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Home Perspectives

To be a Cassandra in Medicine

The blessing is truly a curse

Daily Remedy by Daily Remedy
January 19, 2023
in Perspectives
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To be a Cassandra in Medicine

Palmer, Henrietta L.

To have great foresight may appear to be a blessing. But if no one believes you, then that foresight quickly becomes a curse. History is riddled with such individuals, none more famous than the mythological Cassandra, the Trojan priestess fated by the Greek God Apollo to utter prophecies that would prove to be true but never believed.

Though her tale has been relegated to the annals of antiquity, her fate is shared among many today, particularly those disenfranchised in the opioid epidemic. For us, the truth is hardly much of a solace for the fate we are forced to endure. For many, it’s a literal curse.

We know the government’s fear laden approach to opioids is wrong. We know the clinical data. We see patients struggling and the lives leaving far too soon. But no one believes us. When we speak out, our words fall silent, discredited the moment they are uttered. We sense the seething stigma.

The unseeing public is trapped in a feedback loop, an echo chamber of circular logic. They think: If you truly need medication, you’ll get it. And if you don’t, then you won’t. It’s so simple, and so very wrong. Try telling the truth, and you’ll quickly be met with disbelief, if you’re lucky, and disdain, if you’re too honest.

So we suffer in silence, struggling to bear the burden of pain.

I wish to give a voice to the voiceless masses of Cassandra’s. Those patients who pray people would believe them, just for a moment, and understand their plight.

I wrote Burden of Pain for all the Cassandra’s, hoping their curse will one day be lifted and people will finally believe them.

Turn a curse into a blessing.


Excerpt:

Northwest Indiana is an all-American, blue-collar community that, like so many others throughout the country, fell victim to the opioid epidemic. You can read the statistics and study the facts, but until you’ve practiced clinical medicine in areas affected by the epidemic, you will not properly understand it. You will not know the shame of a person needing to work but unable to without pain pills, or the humiliation of having to choose between work or surgery, and often being left with only the recourse of pain pills as a viable solution.

Many of our patients were affected by the epidemic, directly and indirectly. We understood that impact on their lives. The pervasiveness of the epidemic made it a common topic of conversation. We talked openly and honestly with our patients. In doing so, we brought light to the dark, hidden difficulties in many patients’ lives.

Burden of Pain
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Daily Remedy

Dr. Jay K Joshi serves as the editor-in-chief of Daily Remedy. He is a serial entrepreneur and sought after thought-leader for matters related to healthcare innovation and medical jurisprudence. He has published articles on a variety of healthcare topics in both peer-reviewed journals and trade publications. His legal writings include amicus curiae briefs prepared for prominent federal healthcare cases.

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Videos

In this episode of the Daily Remedy Podcast, Tiffany Ryder discusses her insights on healthcare messaging, the impact of COVID-19 on patient trust, and the importance of transparency in health policy. She emphasizes the need for clear communication in the face of divisiveness and explores the complexities surrounding the estrogen debate. Additionally, Tiffany highlights positive developments in health policy and the necessity of effectively conveying these changes to the public.

Tiffany Ryder is a political commentator and public health policy thought leader who publishes the Substack newsletter Signal and Noise: https://signalandnoise.online/


Chapters

00:00 Introduction to Healthcare Conversations
02:58 Signal and Noise: Understanding Healthcare Communication
05:56 The Storytelling Problem in Healthcare
08:58 Navigating Political Divisiveness in Health Policy
11:55 The Role of Media in Health Policy
15:03 Bias in Health Reporting
17:56 Estrogen and Health Policy: A Case Study
24:00 Positive Developments in Health Policy
27:03 Looking Ahead: Future of Health Policy
31:49 Communicating Health Policy Effectively
The Impact of COVID-19 on Patient Trust
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2027 Medicare Advantage & Part D Advance Notice

Clinical Reads

GLP-1 Drugs Have Moved Past Weight Loss. Medicine Has Not Fully Caught Up.

Glucagon-Like Peptide–Based Therapies and Longevity: Clinical Implications from Emerging Evidence

by Daily Remedy
March 1, 2026
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Glucagon-like peptide–based therapies are increasingly used for weight management and glycemic control, but their potential impact on long-term survival remains uncertain. The clinical question addressed in this report is whether treatment with glucagon-like peptide receptor agonists is associated with reductions in all-cause mortality and age-related morbidity beyond their established metabolic effects. This question matters because these agents are now prescribed across broad patient populations, including individuals without diabetes, and long-term exposure may influence cardiovascular, oncologic, and neurodegenerative outcomes. Understanding whether...

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