Showing posts with label Healthcare System. Show all posts
Showing posts with label Healthcare System. Show all posts

Saturday, May 11, 2013

Health Sector Reforms

Indian Healthcare system is something that actually needs a overhaul.  The recent news that the GOI is focusing of revamping the Healthcare system in Maoist area and my question is Why only Specific Areas in the country?

Reading the article made me wonder and to me it seemed like Government is pretty narrow minded when it comes to Health Sector.  Few measures that GOI needs to take to revamp the Healthcare Sector with immediate effect are - 
  1. Revamp the Medical Supply system that is highly corrupted with people from grass root till top are involved in charging commission from the suppliers.  Those who don't are either killed or suspended or are kept under severe work pressure with top brass not letting them voice their points.  
  2. Scrutinize the Medical Supply orders for the Government / Civil Hospitals and conduct regular independent Audits supervised by CAG like body to ensure that the prices are not escalated / inflated to charge commission from the pharmacies listed.
  3. Regular Audits must be conducted at the Civil Hospitals for the maintenance of updated inventory and available medicines along with check of expired inventory that is duly disposed off.
  4. Making Rural / Sub-urban postings mandatory for all the medical graduates and serving at that level for at least 2 years before they could go for their Post Graduation.  
  5. A compulsorily 2 year posting at Civil Hospitals must be mandated for all the Post Graduates before they move out to private sector or to have their own clinics and practice.  
  6. Tax rebates may be considered for the Corporate Houses supplying medical equipment / supplies to the Civil Hospitals.  
  7. Tax free income may be ensured for the first year of Rural Posting for all the Medical Graduates and Post Graduates to encourage them to do so.  Further rebates may be considered to encourage their continued rural service.
  8. GOI may also consider seeking Private Organizations and NGOs help to conduct medical camps in the rural areas and address the growing need for medical support there
These are just a few points that come to my mind where Government can take initiatives to revamp the current Medical Infrastructure across the Country.  It is high time that the Health Ministry as well as GOI thought on these small steps to revolutionize the Health Services across the Country...
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Related Posts -
  1. Healthcare System and Associated Malpractices
  2. Healthcare System and Associated Malpractices-I


Thursday, May 31, 2012

Healthcare System and Associated Malpractices - I


Just Read "Apologize, Doctors tell Aamir Khan" for his work for the fourth episode of Satyamev Jayate. In that episode Aamir highlighted the Medical Malpractices and interestingly Doctors are trying to highlight it as a blatant lie.  This just made me laugh a bit at the idiosyncratic response.  Incidentally the same time as Satyamev Jayate was aired, I had also written a post "Healthcare System and Associated Malpractices" highlighting few more cases than what were discussed in Satyamev Jayate.

I guess the Doctors forget their code of conduct and resort to money making practices and when they are shown the mirror, they retort. These Doctors need to review their own conduct before asking Aamir to apologies.  There is no Smoke Without a Fire and the doctors indeed need to accept that the Medical Profession today has become a Business.  In Government Sector as well as in Private the Doctors resort to the way to skim Money out of Patient's Blood.  The Medical Malpractices even should have highlighted the cases where Doctors indulge in illegal Trafficking and Trading of Human Organs. Where those who have money to spend get the treatment and those who don't have the money are left to die in the Hospital Corridors....  Doctors need to first stand up and look at their fraternity practices.....They need to apologize to the to the Mankind for what they have turned the Profession to.

They need to understand that when someone is ill, they are seen as the God and God doesn't discriminate between Rich and Poor.

Sunday, May 27, 2012

Healthcare System and Associated Malpractices

India, the Land of Culture, Heritage and Tradition is reeling under yet another malpractice that is becoming a nuisance day by day.  The malpractice that seldom sees the light of the day because the associated culprits are seen as the "Form of God", the Doctors and the Medical Service Professional.  Indeed, there is the God and then there is the Doctors and Medical Professionals. In God we believe and on Doctors and Medical Professionals we rely for our Health issues.  In case of any ailment, our first option is Doctors and then God.  But are the Doctors and Medical Professionals living up to the expectations that they should?  I would say No as the Medical Profession today has become a Business of its own sorts.  There is Price attached to everything and the Medical Professionals now have put a price with Premium to our Lives as well. 

When we look around ourselves, we find that the Healthcare system in India is one of the weakest in the world.   Though there are Civil Hospitals falling under the governance of Local / State or National Government, but then the Doctors associated treat most patients either in their own Nursing Homes or refer to other Doctors / Hospitals that charge phenomenal.  Most of the times the facilities in these Government Hospitals lack adequacy in form of lack of medical equipment, lack of medicines, lack of enough infrastructure or lack of devoted time by the appointed Doctors.  The Doctors here often prescribe medicines that are not available in the Hospital itself and when you visit the Medical Store, you find that the Medicine costs a fortune with a premium. And behind the scene case in there is the prescription is so specific that you get it at a Specific Medical Store only and the respective Doctor has a "Cut" in the overall charges that you pay for your medicine. If you dig dipper, often there are traces of evidences that lead to the medicines that were procured by the Government System and rather than ending up at the Hospital, they end up at the Medical Stores.

I remember coming across few cases where the District and State Procurement Officers, incidentally Doctors, were involved in the procurement of the Medicines.  The prices and quantity in the invoices were actually inflated for their benefits and the Hospitals under their jurisdiction never received the medicines that they were supposed to in the given quantity. The Nexus involved the entire chain of people from the Clerk at the Hospitals to the Senior Healthcare officials associated with the State Secretariat.  This is the state of affairs in almost every state where the Healthcare Governance System is Marred by the malpractices by the officials.  And this results in up to 75% expenses on Healthcare by Indians to be "Out of Pocket Expenses."

There are many issues associated with the Malpractices in the Indian Healthcare System including the Lack of Governance and Lack of adequate Medical Insurance Practices.  Incidentally the Medical Insurance Practice is also not that matured in India and There the passage of claim requires you to prove the History of Medical Ailment and why a Medical Expenditure was incurred and which doctor Recommended a set of tests.  I am not sure how would you prove the Medical History for Heart Attacks when you have to undergo diagnostic tests anyhow.  You can't wait for any recommendation to specific diagnostic center. 

The biggest loss in entire case is mostly to the Aging Community, the people dealing with Old Age.  There have been numerous cases where the Old Age patients didn't get adequate medical attention due to the issues highlighted in the preceding paragraphs, or because the cost of treatment is so high that their families decided to let them live with the ailment.  A very Sorry state of affairs that deals a serious blowout to us and our History of Rich Tradition and Culture.  I am not sure why do we forget that these same Elders are the ones who have worked to help us reach where we are today.  Though there are the high infant death rate as reported in J&K as well as West Bengal are also associated with the same problem, I am sure there would be other states also where the news is suppressed by the local Medical Mafia or the other Government Agencies.  

The biggest question coming out now is "What can we do in this Case?"  Well certainly we can do a lot more than what we think.  We need to come out of the cozy corner of our comfort and act to ensure that the Right Medical assistance is available to our fellow countrymen.  It is quite easy to sit in front of our Television Sets and watch Episodes of Satyamev Jayate and then talk about the issues over evening tea or with friends and families during some occasions curse the Government.  But, it is not as hard either to step up and work towards providing the medical aide to those who need it.  

I am really thankful to a Young Friend of mine who approached me this morning and discussing the want to raise an awareness campaign or to start working towards creating a Fund for emergency Medical Assistance.  She has even gone ahead and compiled a list of NGOs that work towards Providing Medical Assistance to those who need and has started to work towards a Project that would help raise funds to support those NGOs.  She has decided to devote a day every month to work with NGOs for this purpose.  We need more such Volunteers to step up and devote a day every month for this noble cause.  I have decided to help my friend in her cause and have decided that I would donate my day's expenses every week  for the cause she is going to work.  It does no harm to cut expenses and have the money utilized for better causes.

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P.S.
We fight against the Hike in Petrol Prices, but we do not even realize the way we pay enormous amount for out Medical Assistance.  Hike in Petrol Price hurts us, but we do not realize the dent the Medical Expenses make in our Pockets.