Arthralgia in a villager,
Who believes in private health care,
Pledges belongings
Under family pressure and own
enthusiasm.
Moves to urban environ,
And searches for specialists,
Who order tests after tests
And set off a cascade of effects.
A vicious cycle of diagnostics,
Therapy and referrals,
Galloping treatment costs
And exhausted financial resources,
Obvious exploitation
Enforces return to village,
With sheaves of radiographs
And bundles of laboratory reports.
The fat folder
And even more obese file,
Merely confirm
Simple arthralgia!
Finds comfort in aspirin
And the ministrations
Of his own primary health centre doctor,
Amidst his family and near ones.
P. Thirumalaikolundusubramanian and A. Uma Madurai Medical College, Madurai