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It's been a while since I learned anything about Rasputin, but I thought it was basically that the kid was being made actively worse by his "doctors", and it was the absence of "treatment" that allowed him to get better. Maybe the bloodletting aspect was someone else.
The greatest "crime" of Alexei's physicians was giving him aspirin, an analgesic/NSAID that would later go on to be used as an anti clotting agent. They didn't know aspirin did that. The frequent testing and examination was also stressful and did not give him time to properly rest.
But had they tried bloodletting him he would have just died. Alexei's hemophilia was so bad that minor bruises were potential constitutional crises.
There were definitely people who were bloodlet who would have been better off had that not happened. Pretty much all of them in fact.
Reading his Wikipedia article is a riot. There was one time when he almost died because the royal carriage he was on vibrated too much or how he got a hemorrhage one time from coughing too much. It really goes to show how much resources was invested toward making sure this kid didn't die from a nosebleed and how if Alexei was born in a peasant family, he wouldn't have made it past a month as a baby.
The only sympathy i can muster for the royal family of Russia is over Alexei, and the only credit I will give them is that Nicholas when the time finally came made the decision that Alexei should be allowed to live in peace rather than be tsar. But yes, had he been poor he would have been dead quite early
True, though if he was born in a peasant family, he probably would have not had hemphilia, let alone a case this severe.