In the world to come I shall not be asked, ‘Why were you not Moses?’ I shall be asked, ‘Why were you not Zusya?’Rabbi Zusya

Danielle Levy

  • Drugs Expiration Dates Revelation

    About 50 years ago the FDA instituted expiration dates on drugs, meaning that was the date, typically two to three years, until which they could guarantee efficiency. Well, it turns out that is not so. A toxicologist from the California Poison Control Center and a research pharmacist from the University of California San Francisco teamed up and discovered drugs can last often years longer. They studied 14 compounds and out of those 12 retained their efficiency. Of course the present system suits drug companies. The federal government stockpiles many medications which periodically have to be discarded. Nursing homes discard medications once a patient leaves and pharmacies certainly have to. All in all the researchers found that the waste in the health care system amounts to $765 billion a year, something like a quarter of health care spending. And drug waste account for a large portion of that.

    ProPublica conducted the investigation that exposed these facts. Now it’s up to us to start using them. It will be a long time before Big Pharma owns up to this fact since it improves their bottom line, and it will equally be a long time before the FDA changes its rules. But we can heed this revelation and not go by the expiration date of given drugs. Two expensive drugs I was using, one a cream, another an inhaler reinforced the point the researchers made. I used them beyond the expiration date with no difference, and when I mentioned it to my doctor, she said “sure, that’s fine.”

  • Human Composting

    Composting humans instead of burying or cremating them? Why not? The Washington state legislature is considering it. It is the brainchild of Katrina Spades who has been developing it over a number of years as a greener alternative. The idea is to find an alternative to existing methods of treating bodies after death. Not only are cities running out of land for cemeteries, both cemeteries and cremation leave large carbon footprints. Spade’s idea is to use natural chemicals to allow the body to decompose and allow it to return to the soil in about 30 days. The method saves a metric ton of carbon each time. She founded Recompose, a human composting company where the body is placed in a vat with wood chips, alfalfa and straw which work to decompose it. Her idea includes creating a comforting peaceful space for families not only to say good bye to their family member or loved one but also a place where they could come and contemplate as people do in a garden. If the Washington state legislature goes ahead and legalizes such an option, it would be the first in the world.

    The idea reminds me of my friend Sanora Babb who wanted her ashes to be used as fertilizer for her roses. No doubt had re-composting been legal when she died she would have chosen it. What I also like is how the idea of human composting chips away at some of the entrenched religious habits and traditions which many have outgrown.

  • Threats to Global Health

    WHO, the World Health Organization, has issued its annual report of health threats around the world and you’d think it would be dull reading—I suppose it would for those who don’t care what happens in the world. I found it instructive, scary, helpful, and informing about what our priorities ought to be. It is also a reminder that no country is an island. What happens far away affects us eventually. Here is the list. Please note the first threat, due to air pollution and climate change, and note too the threat coming from what they term here vaccine hesitancy. While it is true that some have the right to not be vaccinated, we must now ask when does that right contribute to a public health threat?

    • Air Pollution and Climate Change (yes!!!)
    • Non Communicable Diseases (e.g. alcohol, tobacco, diet)
    • Global Influenza Pandemic (will come but don’t know when and how strong)
    • Fragile and Vulnerable Settings (drought, displacements)
    • Anti-Microbial Resistance (including diseases like TB)
    • Ebola and Other High Threat Pathogens (we already know what happens)
    • Weak Primary Health Care (lack, access and cost)
    • Vaccine Hesitancy (something that is growing in the US)
    • Dengue (390 million infections a year)
    • HIV (still affecting many millions)

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