For the first time, two essayists have shared The Lancet’s Wakley Prize. The prize, named for Dr Thomas Wakley who founded The Lancet in 1823, is given annually for the best essay on a clinical topic of international health importance. Writing from the Antipodes, Dr Amanda Kvalsvig wrote of how being a deaf doctor has helped her determine how to (and how not to) respond to people with disabilities — without assumption or blithe reassurance, but rather by letting them "tell how it is". Remembering time spent in the Andes, Dr J Jaime Miranda recounted the stories of three patients battling tuberculosis. He asked: is it acceptable for money (or the lack of it) to draw the line between life and death?
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