Born On A Cusp

There’s something terribly wrong here.

Some of our kin in the Philippines had asked my father and mother to check on the prices of certain medicines and buy for them while they’re here in Delhi for a visit with me and FrenchBeard.

Now the fact that these uncles and aunts had made such a request meant that they were aware of the general trend that pharmaceutical products are cheaper here in India than in the Philippines. I knew that, too, and had some knowledge of the fact that, for instance, India’s law on generic drugs is being enforced at a far higher degree than that of the Philippines. Here, too, there is intelligent awareness that medicines are not made more or less effective by their brand; paracetamol is paracetamol, whether it’s Biogesic or some other patented brand name. Here, there isn’t any giant chemist chain that marks up medicine prices so many times over, and which does not follow laws about giving buyers off-hand a list of their generic choices.

Still, it has been quite a shock, to actually buy the medicines and discover how much cheaper here they are indeed.

There’s a pill supposedly for lowering cholesterol which is sold for PhP60 per tablet in the Philippines; here, it’s Rs.10 apiece, or around 12 when adjusted to Philippine peso. There’s this one taken to supposedly maintain blood pressure around a normal range, priced at PhP50 apiece; here, it’s Rs.6.50, or 8 in pesos.

So that’s six times over. But we got the biggest surprise in this skin cream for my father, which he had been using in Manila after developing rashes on his fingers. Exactly the same brand, the same GlaxoSmithKline manufacturer — in Manila, a 5-gram tube (‘not even filled, but full of air!’ says my father) for PhP200; here, a 20-gram tube for Rs.19. (No missing zeroes.) That’s 40 times higher.

(In classic FrenchBeard humour, he tells my father: ‘So Daddy you have to say Incredible India! Incredible India! ten times.’)

I’m sure there will be some “complicated” explanation for this whole pharmaceutical business. But my gut-feeling just says the picture is terribly wrong; it is such a scandal.

A country as poor as the Philippines — Sure, there has been economic growth, but poverty is still pervasive and effective health care continues to be out of reach for big sections of the population — should exert more serious efforts in making medicines more accessible to the people.

(With apologies to Rene Descartes.)

This may be what they call ‘soft power’: conquering the globe without designing to do so, and without the ‘hard’ power of warfare or colonisation — but rather with ‘soft’ tools as in culture.

One of the world’s leading language experts says a new kind of Standard English, which will be understood globally, will soon evolve. And, says Prof. David Crystal, this new Standard English will have pronounced Indian characteristics. Crystal is author of the Cambridge Encyclopedia of the English Language.

Thus for example, instead of the British, “I think it’s going to rain”, future users of this global Standard English might commonly say, “I am thinking it’s going to rain.”

“In language, numbers count,” says Crystal. “There are more people speaking English in India than in the rest of the native English-speaking world.”

And since Indians tend to say, ‘I am thinking, I am feeling, I am seeing’ — rather than, ‘I think, I feel, I see’ — this way of speaking, says Crystal, “could easily become sexy.”

I am sure that even Indians did not see this coming. It’s just really how they speak English, translating from native-tongue linguistic mechanisms while utilising the second (or third, fourth) language.

Take this thing about using the word ‘only.’ You would think they can simply say, “I live in Delhi.” But what they will say is, “I live in Delhi only.” Or if I ask FrenchBeard for instance, “Where is this bookshop?” and he’ll reply, “It’s in Khan Market only.”

A widely read columnist on popular culture, Vir Sanghvi, not long ago wrote that he thinks this is simply the result of translating the Hindi, ‘hai’ (a nasal intonation like heh), which normally ends a declarative or inquisitive sentence — the use depending on tone — into ‘only.’

And language never ceases to amaze.