The root of the word morphine is Morpheus, the Greek god of dreams. Yet, dreams can come in all hues from the ecstatic pleasure driven, to the grief struck and the nightmarish kind. Perhaps it should be no surprise then that in the modern world this character’s namesake, morphine, the gold standard of medically prescribed painkillers (Ruiz-Garcia and Lopez-Briz 2008), offers a similarly troubling medical story, evoking in equal measure the contingent histories of pleasure and war, relief and addiction, commerce and regulation. In few places is this more apparent than in India. Legal opium is grown throughout certain regions of the country for the sole purpose of pharmaceutical production, yet irrespective of this robust industrial production, very little morphine is used within the country’s own hospitals (Rajagopal and Joranson 2007). This is a story that involves both the everyday impacts of restrictive regulation, and a local palliative care movement intent on widening access to the drug. (read more...)