ECONOMY
DOCTOR, DOCTOR, YOU ARE CORRUPT.
Explosive book on medical practices & healthcare paints a grim picture
- Anita Pathania
Explosive book on medical practices & healthcare paints a grim picture



Oxford University Press book tells horrific tales of doctors and hospitals looting patients

Features Amartya Sen’s hard-hitting foreword, it builds on the 2014 BMJ article
 
SOME OF INDIA's most senior doctors, bureaucrats, journalists, sociologists and others have bared the ugly reality of predator-doctors looting patients across the economic spectrum, from the very rich to the extremely poor, and have narrated the story of utterly broken trust between doctors and patients.

Full of scandalous stories that name even top notch hospitals and well-known doctors, a new explosive book published by the Oxford University Press is creating waves in the medical fraternity as well as general public with its candid portrayal of how patients feel cheated by doctors and hospitals every single day in every district of every state of India.

Sample this: Some years back, the Union Ministry of Health and Family Welfare forced Sir Gangaram Hospital, a premier hospital in New Delhi, to offer the liver of a deceased person to a high-profile Hyderabad patient in need of a liver transplant, bypassing the need of another but less influential patient on the waiting list who needed it equally urgently.
----------
A former pharmaceutical sales executive left the industry because he was expected to fly a doctor to Thailand and provide him with prostitutes at his home. 
----------
This is no minor allegation, and narrating this incident from 2010-11 is none other than Vinay Kumaran, a liver transplant expert who worked at the hospital at that time.

"Healers or Predators: Healthcare Corruption in India," is full of such incidents of glaring malpractices and corruption, and covers not just India but other South Asian countries as well. It has a fascinating forward by Nobel Laureate Amartya Sen.

The 656-page anthology, edited by two of India's top doctors, Sanjay Nagral and Samiran Nundy, and a former Union Health Secretary Keshav Desiraju, also includes articles by Sumit Ray; Kunal Saha; Soumendra Saho; Binayak Sen; Amit Sengupta; Arghya Sengupta; Abhay Shukla; S. Srinivasan; Sandhya Srinivasan; Avinash Supe; Shershah Syed; George Thomas; Farokh Erach Udwadia; M.S. Valiathan; Nisha Vinayak; and Shiv Vishvanathan.

India's medical community was jolted in 2014 with a major hard-hitting piece by David Berger in the British Medical Journal (BMJ) that described firsthand experience of how kickbacks and bribes "oil every part of the country’s healthcare machinery." 

He had asked other influential countries to take punitive measures against Indian institutions fostering this kind of environment where such corruption was made possible.

On a debate on NDTV 24x7, Dr. Samiran Nundy narrated how a top Indian doctor objected when told that 90% of India's doctors were corrupt. He insisted that true figure is 99%.

 
Speaking about the corroded doctor-patient relationship in India, Berger had said, "Corruption is rife at all levels, from the richest to the poorest."

India's healthcare system is based in an inbuilt inequity: it is one of the most privatised in the world. Indian's spend more on health from their own pocket than Americans in the United States, percentage-wise. 

With the government virtually abandoning the healthcare sector and leaving people at the mercy of the predator doctors, a majority of Indians have little or no access to healthcare.

Berger had said in terms as bold as these: "The country’s doctors and medical institutions live in an "unvirtuous circle” of referral and kickback that poisons their integrity and destroys any chance of a trusting relationship with their patients." (BMJ 2014;348:g3169)

The book reiterates many of the points headlined by the BMJ, including the widespread corruption in the pharmaceutical industry and doctors being bribed to prescribe specific drugs. Dr Berger had narrated the story of a former pharmaceutical sales executive who left the industry because he was expected to fly a doctor to Thailand and provide him with prostitutes at his home. 
----------
India's medical community was jolted in 2014 with a major hard-hitting article in the British Medical Journal (BMJ) that described firsthand experience of how kickbacks and bribes "oil every part of the country’s healthcare machinery." 
----------
One of the book's authors, Keshav Desirajus, is a former health secretary of India who was removed on the day India was declared polio-free, just because he opposed a move to reappoint Ketan Desai, a disgraced bribe taker, to the reconstituted Medical Council of India.

Most readers will find their own experiences reflected in the incidents and narratives punctuating the book — from exorbitant billing by corporate hospitals to the non-merit-based selection in medical colleges to the questionable motives playing strong in the area of organ transplantation. 

While Dr Samiran Nundy is an Emeritus Consultant at Sir Ganga Ram Hospital, Delhi, Keshav Desiraju is chairman of the Population Foundation of India. The volume has been edited by Dr Sanjay Nagral, Consultant Surgeon, Jaslok Hospital and the publisher of the Indian Journal of Medical Ethics.

Some of the narratives in the book will make your blood boil. Among them is a chapter on ethical issues in organ transplantation wherein Vinay Kumaran describes how doctors treat end-stage liver patients as "geese” that can lay the "golden eggs.”

Such patients are sure to need frequent hospitalization, offering the possibility of maximum extraction of money.

Dr Nundy described the book as a dispassionate account of everything that is wrong with healthcare in India. Sumit Ray explains how the private hospitals aim is not better healthcare delivery but higher revenue generation. It is with this in mind that these hospitals have developed a financial model of employing ‘star’ physicians and surgeons at very high salaries.
----------
Since the clientele-magnets are star doctors, the junior doctors, nurses, technicians and other staff are poorly paid. The ‘star’ doctors' increments, incentives, or even jobs are connected to targets. 
----------
These billboard names attract clientele with deep pockets. The rich are looted much more than the poor, in terms of absolute money.

Since the clientele-magnets are these star names, the junior doctors, nurses, technicians and other staff are poorly paid. The ‘star’ doctors' increments, incentives, or even jobs are connected to targets. 

The book is expected to trigger a debate about malpractices and corruption in healthcare in India.

At an event in Delhi where the book was launched, former Union minister Salman Khurshid said laws to deal with corruption in the medical field are "illusory". Dr Berger, who was also present, said many doctors are morally strong but they become corrupt "because of the corrupt environment in which they function,"  

Amartya Sen said India was heading into "a comprehensive healthcare crisis" and pleaded for allocating a larger percentage of gross domestic product on public healthcare. 

"Despite being one of the fastest growing economies in the world, India ranks among the poorest achievers of good health," Sen said in his foreword.

Castigating the media for its poor focus on healthcare domain, Sen says: "If India's bad record in healthcare is not much discussed in the Indian press, this neglect does not indicate the presence of a tolerable level of healthcare in India, but reflects instead the narrow reach of the Indian news media, with its traditional neglect of elementary education and healthcare."

Sen speaks of "the amazing neglect of primary healthcare," the "premature reliance on private healthcare" and the lack of "informed public discussion on healthcare" in India.

The utter human apathy of us Indians is clearly visible as one watches patients from around the country, including some who have travelled for days, queueing outside India’s biggest public teaching hospital, the All India Institute of Medical Sciences (AIIMS) in New Delhi. 
----------
Despite being one of the fastest growing economies in the world, India ranks among the poorest achievers of good health. 
----------
As hundreds jostle to see erratically available specialists, and one can see scores of people crowding the roadside medical shops to purchase not just bandages and surgical equipment but even life-saving drugs, the scene does not change at night when you can find dozens of patients and their relatives sleeping under the bright lights of the closest bus shelters.

A few hundred metres away are New Delhi’s swank corporate hospitals where you can browse through the latest issue of Cosmo or Vogue, assured that your uncle is in the hands of best doctors who may be looters but have the skills. 

If you can live with both these images, this book 'Healers or Predators?" may not do much for you. But if you are worried about whether your children will inherit a country with people who have decency, this may be the volume you have been waiting for.
 

Please watch this television debate on the state of healthcare in India and Punjab.

 


The author teaches mass communication and has interests encompassing journalism, and the intersection of politics and society. She is a frequent contributor to Punjab Today.

 
 
 
 

Disclaimer : PunjabToday.in and other platforms of the Punjab Today group strive to include views and opinions from across the entire spectrum, but by no means do we agree with everything we publish. Our efforts and editorial choices consistently underscore our authors' right to the freedom of speech. However, it should be clear to all readers that individual authors are responsible for the information, ideas or opinions in their articles, and very often, these do not reflect the views of PunjabToday.in or other platforms of the group. Punjab Today does not assume any responsibility or liability for the views of authors whose work appears here.

_______________________________________________________________

Most shared Punjab Today articles: 

WOOING THE PANTH: Amarinder a little less Congressy, Akali Dal a little more saffron

DEATH EMBRACING LOGIC: Drugs in Punjab

PANJAB'S EMERGENCY: FORMAL AND INFORMAL

THE KASHMIR GOVERNOR, THE TRIBUNE TRUST & ETHICS - How Journalism Fails Readers?

"Congress Sikhan Di Dushman Jamaat Hai?” —Akalis need to dump broken record, shift gears

"Captain Amarinder Singh ji” and "Rahul”: Reading Sign Language In A Relationship

SARKAR IN MANALI: From Shahkot to Mohali Court, Sara Alam Bigrra Jaye

If it could happen to Arun Shourie, imagine what could they do to you?

SIKHS & FEMINISTS – We hailed Harjit Sajjan; they didn’t hail Gina Haspel

AFTER BEING RAPED, I WAS WOUNDED; MY HONOUR WAS NOT

The Comrade In Punjab - Lost, Irrelevant, Asleep, Even Bored!

WE MISSED A REVOLUTION, BUT CAN IT STILL BE A GAME CHANGER?

A POLITICIAN SPEAKS – YOU SHOULD HEAR

ENCOUNTER, JULOOS & SELFIES

SOWING ANGER - NO QUICK FIX - Democracy is an Empty Ritual in Punjab

OUT-OF-BOX SOLUTION TO STOP FARMERS' SUICIDES

WATERS ROYALTY - The Loot that Rajasthan Committed

'THORRI BAHUTI EHNA NU SHARAM AUNI CHAHEEDI HAI'

ASSEMBLY COMMITTEE ON SUICIDE-HIT BATS FOR AARHTIYAS

RANGROOT OFFERS A PEEK INTO PUNJAB'S TRAGEDY

WHAT MAKE NEWS IN INDIA, AND WHAT DOES NOT?

HITLER, MODI & GANDHI: ON THE SAME PAGE?

PUNJAB IS STILL VERY FAR FROM INDIA

APOLOGY – AKALIS BIG LOSER, CONG TOO 

AMARINDER GOVT's LOVE FOR FARMERS, AND MY DAD's FOR HIS SCOOTER

SUPER EFFICIENCY ONBOARD CM’S CHOPPER

OF SUNNY KID & HORSE SENSE: The Punjab-Punjab Ties: The Coordinated Silence of Amarinder Singh & Badals

PM MODI VINDICATES PUNJAB TODAY REPORTAGE

NEW DELHI V/S OTTAWA — WILL QUEBEC DEFEAT INDIA?        

A SAFFRON JOURNEY VIA CANADA - Trudeau came to Punjab, pushed Amarinder closer to BJP, then called him a liar

JASPAL ATWAL CONTROVERSY: Mr. Ujjal, will you throw some light on this too?   

TRUDEAU VISIT AND RIGHT-WING MEDIA MACHINE

J&K – RAM MADHAV LEAVES SPACE FOR MEHBOOBA’S POLITICS

SHEKHAR GUPTA'S HALF-BAKED TRUTHS 

OF NIRMAL SINGH'S EYES - Karze Ne Layee Ikk Hor Kisan Di Jaan...

PNB Scam: Who is Nirav Choksi and what he is doing In the name of God?

Congress upset due to Priyanka’s cleavage on calendar 

RENUKA'S LAUGHTER: Thank you for your guffaws. We needed this non-violent weapon.

MR CLEAN to PAKKE DHEETH: How Punjab’s Congress hurt Brand Rahul Gandhi? 

MANJIT SINGH CALCUTTA– THE DISSENTER

PUNJAB FARMERS AND IPL CRICKETERS - Finally, they can stand like equals

Mr. CHIEF MINISTER, PLEASE CALL OFF JANUARY 7 FUNCTION. My teacher is not alive, but you please call it off!

SUKHBIR IS RIGHT – On 97th anniversary  Panth Khatre Vich Hai. Where does this threat come from?

THE FINAL HONESTY CERTIFICATE: ISSUED BY THE TRIBUNE

NO TIME TO READ THIS STORY? – That’s OK - Please do not feel guilty 

BAD, BAD WOMAN! – Punjab’s top playwright slams woman complainant against Langah

MR PRESIDENT, PLEASE TAKE BACK HIS GALLANTRY MEDAL – On Amod Kanth’s badge of shame

RELAX! ALL 30 WERE DERA PREMIS – Panchkula says something stinking about its conscience

PUNJAB: AN IDEA IN SEARCH OF WORDS: Punjab, more than a poster boy of progress or a renegade from modernity

_______________________________________________________________


Punjab Today believes in serious, engaging, narrative journalism at a time when mainstream media houses seem to have given up on long-form writing and news television has blurred or altogether erased the lines between news and slapstick entertainment. We at Punjab Today believe that readers such as yourself appreciate cerebral journalism, and would like you to hold us against the best international industry standards. Brickbats are welcome even more than bouquets, though an occasional pat on the back is always encouraging. Good journalism can be a lifeline in these uncertain times worldwide. You can support us in myriad ways. To begin with, by spreading word about us and forwarding this reportage. Stay engaged.

— Team PT 






Comment by: albert hacks

Do you have infidelity issues or credit score issues and you need to do a credit repair or better rating, We strongly suggest you hire a smart, experienced and certified professional hacker.
We help out with several hacks and I am sure we can help you out as well. Weare truly geniuses at what we do.
You can reach us through this
EMail: theredhackergroup@gmailcom
Text/whatsapp:786 708 9974
We do series of hacking jobs with full assurance and a 100% success, ranging from password recovery, surveillance and personal investigative services, credit score upgrade and cleaning up of negative entries and criminal backgrounds, we also help to catch cheating spouse, and helps get unrestricted and unnoticeable access to your partner/spouse, GPS tracking, Facebook account,Email, Whatsapp, Text messages, phone calls, check icloud, change school scores, University grades hack,Facebook Hacking,Tricks Database hacking,Erase Criminal records, Bank account hacks,Email Hack, Paypal, MasterCard hack,Google Hacks, Hack Facebook Password,Online unlockIPhone Hacking Tricks,Windows Hacking Tricks? Control devices remotely,hack Android, Hacking Tricks KEYLOGGER constantly get Free TalkTime from your network provider, Gmail Hacking Tricks,Twitter Hacking,Hacking Software untraceable IP Address? YouTube Hacking Tricks Credit card hack, Email interception hack -Untraceable Ip -Bank account transfer etc. I am an expert in bank wire transfer Cpanel, fulls, EIN, Pin, W2, SSN, DOB and many more.

reply


Comment by: scott

Albert helped me to catch my cheating wife by hacking her phone and having access to her phone remotely without her knowing.it tool him few hours after i followed his instructions and recommend him to anyone having infidelity issues

reply


Comment

your name*

email address*

comments*
You may use these HTML tags:<p> <u> <i> <b> <strong> <del> <code> <hr> <em> <ul> <li> <ol> <span> <div>

verification code*
 







MOST VISITED
YOU MAY LIKE

TOPIC CLOUD

TAGS CLOUD

ARCHIVE



Copyright © 2016-2017







NEWS LETTER