We need another Bill Gates….
Twitter produces another enquiry from an IFA who wants to get the best annuity rate for his client who has leukaemia – Can I help? A 20 minute chat shows that the tax-free cash is needed to pay off expensive unsecured debt. Chemo-therapy has just started so client is still working 12 hour days 6 days a week which really worries me.
Fatigue seems to be a factor in all cancer treatments which are basically controlled poison regimes. Strategy is that the radio therapy or chemo- will knock out the cancer cells including some healthy ones, but the healthy cells will recover while the cancer ones won’t. Cancer is basically a cell growth problem where the growth renewal cycle goes awry. During treatment, your body is a battle ground so you can feel pretty awful, with the main symptom being tiredness. Good if you have some moral or practical support, as it is easy to give up. You can also get a second opinion if you are not happy with the diagnosis.
With this client there are two main issues. Using the appropriate underwriting form will enable an IFA to shop around various insurers to get the best annuity rate plus advise on the type of annuity to buy, as there are lots of options. Trying to do this without advice is idiotic, but still people out there who think they know better. Client life expectancy here is 5-6 years so the option of taking all the fund in cash is not available. The client is concerned about losing his job and is near retirement age anyway. But for me the 6 day weeks with long days seems the biggest health risk. Summary here of some financial and non-financial options http://www.georgeemsden.co.uk/2010/02/gathering-time/
Looking on the bright side, the client at least doesn’t have to worry about the cost of treatment which for chemo is huge. Chemo has the advantage that it gets all around the body and can be pretty good at cleaning cancer cells out, but a small box a doctor showed me recently for a well known cancer drug cost £6,000 and the minimum is usually 6 cycles. More surprising was that using this drug prolongs the patients life by an average of 4 months. This produced a rather bemused reaction from the dinner guests when asked how many of them would spend that much to extend their lives by that period?
The NHS which employs 1.4 million people has a resource problem which could produce a number of cold hard choices i) this year’s budget finished (we can’t afford it – use you own money) ii) reduce expectation (unlikely) or maybe iii) hope that some kind of quantum improvement or automation/mass production approach will reduce the cost. (Let’s pray)
It really seems like Malthus all over again. Malthus, an ordained Church of England priest, was famous for his prediction that there will always be starvation and poor people as population increases geometrically while food for example, only increases arithmetically. As time goes on a food resource gap emerges and poorer people die sooner. http://homepage.newschool.edu/het//profiles/malthus.htm
With cancer treatment, we have unlimited expectation and limited resouces even with governments printing more money, so soon there will be a Health Gap.
Returning to the subject of computers, these were large expensive main frame beasts at the start of my working life being housed in air-conditioned rooms guarded by what seemed like high priests you sometimes dared not approach. Bill Gates vision of making them available to everybody was dismissed by the best computer brains at the time. And this was years after IBM Head Thomas Watson’s 1943 quote when he famously said that the world market for computers was about 5 machines http://ifaq.wap.org/computers/famousquotes.html
But there is a problem with any new cancer treatment. New IT software or hardware doesn’t need to be tested like new drugs and treatments. Currently, around 2,000 drugs are being tested in the UK about 90 per cent of which won’t make it to market. Reasons for this high fall out rate include: side effects (remember Thalidomide?) http://www.enotes.com/1960-medicine-health-american-decades/thalidomide-global-tragedy ineffectiveness (they don’t work as well when tested more thoroughly) and of course, cost.
My anti-virus software gives me an interesting idea here. A report shows the spyware/malware and other nasty stuff removed in the previous week. Why not the same for us with some embedded micro bio-chip? Terminator 4 perhaps? Our immune system deals with cancer cells for example, all the time. How about a weekly look at what our white cells did over the past week? Might encourage some of us to change our lifestyle? Sadly, the doctor points out that this is still science fiction, but hopefully not for too long.
P.S. If you want to follow me on Twitter, I am cancerIFA.