You must know that Karnataka state which has the largest number
of medical colleges, has one of the worst rate of maternal mortality
(MMR) in the country, worse than states like West Bengal, Haryana,
TN and Gujarat. Maharashtra, which is twice the size of Karnataka
in population, which has four times the tribal population, has the
second best figure of Maternal Mortality in India, just below Kerala
which is the topper. Maharashtra did it just by regulatory changes
in Medical Education and converting the MBBS doctors working for
the government as Diploma degree holders. In spite of repeated
requests from the senior doctors, Karnataka government did not
bring about the regulatory changes and made thousands of
innocent village girls and their new born babies lose their life. Have
you questioned the government why we have shameful maternal
mortality and India is occupying a shameful position of number
112nd slot below Venezuela, Bangladesh and Iraq in WHO Ranking
of Health Systems of Countries?
You must remember that the custodian of healthcare delivery is the
state government and private sector exists only to supplement the
needs of the complex procedures and people seeking personalized
care.
You must know that private sector can never change the maternal
mortality, infant mortality, rural healthcare and complexity of
public health. At the most they can just assist the government job which should take responsibility of delivering at least 80% of
healthcare delivery.
Instead of writing all the wrong doings in the private hospitals,
please ask Karnataka government the following questions:
1. Why our maternal mortality is at a shameful figure below even
states like West Bengal, Haryana, Gujarat, Maharashtra and
TN?
2. Why large vacancy of specialists in Karnataka government
hospitals is noticed in spite of us having the maximum
number of medical colleges in the country?
3. Why every dengue season Bangalore hospitals get filled with
terminally ill dengue patients because our garden city is
converted as a garbage city
4. Why over 90% of the government scheme patients refuse to be
treated in a government hospital?
5. Why should private hospitals offer free surgery for a rich man
entering the hospital in an SUV flashing BPL card depriving
the life saving opportunity of a rural poor?
6. What incentive have you given to the private hospital to offer
treatment at less price than what it costs as shown by the IIM
study?
7. If the private hospitals close down what alternate
arrangements have you made to take care of the citizens? You must know that the root cause of poor healthcare delivery and
high cost is because India with a population of 1.2 billion has:
1. Less than 650 diabetologists in the country which has over 65
million diabetics
2. Less than 1,500 medical oncologists to treat all the cancer
patients.
3. About 10,000 radiologists when the need is over 1.5 lakhs.
4. Less than 50,000 gynecologists, anesthetists, pediatricians
when there should be more than 2 lakh each of these
specialists.
You must know that it is the government which makes policies on
medical, nursing education and not the private hospitals. With
massive shortage of specialists, how do you expect private hospitals
to live up to your expectations?
You must know that nursing profession is dying because of lack of
career progression. An Indian nurse with over 20 years’ experience
in ICU is legally not allowed to prescribe even a pain killer.
Whereas, a nurse anesthetist in US can anesthetize a patient for a
complex brain or heart operation without the presence of a doctor
anesthetist. In fact 67% of anesthesia in US is administered by nurse anesthetists.You must know that all the criticism against the doctors is driving
the bright youngsters away from the medical profession. This will be
disastrous for the country’s future since these are the kids who will
decide the future course of Indian health care. Youngsters accept
to become doctors or soldiers not because of the salary but because
of the prestige and passion to make a difference. If prestige and
passion is lost, when you grow old, you will have third class doctors
taking care of you, choice is yours.
Private hospitals and doctors are simply the prisoners of perception
created by the government to cover for their inability to offer
healthcare and persecuted by the society without understanding
the root cause of who is responsible. Right answers will only
emerge when the right questions are asked. Our effort is to inform
you about the right questions to ask. In the end, we doctors have
an option; whole world wants Indian doctors, sadly, you have no
option. If you do not make the government accountable for
delivering healthcare in public hospitals, no matter how much you
flog the private hospitals and doctors, will give you the necessary
result other than helping the politicians to win the elections.
of medical colleges, has one of the worst rate of maternal mortality
(MMR) in the country, worse than states like West Bengal, Haryana,
TN and Gujarat. Maharashtra, which is twice the size of Karnataka
in population, which has four times the tribal population, has the
second best figure of Maternal Mortality in India, just below Kerala
which is the topper. Maharashtra did it just by regulatory changes
in Medical Education and converting the MBBS doctors working for
the government as Diploma degree holders. In spite of repeated
requests from the senior doctors, Karnataka government did not
bring about the regulatory changes and made thousands of
innocent village girls and their new born babies lose their life. Have
you questioned the government why we have shameful maternal
mortality and India is occupying a shameful position of number
112nd slot below Venezuela, Bangladesh and Iraq in WHO Ranking
of Health Systems of Countries?
You must remember that the custodian of healthcare delivery is the
state government and private sector exists only to supplement the
needs of the complex procedures and people seeking personalized
care.
You must know that private sector can never change the maternal
mortality, infant mortality, rural healthcare and complexity of
public health. At the most they can just assist the government job which should take responsibility of delivering at least 80% of
healthcare delivery.
Instead of writing all the wrong doings in the private hospitals,
please ask Karnataka government the following questions:
1. Why our maternal mortality is at a shameful figure below even
states like West Bengal, Haryana, Gujarat, Maharashtra and
TN?
2. Why large vacancy of specialists in Karnataka government
hospitals is noticed in spite of us having the maximum
number of medical colleges in the country?
3. Why every dengue season Bangalore hospitals get filled with
terminally ill dengue patients because our garden city is
converted as a garbage city
4. Why over 90% of the government scheme patients refuse to be
treated in a government hospital?
5. Why should private hospitals offer free surgery for a rich man
entering the hospital in an SUV flashing BPL card depriving
the life saving opportunity of a rural poor?
6. What incentive have you given to the private hospital to offer
treatment at less price than what it costs as shown by the IIM
study?
7. If the private hospitals close down what alternate
arrangements have you made to take care of the citizens? You must know that the root cause of poor healthcare delivery and
high cost is because India with a population of 1.2 billion has:
1. Less than 650 diabetologists in the country which has over 65
million diabetics
2. Less than 1,500 medical oncologists to treat all the cancer
patients.
3. About 10,000 radiologists when the need is over 1.5 lakhs.
4. Less than 50,000 gynecologists, anesthetists, pediatricians
when there should be more than 2 lakh each of these
specialists.
You must know that it is the government which makes policies on
medical, nursing education and not the private hospitals. With
massive shortage of specialists, how do you expect private hospitals
to live up to your expectations?
You must know that nursing profession is dying because of lack of
career progression. An Indian nurse with over 20 years’ experience
in ICU is legally not allowed to prescribe even a pain killer.
Whereas, a nurse anesthetist in US can anesthetize a patient for a
complex brain or heart operation without the presence of a doctor
anesthetist. In fact 67% of anesthesia in US is administered by nurse anesthetists.You must know that all the criticism against the doctors is driving
the bright youngsters away from the medical profession. This will be
disastrous for the country’s future since these are the kids who will
decide the future course of Indian health care. Youngsters accept
to become doctors or soldiers not because of the salary but because
of the prestige and passion to make a difference. If prestige and
passion is lost, when you grow old, you will have third class doctors
taking care of you, choice is yours.
Private hospitals and doctors are simply the prisoners of perception
created by the government to cover for their inability to offer
healthcare and persecuted by the society without understanding
the root cause of who is responsible. Right answers will only
emerge when the right questions are asked. Our effort is to inform
you about the right questions to ask. In the end, we doctors have
an option; whole world wants Indian doctors, sadly, you have no
option. If you do not make the government accountable for
delivering healthcare in public hospitals, no matter how much you
flog the private hospitals and doctors, will give you the necessary
result other than helping the politicians to win the elections.
No comments:
Post a Comment