Binayak Sen: redefining health care in an unjust society. "health care is always Political"

On May 14, 2007, Binayak Sen was arrested by the Chattisgarh police under sections of the Chhatisgarh Special Public Security Act, 2005, and Unlawful Activities (Prevention) Act, 1967 (2004) for alleged links with the banned Maoist groups (1). His arrest was the upshot of his attempts to raise issues of human rights violation in government-sponsored violence, both within and outside Chattisgarh, in his capacity as the General Secretary, Chattisgarh People’s Union for Civil Liberties (PUCL). What makes this event of particular interest to the readers of IJME is that Binayak Sen is a practising doctor who sees his activism as intrinsic to his work as a health professional. Binayak is a graduate of Christian Medical College (CMC), Vellore, an elite institution known for its exceptional teaching. One of the top students of his batch, Binayak completed his post graduation in paediatrics in the early 1970s. For most of the years since then, he has devoted his life to health care in poor communities. For this, in 2004, he was conferred the college’s prestigious Paul Harrison award “in recognition of his outstanding contribution to society”, as stated on the citation presented with the award. His contribution was not seen so much in his capacity as a physician, but (as the citation notes), for having “... redefined the possible role of the doctor in a broken and unjust society, holding the cause much more precious than personal safety”.

It Goes against our nature; but the left has to start asserting its own values.

The progressive attempt to appeal to self-interest has been a catastrophe. Empathy, not expediency, must drive our campaigns

So here we are, forming an orderly queue at the slaughterhouse gate. The punishment of the poor for the errors of the rich, the abandonment of universalism, the dismantling of the shelter the state provides: apart from a few small protests, none of this has yet brought us out fighting.

The acceptance of policies that counteract our interests is the pervasive mystery of the 21st century. In the US blue-collar workers angrily demand that they be left without healthcare, and insist that millionaires pay less tax. In the UK we appear ready to abandon the social progress for which our ancestors risked their lives with barely a mutter of protest. What has happened to us?

The answer, I think, is provided by the most interesting report I have read this year. Common Cause, written by Tom Crompton of the environment group WWF, examines a series of fascinating recent advances in the field of psychology. It offers, I believe, a remedy to the blight that now afflicts every good cause from welfare to climate change.