Society and Culture
Migraines are a significant source of both medical costs and lost productivity. It has been estimated that they are the most costly neurological disorder in the European Community, costing more than €27 billion per year. In the United States direct costs have been estimated at 17 billion USD. Nearly a tenth of this cost is due to the cost of triptans. Indirect costs are around 15 Billion USD, of which missed work is the greatest component. In those who do attend work with a migraine effectiveness is decreased by around a third. Negative impacts also frequently occur for a person's family.
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“The press is no substitute for institutions. It is like the beam of a searchlight that moves restlessly about, bringing one episode and then another out of darkness into vision. Men cannot do the work of the world by this light alone. They cannot govern society by episodes, incidents, and eruptions. It is only when they work by a steady light of their own, that the press, when it is turned upon them, reveals a situation intelligible enough for a popular decision.”
—Walter Lippmann (1889–1974)
“Cynicism makes things worse than they are in that it makes permanent the current condition, leaving us with no hope of transcending it. Idealism refuses to confront reality as it is but overlays it with sentimentality. What cynicism and idealism share in common is an acceptance of reality as it is but with a bad conscience.”
—Richard Stivers, U.S. sociologist, educator. The Culture of Cynicism: American Morality in Decline, ch. 1, Blackwell (1994)