Mastectomies on the rise in Venezuela amid economic crisis

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CARACAS, Venezuela (AP) -- Oncologist Gabriel Romero performs hundreds of life-saving surgeries a year, but he no longer takes pleasure in his work.

That's because he believes that many of the mastectomies he does on some of Venezuela's poorest women wouldn't be needed in a normally functioning country. Doctors say they are being forced to return to outdated treatments because the socialist country's economic problems make it impossible to ensure the proper running of radiation machines in public hospitals, where patients receive free treatment under Venezuela's universal health care.

"You don't feel comfortable with it, because you're making a decision that goes against your professional judgment," Romero said recently after seeing patients in the grubby basement clinic at the Dr. Luis Razetti Oncology Center, at the foot of a Caracas slum. The hospital's only linear accelerator machine, the more modern of the two kinds of radiotherapy devices used in Venezuela, has been broken since November.

"We're practicing medicine from the 1940s here, and we know that's not right," Romero said.