Recently, I was in Srinagar, and I was astonished to find some 100 large Billboards all over the Valley, repeatedly proclaiming the high virtues and low costs of obtaining MBBS degrees from 12 colleges in Bangladesh. The highest fees quoted for 4 years, incl of Hostel was Rs 19 Lakhs. In Chennai, I saw a flash sign advertising Medical education in Manila at 2 lakhs per year. On deeper enquiry, I learnt that medical education in Philippines is good and economical. Very Large numbers of Philippines Doctors work in USA. Philippine med edcn is cheap from 1 to 3 lakhs per year. Similarly, fees for Med Edcn in China and in some of the former Soviet Republics is also around 2 to 3 lakhs per year.
A frnd of a frnd shifted permanently to Manila and opened a medical college mainly to attract MS students from India.
PERHAPS, ALL THESE STUDENTS SHALL HAVE TO APPEAR FOR AND PASS A QUALIFYING EXAM ON RETURN TO INDIA. To my thinking, that is far better than going through the VYAPAM route.
The question arises, why Med Edcn in India costs in Crores, When other countries can do it so cheaply?? The supply has been controlled by persons already convicted of stashing away crores by way of giving legitimacy to New Colleges for Crores. The quality of China and Russia and Manila cannot be poorer than the quality of our second order hospitals in India.
Dr B M Hegde has impeccable credentials and has written the truth in several thought provoking papers dealing with health issues.
Kamal Sharma
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Why people pay lakhs to get admission in Medical? Aim is clear; I shall make crores out of the profession once I become a doctor. Foundation for unethical actions is laid on very day of admission.
Regards
Virendra Goel
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Dear All ,
I have been reading all the comments in Detail .
Every one including me have such experiences.
I have past ten years of experience in an American Hospital in Gulf.
I also have experience of working in Pharma Industry in sales and marketing.
The point is I am fully aware of the Practices that are going on in the industry.
When we all are writing about doctors I do not find any comment on how much
doctors have to spend in their education? and Graduation and post graduation?
As a parent how much money is spent on Unscrupulous practices prevailing
in Medical colleges?- As Forum on Higher education should we deal only with education
and problems of Business schools? Medical education is not part of Higher education?
What are the mechanisms that are working against the Common man and his access to affordable
health services? If middle class people find it so difficult what must be the condition of
poor In rural India ? Is it not time to review the Health policy? When even poorer countries
and comparable countries spent 5% of GDP on Health how much is health Budget in India?
We , including the doctors and Pharma Industry are part of the system . It is high time
we think about this .
Thanks.
Rajendra.Deshpande..
B.Pharm.(Nagpur).MMM.(Bajaj.Inst).PGDIT.
PhD.Fellow at Central University.
School Of .Gandhian Thought.
+91 9326354999
On Sat, Aug 8, 2015 at 9:46 AM, Jagan Mohan Reddy <drjaganmohanreddy@gmail.com> wrote:
It's not only Doctors, who ever is on the wrong track constructive criticism could be levelled. But some other person doing wrong things is no way justifies your wrong doing.
Best wishes.
Dr A Jagan Mohan Reddy
On 8 Aug 2015 09:30, "Sanjeev Bajaj" <bbsr.sanjeev@gmail.com> wrote:
Hi,
Why blame only Doctors, aren't Academicians "milking" their students? Look around and you will find N number of ways the students are "milked" by the education mafia. Right from the primary schools admissions to completion of Ph. D. at every stage the mafia is working. Exploiting the people.
It's easy to blame others. As academicians can we work together to stop "milking" of the students.
Sanjeev Bajaj
M: 76316 08805 / 94317 08805
On Fri, Aug 7, 2015 at 1:21 PM, Usha Gowri <usha.gowri@gmail.com> wrote:
Let me add one more gruesome detail to this list:
when you have someone in the ICU pl make sure the patient is alive.More than three persons in my own cycle of friends have said patients pass away but family is told two/three days later.So money can be collected from the family.
When they will not allow to go quite close up and see the patient,begin to suspect.After all if someone can go up to the patient to change medical requirements with just a surgeons gown and protection-so can you.Ask/insist for it.
I have personally fought and got permission to visit my mother inside the ICU.What I have seen with go with me to my grave as the most horrifying three days.After a huge battle I got her transferred amidst threats of me being responsible for consequences.There were none.
Gowri
President, CORE Foundation
President,Chilume
Mentor—MTC Global Student Chapter
You're never given a dream without also being given the power to make it true.
~Richard Bach
"The world is full of abundance and opportunity, but far too many people come to the fountain of life with a sieve instead of a tank car... a teaspoon instead of a steam shovel. They expect little and as a result they get little." ~ Ben Sweetland
On Fri, Aug 7, 2015 at 10:19 AM, 'Satish Oberoi' via Management Teachers Consortium, Global <join_mtc@googlegroups.com> wrote:
On Friday, 7 August 2015, 9:14, "'A.Trivedi' trivedianant@gmail.com [nationalnetworkforindia1]" <nationalnetworkforindia1@yahoogroups.com> wrote:
10 ways how doctors in India 'milk' patients :
New Delhi, 6/2/15. A renowned physician Dr B M Hegde has shown how a large number of doctors working in five-star hospitals shortchange patients in
order to keep their management happy and enrich their own pockets. Here is what Dr B M Hegde writes:
"Most of these observations are either completely or partially true.
Corruption has many names, and the civil society isn't innocent either. Professionals and businessmen of various sorts indulge in unscrupulous
practices. I recently had a chat with some doctors, surgeons and owners of nursing homes about the tricks of their trade. Here is what they said..........
1) 40-60% kickbacks for lab tests.
When a doctor (whether family doctor / general physician, consultant or surgeon) prescribes tests - pathology, radiology, X-rays, MRIs etc. - the laboratory conducting those tests gives commissions. In South and Central Mumbai -- 40%. In the suburbs north of Bandra -- a whopping 60 per cent! He
probably earns a lot more in this way than the consulting fees that you pay.
2) 30-40% for referring to consultants, specialists & surgeons. When your friendly GP refers you to a specialist or surgeon, he gets 30-40%.
3) 30-40% of total hospital charges. If the GP or consultant recommends hospitalizations, he will receive kickback from the private nursing homes as a percentage of all charges
including ICU, bed, nursing care, surgery.
4) Sink tests: Some tests prescribed by doctors are not needed. They are there to inflate bills and commissions. The pathology lab understands what is unnecessary. These are called "sink tests"; blood, urine, stool samples collected will be thrown.
5) Admitting the patient to "keep him under observation". People go to cardiologists feeling unwell and anxious. Most of them aren't really having a heart attack, and cardiologists and family doctors are well aware of this. They admit such safe patients, put them on a saline drip with mild sedation, and send them home after 3-4 days after charging them a fat amount for ICU, bed charges, visiting doctors fees.
6) ICU minus intensive care.
Nursing homes all over the suburbs are run by doctor couples or as one-man-shows. In such places, nurses and ward boys are 10th class drop-outs in ill-fitting uniforms and bare feet. These "nurses" sit at the reception counter, give injections and saline drips, perform ECGs, apply dressings and change bandages, and assist in the operation theatre.
At night, they even sit outside the Intensive Care Units; there is no resident doctor. In case of a crisis, the doctor -- who usually lives in the same building -- will turn up after 20 minutes, after this nurse calls him. Such ICUs admit safe patients to fill up beds. Genuine patients who require emergency care are sent elsewhere to hospitals having a Resident Medical Officer (RMO) round-the-clock.
7) Unnecessary caesarean surgeries and hysterectomies.
Many surgical procedures are done to keep the cash register ringing. Caesarean deliveries and hysterectomy (removal of uterus) are high on the list. While the woman with labour-pains is screaming and panicking, the obstetrician who gently suggests that caesarean is best seems like an angel sent by God! Menopausal women experience bodily changes that make them nervous and gullible. They can be frightened by words like "and fibroids" that are in almost every normal woman's radiology reports. When a gynaecologist gently suggests womb removal "as a precaution", most women and their husbands agree without a second's thought.
8) Cosmetic surgery advertised through newspapers.Liposuction and plastic surgery are not minor procedures. Some are life-threateningly major. But advertisements make them appear as easy as facials and waxing. The Indian medical council has strict rules against
such misrepresentation. But nobody is interested in taking action.
9) Indirect kickbacks from doctors to prestigious hospitals. To be on the panel of a prestigious hospital, there is give-and-take
involved. The hospital expects the doctor to refer many patients for
hospital admission. If he fails to send a certain number of patients, he is quietly dumped. And so he likes to admit patients even when there is no need.
10) "Emergency surgery" on dead body. If a surgeon hurriedly wheels your patient from the Intensive Care Unit to the operation theatre, refuses to let you go inside and see him, and wants your signature on the consent form for "an emergency operation to save his life", it is likely that your patient is already dead. The "emergency operation" is for inflating the bill; if you agree for it, the surgeon will
come out 15 minutes later and report that your patient died on the operation table. And then, when you take delivery of the dead body, you will pay OT charges, anaesthesiologist's charges, blah-blah-Doctors are
humans too. You can't trust them blindly.
Please understand the difference.
Young surgeons and old ones.
The young ones who are setting up nursing home etc. have heavy loans to settle. To pay back the loan, they have to perform as many operations as possible. Also, to build a reputation, they have to perform a large number
of operations and develop their skills. So, at first, every case seems fit for cutting. But with age, experience and prosperity, many surgeons lose their taste for cutting, and stop recommending operations.
Physicians and surgeons.
To a man with a hammer, every problem looks like a nail. Surgeons like to solve medical problems by cutting, just as physicians first seek solutions
with drugs. So, if you take your medical problem to a surgeon first, the chances are that you will unnecessarilyend up on the operation table. Instead, please go to an ordinary GP first
[Prof. B. M. Hegde, MD, FRCP, FRCPE, FRCPG, FRCPI, FACC, FAMS. Padma Bhushan Awardee 2010.Editor-in-Chief, The Journal of the Science of Healing Outcomes,Chairman, State Health Society's Expert Committee, Govt. of Bihar,
Patna.Former Prof. Cardiology, The Middlesex Hospital Medical School, University of London, Affiliate Prof. of Human Health, Northern Colorado],_.___
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