The Cost of Regulating Pain

Twelve million people are blind in India, and are robbed of their livelihoods as a result. A hugely successful chain of cataract hospitals in India helped its business by treating half its patients for free.

One-pill-a-day generic AIDS drugs for poor countries are hard to make because each ingredient is patented by a different pharmaceutical company. The Patent Pool provides a way for companies to donate their intellectual property safely.

While critics argue that Naloxone isn't safe for over-the-counter use, some cities have found success distributing Naloxone to community members to help save lives of addicts who overdose. Naloxone can be administered to help those overdosing survive and jump-start the withdrawal process.

According to the Centers for Disease Control and Prevention, drug overdoses are the leading cause of injury-related mortality. Naxolone, a drug used to revive overdose victims, is only available by prescription. However, private organizations have distributed Naxolone kits nationally, showing that the drug can save lives when it is more readily accessible.

Latin American women in San Francisco have suffered from post-partum depression, social isolation, and chronic stress at the time of their pregnancies. Run by midwives, the Centering Pregnancy program at the San Francisco General Hospital provides patient-centered care, an environment to speak in Spanish, and a nurturing community for women’s group appointments. The results boast fewer c-sections and pre-term births, and an improvement in emotional support and overall prenatal health.

In S. King County, Wash., the organization Global to Local identified Seattle's ironic status as being a global-health center but having an increasingly unhealthy populace. Global to Local pointed local citizens to a variety of services, using a "connect the dots" approach to treatment.

In the developing world, intestinal worms stunt physical and mental growth, drain energy, and can inhibit school work for children. Deworm the World is a global campaign that lobbied the Delhi government to regularly distribute deworming pills to school children. The benefits decrease student absenteeism and increase cost-saving measures.

The health problems of millions of Americans are directly related to patients' failure to follow doctors’ orders. Community health workers are increasingly successful in New York and other American cities – not to substitute for doctors, but to help patients stick to their treatment plans.

Despite significant increases in funding and advances in biomedical research, the rates of new treatments and drugs for illnesses that reach the market every year have plummeted. A group called the Myelin Repair Foundation, along with several other foundations, uses an intensely goal-directed and collaborative method to tackle the bottleneck.

In Vermont, a judge and a family services organization created RapidReferal – a process which offers addicts treatment immediately and has lowered recidivism. Funded by Medicaid, the program has had demonstrable impact, namely, a decrease in recidivism.