Thursday, March 9, 2023

An Idiopathic Persistent Singultus in the Economic System

 

What do holding your breath and swallowing seven times, taking a spoonful of sugar, and saying “pineapple” have in common?

According to the Farmers Almanac they are all supposed cures for hiccups. 

I’ll withhold judgement as to their effectiveness at curing mild cases of those rapid spasms of the diaphragm.  But what about those stubborn cases that seem to elude solution even by the medical profession?  Hiccups can be a lingering condition after brain surgery, for example.  And there have been people who suffered for decades of continuous hiccupping.

Known technically as idiopathic persistent singultus, hiccups seems to be one of those orphan medical conditions that has captured little attention from professionals.  But The Atlantic magazine recently highlighted this situation and told the delightful story of Ali Seifi, a neurointensivist at the University of Texas in San Antonio.   Challenged by a patient who questioned why human hearts can be transplanted successfully but there’s no solution for hiccups, Seifi set out to do some research.

I won’t belabor you with the details, but Dr. Seifi developed a simple device called the HiccAway and sold the first one in 2020 for $13.42.  A fairly modest price for a modern medical device, no?  He even appeared last year on Shark Tank and enticed Mark Cuban to invest a quarter million dollars into his venture.  To date, HiccAway has grossed over $1 million.

But lost in this medical/business success story is Dr. Luc Morris, a surgeon at the Memorial Sloan Kettering Cancer Center who specializes in tumors of the head and neck.  Almost twenty years ago, as a medical student, he described a cure for idiopathic persistent singultus he named supra-supramaximal inspiration”, or SSMI.  He even conducted a small-scale clinical trial and had a 100% success rate among those who were able to complete the SSMI method.

But aside from being published in a couple of obscure medical journals, Dr. Morris’s discovery didn’t receive much, if any, publicity; and the good doctor never explored further or conducted more extensive trials of SSMI.  Asked by a reporter why he didn’t do more with his discovery, he answered, “Well, you know, we got busy.  But also, how would we do a clinical trial?  Who would pay for it?  There’s no drug we can sell.  Nobody will invest the money and hire all the people and do all the regulatory paperwork, because there’s no money to be made.” (emphasis added)

So the availability of an effective cure for hiccups turned on whether the discoverer could make money from it?  Capitalism has its detractors, and I get that.  But this economic system rewards innovators monetarily, and like it or not we humans generally are motivated by greed and the desire for more money and what it can purchase.  It’s the “fallen” human condition.  Capitalism takes that and uses it to spur creativity and innovation, hopefully for the good of all.  If someone were to discover a cure for, say, Parkinson’s disease, the person likely would—and should—be handsomely rewarded.  I have no problem with that.  Maybe hiccups just doesn’t rate very highly as an affliction in the public’s mind.  Yet one doctor did monetize his cure for hiccups while another did not or could not.

Does money make that much difference in the world?  Does society miss out on some very good things because no one could make money from them?  What if YOU were in a situation where you could benefit the world in a very tangible way but it would actually cost you a modest amount of capital, and you knew you’d never be fully reimbursed for your effort and expense?   I’ll leave you to ponder that question.  Just know that money in and of itself is not bad; it is how we relate to it and let it impact our lives and relationships that tells the story for each person.

[Okay, you want the cure, right?  Here’s the SSMI method; it’s free, requires no accessories, and can be performed anywhere.  First, exhale completely, then inhale a deep breath.  Wait ten seconds, then—without exhaling—inhale a little more.  Wait another five seconds, then top up the breath again.  Finally, exhale.  Farewell idiopathic persistent singultus.  Wait a minute…didn’t I start this post by stating that holding your breath is an old folk remedy for curing hiccups?]

Until next time,

Roger

“For the love of money is a root of all kinds of evil.” I Timothy 6:10 NIV*

*Scripture quotations taken from the Holy Bible, New International Version® NIV® Copyright © 1973, 1978, 1984, 2011 by Biblica, Inc.™  Used by permission.  All rights reserved worldwide.

No comments:

Post a Comment