It’s twelve o’clock on one of those autumnal spring days. The clouds hang expectantly, waiting to pour their copious contents on unsuspecting recipients; gone are the mare’s tails of the morning’s optimistic outlook. Unaware of the drama above, small children are playing in the enclosed space marked for the younger generations and their mums, one moment laughing, the next moment mopping skinned knees and bumped heads where the children’s end of the world cries are calmed not by nuclear disarmament but a well-placed wet wipe.
It’s twelve o’clock and Harry turns up for work. His metal grey dank and weary coat covers a series of layers of varying shades of dirty brown garments, thankfully mostly hidden from view. His wild and far-flung white hair frames a moth-eaten face, pockmarked and gnarled like tree bark. The hair at the crown of his head has long gone and is replaced by a scarred and spotted pate which it seems has witnessed much violence.
It’s a seasonal thing for me and Harry. Spring rekindles the relationship we’ve never had. I’ve noticed over the past three years that he is fading. The walk has become a shuffle, and every movement is considered carefully.
A few passers-by acknowledge his existence, but most avoid his gaze and he mindlessly watches them hurry past. A busy, well-turned-out lady stops and gives Harry a sandwich. He acknowledges the gift and pushes the contents of the cardboard container into his mouth in one go. The lady’s face is hidden from view, but I imagine there is a look of scorn aimed Harry’s way.
Cheek’s bulging, Harry moves between bins. Not much there yet, he’ll wait until the hour’s up and people with eyes bigger than their bellies will be ditching excess produce. He comes my way and slowly stops in front of me. I take out the extra tuna sandwiches I bought and offer them in his direction. He takes them and nods. He repeats the process of putting a whole sandwich into his mouth at once. The other he pockets for now.
“Any change?” He splutters as pieces of half chewed bread sprinkle the floor.
“No Harry, I don’t do money, you know that.”
He’ll get tired soon and rest. He won’t have any trouble getting a seat. If the benches are full, he merely stops in front of one and stares intently at an individual. This is Old Harry’s Game. It’s not long before they remove themselves. Then within a minute, he will have the bench to himself. If this fails, he just conspicuously starts scratching his crotch. Sure enough, in a wink of an eye Harry is laid out flat on the bench and the former occupants scattered around the park. However, today, he lands on my bench, with a thump.
“You can scratch your balls all you like Harry, I’m not moving.”
Harry reaches down and lifts his left trouser leg to reveal a large patch of red and yellow skin. He looks up at me and his face breaks from the usual inscrutable pose to one of pain and panic.
“I think it’s infected.” And just like that, Harry is no longer the surly tramp that inhabits my lunch spot, but someone in need.
“Do you want my help?” Harry nods.
Fifty minutes later myself and Harry are ensconced in the back of an ambulance. The ambulanceman asked Harry a few questions and I find out more in thirty seconds than I have in the last three years about Harry the tramp. He’s Harry Denton and he’s been on the street for ten years. He’s sixty-two, has one son somewhere, but he hadn’t seen him for a long time.
Thankfully St Andrew’s hospital was quiet for a change on that Tuesday morning. Doctor Sukhra got Harry to lie down. She was diminutive and ordered, and Harry didn’t argue. She seemed immune to the smell that emanated from her patient and I’m guessing he wasn’t an isolated case of ‘Homeless man turns up at Accident and Emergency’.
“Are you a relation?”
“I’m Gareth, A friend…sort of.”
“Now Mr Denton tell me all about this wound.”
It turns out he’d had it for weeks, cut it getting through some wire fencing. She attempted to cut the trousers, but Harry wouldn’t have it, so he rolled the leg up.
“Well, that’s one of the best examples of advanced gangrenous infection I’ve seen. I’m going to call Mr Archer down to look at it. He may be able to save that leg by treating the infection with antibiotics. You’ve left things late sir.”
The next few days I visited Harry. We didn’t talk really, there was no bonding as such, and I mostly ended up playing on my phone. Eventually, Mr Archer came around and broke the news that I’m pretty sure Harry didn’t want to hear.
“Right, Mr Denton. Unfortunately treating that leg hasn’t worked and if you don’t want to die from that infection, we are going to have to amputate that leg just below the knee. You’re damned lucky the infection hasn’t spread further.”
I think my lasting memory from that moment was Harry’s silence. There was a sigh and the shake of a head, but otherwise nothing. The operation would take place on Tuesday, at one o’clock.
“I’ll be back on Tuesday evening,” I assured Harry. It seemed not to register, and I left the hospital once again not sure if I had visited anybody. It was a fraught couple of days, and I was annoyed that my neat and tidy life had been taken over by a tramp.
Monday finally crawled into Tuesday, and at five o’clock I left my desk and headed to St Andrew’s. I picked up some Lucozade from the hospital shop, which somehow seemed little compensation to someone who had just had his leg cut off. I stood outside the ward for a bit, taking longer than usual to apply the hand gel and eventually with a conscious deep breath I went in. I got to Harry’s bed and stood there quizzically. There was a stranger lying in it. I checked I’d come to the right cubicle as they pretty much all look the same, and sure enough this was the correct one. I turned to the nursing station. Perhaps they had moved Harry to another ward following the operation. I was then escorted to an empty private room. The nurse closed the door behind us.
“You’re Harry Denton’s friend, aren’t you?”
“Yes,” I clutched my Lucozade bottle a little tighter.
“I’m afraid Mr Denton didn’t make it. He suffered a heart attack whilst in surgery and never regained consciousness. I’m sorry. We have his belonging here, which aren’t many. We incinerated the clothes he came in.”
I was presented with a small parcel. Enclosed were a few coins, a small knife, tin opener and two sealed envelopes. I looked at the nurse.
“Do you know any of his relatives?” I shook my head.
“I’m sorry he didn’t pull through. Would you mind leaving your details at the desk, as you’re the only contact we have for him.” I did so, and left the hospital stunned. At home, I examined the two unopened envelopes. One addressed to me, the other to his son. What struck me was the quality of the handwriting. Neat, cursive and rather elegant. I opened my envelope.
Dear Gareth,
Thank you for taking the time to look after me. I lost my wife several years ago, and myself and my son became estranged. We didn’t get on without her. Could you send the other envelope to him? It’s the last address I had. The money is for my funeral. Keep any that is left over. Thank you for the sandwiches.
Harry
Also in the envelope was a cheque for four thousand pounds. So, I made the arrangements. God knows where he got the money from. I sent notification of the time and date of the funeral to Harry’s son, but no acknowledgement came back.
So, on a cold, wet April day, the vicar and I stood over Harry’s grave. The rain drove under my umbrella and my only black suit began to get damp at the knees. The Reverend Allison read the ‘Lord’s my Shepherd’, and we both cast some dirt onto the coffin. The vicar’s umbrella holder signalled to the grave diggers and Harry left the world, buried by an old stone wall in St Michael’s churchyard overlooked by a yew tree. A good spot I thought. Stephen Denton unfortunately didn’t appear, so it was just left to the three of us to say goodbye.
I don’t know if there is a heaven, but if there is I hope it has benches just like the ones in the park, where my tramp friend can play Old Harry’s game to his heart’s content and outrage old ladies on a regular basis. I think it made him happy.
Ross Salvage is a retired teacher who came late to writing. He has written comedy sketches for two review shows (Newsrevue-London and The Treason Show-Brighton). Three monologues can be found on YouTube (Spaghetti Bolognese for One/ Being Greta Thunberg/ Keeping Mum) and he has had two plays performed at the Dolman Theatre, Newport UK. The last one (Drawing the Line) was a winner in their one act play competition. Tea at Five, his first play, has been performed on stage and radio. Ross is currently seeking publication of his children’s novel, Octavius Blood and the BloodOath.
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I don't need your devotion -- your attention -- or to listen, connect with my emotions -- or to tell me I'm forgiven,
I don't need your affection or to feel your tender touch, I don't need your protection -- your support -- to be my crutch,
I don't need adoration -- all your compliments and thanking, your true appreciation -- all your patience -- understanding,
I don't need all the accolades -- your gratitude -- respect, your sympathy -- your serenades -- your charming intellect,
I don't need all your lavish gifts and all your good advice, don't save me in a snowdrift - I don't need your sacrifice,
I don't need your agreement or to see my point of view, just be good to me on Sunday -- and be good to me on Monday too.
Stephen Philip Druce is a poet and surrealist from Shrewsbury in the UK. He is published in the USA, Hungary, India, Canada, Ireland, the UK and South Africa. Stephen has also written for London theatre plays and BBC Radio 4 extra.
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It has been a strange year for all of us. Amidst the chaos, bloodshed and climate disasters, Borderless Journal seems to be finding a footing in an orphaned world, connecting with writers who transcend borders and readers who delight in a universe knit with the variety and vibrancy of humanity. Like colours of a rainbow, the differences harmonise into an aubade, dawning a world with the most endearing of human traits, hope.
A short round up of this year starts with another new area of focus — a section with writings on environment and climate. Also, we are delighted to add we now host writers from more than forty countries. In October, we were surprised to see Borderless Journal listed on Duotrope and we have had a number of republications with acknowledgement — the last request was signed off this week for a republication of Ihlwha Choi’s poem in an anthology by Hatchette US. We have had many republications with due acknowledgment in India, Bangladesh, Pakistan and UK too among other places. Our team has been active too not just with words and art but also with more publications from Borderless. Rhys Hughes, who had a play performed to a full house in Wales recently, brought out a whole book of his photo-poems from Borderless. Bhaskar Parichha has started an initiative towards another new anthology from our content — Odia poets translated by Snehaprava Das. We are privileged to have all of you — contributors and readers — on board. And now, we invite you to savour some of our fare published in Borderless from January 2025 to December 2025. These are pieces that embody the spirit of a world beyond borders…
I Am Not My Mother: Gigi Baldovino Gosnell gives a story of child abuse set in Philippines where the victim towers with resilience. Click here to read.
Persona: Sohana Manzoor wanders into a glamorous world of expats. Click here to read.
In American Wife, Suzanne Kamata gives a short story set set in the Obon festival in Japan. Click here to read.
Sandy Cannot Write: Devraj Singh Kalsi takes us into the world of advertising and glamour. Click here to read.
Reminiscences from a Gallery: The Other Ray: Dolly Narang muses on Satyajit Ray’s world beyond films and shares a note by the maestro and an essay on his art by the eminent artist, Paritosh Sen. Click here to read.
A discussion of Jaladhar Sen’s The Travels of a Sadhu in the Himalayas, translated from Bengali by Somdatta Mandal, with an online interview with the translator. Click here to read.
It is a truth almost universally acknowledged that Jane Austen is a great writer. The world created by her in just six novels continues to regale generations of readers with tales of love, marriage and money, a sentiment which would be reiterated by substantial numbers of her fans all over the globe. We could well echo Evelyn Waugh on the comic writer P. G. Wodehouse: that his (Wodehouse’s) inimitable world could never grow stale….that he has made a world for us (readers) to live in and delight in…
Jane Austen(1775-1817) has acquired a kind of cult status in the last couple of centuries. Such is her reputation that it has helped birth a veritable Jane Austen industry, replete with museums, memorabilia and mementos. There have been numerous novels and films inspired by Pride and Prejudice and Emma and many films (and remakes and adaptations) based on her novels.
16 December 2025 marks her 250th birth anniversary. Many museums in the UK and the USA have showcased exhibits which give viewers delightful glimpses into her life and writing. Her novels, full of wit and satire, provide an insightful commentary on the social hierarchies, as well as the quirks and oddities of her milieu.Their plots and themes are woven around women and the necessity of marriage, money and the determining power of money.With considerable irony and subtlety, she turns the mirror on how manners are a function of morality and good sense and not just a matter of appearances. Rarely didactic or preachy(with Mansfield Park as the only exception), her novels convey in perfectly nuanced and measured prose, how difficult and crucial it is for women to find the right spouse and space.
As the youngest daughter of a poor clergyman, mostly educated at home, Jane Austen was well aware of the value of an independent income and a home of their own. After the death of her father, she, her sister Cassandra and mother, rather like the Dashwood women in her novel Sense and Sensibility, had to move around as they were dependant on the financial support of her brothers, especially her wealthy brother, Edward. The pain of this unequal fortune and frequent shifts, which Jane and her sister Cassandra may have experienced, is expressed by Elinor and Marianne in the novel where they have to practice small economies and learn to scale their expectations according to their situation.
Austen led a largely sheltered and sequestered existence, surrounded by her family, bound to family duties which “might have been the more expected of a dependent spinster aunt such as she was.”[1] Many intelligent women, like Charlotte Lucas, Elizabeth Bennett’s friend in Pride and Prejudice are shown to accept inferior matches to escape from spinsterhood and the expectations of their natal families. The absence of livelihood opportunities for women in her day and the lack of any income of her own would have proved irksome to Austen and provided her with a further impetus to “write her way into some money,” as she wrote in a letter to her brother, Captain Francis Austen, in July 1813. Further, in another letter to her niece Fanny Knight, she writes that “single women have the propensity to be poor which is one very strong inducement for women to marry.”
Her novels often do not always reveal the full measure of Jane Austen’s remarkable achievement: how she, constrained by genteel poverty, “the lack of a room of her own”, and writing materials which had to be put away often to attend to obligatory family commitments, wrote her novels based on such close observation of, and acute insight into contemporary life. Her eye for detail is such that it invites frequent references to her own words: “A little bit of ivory, two inches wide, on which I work with a brush so fine as to produce little effect after much labour.” This modest disclaimer and “little effect” have, however, fascinated generations of readers and inspired hosts of writers.
That Jane Austen’s 250th anniversary is being celebrated and commemorated all over the English-speaking world perhaps comes as no surprise but it still leaves us with some questions. What is the relevance of her novels now? Are her novels relevant to present-day political realities, in addition to their astute observations on graded social hierarchies? Can we view her as a feminist? Does she merit inclusion and study in universities of the global south at a time when there is a strong drive to decolonise English, the language of the erstwhile colonial masters?
In her book Jane Austen: The Secret Radical, Helena Kelly writes of the subversive and radical potential and intent of Jane Austen’s novels. Kelly goes a step beyond Marilyn Butler’s 1987 Jane Austen and the War of Ideas that had suggested that Austen leaned on the conservative Burkean side when challenged by new-fangled Jacobinism with its ideas of equality and brotherhood, coming from France which disturbed hierarchies, ideas and values long held to be sacrosanct in traditional English society. Kelly suggests that far from being conservative, insulated from contemporary political concerns, Jane Austen held radical and possibly subversive views which she did not express openly but which are clearly configured in the world of her novels. In doing so, she made the novel a meaningful art-form and a vehicle for the expression of ideas around love, marriage and additionally also of debates on slavery, female education and emancipation.
“It is a truth universally acknowledged that a single man in possession of a good fortune must be in the want of a wife.”[2] This famous ironic opening sentence of Austen’s has captured attention and elicited many critical commentaries. It’s a brilliant masterstroke where Austen underlines the mindset of young women and their anxious mothers on the lookout for eligible bachelors. Articulated like a truism, it seeks to facetiously universalise a partial truth. The omniscient authorial tone and tenor encompasses the dominant themes of Pride and Prejudice in the opening statement itself. Marriage, women’s responses, men’s reactions, social rank and wealth — all the principal subjects of Austen’s writing are near universal themes. In her novels, Austen communicates the constraints within which women function and the limited or literally the only ‘choice’ available to them. Having experienced financial instability and economic dependence, she had a clear understanding of the constraints experienced by women in early nineteenth-century England.
The happy ending that we see where Elizabeth Benett indeed becomes “mistress of Pemberley” symbolises the moment when some women, having acquired a certain status, become custodians of the home and the private sphere. Some feminist historians like Gerda Lerner, however, have pin-pointed this moment as one where the economic marginalisation of women is complete, in the aftermath of the Industrial Revolution, and they are pushed back from the public sphere.
Even as women were participating in print culture and taking their place as readers and writers, they were increasingly relegated to the private sphere. The tendency to relegate women to the private sphere and making them responsible for the entire range of domestic tasks of nurturing and care-giving and thereby sustaining the edifice of domestic life is something that persists even now. The fact is that women’s participation in the paid economy and public sphere has added to their ‘double’ burden in the 21st century.
Many critical voices have pointed out that Jane Austen’s writings do not directly mention the political situation, philosophical debates or religious discourses of the day centering on questions of social equality, justice, economic questions or the rights of man. Yet her fine crafted depiction of socio-economic relations, the dynamics of human relationships shaped and moulded by the struggle for wealth or power or status exposes the political reality, social hierarchy and the economic structure in society which shaped and informed all social transactions.
While the position of women may have improved in some spheres, there are still glaring gaps when it comes to women’s access to equality or justice. Changes in the last two centuries have gone beyond superficial tokenism. There are still miles to go in our march towards equality. It is in this larger context where there is a grudging acceptance or disavowal of women’s rights that the Jane Austen heroine’s negotiations with patriarchy remain relevant.
They demonstrate a mode of assertion, of agency in the face of inequality and in socially disadvantaged situations, which sustain an illusion of female empowerment and wish-fulfilment. It is this vision of romance, which, informed by a comic and somewhat ironical view of life, consolidates the exercise of female agency and makes the reading and re-reading of Jane Austen’s novels a rewarding and enriching experience. Her astute delineation of human delusion and human folly holds up a mirror to her society that often impels recognition on our part and remains forever relevant. Her perceptive analysis of the warp and weft of her society remains almost unmatched.
…yet he (Byron) cannot match the shock she (Austen) gives me; Beside her, Joyce is as innocent as young grass. I feel truly uneasy, my mind unsettled, Watching the English middle-class spinster describe the power of money to attract love, so plainly and soberly revealing the economic foundations that sustain human society.
W.H.Auden’s lines on Jane Austen and the unlikely comparison with the prince of notoriety, Lord George Byron, never fails to instruct or entertain us. Such is the mark of great literature which leaves its imprint decades and centuries after its inception.
Meenakshi Malhotra is Professor of English Literature at Hansraj College, University of Delhi, and has been involved in teaching and curriculum development in several universities. She has edited two books on Women and Lifewriting, Representing the Self and Claiming the I, in addition to numerous published articles on gender, literature and feminist theory. Her most recent publication is The Gendered Body: Negotiation, Resistance, Struggle.
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Keith Lyons in conversation with Harry Ricketts, a writer and mentor who found himself across continents and oceans
Harry Ricketts has authored thirty books and mentored many writers, including Keith Lyons. Photo Courtesy: Robert Cross
Harry Ricketts is a New Zealand poet, essayist, and literary biographer whose work has gained recognition for its wit, lyricism, and insight into memory, identity, and everyday life. He has published widely across poetry, biography, and literary criticism, and his writing blends formal elegance with accessibility. After studying at Oxford University, he taught in the UK and Hong Kong before moving to New Zealand in the early 1980s. A respected teacher and mentor, Ricketts has shaped both the literary culture of New Zealand and the broader English-language literary world through his poetry, essays, and guidance to emerging writers. His works include a major biography of the British India-born journalist, novelist, poet, and short-story writer Rudyard Kipling, The Unforgiving Minute, Strange Meetings: The Poets of the Great War, and his most recent books, the memoir First Things, and the poetry collection Bonfires on the Ice. His How to Live Elsewhere (2004) is one of twelve titles in the Montana Estates essay series published by Four Winds Press. The press was established by Lloyd Jones to encourage and develop the essay genre in New Zealand. In his essay, Ricketts reflects on his move from England to New Zealand. In this interview, he brings to us not only on his writerly life but also his journey as a mentor for other writers.
KL: Tell us about your early life?
HR: My father was a British army officer, and we moved every two years till I was ten: England, Malaysia, two different parts of England, Hong Kong, England. My first words were probably Malay. From eight to eighteen, I went to boarding schools in England; apart from the cricket and one or two teachers, this was not a positive experience.
KL: How do you think moving around affected you, and your sense of self and being in the world? Does that transience shape your perspective and writing now?
HR: I think constantly moving around gave me a very equivocal sense of belonging anywhere and also a strong sense of needing to adapt (up to a point) to wherever I found myself. I was an only child, and friendship became and remains incredibly important to me. Perhaps this hard-wired sense of temporariness has contributed to my trying to produce as many different kinds of books as possible, but eventually you discover what you can and can’t do: I can’t write novels.
KL: How has your sense of ‘home’ evolved in your work over the years?
HR: As above, but I’ve lived in New Zealand for more than forty years, so that must count for something. My second wife, Belinda, was a Kiwi; for thirty years, she was a lovely person to share the world with. I’d say I like to live slightly at an angle to whatever community I’m in.
KL: How did books and poems come into your life, and what do you think have been influences on your later work?
HR: My mother was a great reader and read me Beatrix Potter, A.A. Milne etc as a child. When I was seven, I had measles and had to stay in bed for a fortnight. I read Arthur Ransome’s Peter Duck and then I couldn’t stop. Books were a protection and a passion at boarding school. As for poetry, at school we had to learn poems by heart which I enjoyed and later recited them in class which was nerve-wracking. When I was fifteen – like many others – I fell in love with Keats, then a few years later it was Sylvia Plath, Ted Hughes, T.S. Eliot, Gerard Manley Hopkins, C.P. Cavafy ….. I was also listening to a lot of music, particularly singer songwriters like Bob Dylan, Leonard Cohen, Richard Thompson, Joni Mitchell.
Everything you read and listen to is an influence. My mind is a lumber-room of things I’ve read and listened to, things other people have said, things that have happened to me and to others, places I’ve been, love and friendship – and all that crops up in my poems in one way or another. Plath and Hughes were a wrong trail. It took me a while to work that out. Well into my twenties, I couldn’t stand Philip Larkin, but not now. I like witty, melancholy poets.
KL: Your first book, People Like Us: Sketches of Hong Kong was published when you were 27. How did that come about.? What satisfaction did you get from seeing your name in print?
HR: People Like Us is a mixture of short stories and song lyrics. Hong Kong, as I experienced it in the 1970s, (still very much a British colony) was a heterogeneous mishmash of styles, and I tried to mimic that mishmash in the pieces I wrote. I was pleased when it got published but it wasn’t much good.
KL: Can you describe your writing space?
HR: I have a small study, but since Belinda died two years ago, I’ve shifted to the kitchen table. She wouldn’t have approved, but the kitchen is light and airy and the stove-top coffee-maker close by.
KL: What is your writing process from start to finish?
HR: I do a lot of drafts. First thoughts can almost always be improved. A friend likes to say, ‘It’s not the writing; it’s the rewriting’, and I agree. But some poems have come quite quickly. When I’m writing prose, I often play music, but not when I’m working on a poem.
KL: What usually sparks a new poem for you: an image, a phrase, or a rhythm?
HR: It can be anything really. I’m usually doing something else entirely – writing an email or some piece of prose or just walking around – and something will interrupt me. It’s often a phrase which for some reason acts like a magnet, attracting another phrase or an images or an idea. It might be something I’m reading; this has happened with English poets like Edward Thomas, Philip Larkin, James Fenton, Hugo Williams and Wendy Cope and New Zealand poets like Bill Manhire, Fleur Adcock and Nick Ascroft. Occasionally, I’ve written a commissioned poem: for a friend’s wedding, say.
KL: How do you balance experimentation with accessibility in your work?
HR: I don’t think like that, but I do try not to repeat myself if I can help it. However, several poems of mine have had successors; so I wrote a poem in the mid-1980s about my six-year-old daughter Jessie called ‘Your Secret Life’, imagining her as a teenager and me waiting up late for her to return home, and my latest collection contains a ‘Your Secret Life 5’, written when she was forty. I’ve found myself writing a few poem-sequences recently, including one about an imaginary New Zealand woman poet. That was quite new for me.
KL: How do your roles as poet, biographer, and critic feed into each other?
HR: Constructively, I hope. I think you can always get prose out of yourself if you sit there long enough (fiction writers might disagree), but not poems. Some initial reverberation/interruption has to happen, some ‘spark’, as you put it. It’s all writing, of course, and writing is a habit. You have to keep doing it, otherwise that part of you switches itself off or attends to other things.
KL: Looking back across more than thirty books, what evolution do you see in your writing life, and what themes do you keep on coming back to?
HR: I think lots of writers (except the very vain ones) suffer from versions of ‘imposter syndrome’ and have problems with their personal myth — that they are a writer. I’ve got a bit more confident that I am a writer and in particular that I can write poems. Getting published helps a lot with the personal myth: something you’ve done is now out in the world. Once you publish a book, though, you lose any control you had over it. People may love it, hate or, worst of all, ignore it. But that’s just the deal.
I prefer the term preoccupations to themes. I’m preoccupied with people, places, trying to make sense of the past, happiness, the role of luck, life’s oddities, incongruities and ambiguities….
KL: You often talk about ‘gaps’, doubt, and ambiguity as central to your work. How do these function in your poetry today?
HR: To measure gaps, to be in doubt, to see the ambiguity in things: that just seems to me to be human. Poems can be acts of discovery or at least partial clarification. They can also simply preserve something: an experience, a moment, a realisation, some sense of those we love.
KL: You describe teaching as a kind of midwifery: helping writers bring out what is already within them. How did you arrive at that approach?
HR: Decades of teaching suggest to me that encouragement is more likely to help someone tell the stories they have it in them to tell rather than giving them a hard time. Writing can be a bit like giving birth and, for some, having support and encouragement is more helpful than trying to do it all on your own. Of course, in the end you do have to do most of it on your own.
KL: What advice did you find yourself giving students most often, and does it still hold true for you?
HR: I have taught poetry courses, but over the last twenty-five years I’ve mostly taught creative non-fiction. I often quote Lytton Strachey’s comment that ‘Discretion is not the better part of biography’ and then add: ‘Nor the better part of autobiography.’ I also suggest that mixed feelings are more interesting to write out of and about than clearcut ones. If you’re writing about someone else, pure admiration tends to produce hagiography, pure dislike a vindictive portrait – all warts, rather than warts and all. Serious doesn’t mean earnest; you can be serious and funny at the same time.
KL: What is the best advice you’ve received as a writer?
HR: The best advice it would have been helpful to be given (but no one did) would have been: ‘Don’t eat your heart out trying to be a kind of writer you aren’t (say, a novelist). Try to find out what kind of writer you are and pursue that as hard as you can.’ Chaucer knew: ‘The lyf so short, the craft so long to lerne.’
KL: Which authors do you most often recommend to students or emerging poets?
HR: I mostly suggest they should read as widely as they can and that they should read as a writer.
KL: What writers are you returning to most these days?
HR: I often go back to Montaigne’s essays and Orwell’s and Virginia Woolf’s. Poets I often reread include: Derek Mahon, Hugo Williams, Thomas Gray, Wendy Cope, Fleur Adcock, Edward Thomas, Andrew Marvell, Seamus Heaney, Lauris Edmond, Anne French, Robert Browning, Thomas Hardy, Philip Larkin …
KL: What responsibilities do reviewers have to writers, and what responsibilities do they have to readers?
HR: Reviewers have an obligation to be fair-minded towards their subject and to write something as worth reading (ie well-written and enjoyable) as any other piece of prose.
KL: How can reviewers give criticism that is honest yet constructive?
HR: They should try to understand what the writer was aiming at (rather than the thing they think the writer should have been aiming at) and judge the work accordingly. This is easier said than done. Writers rarely remember the positives reviewers say, and rarely forget the negatives. Reviewing is hard, if you’re trying to do a good job. In a small country like New Zealand, there’s only one-and-a-half degrees of separation, which makes puffing and pulling your punches a tempting prospect.
KL: What kind of legacy do you hope to leave through your poetry and teaching?
HR: Whatever legacy you might leave (and few writers or teachers in the scale of things leave any) is not up to you. But of course writers hope people will positively remember something they’ve written and that their work will continue to be read after their death. When I think of the teachers who have matter to me, I think of them with immense gratitude and I hope some of my pupils might feel something of that, too.
KL: Is there a question about your work that you wish people asked more often?
HR: Interesting question, but I don’t really have an answer. Perhaps ‘Why, given that you also write plenty of poems in free verse, do you still think that there are possibilities in fixed poetic forms like the sonnet, villanelle and triolet?’ I could talk about that for a long time.
KL: If your life was a movie, what would the audience be screaming out to you now?
HR: Keep going! Well, I’d like to think they might.
KL: What’s next for you? What are you working on now?
HR: I’m threequarters of the way through a second volume of memoirs and about to write about a particularly difficult part of my life. I want to finish that and then a third volume, if I can. And write more poems.
*This interview has been conducted through emails.
Keith Lyons (keithlyons.net) is an award-winning writer and creative writing mentor originally from New Zealand who has spent a quarter of his existence living and working in Asia including southwest China, Myanmar and Bali. His Venn diagram of happiness features the aroma of freshly-roasted coffee, the negative ions of the natural world including moving water, and connecting with others in meaningful ways. A Contributing Editor on Borderless journal’sEditorial Board, his work has appeared in Borderless since its early days, and his writing featured in the anthology Monalisa No Longer Smiles.
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On the sidewalk of his existence, he signs a lease for his coming days. He earns a license of freedom that puts him above the king of kings.
He’s a drifter waiting for the tide to turn but happy if it never does cause what he feels is the envy of people, what he does not have is their fear. On the surface, they pity him. In the depths of their soul, they envy him.
Their expectation leads to disappointment. Their defeat sounds like confinement. His truth smells like liberation and his liberation provides him with freedom.
Fortunate are those who have very little, for they may not know that they own the world. Poor are those who have a lot, for they may not know that they own nothing.
He sits on the sidewalk lays back on his blanket, his pillow is deeper than the ocean. He watches the stars, wishes the kings could share his view, and wonders if the tide will ever turn.
Ramzi Albert Rihani is a Lebanese-American poet who resides in Maryland, USA. His poems have been published in the US, Canada, UK, and Ireland. He received the 2024 Polk Street Review first-place poetry award.
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Rose’s Odyssey:Tales of Love and Loss is a translation of ‘Gulafsangako Prem1’, a short story collection in Nepali by Sangita Swechcha. Jayant Sharma, the translator, has displayed his incredible skill transmitting the essence and the texture in his translation as they are in the original version.
Swechcha’s writing moves across geographies and emotional landscapes. In Rose’sOdyssey, we see the influence of her own journey: born and raised in Nepal, her time spent in Australia, and her life in the UK. Her experience of multiple cultures gives her work both depth and relatability. She writes not just as a woman, or a feminist, or a diasporic voice, but as a humanist. Her stories resonate because they are grounded in truth and told with generosity.
Several reviewers on Amazon have echoed the sentiments generated by the stories. Dr. Tamer Mikhail describes the experience as “mesmerising,” noting how vividly the characters come to life. Ketan Varia praises Swechcha’s exploration of how life unfolds and the unintended consequences of human choices, while Nirmala Karanjeet highlights the wit, humour, and deep perception of human emotions in every story. These voices of readers moved by the same qualities.
Among the twenty stories, a few stood out with particular force. The titular story, ‘Rose’s Odyssey’, reminded me in scope and ambition of Homer’s Odyssey. Yet this is no imitation. Swechcha’s tale of love, betrayal, vengeance, and repentance transcends a simple love story. It is a story within stories, a tapestry woven with dramatic shifts and psychological insight.
Another memorable piece is the final story, presented in diary format. The narrative offers a poignant glimpse into diasporic life, told in a male voice, which is an unusual and ambitious choice for a female writer. The story’s ability to inhabit male psychology with such authenticity is no small achievement.
The shortest story, ‘Ram Maya’, dealing with the issue of human trafficking, is devastating. In just a few pages, it trembles with urgency. Then there is ‘Shattered Dream’, a story I had previously read in its original Nepali and was eager to revisit in English. The translation, no easy feat, is executed beautifully, preserving cultural nuances while making the narrative accessible to a broader audience. In fact, I was reminded of Toni Morrison’s The Bluest Eye (1970), particularly in how Sweccha addresses themes of bodily autonomy, survival, and the commodification of womanhood.
What ties all these stories together is Swechcha’s ability to write about complex emotional terrain with elegance and restraint. Each story is deeply personal, yet universal. The immigrant experience, cultural duality, gender, longing, and resilience are all present without ever feeling heavy-handed. It is heartening to see readers on Amazon responding so positively. One reviewer calls it “an easy and interesting read,” while another from Holistic World notes how each tale is “captivating and alluring,” connected by “the thread of love.” This feedback is not only encouraging, it also affirms the book’s power to reach readers from all walks of life.
In addition to the warm reader responses and literary features, I also recall Shahd Mahanvi, author of White Shoes, at the launch event aptly described Rose’s Odyssey as “a powerful exploration of human emotions.” She added that it is “a compelling collection that delves into themes of control, mistrust, the impulse to hurt those we love, and the complex intersections of human relationships, provoking deep reflection.”
In the year since its release, Rose’s Odyssey has had a successful run, from warm reader responses to literary features, several book signings in the UK and Nepal, and community events. Its journey is far from over. The success of the book is not just a testament to Swechcha’s literary talent, but to her ability to connect across continents, cultures, and hearts.
Dr. Rupak Shrestha, a London-based Nepali poet from Pokhara, is acclaimed for diverse literary forms and translation. He also serves as Advisor to the International Nepali Literary Society (INLS) UK Chapter.
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Last week my name was Renfield Familiar to a cruel Muse who Visited according to his whim I scurried about in service To a master all-powerful Desperate for redemption For the key to sanity The key to unlock the poem
Yesterday my name was Ahab Searching the global seas For the Great White Word To start or finish a poem I paced my pitching desk In weather fair and foul But did not strike the words With my inked harpoon
Today my name is Vlad And my rage knows no Earthly bounds as I wait For the red blood of life To seep through my veins And into my maddened brain To create the words and lines And the cursed verses
Tomorrow my name will be Pablo And I will once again believe That I can be prolific In thought and deed Boldly setting pen to page With heart and soul Interred in every word Of a passionate poem
Gregg Norman lives in Manitoba, Canada. His work has been accepted by various international poetry publications in Canada, the USA, the UK, Australia, and Serbia.
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You're a novice that doesn't walk with any measure of style or grace, so fly off an icy mountain at seventy miles an hour on a pair on sticks,
olympic skiers get injured but you're exempt from such physical injury because you're a manager of a launderette,
ride a motorbike, it's the freest way to travel, free to leave the road and land on your head three fields away,
bungee jump! the ten second thrill is worth the trade off - whiplash and long term spinal damage,
fly on an aircraft as often as you can, you have more chance of getting struck by lightning than crashing in an airplane. Ignore the fact that unless the machine is in perfect working order you could nosedive from thirty thousand feet into an ocean bed that is so deep the creatures there have teeth shaped like tennis rackets,
undergo plastic surgery!
Put your blind faith in a bogus surgeon who may consequently render you with half a chin and no nostrils. Forget the post-op catastrophe, okay so you entrusted a surgeon with the credentials that extended to that of a pottery teacher -- he fled with your cash and now you breathe through your ears, but give it a go.
Ocean surf!
Take advice from the veteran surfers who lost all their limbs and torsos to numerous shark attacks. They can still roll their heads onto the surfboard. There is nothing more aesthetically pleasing than watching a human coconut surf on a giant pitta bread.
Get a tattoo!
The best way to pamper your soft, elegant, silky skin? -- deface it with ink! ink! A substance that if spilt over your coffee table would spark a major household crisis, but your precious velvety skin? -- screw it, you're good to go and vandalise yourself with tacky meaningless ink stains.
THE BIG LIGHT
She made a candlelit dinner, but without thinking he put the big light on so he could see what he was eating -- so she left him,
keeping her happy was like walking a tightrope for him, and the night he put the big light on, he fell screaming,
he hit the ground, unlike the falling leaf he caught when he placed it in her palm and asked her to make a wish,
he always forgave her, like a bird forgives another for stealing its bread,
and as he flew alongside her he wondered how passing clouds could find their way home,
he would talk about how the sun and the rain could make pretty rainbows - the colours of the flowers on the mountain he climbed to pick for her,
but without thinking he put the big light on so he could see what he was eating -- so she left him,
finished her meal,
blew out the candles and left him.
ANALOGY OF A POLITICIAN
Two schoolboys are summoned to the headmaster's office for stealing apples from a tree belonging to a resident next to the school field,
One of the boys admits to stealing an apple, but tells the headmaster that his friend didn't take one -- though both boys took an apple each,
one of the boys is given detention but the 'innocent' boy escapes unpunished,
the 'innocent' boy tells the headmaster he is profoundly remorseful for being present at the scene of the 'crime', and though regrettable he fully understands the decision to punish his friend as it isn't fair on the owner of the apple tree.
The 'innocent' boy is the politician.
StephenPhilip Druce is based in Shrewsbury UK. He is published in the USA, India, the UK and Canada. He’s written for theatre plays in London and BBC 4 Extra.
Contact: Instagram – @StephenPhilipDruce
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An introduction to Ratna Magotra’sWhispers of the Heart: Not Just a Surgeon (Konark Publishers) and a conversation with the doctor who took cardiac care to the underprivileged.
“I slept and dreamt that life was joy. I awoke and saw that life was service. I acted and behold, service was joy?”— Tagore, Whispers of the Heart: Not Just a Surgeonby Ratna Magotra
“There are at least five estimates of the number of poor people in India, which put the number of poor in India between 34 million (equivalent to the population to Kerala) to 373 million (more than four times the population of West Bengal). This puts the number of the poor between 2.5% of the population to 29.5%, based on different estimates between 2014 and 2022.”
How are the healthcare needs of the poverty stricken met in a country with a vast number who are unable to foot their daily food, housing, and potable water needs? This has been a question that confronts every doctor in cities where labourers who build housing for the middle class are themselves homeless just like the street side immigrants who beg. Even dwellers of shanties that spring up around colonies of the well-to-do to provide informal labour to the affluent are hardly any better off. Few in the medical profession move towards finding solutions to bridge this gap.
Dr Ratna Magotra, who moved from Jammu to find a career in healthcare in Mumbai, is one such person. Recently, she wrote an autobiography which has consolidated the work being done by cardiologists to bridge this gap. In her book, Whispers of the Heart: Not Just a Surgeon, while identifying this divide, she writes: “Poverty, inequality, deficient primary healthcare, unequal access, and the escalating commercialisation of medical care were causing an angst that I found difficult to make peace with. As medical practitioners, our expertise lies in providing treatment, but we often overlook the broader social factors underlying ill health. It might escape the attention of a surgeon performing intricate heart surgery that a child who survived a complex heart surgery could succumb to diarrhoea due to the lack of access to clean drinking water. Issues like malnutrition, skin infections, superstitious beliefs, and poverty may be the harsh realities in the patient’s actual living conditions beyond the confines of sanitised medical environment. /Medical training, regrettably, seldom includes the connection between poverty and disease.”
The land reforms laws that followed post-Partition[1] led to her family losing their wealth. But Magotra bears no ill-will or scars that have crippled her ability to contribute to a world that needs to heal — of taking healthcare to those who can’t afford it. She starts her biography with vignettes from her childhood: “I recall that the agricultural land we owned in our village in Jammu was considered very fertile with the best Basmati rice grown there. Though I was very young, I have faint memories of the house amidst lush paddy fields and a small stream that we had to cross to enter the village. It was very close to the international border between India and Pakistan. The way my mother was respected reflected the high esteem that villagers had for my father. Though their tenant status had changed to that of being landowners, the villagers visited the house as they did before and received generous gifts from her. /They would indulge us children with home-made sweets made of peanuts, jaggery and spices. Rolling in heaps of post-harvest grains piled up in open fields was great fun.”
She lost all that and her father. But with supportive family and friends, drawn to healthcare, she became a doctor in times when women doctors were rare. If they at all specialised, it was mainly in gynaecology. She chose cardiac surgery trained in UK and US. She made friends where she went and with a singular dedication, found solutions to access the underprivileged. She elaborates: “The quantum leap in India’s healthcare sector occurred during the 1990s following the economic reforms and the liberalisation of the economy. The end of the licence raj system facilitated the imports of advanced technology and medical equipment. Specialists, who had long settled abroad, began contemplating a return to India.”
While she attended an International Course in Cardiac Surgery at Sicily to update her skills, she tells us: “During our interactions, some German surgeons raised questions about the rationale behind a developing country like India engaging in an expensive speciality like cardiac surgery. I realised how biased opinions can be formed and spread, though rooted in ignorance. /By this point, however, I had grown accustomed to explaining the paradox — why it was essential for India to advance in specialised care alongside its priorities in basic healthcare and poverty alleviation.”
She cites multiple instances of cases that she dealt with from the needy rural population, for who to pay prohibitive costs would mean an end to their family’s meals. Magotra writes, “I had seen numerous poor heart patients who suffered not only from the ailment itself but also from financial burden of the treatment. The medical expenses incurred for a single family member affected the well-being of entire household, depleting their limited resources and savings. Unfortunately, medical education does not include health economics as a subject. As a result, doctors, especially specialists, trained in a reductionist approach to diseases tend to move away from a holistic perspective. They readily embrace new technological advances, often neglecting proven and cost-effective treatment options. This, in turn, drives up healthcare costs and makes it unaffordable for the common man.”
Living through a series of historical upheavals, she brings to light some interesting observations. She came in contact with Jinnah’s personal physician while looking for a placement in Mumbai. There she mentions that many wondered if the Partition of India could have been averted if this doctor had shared the information that Jinnah had limited life expectancy as he had advanced tuberculosis. She has lived through floods in Mumbai and riots and wondered: “I was staring at the blood on my clothes, which had come from multiple patients. In that quiet moment, I couldn’t help but wonder if there was a ‘test’ to distinguish between a Hindu blood and a Muslim blood.” She joined the anti-corruption movement started by Anna Hazare and fasted! She has travelled and watched and collected her stories and she jotted these down during the pandemic to share her world and her concerns with all of us. In the process, recording changes in health care systems over the years… the historic passing of an era that documents the undocumented people’s needs.
Dr Ratna Magotra
An award-winning doctor for the efforts she has made to connect with people across all borders and use her experience, she talks to us in this interview about her journey and beliefs.
What made you write this book? Who were the readers you wanted to reach out to?
I had asked myself the same questions before I started and even while I was writing: Why and for whom?
Some younger friends and family members would find the anecdotes and stories, I would relate to them from time to time, interesting. They would often prod me to write about these. People, situations, my travels to places — not the usual popular tourist destinations, invoked further curiosity in them to know more about my life. As such I like to write my thoughts (usually for myself) and have been contributing small articles to newspapers, magazines, and Bhavan’s Journal for their special Issues. The pandemic provided me an opportunity to contemplate further when I seriously considered about writing an autobiographical narrative.
As I progressed with my account, I envisaged a wider readership outside the medical community as multiple facets emerged about places, people and events of varying interests.
What were the hurdles you faced while training as a doctor — in terms of gender and attitudes of others?
Fortunately, I can’t recall any specific hurdle or adverse experience because of my being a woman. Studying for MBBS degree at Lady Hardinge Medical College (LHMC), made it a normal affair as LHMC was an all-women medical college.
The struggle that I faced in getting PG admission in Bombay also had nothing to do with gender. The problem was being an outsider in Bombay when number of seats were limited. Students from local medical colleges and rest of Maharashtra had first preference for selection to PG courses. Anyone in my place would have had to go through a similar grind as I did.
Once PG admission was secured, it was smooth sailing through training and working alongside male colleagues! I asked for no concessions being a woman and worked as hard as they did or may be little more. We had a very close and harmonious working relationship with healthy mutual respect leading to lasting friendships.
What made you choose cardiac surgery over other areas of specialisation?
The decision to become a doctor and a surgeon was firmed very early in life. Interest in Cardiac surgery was acquired much later when I started working with Dr Dastur in Bombay. Seeing and touching a beating heart was fascinating and at the same time very challenging at that time. I was tempted to take it up for further specialisation. And yes, it was a very glamorous specialty at that time with names like Denton Cooley[2] and Christiaan Barnard [3]making waves in mainstream conversations!
Cardiac surgery was perceived by some as the forte of the rich, but you have shown how many villagers also had the need for the same specialised care. So, what was it that made you realise that? What could be seen as the incident that made you move towards closing social gaps in your horizon?
Heart disease affects the rich as also the poor. In fact, in earlier times when lifestyle diseases were not as common, it was the poor who suffered more from many afflictions including heart disease. Rheumatic heart disease was the bane of the underprivileged, living in overcrowded spaces with repeated streptococcal throat infections that eventually ravaged their heart valves. Congenital heart disease was common though not diagnosed as often. While the rich and affluent could afford to travel abroad to get treatment, in turn costing precious foreign exchange to the nation, others had to make do with whatever was available. Indian surgeons stretched their resources, skills and imagination to fill the gaps in the infrastructure.
Working in teaching hospitals, I saw the suffering and helplessness of the poor from very close. Inadequacies in healthcare stared at us every day. Moreover, those days cardiac surgery was being performed only in 4-5 teaching hospitals in the country.
I tried looking beyond the patient, connecting their illness with the social and economic environment they came from. Their personal courage, resilience and faith in overcoming difficult moments of life stirred something inside me. One such incidence involved a patient, Ahir Rao, from interiors of Maharashtra. His surgery at KEM and my subsequent visit to his home opens the chapter on ‘Reaching the Unreached’ in my book.
Ironically flip side of development and changing economic status, is that lifestyle diseases like hypertension, diabetes and heart disease are affecting less affluent even more. Lack of awareness about diet, and rapidly adopting urban fads have changed the rural-urban spectrum of heart disease.
The prejudices and biases of the developed countries influenced many in the country also to question a developing country like India from investing in super-specialty like cardiac surgery instead of focussing on providing basic amenities to the people.
It was amusing to see the BBC presenters asking the chronic questions as recently as the landing of Chandrayaan on moon in August 2023 — whether India should have space missions? Persistence of same mind set exposed their ignorance about the benefits the technology and the science bring to common man as also reluctance to accept the progress India has made!
How did your travels to other countries impact your own work and perspectives?
Traveling is a great education to broaden one’s horizon. My travels in India and to different countries contributed towards my personal growth by helping me connect to the geography, nature as also the people belonging to different cultures and sensibilities. Different foods, attires or attitudes but with one common underlying bond of humanity with similar aspirations.
Professionally, going to advanced centres exposed me to a work culture that was very different from ‘chalta hai’[4] attitude back home. Staying ahead with the best research, better working conditions, new technology were just the stimulants I needed in doing better for our patients.
There were many people you have mentioned who impacted you and your work. Who would you see as the persons/organisations who most inspired and led you to realise your goals?
I owe so much to so many people, whom I met at different stages of my life and who influenced my thinking, values and my work. It is difficult to pick one or two, however, if asked to narrow down to three or four most important individuals, these would be my mother and Prof Rameshwar in early years, and Dr K. N Dastur in my professional choice and career. However, biggest influence in my later life has been my Guru, Swami Ranganathananda — who imparted the wisdom of practical vedanta giving ultimate message of oneness and freedom of thought and action for universal good as propagated by Swami Vivekananda.
Why did you join Anna Hazare and his organisation? How did it impact you? What were your conclusions about such trysts?
I had heard of Anna Hazare as an anti-corruption crusader and had met him once at his village while accompanying Dr Antia. It was very admirable the way he had motivated the village people to participate voluntarily in the economic and social development making Ralegaon Siddhi a model village. This simple rustic person could stand up to the high and mighty and often made news in local newspapers; the politicians took his protests seriously at least in Maharashtra. When India Against Corruption (IAC) came into existence in 2011, I didn’t think twice before joining the unique coming together of civil society to fight corruption in the highest corridors of power. I was personally convinced that corruption had eroded and marred the dream of India keeping the common people poor and backward even as the corrupt flourished. As an individual, one could not do much beyond complaining and paying a price for a principled life. It required the civil society to stand up collectively to oppose the corrupt who were (are) actually very powerful!
There was nothing personal to gain by joining the protest but only lend my voice to the common objective of checking, if not eradicating, the menace of corruption.
The experience, highs and lows of the movement form a chapter in my book. The movement becoming political and losing the momentum of a countrywide movement was a big disappointment.
What would be the best way of closing the divides in healthcare?
There has been some forward movement in healthcare at grass root levels in last two decades or so. These gains need to be streamlined as at present we have islands of excellence with vast areas of dismal healthcare — the imbalance needs correction.
Increased spending by the State for healthcare, forward looking national health policy keeping in mind the diverse needs of such a vast country, rural urban realities are the way forward. Investment in medical and nursing education, primary health care, paramedics, rational use of appropriate technologies — all these need to be considered in totality and not in isolation.
Lot of the healthcare work is bridged by NGOS as per your book. Do you think a governmental intervention is necessary to bring healthcare to all its citizens?
My narrative belongs to the eighties and nineties when NGOs were vital in taking basic medical services to remote places where none existed. These organisations did a herculean task and several continue to be a significant provider even as the governments, both at the Centre and State level, have initiated many schemes that include healthcare besides general rural development. I personally think that the NGOs too need to retune their earlier approach of being stand-alone providers seeking funding from government and foreign donors to remain relevant. NGOs, though a vital link between the governments and the communities, have traditionally taken adversarial position to the governments. While keeping their independence of work, maybe they should strive to avoid duplication of services; provide authentic data, and create awareness. These along with constructive criticism and cooperation would benefit the communities and the stakeholders alike. Health education, women empowerment, strengthening the delivery of healthcare integrated with holistic rural development are best done by NGOs working at ground level.
What reform from the government would most help bridge these gaps and can these reforms be made a reality?
The question has been partially answered as above. Increase in budgetary allocation and intent are the prime requirement with focus on nutrition, clean drinking water, sanitation (end of open defecation, provision of toilets, is a major reform) and clean cooking fuel impact public health at grassroots substantially, especially that of women and children. These alone should reduce the load of common diseases and prevent 70 to 80 percent of maladies in a community. This is similar to what Dr Antia used to advocate — “People’s health in People’s hands”. No medical specialists are required, and community health workers would be fully capable of taking care of routine illness. The gains would need to be evaluated periodically to see the impact by way of reduced infant mortality, maternal health, reduction in school dropouts and increase in rural household incomes. Use of technology is an important tool to connect the masses with healthcare centres for more advanced care.
More thought is necessary for specialist oriented medical care. I am aware that we have some very wise and thinking people at the top deciding on national medical policy that should actually map the number of specialised centres and the doctors in each specialty and super specialities (SS) required over say next 10 years. The number of training programmes should be tailored accordingly. It is saddening to know that so many seats for post-doctoral training continue to remain vacant. It is specially so in surgical SS like cardiovascular, pediatric, and neurosurgery that are seeing less demand with interventional treatment making roads in treatment.
The change in the attitudes of administration as also the medical community is important. The benefits should be harvested with honest appraisals for course correction where needed for better planning in consultations with doctors, civil society, and the NGOs working in the rural areas.
Another idea close to my heart has been to motivate or even incentivise the senior medical practitioners to serve the rural areas for 2-3 years prior to their retirement from active service. They would carry experience and wisdom to manage medical needs even with limited resources as compared to enforced bonds for fresh graduates who are short of practical experience, anxious about their future and that of the families. Seniors on the other hand have fulfilled their responsibilities and may be really looking forward to satisfaction of giving back to the society. Having secured their future and relatively in good health, can be very useful human resource for the governments and the communities. This should be entirely out of volition and not under any pressure from the authorities.
Now that you have retired, what are your future plans?
Life is unpredictable at my age. I would, however, wish to remain in reasonable health to be able to be a useful citizen. I have no firm plans and will go where the life takes me like I have done so far.
I am aware that the age would no longer allow me to continue with specialised and highly technical profession I am trained for. Modern communication has narrowed the distances and made it possible to stay connected. I should be satisfied if I can provide any meaningful inputs, retain the attitude of service and remain contended in my personal being.
Borderless 