The Price Is Right for Somebody

 

And the Lord said unto Cain, Where is Abel thy brother? And he said, I know not: Am I my brother’s keeper?”
— Genesis 4:9, from the King James Version of the Bible.

Imagine a television game show in which the announcer calls four contestants from the studio audience to the foot of the stage, a stage that is a mock up of a pharmacy, with a counter behind which stands the host, looking like a pharmacist in a white smock. The host directs everyone’s attention to one side of the stage, where an assistant – also in a white smock – presents a year’s worth of a popular prescription drug, let’s say insulin. The host then asks the four contestants to guess the price of the insulin without going over the amount, and the contestant with the closest guess gets to come up on stage for the opportunity to win prizes.


A skeletal figure surveying three doctors around a cauldron, Wellcome V0010898
A lithograph promoting James Morison’s alternative medicines, showing a skeletal figure surveying three doctors around a cauldron in a parody of Macbeth and the three witches. From the Wellcome Collection gallery, London, England.

The remaining contestants try again on the next round, and some of them go home empty handed. Almost all the studio audience in attendance go home without even having been invited to participate. The few winners in each episode get to take home expensive prizes such as the year’s worth of insulin, valued at thousands of dollars, but the majority of those attending a taping of the game show go home with nothing or with a cheap consolation prize, such as a bottle of gummy vitamins. This game show analogy is not far off how Americans seem to prefer having their health care system operate, particularly drug pricing.

If you’re lucky, if you win the lottery (another gamed system Americans seem to prefer over taxing the rich), then you’re good as gold. The majority, however, may run into problems and tough choices, such as paying the rent or buying insulin; paying utility bills or buying any of the number of the life preserving medications people depend on, particularly as they get older. Prescription drugs are every bit as crucial to survival for some people as food and shelter, and yet Americans seem to prefer to let the drug industry operate like any other capitalist endeavor. Profits for drug manufacturers are more important than a decent life for an unfortunate number of citizens who can’t afford the high prices those manufacturers demand simply because they can, and the people principally to blame for this awful situation are some cretins in Congress.

“Someday Never Comes”, by Creedence Clearwater Revival from their 1972 album Mardi Gras.

Who are the people responsible for putting those cretins in Congress and in positions where they can run cover for the drug companies? Why, they are in large part the same people who struggle to buy overpriced prescription drugs. Why do they do this to themselves? Ah, that is the question bedeviling America’s sickness today. The unfortunate part is that while some voters are caught up in Congressional posturing and not paying attention to substance, there are many voters who don’t share their ignorant love of machismo and capitalist lotteries and yet are forced to share the results of the bad policies ensuing from all that greed and childishness. They have to scramble for the scraps left over from the game, while a few wealthy grifters laugh at how they have duped enough voters to go along with their rigged game to keep it going, dangling prizes before the willing saps. Instead of gambling on a rigged capitalist lottery, sensible adults take measures, even – horrors! – socialist measures, to ensure decent results everyday for everybody when it comes to matters of survival like food, shelter, education, and medical care, including drugs.
— Ed.

 

The Ginger Kick

 

There are some cocktails gaining popularity the past few years which get a kick from ginger beer, among them the vodka-based Moscow Mule and the rum-based Dark ‘n’ Stormy. Ginger beer doesn’t deliver its kick by way of alcohol, since nearly all ginger beer available commercially now is non-alcoholic, but from the spiciness of ginger, which is more pronounced in ginger beer than in its tamer cousin, ginger ale. People almost never confuse ginger ale with any kind of alcoholic brew, probably because of their long familiarity with the product. They know it’s just soda pop, the one they often drink to settle their stomach when they’re not well.

"Mush-Fakers" and Ginger-Beer Makers (6795271398)
From Volume 1 of Street Life in London, published in 1877, with photographs by John Thomson and articles by Adolphe Smith. The man on the left is a street vendor peddling ginger beer, among other items. The man on the right is a “mush faker”, or umbrella mender.

 

Ironically, the ingredients in ginger that people count on for settling their stomach, the gingerols, are present in the most popular ginger ales only in vanishingly small homeopathic quantities. Stronger flavored ginger ales, and especially ginger beers, are more likely to have gingerols in quantities sufficient for an effective dose. Whatever people are gaining by drinking most ginger ales medicinally, they are getting it from some factor other than the amount of actual ginger in the drink. This is a turnabout from where things stood between ginger ale and ginger beer over on hundred years ago.

Up until the late nineteenth century, there was only ginger beer, all of it alcoholic to some extent, and especially popular for centuries in England after that country had secured supplies of ginger, a subtropical plant. When pharmacists started producing soft drinks in the late nineteenth and early twentieth centuries, ostensibly for the medicinal benefits, one of the first flavors they produced was ginger ale, a toned down version of ginger beer. Ginger ale really took off in popularity during Prohibition, when people naturally drank quite a lot of spirits and they discovered what a wonderful mixer ginger ale made. In the United States at least, ginger beer was all but forgotten.

The Ladies' home journal (1948) (14767191365) (cropped)
A 1948 advertisement for Canada Dry Ginger Ale in The Ladies’ Home Journal. The nightclub scene depicted in the inset emphasizes the popular use of the product as a mixer for cocktails.

Consumers have rediscovered ginger beer in the last ten to twenty years as they have also opened themselves up to alternatives to other mass produced products like the sodas and beers of multi-national corporations. Ginger has also generated interest as an anti-inflammatory home remedy, for treating arthritis and, again, for digestive complaints. The difference now is that many consumers recognize the amount of ginger in the typical mass market ginger ale is not enough to be medicinally worthwhile, homeopaths excepted. This has driven some consumers to the niche market of ginger beers, with their higher amounts of actual ginger, sometimes mixed with other spices, and consequently stronger flavors. Along the way, the drinkers of alcohol among them, unmoved by the lack of alcohol in their newly discovered ginger drink of choice, have found that mixing it in cocktails and punches which would normally call for ginger ale can deliver a more flavorful kick than ginger ale, and maybe a healthier benefit, which if negligible when mixed with alcohol, could perhaps come into play the next day if the drinker is out of sorts.
— Izzy