The Scotsman

Oblivion pandemic

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I have always been underwhelm­ed by the benefits of Holyrood’s Minimum Unit Pricing policy. Dr Alastair Macgilchri­st (Letters, 16 February) cites a paper in the “respected” medical journal The Lancet last year as having confirmed the policy has saved lives. Whist I think it important for the public to be fully aware that the quality of medical research literature is increasing­ly being scrutiised and found wanting as never before due to Big Pharma capture and other vested interests, if it is good enough for Dr Macgilchri­st in this instance, a faithful and tireless careerlong servant of the sick and despairing alcohol casualty and his/ her family then it should be good enough for all of us.

It is of the utmost importance, however, that he underlines that MUP aims to prevent in a small way the transition from “heavy drinking” to the full-blown dependence syndrome of spiritual, social, psychologi­cal and physical suffering. Once this line has been crossed MUP is of zero effect, as indeed are the any attempts by medical doctors to establish enduring sobriety – leaving them the task only of transplant­ing livers or simply palliating multi-organ damage. I make this assertion from observing poor patients I have tried to help over the years and a decade, several decades ago, when I did some exhaustive personal research of the topic! There is always hope but it is not found in the domain of medical science. I feel sure Dr Macgilchri­st would agree.

What is it about the psychosoci­al milieu of post-modern Scotland that drives so many young and old into the oblivion marketplac­e whatever the MUP of their drug of choice? 40 years of debt, austerity and a so called“meritocrac­y” has surely contribute­d, witht rans-generation­al existentia­l despair at both poles of the increasing inequality that exists.

The roots of the oblivion pandemic will not tackled by MUP but with a new generation of radical politician­s and leaders with a burning imperative to establish the commonweal of the nation as the driver of eco

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