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Re: [IPk] Pump Knowledge comments etc.

There are, as the historians say, 'good historical reasons'.  

Pumps were invented here in the UK back in the 1970s.  They were
experimental, which meant that the people who got them, tended to get
them as 'last chance' solutions (after all, it could kill them, so you
don't want to put otherwise healthy 5 year olds on them!).

Unfortunately, one was given to an alcoholic, who, as a result of
pulling out his infusion set while drunk, died.  If he'd wandered under
a car, would we all now be travelling by public transport?  Of course
not - because we know that cars are generally safe, yet some people are
killed by them while drunk, but that's balanced against the personal
freedom which comes from car ownership.  But this was early days.  So
everyone blamed the car, rather than the alcoholic (or the alcoholism,
or the doctors who didn't accurately assess the risks).

Pump experimentation them moved to the US, and they'd learned a bit from
Britain.  Pumps also got better.  They got variable basal rates.  Home
bood glucose monitoring was invented (imagine using a pump when you
can't tell what your bg is!!!).  They took off.

But here in the UK, two messages remained from the early days of pump
a) 'they kill people'
b) 'if the only other option is death, then I suppose they're ok'.

In the US, with the 'sue 'em' culture, payment for pumps while not
perfect, is pretty easy (after all, if your insurer refuses to pay for a
pump and supplies, you can sue them down the road when your bha1cs stay
bad, and you get a complication ...)  Here in the UK, who's to pay?  The
hospitals have no money.  The GPs have no money.  And there is a culture
that the patient _shouldn't_ pay.  So while many of us would willingly
have paid for pumps and supplies, the NHS says 'wait, we think we can
get funding for you, this year, next year maybe'.  Or refuses to
comptemplate the idea that it might have a group of pumping-patients who
can afford to pump, and the rest of their patients will be 'second class

Diabetes UK are strongly rumoured to have done deals with the
government: not demanding X, and being given Y.  I wouldn't be surprised
if there was a Viagra for Pumps deal, or some such.

Best wishes,


dm 30+, 508 1+, yes, definitely cynical tonight!

In message <email @ redacted>,
email @ redacted writes
>I wonder if anyone can enlighten me a little here.  I notice that some of the 
>professionals that should have knowledge about diabetes appear to be anti pump.  
>Why is this?  Ok I understand that the medical pro's may be under the umberella 
>of politics and budgets etc,  But Diabetes UK seem to be sluggish about their 
>approach to pumping.  It all seems very strange to me.  I have recently been 
>notified that the reason for my request for funding was turned down, was because 
>"Everyone will want one".  However the matter is being reviewed so hopefully 
>that'll work out.
>Enough of that anyway.  My main concern is why those who are supposed to 
>represent us such as Diabetes UK, appear not to do so.  Is there something we 
>should know?
>As they say: "The Truth is Out There"  Somewhere in Whitehall I suspect!!! 
>for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
>help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml

Pat Reynolds
email @ redacted
   "It might look a bit messy now, but just you come back in 500 years time" 
   (T. Pratchett)
for HELP or to subscribe/unsubscribe, contact: HELP@insulin-pumpers.org
help SUPPORT Insulin Pumpers http://www.insulin-pumpers.org/donate.shtml