Stop exploitation of doctors;Declare minimum wages
Stop the exploitation and abuse of doctors. Declare Minimum wages to Healthcare Professionals. Promulgate a Comprehensive Act to protect the interests of Healthcare Providers in India.
As you are already aware, the medical profession and the medical education in India is on a downhill course. Market Forces have gained control over the system and are exploiting the Healthcare Providers. Even Governments are following suit. The Regulatory bodies themselves have become corrupt, and joined in the nexus between the politician and businessman. Entrance and Exit to and from Medical Institutions is under control of money. At this rate, only children of millionaires will be able to join medical courses, in future. All this, at the expense of the genuine intelligent students from the poor and middle class families.
Seats and degrees are being purchased by the rich. The overall result is substandard education and poorly trained doctors. This will bring a bad name to the Nation, and the Indian degrees and Universities will face the risk of being blacklisted in other countries.
Doctors and paramedical staff are being exploited in the private as well as the public sectors. Often they are physically assaulted and abused. There is no protection and there is no compensation awarded for the serious risks involved in the profession; whereas an ordinary laborer in our country is well taken care of, even for minor injuries, through schemes like the ESI.
There is an urgent need to promulgate a Comprehensive Act to protect the interests of all Healthcare Providers in India; an Act on par with the Employees State Insurance, should come into force. Medical Education should be streamlined to ensure that meritorious students alone gain entry into medical colleges. System of examinations should be regulated so that there is no scope for 'purchase' of degrees.
I herewith enclose a 12 point proposal for the consideration of members of local circles.
1.(a) The Government at the Centre should consider passing an Act, in the Parliament, for the welfare of Healthcare Providers. It should be comprehensive, just as Employees State Insurance Scheme for workers is.
(b) In this Act, the protocol applicable to doctors, in relation to their hierarchy as well as to other agencies, whether Governmental or Private, should be specified.
(c) The Act should also specify that to be an administrator in hospitals or in any health related establishments, including in the Ministry of Health, the basic qualification should be a medical degree. In such cases where it is not feasible, administrators should have at least a Masters in Public Health or an MBA in Hospital Administration or an equivalent qualification. Such of those administrators, who are not qualified doctors, should respect the autonomy of the medical profession.
2.The Healthcare delivery to the population should be integrated, inclusive and holistic, so as to facilitate cross referrals and interactions between specialists of different systems viz., Modern and Alternative, with the aim of providing relief to patients suffering from chronic disorders that are otherwise resistant to conventional treatments.
3. The entire medical education, including the Selections and Examinations should be nationalized. There should be no scope for Market Forces to manipulate the system at any stage.
4. The tuition fee and the expenditure involved in the entire course of study of MBBS and Post Graduation should be borne by the Government, for every selected candidate, irrespective of his caste or social background.
5. All medical training including the undergraduate should be strictly residential.
6. The salaries of healthcare providers across the Nation should be uniform. Minimum wages for doctors should be defined. Teaching faculty should be considered for special allowances for their dual role of teaching students and treating patients.
7. Risk allowance, Pension, Compensations, Gratuity and Provident fund etc., should be specified in the proposed Act.
8. Reservations of medical seats against payment should be abolished. All seats should be allotted to the meritorious students, and reservations should be applicable only to those categories as had been specified in the Constitution of India.
9. There should be uniform distribution of medical colleges across the States and Union territories.
10. The need to start new medical colleges should be reviewed in the light of realistic statistics taking into consideration the number of qualified personnel available from the Alternative systems of Medicine as well.
11. The system of Examinations should be reviewed in relation to those followed in the reputed Universities and Medical Schools in the developed countries. The system, of internal examiners, should be abolished. Centres of examination should be allotted to students at random, and away from their parent institutes.
12. Doctors should be allowed to have their Unions or Syndicates in every Institute to enable them to represent their problems to the management. more
As you are already aware, the medical profession and the medical education in India is on a downhill course. Market Forces have gained control over the system and are exploiting the Healthcare Providers. Even Governments are following suit. The Regulatory bodies themselves have become corrupt, and joined in the nexus between the politician and businessman. Entrance and Exit to and from Medical Institutions is under control of money. At this rate, only children of millionaires will be able to join medical courses, in future. All this, at the expense of the genuine intelligent students from the poor and middle class families.
Seats and degrees are being purchased by the rich. The overall result is substandard education and poorly trained doctors. This will bring a bad name to the Nation, and the Indian degrees and Universities will face the risk of being blacklisted in other countries.
Doctors and paramedical staff are being exploited in the private as well as the public sectors. Often they are physically assaulted and abused. There is no protection and there is no compensation awarded for the serious risks involved in the profession; whereas an ordinary laborer in our country is well taken care of, even for minor injuries, through schemes like the ESI.
There is an urgent need to promulgate a Comprehensive Act to protect the interests of all Healthcare Providers in India; an Act on par with the Employees State Insurance, should come into force. Medical Education should be streamlined to ensure that meritorious students alone gain entry into medical colleges. System of examinations should be regulated so that there is no scope for 'purchase' of degrees.
I herewith enclose a 12 point proposal for the consideration of members of local circles.
1.(a) The Government at the Centre should consider passing an Act, in the Parliament, for the welfare of Healthcare Providers. It should be comprehensive, just as Employees State Insurance Scheme for workers is.
(b) In this Act, the protocol applicable to doctors, in relation to their hierarchy as well as to other agencies, whether Governmental or Private, should be specified.
(c) The Act should also specify that to be an administrator in hospitals or in any health related establishments, including in the Ministry of Health, the basic qualification should be a medical degree. In such cases where it is not feasible, administrators should have at least a Masters in Public Health or an MBA in Hospital Administration or an equivalent qualification. Such of those administrators, who are not qualified doctors, should respect the autonomy of the medical profession.
2.The Healthcare delivery to the population should be integrated, inclusive and holistic, so as to facilitate cross referrals and interactions between specialists of different systems viz., Modern and Alternative, with the aim of providing relief to patients suffering from chronic disorders that are otherwise resistant to conventional treatments.
3. The entire medical education, including the Selections and Examinations should be nationalized. There should be no scope for Market Forces to manipulate the system at any stage.
4. The tuition fee and the expenditure involved in the entire course of study of MBBS and Post Graduation should be borne by the Government, for every selected candidate, irrespective of his caste or social background.
5. All medical training including the undergraduate should be strictly residential.
6. The salaries of healthcare providers across the Nation should be uniform. Minimum wages for doctors should be defined. Teaching faculty should be considered for special allowances for their dual role of teaching students and treating patients.
7. Risk allowance, Pension, Compensations, Gratuity and Provident fund etc., should be specified in the proposed Act.
8. Reservations of medical seats against payment should be abolished. All seats should be allotted to the meritorious students, and reservations should be applicable only to those categories as had been specified in the Constitution of India.
9. There should be uniform distribution of medical colleges across the States and Union territories.
10. The need to start new medical colleges should be reviewed in the light of realistic statistics taking into consideration the number of qualified personnel available from the Alternative systems of Medicine as well.
11. The system of Examinations should be reviewed in relation to those followed in the reputed Universities and Medical Schools in the developed countries. The system, of internal examiners, should be abolished. Centres of examination should be allotted to students at random, and away from their parent institutes.
12. Doctors should be allowed to have their Unions or Syndicates in every Institute to enable them to represent their problems to the management. more
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I agree with Achintya approach. Prabhakar Ji from your point 12 agenda, point 4, 6 & 12 is not feasible at all. Why should point 4 be borne by the government. Soon after MBA, IT etc. would also seeking government to pay the fees. Your basic point is "stop exploitation of doctors...." is something which I differ. IN fact it should be the other way - stop exploitation of the doctors on the patients - they working at different hospitals as consultants, coming at their own sweet time whereas patients leave everything and come and are waiting etc. Coming back to the cost - yes when your read below (reference my research outcome via various sources) the astronomical cost of medical education in the private sector is going up primarily due to supply (medical seats) versus demand (students) The Supreme Court had set up a 3 member committee under Chief Justice of India R M Lodha to oversee the functioning of the Medical Council of India (MCI) for at least a year (MCI had been having issues managing the medical vertical in India). Justice Anil R. Dave along with his 5 member team submitted a report on ‘The functioning of the Medical Council of India’ was tabled in Parliament on March 8, 2016. One of its observations was "......“Quality of medical education is at its lowest ebb, the right type of health professionals were not able to meet the basic health needs of the country. Products coming out of medical colleges are ill-prepared to serve in poor resource settings like Primary Health Centres. Graduates lacked competence in performing basic health care tasks. Unethical practices continued to grow. Medical professionals indulge in unethical practices conducting unnecessary diagnostics tests and surgical procedures in order to extract money from hapless patients, the judgment said. “The challenges facing medical education of the 21st Century are truly gigantic... Game changer reforms of transformational nature are therefore the need of the hour and they need to be carried out urgently and immediately. more
Nov 04
First of all it should be made mandatory that only students who get minimum of 65% Marks in PCB are eligible for securing admission for Medical. This will ensure quality. Secondly duty hours of the Drs at the hospital to be regulated. It should be not more than 10 hours. Tired Drs may not be able to do justice to the patient. The Solution is not to overwork DR but to employ more Drs. I have seen my close family Members Drs, when they were juniors, putting up sometimes more than 30 hours not only in India but even in UK hospitals. more
Nov 03
It is seen many times that young fresh doctors are exploited; but the people or organizations which exploit them is either government bodies or medical fraternity itself. The worst part is while they are exploiting fresh doctors, patient is receiving inferior healthcare service at standard or exorbitant rate. This part also needs attention. more
Oct 26
If Mr. Korada states his points in a country like the US, he will be laughed at. In India, people like him are taken seriously. That is the difference between India and US. We should learn from the US example rather than Mr. Korada. more
Oct 24
What is the guarantee that someone having good marks in class 12th will be a good doctor? Einstein and Edison both were failures at school. By Indian standards they would have not even become scientists let alone the greatest scientists in the world. And this is exactly why India does not produce great people. Because we are obsessed with marks, age and subject. more
Oct 24
