As i signed and stamped the fitness for travel document of Tamang Bahadur, i felt as if i was signing a death sentence.
Tamang Bahadur is an expatriat labourer from Nepal, he was diagnosed with kidney failure 2 months ago. His employer is not willing to pay 1200$ a month for dialysis treatment and his salary is 175$/month.
If one is diagnosed with kidney failure in this day & age he might be lucky to have been alive in 21st century. If heart fails or lungs or brain, there is nothing that modern medicine can offer to replace function of these organs, but if both kidneys fail, patient can go on to live for another 20-25 years with help of dialysis or one an get a kidey transplant. Kidney transplantation is most well established of all organ transplant procedure with excellent results. Advances in treatment of kidney failure have been the most important medical accomplishment of science in 20th century.
However, if one belongs to poor country like Nepal, all this may not mean anything. As always, i turned to google to find what chances Tamang Bahadur had of getting a dialysis done as he travelled to Nepal. Nepal, i found has capabilty of providing hemo(blood) dialysis to only 100 patients (they have 2500 kidney failure patients) and it costs 25,000 Rs per month, that too only twice per week, while the minimal accepted treatment is 3 times per week internationally. The other option he has to have peritoneal (water) dialysis. However, with poor hygenic conditions this won’t last very long.
Situation is similar for Patients in Pakisan. Dialysis charges are 30,000 Rs per month, perhaps only a 1000 patients are provided dialysis free of cost by government and rest depend upon philanthropic support, or have to sell their houses & properties. This support from gov too has come only in last few years.