Couplets
to a Pre-Existing Condition |
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By Ronald
R. Louie, MD
- For H.J.R.
O Solomon! what wisdom is needed for the physician
who deals with a child and a "pre-existing condition":
of all known miseries, the one that presupposes
a definable beginning, and presumptively imposes
a linear relationship of time
to illness, with no respect for the sublime
that turns lugubrious, ending with antecedents circular,
and predicated upon a bureaucratic vernacular;
Which for the peripatetic pediatrician
presents a peculiar imprecision:
when caring for very sick children or infants,
with cystic fibrosis or leukemia, for instance,
whose spirits hold hostage parental emotions;
Are these children just some post-conceived notions,
begging their epistemic question, with exons existential,
full of knowing and pre-knowing, (the code confidential)?
Can we now really judge origins, without pre-maturity,
or assess a person's, or a population's risk-pool purity,
and not mock the politics of self-determination?
Yet Media-tricians trumpet the research's implication
for these progenitor cell products in our age of new genetics,
these innocently assorted alleles, (admittedly, at times, pathogenic),
whose critical pre-existing condition is birth,
with no consideration of bottom-line net worth?
