and tries to become highly biomedical like other branches of medicine such as cardiology or oncology. But psychiatry has to be far more embedded in people's personal and social worlds.
~ Vikram Patel
Almost
Approach
Arise
Become
Biomedical
Branches
Current
Embedded
Far
Health
Health Problems
Highly
Ignores
Like
Medicine
Mental
Mental Health
More
Other
People
Personal
Problems
Psychiatry
Social
Takes
Tries
Which
Worlds
design
copy
The difference in the quality of medical care received by people with mental illness is one of the reasons why they live shorter lives than people without mental illness. Even in the best-resourced countries in the world, this life expectancy gap is as much as 20 years. In the developing countries of the world, this gap is even larger.
~ Vikram Patel
Care
Countries
Developing
Developing Countries
Difference
Even
Expectancy
Gap
Illness
Larger
Life
Life Expectancy
Live
Lives
Medical
Medical Care
Mental
Mental Illness
Much
People
Quality
Reasons
Received
Than
Why
Without
World
Years
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There is no evidence to show that prohibition has ever had its intended impact. Of course, just as banning beef has reduced beef consumption, banning alcohol will lead to reduced alcohol consumption. But, there appears to be little or no correlation between, say, domestic violence or household impoverishment and prohibition.
~ Vikram Patel
Alcohol
Appears
Banning
Beef
Between
Consumption
Correlation
Course
Domestic
Ever
Evidence
Had
Household
Impact
Intended
Just
Lead
Little
Prohibition
Reduced
Say
Show
Violence
Will
design
copy
There is no health without mental health; mental health is too important to be left to the professionals alone, and mental health is everyone's business.
~ Vikram Patel
Alone
Business
Everyone
Health
Important
Left
Mental
Mental Health
Professionals
Too
Without
design
copy
There seems little doubt in my mind that depression, in particular at the severe end of the experience of this condition, is as real a disorder as diabetes is at the severe end of blood glucose levels.
~ Vikram Patel
Blood
Condition
Depression
Diabetes
Disorder
Doubt
End
Experience
Levels
Little
Mind
Particular
Real
Seems
Severe
design
copy
Those who believe that health is a commodity, on par with cars or computers, fail to grasp the basic economic lesson that health is very vulnerable to exposure to the markets, not least due to the profound asymmetries in power between the providers and consumers.
~ Vikram Patel
Basic
Believe
Between
Car
Commodity
Computers
Consumers
Due
Economic
Exposure
Fail
Grasp
Health
Least
Lesson
Markets
Par
Power
Profound
Providers
Those
Very
Vulnerable
Who
design
copy
I thought if I could understand why apes get mean and horrible and aggressive when they grow up, maybe I could understand why people get mean and horrible and aggressive and have wars.
~ Sue Savage-Rumbaugh
Aggressive
Ape
Could
Get
Grow
Grow Up
Horrible
If I Could
Maybe
Mean
People
Thought
Understand
Up
Wars
Why
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I'm in the role of helping these apes negotiate the human role. I'm just a temporary intermediary in what I think will be eventual communication between the two species.
~ Sue Savage-Rumbaugh
Ape
Between
Communication
Eventual
Helping
Human
I Think
Just
Negotiate
Role
Species
Temporary
Think
Two
Will
design
copy
There is no reason to teach an ape to become human. There are many reasons to teach some apes and some humans to transition the worlds between the species boundaries, especially when our genetics are so similar as to make us 'siblings.' It is the way to learn how we become that which we are.
~ Sue Savage-Rumbaugh
Ape
Ape
Become
Between
Boundaries
Genetics
How
Human
Humans
Learn
Make
Many
No Reason
Our
Reason
Reasons
Sibling
Similar
Some
Species
Teach
Transition
Us
Way
Which
Worlds
design
copy
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