Even before strife ripped these societies apart, many of them had pitiful mental health systems.
However, after the contract service, I have to see patients and deal with information from day to night, while sharing the pitiful public health payment with my colleague who is in outside employment and never comes here.
Conditions for adjuncts are often abysmal and push them to quit despite their love of teaching: bad pay, too many classes, no health insurance, pitiful work space or none at all.
All the pathos of Nancy's life - a miserable marriage, ill-health, a pitiful love affair, a desolate home recreated as a palace of delights - was judged, after this, to be just that: pathetic.
He would talk to the players about how unfair their contracts were, about how the owners took an outsized portion of the profits, how pitiful their pensions and health-care benefits were, and how much better things would be if they organized themselves.
But experts such as Joseph Dwyer of Management Sciences for Health, an American consultancy, say that the pitiful state of poor countries' health services is the main reason for the gap between what is promised and what is spent.
Southern states like Tamil Nadu do well, but generally the country gets what it pays for: a pitiful $39 per person per year for public health, compared with China's $203 or Brazil's $483.
A diet of modern meat from poorly-fed, ill-treated animals conjoined to the exclusion of whole grains that further reduces an already pitiful fiber intake is neither a formula for health, nor even a cogent concept.
"We look pitiful in the media when it comes to good health, exercise and holistic approaches to living as we age," she said.
