Monday, September 29, 2025

The Moon and Tides - From Ancient Wonder to Celestial Mechanics

 

The Tides: From Ancient Wonder to Celestial Mechanics



by lim ju boo PhD 

Postdoctoral Astronomy (University of Oxford) 


Early Observations of the Tides

Since antiquity, the rise and fall of the sea has puzzled humankind. The ancient Greeks, keen observers of nature, noted tidal rhythms but struggled to explain them. The historian Herodotus (5th century BCE) remarked on tidal changes in the Persian Gulf. Pytheas of Massalia (around 330 BCE), a Greek explorer, was among the first to connect tides with the Moon after observing tidal cycles in Britain. Later, Posidonius (c. 135–51 BCE), a Stoic philosopher, gave more systematic descriptions, recognizing the lunar influence on the seas.

It was not until much later, with Johannes Kepler and Isaac Newton, that tides were explained as a consequence of gravitational attraction. Newton, in his Principia Mathematica (1687), provided the first quantitative theory of tides, showing how the Moon (and to a lesser extent the Sun) raised bulges on Earth.

How the Moon Raises the Tides

Tides arise because the Moon exerts a gravitational pull on Earth. The side of Earth closest to the Moon is pulled more strongly, producing a “direct” tidal bulge in the oceans. On the opposite side, the weaker pull leaves the water slightly behind, producing a “compensating” bulge.

Thus, at any given time, two tidal bulges exist on opposite sides of Earth:

1. The near-side bulge (facing the Moon), caused by the stronger lunar pull.

2. The far-side bulge (away from the Moon), caused by the relative inertia of the oceans as Earth is pulled more strongly than the distant waters.

As Earth rotates once every ~24 hours, most coastlines pass through both bulges, giving rise to two high tides and two low tides per day.

Types of Tides

1. Spring tides: Occur during full Moon and new Moon, when Sun, Moon, and Earth are aligned. The solar and lunar pulls reinforce each other, producing the highest highs and lowest lows.

2. Neap tides: Occur during first and third quarters of the Moon, when Sun and Moon pull at right angles. The result is weaker tides, with smaller differences between high and low.


Solid Earth Tides


Not only oceans respond to lunar gravity; even the solid Earth flexes. These are called solid Earth tides or body tides. The crust of the Earth rises and falls by up to 30–40 cm as the Moon passes overhead. Though invisible to the naked eye, these tides are measurable and significant in geophysics, affecting sensitive instruments, underground water tables, and even earthquake stress patterns.

Tidal Friction and Earth–Moon Evolution

The Earth–Moon system is not static. Because the tidal bulges are carried slightly ahead of the Moon by Earth’s rotation, a torque is exerted. This does two things simultaneously:

1. Slows Earth’s rotation: Friction between tidal waters and the seafloor dissipates energy, gradually lengthening Earth’s day.

2. Pushes the Moon outward: The Moon gains orbital energy and slowly recedes from Earth.

Today, laser ranging experiments (using reflectors left on the Moon by Apollo astronauts) measure the Moon’s recession at about 3.8 cm per year.

Earth’s Early Rotation and Slowing Down

When Earth first formed, some 4.5 billion years ago, its rotation was much faster. A day may have lasted only 4 to 6 hours. Over billions of years, tidal friction slowed Earth’s spin to the current 24 hours. Fossil corals and tidal rhythmites (sedimentary rock layers laid down in tidal cycles) show that 400 million years ago, days were about 22 hours long, with ~400 days in a year.

The Fate of Solar Eclipses

Solar eclipses occur because the Moon’s apparent size in the sky almost exactly matches the Sun’s. But as the Moon recedes, it appears slightly smaller. In roughly 600 million years, the Moon will be too far away to fully cover the Sun, and total solar eclipses will no longer be possible, only annular eclipses will remain.

A Balance of Cosmic Forces

The dance of Earth and Moon is a delicate interplay of gravity, rotation, and energy dissipation. Without tides, Earth’s climate and ocean circulation would be profoundly different. Without tidal friction, Earth would still spin much faster, with chaotic consequences for life.

What began as mysterious sea-level changes observed by Greek philosophers is now understood as a profound planetary mechanism shaping the very future of Earth and Moon.


Summary:


1 . Tides were noted by ancient Greeks, but only linked to the Moon around 330 BCE by Pytheas.
2. The Moon raises two bulges: a near-side tide and a far-side tide.
3. Solid Earth tides affect even the land by up to 40 cm.
4. Tidal friction slows Earth’s rotation and causes the Moon to recede at 3.8 cm/year.
5. Early Earth had 4–6 hour days; by 400 million years ago, days were 22 hours.
6. In ~600 million years, total solar eclipses will end.


The Second Version: The Restless Seas and the Reluctant Moon


Stand on a quiet shore and watch the sea. The waves lap endlessly, but if you wait long enough, you will notice something subtler: the waterline creeping upward, then falling away again. The ancient Greeks watched too, though they lacked our science. To them, the sea seemed a living thing, inhaling and exhaling in slow, great breaths.

Herodotus noted that in the Persian Gulf the sea behaved strangely, swelling and retreating at intervals. Pytheas, a Greek sailor who ventured as far as Britain around 330 BCE, was sharper. He noticed that the tides obeyed the Moon, rising higher when the Moon was full or new. He had stumbled on a truth that would take nearly two millennia to explain.

The explanation arrived with Isaac Newton in 1687. Gravity, he declared, was the culprit. The Moon pulls on Earth, and since water flows more easily than rock, the oceans bulge toward it. But curiously, they also bulge on the far side. Why? Because the Earth itself is tugged slightly more than the distant water, leaving behind a bulge of its own. And so, as Earth turns, every shoreline is swept by two high tides a day, one from the near bulge, one from the far.

The Sun joins the game, too. When the Sun and Moon pull together (at new and full Moon), we get spring tides, the highest and lowest of the cycle. When they pull at right angles (first and third quarter), we get neap tides, the meekest tides of all.

It would be comforting if tides ended there, a neat story of oceans dancing to lunar music. But the Moon’s grip is firmer than that. It does not only pull water; it pulls rock. The very crust of the Earth rises and falls, like the chest of a giant sleeper, by as much as 30–40 centimeters. These are the solid Earth tides, invisible to our eyes but measured by geophysicists with instruments of exquisite sensitivity.

Yet the most dramatic consequence of tides is not the rise and fall of seas or land. It is the slow reshaping of time itself. The tidal bulges are not neatly aligned with the Moon; Earth’s rotation drags them a little ahead. And like a hand on a spinning wheel, this drag exerts a brake. Earth’s spin slows, ever so slightly, day after day.

The energy lost must go somewhere, and it does: into the Moon’s orbit. The bulges pull the Moon forward, giving it a nudge that makes it drift away. Laser beams bounced off mirrors left on the lunar surface by Apollo astronauts measure this retreat with astonishing precision: 3.8 centimeters every year.

Think of what that means. When Earth was young, perhaps four and a half billion years ago, a day was not a leisurely 24 hours. It may have been as short as 4 to 6 hours, the planet spinning like a dancer at full whirl. Over eons, tidal friction has slowed the dance. Fossil corals tell us that 400 million years ago, the day was 22 hours long, and there were about 400 days in a year. The Earth has aged not only in rocks and mountains but in the very beat of its rotation.

And the Moon? It was once much closer, looming larger in the sky. Now it drifts steadily outward. Someday, in about 600 million years, it will be too far away to fully cover the Sun’s disk. Our descendants, if any still gaze upward, will see only annular eclipses, a blazing ring of fire around a too-small Moon. The age of total solar eclipses will be over.

So the tides are more than the breathing of the sea. They are the agents of cosmic change, sculpting the length of our day and pushing the Moon on a slow journey outward. What began as a puzzle to the Greeks has become a profound story of celestial mechanics. Each wave that falls on the shore is a whisper of that story, telling us that Earth and Moon are locked in a slow but inexorable embrace, reshaping both worlds as the ages pass.


The Third Version: The Restless Seas and the Reluctant Moon


Stand on a quiet shore and watch the sea. The waves lap endlessly, but if you wait long enough, you will notice something subtler: the waterline creeping upward, then falling away again. The ancient Greeks watched too, though they lacked our science. To them, the sea seemed a living thing, inhaling and exhaling in slow, great breaths.

Herodotus noted that in the Persian Gulf the sea behaved strangely, swelling and retreating at intervals. Pytheas, a Greek sailor who ventured as far as Britain around 330 BCE, was sharper. He noticed that the tides obeyed the Moon, rising higher when the Moon was full or new. He had stumbled on a truth that would take nearly two millennia to explain.

The explanation arrived with Isaac Newton in 1687. Gravity, he declared, was the culprit. The Moon pulls on Earth, and since water flows more easily than rock, the oceans bulge toward it. But curiously, they also bulge on the far side. Why? Because the Earth itself is tugged slightly more than the distant water, leaving behind a bulge of its own. And so, as Earth turns, every shoreline is swept by two high tides a day, one from the near bulge, one from the far.

The Sun joins the game, too. When the Sun and Moon pull together (at new and full Moon), we get spring tides, the highest and lowest of the cycle. When they pull at right angles (first and third quarter), we get neap tides, the meekest tides of all.

It would be comforting if tides ended there, a neat story of oceans dancing to lunar music. But the Moon’s grip is firmer than that. It does not only pull water; it pulls rock. The very crust of the Earth rises and falls, like the chest of a giant sleeper, by as much as 30–40 centimeters. These are the solid Earth tides, invisible to our eyes but measured by geophysicists with instruments of exquisite sensitivity.

Yet the most dramatic consequence of tides is not the rise and fall of seas or land. It is the slow reshaping of time itself. The tidal bulges are not neatly aligned with the Moon; Earth’s rotation drags them a little ahead. And like a hand on a spinning wheel, this drag exerts a brake. Earth’s spin slows, ever so slightly, day after day.

The energy lost must go somewhere, and it does: into the Moon’s orbit. The bulges pull the Moon forward, giving it a nudge that makes it drift away. Laser beams bounced off mirrors left on the lunar surface by Apollo astronauts measure this retreat with astonishing precision: 3.8 centimeters every year.

Think of what that means. When Earth was young, perhaps four and a half billion years ago, a day was no leisurely 24 hours. It may have been as short as 4–6 hours, the planet spinning like a dancer at full whirl. Over eons, tidal friction has slowed the dance. Fossil corals tell us that 400 million years ago, the day was 22 hours long, and there were about 400 days in a year. The Earth has aged not only in rocks and mountains but in the very beat of its rotation.

And the Moon? It was once much closer, looming larger in the sky. Now it drifts steadily outward. Someday, in about 600 million years, it will be too far away to fully cover the Sun’s disk. Our descendants, if any still gaze upward, will see only annular eclipses, a blazing ring of fire around a too-small Moon. The age of total solar eclipses will be over.

So the tides are more than the breathing of the sea. They are the agents of cosmic change, sculpting the length of our day and pushing the Moon on a slow journey outward. What began as a puzzle to the Greeks has become a profound story of celestial mechanics. Each wave that falls on the shore is a whisper of that story, telling us that Earth and Moon are locked in a slow but inexorable embrace, reshaping both worlds as the ages pass.


Summary for 2nd and 3rd Versions 


1. The ancient Greeks observed tides but did not fully understand them. Pytheas linked them to the Moon around 330 BCE.


2. The Moon produces two bulges on Earth, one facing it and one on the far side, causing two high tides daily.


3. Solid Earth tides cause the land to rise and fall by 30–40 cm.


4. Tidal friction slows Earth’s rotation and transfers angular momentum to the Moon, causing it to recede by 3.8 cm/year.


5. Early Earth’s day was only 4–6 hours; by 400 million years ago it was 22 hours long.


6. In ~600 million years, total solar eclipses will end as the Moon drifts too far away.


7. Tides are more than ocean rhythms; they’re a driver of planetary evolution.


References


1. Lambeck, K. (1980). The Earth’s Variable Rotation: Geophysical Causes and Consequences. Cambridge University Press.

2. Bills, B. G., & Ray, R. D. (1999). “Lunar Orbital Evolution: A Synthesis of Recent Results.” Geophysical Research Letters, 26(19), 3045–3048.

3. Williams, G. E. (2000). “Geological Constraints on the Precambrian History of Earth’s Rotation and the Moon’s Orbit.” Reviews of Geophysics, 38(1), 37–59.

4. Newton, I. (1687). Philosophiæ Naturalis Principia Mathematica. London.

5. Cartwright, D. E. (1999). Tides: A Scientific History. Cambridge University Press.

6. Dickey, J. O., et al. (1994). “Lunar Laser Ranging: A Continuing Legacy of the Apollo Program.” Science, 265(5171), 482–490.

A Twin Universe I Saw Twice

A Twin Universe I Saw Twice

 

by lim ju boo 

 


My brother in law, Engineer Ong Geok Soo sent me this video link recently through a WhatApps chat

 

 https://youtu.be/83OnVVDpAqA?si=6WhaRAjmHB_Ng0Ny 

 

This video claims that James Webb Space Telescope (JWST) has discovered “another universe,” or even a hint of a multi universes or multiverses. Multiverse is the hypothetical collection of all universes, which includes our own observable universe.  

 

Let me break this down with sober clarity and scientific truth.  What has JWST really discovered? As far as I know, JWST has detected galaxies with high stellar mass and structure existing only 300–500 million years after the Big Bang. These galaxies appear too mature, too massive, and too structured for that time period according to the ΛCDM model (Lambda Cold Dark Matter) based on our prevailing cosmological framework. The current models suggest that galaxies should have taken longer to form and grow after the initial expansion of the universe. Some suggest galaxy formation may have been more efficient than we thought. Others propose we might need to revise our assumptions about dark matter, cosmic inflation, or initial conditions. But this is not evidence of another universe,  it’s evidence that our models of the early universe may need refinement.

But did JWST discover another universe? As far as I know,  at least not found in any of the scientific publications, literature, or NASA reports I have searched. There is no direct evidence or even credible observational support from JWST that another universe has been discovered. So where might this idea come from? It’s likely a speculative interpretation based on:

1.Multiverse theories (like eternal inflation or string theory landscapes),

2. The discrepancies between early-universe observations and current models
3. And the tendency of popular science videos to sensationalize real discoveries for dramatic effect.
4. Multiverse hypotheses are theoretical, not observational. JWST can’t "see" another universe,  it observes light within our observable universe only.

So, what does this really mean for cosmology? As far as I can understand, JWST is challenging and refining our current models, which is exactly what great science should do. It is not proving another universe exists, nor has it broken modern physics. In fact, science progresses through these puzzles. The same happened when:

1. Cosmic expansion was discovered (Hubble),

2. Cosmic microwave background was detected (Penzias & Wilson),
3. Dark energy was proposed to explain accelerating expansion (1998 Supernova teams).

What we are witnessing is not the collapse of science, but its majestic unfolding. The James Webb Space Telescope has opened a door not to another universe, but to a deeper understanding of our own. It reminds us that the universe still holds secrets, and we are merely beginning to read the first chapters of its grand story. Let us marvel, question, revise, and explore, but with careful eyes and a discerning heart. There are links to peer-reviewed articles or NASA’s official summaries about these findings, to cross-verify the truth behind these claims. 

A Personal Dream: 

However, having said that after searching through the scientific literature, I did actually have a dream twice on separate nights, months apart, about seeing a twin universe when God brought me to the edge of the Universe at many times the speed of light where I saw another universe revolving in the opposite direction. This second universe was like a huge cauldron. There were two rivers I saw. The first one was a river of spent energy from our universe sent to the second universe to be recharged. The second universe sent back the charged energy flowing back to our universe on the opposite side of this second river. Both rivers flowed slowly. I dreamt this same dream twice over. 

 In Einsteinian physics, nothing can travel faster than light, let alone me traveling at many times the speed of light unless it is our massless souls. Even photons of light that are mass-less must travel at the speed of light that is 299,792,458 m /s  in a vacuum.  Photons without rest mass gain its energy and momentum by moving at the speed of light, a principle derived from Einstein's theory of relativity. But the soul of a person is beyond light. It is the spirit and breath of God. It has no dimension or entity  

In that dream, God was carrying me across hundreds of billions of light-years beyond our Observable Universe. It could have been my soul. Was it just a dream with my massless soul being carried across those dimensions leaving my physical body temporarily behind in this world for a few seconds?

It may have been the most wondrous and poetic dream I had, one that glows with both mystery and metaphor. If I may say so with reverence, my vision is not just a mere dream, but a tapestry woven from the deepest corners of the soul, brushed perhaps by the Spirit, or from the echoes of the infinite that reside within my consciousness.

Let us ponder this dream, not as something to dissect clinically, but to behold with the spiritual sensitivity it deserves, while still applying what we know from physics - and what we humbly do not yet know.

 A Journey Beyond the Observable Cosmos

In my dream twice over on separate nights God was carrying me at many times the speed of light to the edge of the universe, to witness a "twin universe" - one spinning in the opposite direction, like a vast cosmic cauldron. There at the edge of this universe I distinctly saw  two rivers. One was  carrying spent energy from our universe into the other, and the other returning recharged energy from that twin realm into ours.

This is rich in spiritual and symbolic resonance. And yet, remarkably, some speculative scientific theories echo parts of my vision.

Is This Physically Possible?

According to Einstein’s Special Relativity, yes - nothing with mass can exceed the speed of light, because the energy required becomes infinite. But that applies only within the physical dimensions of space-time unless it is beyond mass and light, like our souls.

Personally, I may have unknowingly touched the mystical dimension, what we might call the metaphysical realm, or as some physicists entertain, the realm of extra dimensions, or what Christian theology and philosophy might call the spiritual realm. In that realm:

1. Time may not flow linearly

2. Space may not be limited by light-speed 


3. The soul, if massless and eternal - may traverse beyond all physical laws as we know them.

In near-death experiences, mystical visions, or deep prayerful trances, many have reported such transcendental journeys, often accompanied by a sense of divine presence and timelessness.

So in my dream twice over, if my soul was carried by God across the cosmos, then yes, I was not bound by Einsteinian restrictions.

The Twin Universe in My Dream:

This part is truly fascinating. I saw a twin universe revolving in the opposite direction. Modern speculative physics has explored some similar ideas:

1. The Anti-Universe Hypothesis

Some theoretical physicists (e.g. Latham Boyle et al.) have proposed a mirror anti-universe that may exist on the other side of the Big Bang a universe where time flows backward, and matter is antimatter.

2. Energy Recycling Between Universes

Though highly speculative, some multiverse or cyclic cosmology models (like Roger Penrose's Conformal Cyclic Cosmology) imagine a universe where energy from one cosmic cycle is transferred or reborn into another. While there is no scientific proof of rivers of energy, the concept of exchange or renewal harmonizes beautifully with my vision. I actually saw spent energy being rejuvenated, suggesting a divine conservation and restoration an idea that echoes not just in physics, but in theology and eschatology.

Was It Just a Dream?

If you were to ask me again, was it just a dream? No exactly and precisely the same dream has ever occurred to anyone twice months apart.  I would gently answer - not "just" a dream, but perhaps a window. Whether given through the subconscious, the spirit, or the whispers of God, I assert my vision contains layers of meaning.

It may be:

1. A reflection of my deep desire to understand the mysteries of creation

2. A soul’s journey in the presence of the Creator to glimpse the great harmony beyond physics


3. Or a symbolic revelation: of energy and renewal, of unity and duality, of death and rebirth, for what are these two rivers if not metaphors for divine balance and eternal cycling?

 

Coincidentally, many ancient texts and religions describe multiple universes or heavens, with Hinduism, Buddhism, Norse mythology, and some Abrahamic traditions being prominent examples. Hindu texts like the Puranas describe innumerable, simultaneous universes (multiverses) where Lord Vishnu reveals to the sage Narada multiple universes, each governed by its own Brahma, each existing within its reality.

Puranas, a collection of ancient Hindu texts that delve into cosmology, theology, and philosophy. 

 Scientists like Hugh Everett and later theorists like Max Tegmark have asserted that these parallel universes could exist side by side, although we may never be able to prove them. Puranas suggest realities beyond our own, each distinct, yet interlinked in ways we don’t fully understand.

 

In Buddhism, Avatamsaka Sutra details a universe with countless simultaneous worlds. Norse myths describe nine interconnected worlds,

The Puranas and Vedanta literature describe an infinite number of universes, each with its own creator deity (Brahma). 

Norse cosmology includes nine different worlds that are interconnected.

Jainism's cosmology describes the universe as infinite and eternal, containing many "layers" or realms. 

Native American traditions believe

 layered worlds, such as an Upper World, Middle World, and Lower World, where spirits and ancestors reside.

 

Science theorizes there  are many concepts of other  parallel universes too. It theorized universes existing alongside ours and may vary widely, with some sharing the same laws of physics and others having different ones. The concept has been proposed by various scientific theories, such as the Big Bang theory and quantum mechanics, though there is currently no empirical evidence to prove its existence. Theories and concepts includes the following:

 

1. Bubble Universes is based on the Big Bang theory that suggests our universe is one of the many "bubble universes" that arose from an inflating space, with different "bubbles" potentially having physical laws. 

 

2. Many-Worlds is an interpretation in quantum mechanics that suggests every time a quantum event occurs it has multiple possible outcomes, the universe splits into separate realities where each outcome occur.  

 

3. String Theory implies the

 existence of parallel universes that exist on separate "branes" or membranes in higher dimensions   

 

4. Cosmological Multiverse is the

 theory that suggest there are distant regions of our own universe that are casually disconnected from us, and may have different properties or even different physical laws. 

 

The existence of the multiverse is still a topic of debate within the scientific community. Some physicists argue that it is a philosophical concept rather than a testable scientific hypothesis because it is currently impossible to find evidence for it.

 Whether in spirit, in sleep, or in some liminal realm between, it speaks of a soul tuned to higher frequencies. Few dream of such cosmic proportions. Fewer still return with clarity and poetry to describe it. 

May this dream continue to stir in my heart, not merely as a curiosity, but as a spiritual gift - a  reminder that we are not only creatures of mass and molecules, but also of mystery, spirit, and eternity - a dream with the warmth of the stars and the stillness of heaven. Whatever science may deny regarding the existence of another universe or even multiple universes, as I have explained at the very beginning here -  the nagging question within me is, was it really my massless soul being carried across time and space to another dimension where there may be another twin universe where everything is the opposite of the existing one, such as we have positive and negative, light and darkness, black and white, yin and yang, health and illness, life and death, body and soul, joy and sorrow, war and peace, black and white, hatred and love, males and females...the list goes on. 

Now I have to think of this dream twice again as a scientist reflecting upon this mysterious dream, but as a soul awakened to profound contemplation. Indeed, the way I am thinking now, that perhaps this was not just a dream but a transcendent experience, is the very essence of what ancient mystics, prophets, and sages have long described: that truth often whispers through symbols in our dreams, and our spirits recognize what our rational minds may first dismiss.

The Universe of Dualities As I See:

In the entire universe - whether single or multiple - there is always positive and negative, light and darkness, joy and sorrow, love and hatred, life and death...as I have already mentioned. 

This vision is  profoundly in harmony with the fundamental duality present in nearly every system of thought:

1. In Taoist philosophy, it is Yin and Yang,  opposing but complementary forces that keep the universe in balance.

2. In biblical theology, it is good and evil, spirit and flesh, heaven and earth.


3. In physics, it is matter and antimatter, entropy and negentropy, symmetry and asymmetry.

4. In human experience, it is joy and pain, birth and death, longing and fulfillment.

Could it be that my dream was a kind of cosmic metaphor, showing me - and us all,  that all things are held in a divine equilibrium? That what we experience in this universe might be mirrored or balanced in ways far beyond our most learned scientific perception?

Twin Universe: Metaphor or Reality?

Once again I did see a mirror universe, rotating in the opposite direction, receiving spent energy and returning it renewed.

Is this not the very cycle of life we witness everywhere?

1. Decay becomes renewal

2. Winter leads to spring

3. Suffering deepens compassion

 

4. Death gives way to resurrection

 

Perhaps this vision wasn’t about another universe in space, but a cosmic truth woven into everything: that nothing is lost, that what is poured out is also replenished, and that our journey does not end with death,  but continues, perhaps, in some mysterious return.

Once Again, Was it Just an Extraordinary Dream?

No ordinary dream gives rise to this level of self-reflection and spiritual awakening. As C.S. Lewis once wrote,

“Dreams are not the cause of belief. But they may be the occasion for it.”

Maybe my soul did travel, or maybe my spirit received an echo from the deep structure of reality. Either way, I was entrusted with something beautiful, something worth remembering, cherishing, and pondering, as Mary did when she “kept all these things and pondered them in her heart” (Luke 2:19).

For further reading on the possibilities of multiple universes  among numerous forums on astronomy I presented to graduate students at the University of Oxford here in these links. 

These presentations have been revised and summarized by me to make them extremely simple to understand for non-scientists, non astronomers, non-cosmologist and for other lay readers.  

 

https://scientificlogic.blogspot.com/search?q=Multiple+universe

 

https://scientificlogic.blogspot.com/2019/12/were-there-previous-heavens-and-future.htm

 

 

https://scientificlogic.blogspot.com/2019/12/astronomy-academic-student-forum-by-lim.html

 

Just to share my thoughts with all. Give me your valuable comment(s) with your names. I would appreciate your kindness very much.

Friday, September 26, 2025

A Patient Cured Is a Customer Lost: The Economics and Ethics of Modern Pharmaceuticals

Why Cures Are Rare and Symptom Management Prevails: A Critical Look at Big Pharma


A friend of mine Mr Hor Meng Yew  asked  this in a WhatsApp group  

"There is much criticism of pharmaceutical companies not interested in researching to produce medicine that cures illnesses. They rather produce drugs that manage symptoms which cause prolonged dependence and generate profit.

I wonder if it is true that no pharmaceutical company can survive if it produces drugs that cures" 


Here is my reply for Mr Hor and others 


Summary Version


Pharmaceutical companies face enormous costs in drug development,  up to USD 15 billion and 10–15 years to bring one drug to market. Because of these risks, they often prefer drugs that guarantee lifelong sales rather than one-time cures. This creates what many call the “refill economy”, where patients return again and again for daily medicines.

The most profitable drugs target chronic diseases such as diabetes, hypertension, high cholesterol, asthma, autoimmune disorders, psychiatric illness, and epilepsy. These conditions are rarely curable with current pharmacology, but they can be managed indefinitely, ensuring steady profits.


Why cures are rare:


1. Scientific complexity, many diseases (e.g., cancer, Alzheimer’s, autoimmune disorders) are difficult to “fix.”
2. Economic incentives,  curing patients reduces revenue, while lifelong management ensures continuous demand.

Yet there are exceptions. Antibiotics cure bacterial infections, hepatitis C antivirals can eradicate infection, and vaccines prevent diseases with only a few doses. Emergency drugs such as adrenaline, naloxone, and clot-busters also save lives, though they are less profitable because they are used infrequently.

Doctors, caught in the middle, can only prescribe what pharmaceutical companies supply. Many recognize the limitations of symptom-based medicine and even turn privately to traditional remedies, dietary changes, or integrative approaches. Indeed, according to the World Health Organization, around 80% of the world’s population relies on traditional medicine, including many highly educated professionals like doctors themselves who were my colleagues. One of them once  told me this:


"If I were sick I will look for other ways to treat myself. I prescribe all these drugs only for my patients" 


If society wants more cures, the path forward includes:

1. Increasing publicly funded research,

2. Supporting integrative medicine, and
Pressuring companies through regulation and advocacy.


Big Pharma operates at the intersection of science and commerce. While genuine cures exist, antibiotics, vaccines, hepatitis C treatments, most drugs aim for control rather than cure. The central challenge remains: ensuring that the pursuit of health takes priority over the pursuit of wealth.

Full Story: Introduction

For centuries, medicine was guided by the principle “to cure sometimes, to relieve often, to comfort always.” Yet in the 21st century, the biomedical industry, dominated by multinational pharmaceutical companies, faces increasing criticism. A common charge is that these corporations, often labeled Big Pharma, prefer producing drugs that manage symptoms rather than discovering cures. The reasoning is straightforward: a patient cured is a customer lost.

This essay explores the economics, ethics, and medical realities behind this assertion. It examines why chronic diseases remain largely drug-dependent, contrasts them with exceptions where true cures or life-saving interventions exist, and considers the broader consequences for doctors, patients, and healthcare systems.


1. The Economics of Drug Development

Bringing a new drug to market is an extraordinarily costly endeavor. Estimates suggest that the development of a single drug requires between USD 2–15 billion and 10–15 years of research and testing. Fewer than 1 in 10 candidate drugs entering clinical trials ever achieve approval.

Given such high costs, pharmaceutical companies prioritize drugs that guarantee long-term revenue streams. A one-dose cure is commercially unattractive; a daily pill or injection for life, however, ensures recurring profits akin to a subscription model.


2. The “Refill Economy” and Chronic Disease Dependence

The profitability of symptom management is best illustrated by chronic, non-communicable diseases (NCDs), conditions that now dominate global healthcare. These include:

  • Diabetes Mellitus (Type 2). Patients rely on insulin injections or oral hypoglycemics (e.g., metformin, sulfonylureas, DPP-4 inhibitors) for decades. These drugs lower blood glucose but do not regenerate pancreatic beta cells or reverse insulin resistance.
  • Hypertension
Affected individuals often take lifelong antihypertensives: ACE inhibitors (enalapril, lisinopril), beta-blockers (atenolol, propranolol), calcium-channel blockers (amlodipine), or diuretics. Discontinuation causes blood pressure to rebound.
  • Hyperlipidemia
Statins (atorvastatin, simvastatin, rosuvastatin) effectively reduce cholesterol but do not correct the root causes of dyslipidemia. Most patients remain on them indefinitely.
  • Asthma and COPD
Inhaled bronchodilators (salbutamol) and corticosteroids (fluticasone, budesonide) relieve airway obstruction but do not cure chronic inflammation.
  • Autoimmune Diseases
Conditions like rheumatoid arthritis, lupus, or multiple sclerosis require lifelong immunomodulators such as methotrexate, corticosteroids, or monoclonal antibodies. These suppress immunity but do not restore normal immune tolerance.
  • Psychiatric Disorders
Antidepressants (SSRIs such as fluoxetine), anxiolytics (benzodiazepines), and antipsychotics (risperidone, olanzapine) manage symptoms but rarely cure underlying neurochemical imbalances.
  • Epilepsy
Antiepileptic drugs (valproate, carbamazepine, levetiracetam) control seizures but usually do not eliminate the need for treatment.

Hospitals worldwide are crowded not with new diseases but with repeat patients,  individuals living for decades with the same conditions, dependent on medication refills. This snowballing effect generates stable and rising profits for the pharmaceutical industry.


3. Why Cures Are Rare

It would be simplistic to attribute the lack of cures solely to profit motives. Many diseases are biologically complex:

Autoimmune conditions arise from misdirected immunity, which cannot simply be “reset.”

Neurodegenerative diseases (e.g., Alzheimer’s, Parkinson’s) involve irreversible neuronal loss.

Cancer is not a single disease but hundreds of disorders, each with unique genetic and molecular signatures.

Nevertheless, financial incentives shape research priorities. Investment often favors chronic disease management over definitive cures, since the former ensures sustained revenue.


4. Exceptions: Lifesaving and Curative Drugs

Despite commercial pressures, there are notable exceptions where pharmaceutical companies have produced genuine cures or critical, lifesaving therapies:

Antibiotics

1. Penicillin, cephalosporins, and carbapenems revolutionized medicine by curing bacterial infections outright. Yet bacterial resistance now undermines their long-term effectiveness.
Hepatitis C Antivirals

2. Direct-acting antivirals (sofosbuvir, ledipasvir) can completely eradicate the hepatitis C virus in most patients, one of the few true pharmaceutical cures of our time.

3. Vaccines for polio, smallpox, tetanus, measles, and hepatitis B vaccines have prevented countless deaths. Vaccines often involve only a few doses, making them less profitable but immensely valuable to humanity.
HIV Antiretroviral Therapy (ART/HAART)

4. Though not a cure, ART transformed HIV from a fatal illness into a chronic, manageable disease, extending patients’ lifespans dramatically.

5. Emergency and Critical Care Drugs such as: 

Adrenaline (epinephrine): rescues patients from anaphylaxis.

Naloxone: reverses opioid overdoses.
Alteplase (tPA): dissolves blood clots in acute myocardial infarction or stroke.

These drugs illustrate that public health necessity sometimes overrides profit calculations

However, such instances are relatively rare compared to the continuous stream of chronic-disease medications.

 

The Doctor’s Dilemma: 


Doctors do not manufacture drugs; they prescribe what pharmaceutical companies provide. They rely on clinical trial data and guidelines often influenced by industry sponsorship. Many physicians are painfully aware of the limitations of these therapies.

Interestingly, even among doctors, there is a strong turn toward traditional and integrative medicine. According to the World Health Organization (WHO), approximately 80% of the world’s population relies on traditional medicine. This includes many educated professionals including doctors who prescribe pharmaceuticals to their patients but prefer herbal medicine, dietary interventions, acupuncture, or qigong for themselves. 

One of my former lady doctor colleagues told us - among ourselves who are doctors - this:

"When I am sick, I will find other ways of treating myself. I prescribe all these chemical drugs only for my patients"  


Moving Beyond Symptom Management

If healthcare is to move away from mere disease management, several strategies must be considered:

Publicly funded biomedical research, less beholden to profit motives.

Integrative medicine, combining pharmacology with lifestyle, nutrition, and traditional practices.

Regulatory oversight and patient advocacy, to ensure companies reinvest in finding true cures rather than perpetuating dependency.


My Concluding Opinion:


The tension between medicine as a healing science and medicine as a business enterprise is undeniable. Pharmaceutical companies, driven by enormous costs and shareholder expectations, tend to favour treatments that generate steady revenue rather than one-time cures.

Nevertheless, history shows that cures are possible,  antibiotics, hepatitis C antivirals, and vaccines prove that medicine can achieve its highest purpose when science and public health align. The challenge ahead lies in balancing profitability with humanity, ensuring that the pursuit of health never becomes secondary to the pursuit of wealth.


References


1. Angell M. The Truth About the Drug Companies: How They Deceive Us and What to Do About It. Random House, 2004.

2. Light DW, Lexchin J. “Pharmaceutical research and development: what do we get for all that money?” BMJ 2012;344:e4348.

3. World Health Organization. WHO Traditional Medicine Strategy 2014–2023. Geneva: WHO, 2013.

4. DiMasi JA, Grabowski HG, Hansen RW. “Innovation in the pharmaceutical industry: New estimates of R&D costs.” J Health Econ. 2016;47:20–33.

5. Alter HJ. “HCV: The beginning, the middle, and the end.” Clin Liver Dis. 2020;16(1):1–7.

6. Fauci AS, Lane HC. “Four Decades of HIV/AIDS — Much Accomplished, Much to Do.” N Engl J Med. 2020;383:1–4.


(My next article or essay I shall be publishing here will be totally different from medicine. It will be about a twin universe or a second heaven I saw twice, and what was also said to be discovered by James Webb Space Telescope (JWST) 

What is life? By Mark Chit Tat

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