Rebirth of India: Superior

This kind of introduction kickback that is popular in India has deceived some doctors. Dr. Pandit, who is now practicing in Wales (coincidentally, this doctor has the same surname as Shakru) wanted to bring special cancer surgery treatment back to India, but he That is, he could not accept the payment of private kickbacks for introducing patients, nor could he accept the exaggerated condition-inducing surgeries in public hospitals. In the end, he had no choice but to leave India.

Patients spend their life savings and sell their homes and land to get treatment, while some doctors perform unnecessary surgeries for kickbacks.

Many rural women in Andhra Pradesh were intimidated and misled by doctors and underwent hysterectomies. The surgery not only required borrowing money but also harmed their bodies. Some of them were abandoned because they were infertile.

Who should be responsible for such a crazy doctor? The answer is the Medical Council of India. In theory, the Medical Council is responsible for supervising doctors and medical schools and has the power to revoke medical licenses. However, it has enough scandals of its own (this makes me think (to the Chinese Football Association) used fake patients to cope with inspections, publicly offered and accepted bribes, the front head was accused of accepting bribes, and the new head was forced to leave after one year in office. The accused front head could still take office again and then be caught for cheating again. How can a committee give people a sense of trust?

Dr. Talwar, the current chairman of the Indian Medical Council, was invited for the interview. He said that most Indian doctors still have professional ethics. Amir said that just "not allowed to accept bribes, not allowed to trick or coerce patients", etc. are enough to revoke the doctor. License of some Indian doctors.

Investigations show that since 2001, no doctor in India has had his license revoked, while in the UK, more than 150 doctors have had their license revoked during the same period. The high cost of medical school has in turn spawned more private medical schools with unqualified students coming out of medical schools.

Dr. Gulati believes that the most important problem in India's medical care is too little investment, which is a policy issue.

If the investment is not enough, there will be fewer medical schools, and if there are few public medical schools, there will be private medical schools (India used to have 20 public medical schools and 1 private medical school. As of 2001, there were 31 public medical schools and 106 private medical schools). , the high tuition fees of private medical schools (5-6 million rupees per person) have spawned more private medical schools. The monthly salary of doctors in public hospitals is not as much as the interest on the tuition fees deposited in banks. How do graduates earn back? What about tuition? Take back the kickback

On the other hand, the shortage of medical investment has caused a shortage of both equipment and doctors in public hospitals. Patients cannot get good treatment and have to seek refuge in private hospitals. Many doctors in private hospitals are not qualified to practice medicine (many private medical schools do not have enough qualifications to train students).

Also, it is not illegal for pharmaceutical companies to bribe doctors. This is a legal loophole in India (India stipulates that accepting bribes is illegal, but giving bribes is not illegal). Therefore, pharmaceutical companies bribe doctors on a large scale, and doctors do not need to do so. And high-priced medicines are forcibly prescribed to patients. According to his data, pharmaceutical companies spend as much as 120 billion rupees on marketing every year.

At this time, Amir once again joked about Shakru who was present: "Boss, does our pharmaceutical company also spend so much marketing expenses every year?"

Shakru shrugged and said: "Our pharmaceutical company has no sales expenses, because no doctor will write Welgun in the patient's medicine list, and it seems that men don't need a doctor's recommendation, they all secretly go to the drugstore. Go buy..."

Shakru's words naturally caused the whole room to laugh, but his heart was not so relaxed. In his previous life, he was an accountant in a public hospital, so he knew a lot about the things involved. In fact, these things like the above are not unique to India. This phenomenon also existed in the motherland of his previous life, but it was not as rampant in India.

Excessive examinations, illegal prescriptions, cold attitudes, surgical errors, etc. are definitely not isolated cases. This is also the main reason for the current tense doctor-patient relationship and frequent attacks and injuries to medical staff. On the other hand, medical resources Distribution is too concentrated in large and medium-sized cities. There are no patients in hospitals in small cities and large hospitals cannot receive them.

And the saddest thing is that many doctors I know, especially surgeons, are determined not to let their children study medicine in the future. The number of applicants for medical schools is not as high as before. If this continues, where will good doctors come from? Coming?

After reading the depressing ones above, let’s look at the gratifying ones. Shi Wei from Niga Village had a daughter who was born with a heart defect. Her disease required complicated surgery to cure. Shi Wei could not afford such expensive expenses. Fortunately, they got the help of Dr. Devishe, and now Shi Wei's My daughter is healthy and lively.

The next person to appear is Dr. Devishie. The "rural cooperative medical care" implemented by him and his hospital has covered 4 million people. In this system, each person only needs to pay 150 rupees per year (10 rupees per person per month, and the country's per person per year). 30 rupees) you can enjoy a variety of medical services. Dr. Devishey's secret to maintaining his system, which has been replicated elsewhere, is to use economies of scale to reduce surgical costs (12% of India's heart patients are operated on at this hospital).

In India, the price of the same drug in different places can vary several times (for example, the price of the same drug in pharmacies and hospitals varies five times). In terms of how to control drug prices, former Rajasthan tax director Sa Dr. Mitschal has a lot of insights.

Dr. Samit Shah said that the cost of drugs is very low, but drug manufacturers collude with some doctors to drive up drug prices for high profits, resulting in poor people being unable to afford drugs and delaying treatment. For example, the son of a doctor's maid could have a disease that could be cured with 2 rupees, but the doctor insisted on prescribing medicine for 400 rupees. The mother had no money to buy medicine and could only watch her son die.

The doctor also said that not all doctors are bad, and there are many good doctors who can help patients.

Although there are various difficulties in the process of promoting affordable drugs, as long as the government can curb drug prices and promote commonly used drugs, there is still hope for patients in India.

"Boss, is there really such a big difference between the cost and selling price of a pharmaceutical company?" Amir asked Shakru again.

Shakru replied with some embarrassment: "As a manufacturer, I am very reluctant to answer this kind of question, but fortunately our products do not need to enter the hospital, and the main sales direction is in foreign markets, so I can say very frankly that the profit of Weilgan is indeed very high, but it is not a necessary life-threatening drug, and you can buy it or not, so I think it should not have much impact. "

Aamir Khan finally joked that no doctors would be willing to treat him after the show aired.

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