Tag Archives: government

Ban the Entire Medical Profession!

Ban the Entire Medical Profession!
© Dr. Rajas Deshpande

We were always much entertained by a very famous surgeon who would just sit all dressed up in the operation theater. As the worried relatives kept praying in the waiting room, the patient was operated by some other experienced and skilled doctors employed by this ‘famous’ doctor. He would just sit watching TV in his private room within the operation theater, till the surgery was over. Then, he would come out with a benevolent smile, pretend that he was too exhausted, and tell the relatives “that was an extraordinary case. We had almost lost your patient. I had to make a great effort, use all my dedication, knowledge and experience, but finally I could save him. You are very lucky”. Needless to say, the relatives would touch his feet, overwhelmed by emotion, little knowing that this surgeon has not even touched their patient. Bills floated swollen. The patient or the relatives never knew who actually saved that life. In our education to be doctors, we also learnt “what not to do” from such doctors!

With a recent speech in London, I was reminded of this.
It was very unfortunate that the Hon’ble Prime Minister of our own country spoke quite demeaning about the entire Indian medical profession in a foreign country. Nearly one third doctors in the developed world are from India, leaving India because it offers them no good opportunity, compensation or even basic security. The PM seems to disown the patriotic doctors who try to survive in and serve India. Where is the love for India? Does one demonstrate it by showing everyone else in the country down?© Dr. Rajas Deshpande

Let me at the outset clarify that there are some corrupt doctors, some get favours from pharma, and some participate in malpractice. The government always had rights and law in their hand to act against such doctors. The hubs of corruption evolve when the government allows medical seats to be bought for the meritless rich. Our govt. allows crores of sales of medical seats.

We wish our PM also spoke about how many political leaders in this country own medical colleges and what is the actual income that they generate by sales of UG / PG medical seats? Like the prices of all drugs and stents, why not reduce the price of medical seats too?

He said that Indian doctors “do not travel to Singapore to see poor patients”. Was he serving the poor Indian farmers in London? How many poor farmers or labourers accompanied the PM or his delegations on any of his foreign trips? For a PM who has extensively travelled the world, to criticise highly educated doctors for traveling abroad is so unbecoming! Doctors interact with experts from other countries for learning, continuing medical education, and just because Indian politics has screwed the nation into poverty, doctors cannot stop that interaction which is a standard learning process all the world over. Just as Indian politicians who go abroad for treatment to Singapore and London etc. don’t go there to have fun, doctors too do not go for just fun but for a grand purpose: to bring in new knowledge and skills to Indian people.

Then he said that he “enquired” about stents and found that doctors were “”duping” / deceiving all patients into buying costly stents. The PM has himself said in many speeches that he is not educated much, any medical discussion needs high standards of education, scientific proofs and statistics. I am sure that the right people / departments / doctors were consulted by the PM before taking such decisions. Why did he then say “I found out and changed this” rather than “our medical experts / team did this” ? Under the privacy laws no one will know what stents go into which class of people, but from what the doctors see, most politicians and high placed officers opt for “the best and imported”. © Dr. Rajas Deshpande

We wish that the PM, on his next foreign trip on an international platform, also speaks about the state of the government-run hospitals, the federal funding for healthcare, the quality of healthcare provided at rural and primary healthcare centers all across India, the gross inadequacy of staff and the absence of specialists, ICUs, Operation Theatres, in almost all government-run hospitals.

We also wish the PM speaks on an international platform about the state of hostels for undergraduate and postgraduate medical students in India, where they have to live about 4-6 people in a small single room, while the huge luxurious premises for various govt. officers and ministers lie vacant most of the time.© Dr. Rajas Deshpande

We wish the PM also speaks about the good doctors (all his recent speeches imply that there are no good doctors in India), extraordinary medical achievements of Indian doctors, about those who serve in rural India while facing humungous difficulties, those who bring medical tourism to India, those who run so many charity hospitals, those who bring world class healthcare to Indian patients, those grassroot doctors and paramedics who effectively carry out the govt’s schemes all year round by hard work, including polio and other vaccinations, mother-child care etc. without “just once posing” for the media?\

Even under various govt. health schemes, the poorer class patients go to cheaper general wards, while a senior officer from the same office will receive premium class healthcare at a private hospital. This “class-discrimination” in healthcare by govt is not justified. Wish the PM spoke about this too.

Will the PM also speak about the doctors/ health department officials and ministers who help him bring good changes in Indian Healthcare? If the entire modern medicine profession was so bad, why doesn’t the PM ban it completely and provide healthcare with different Babas and Gurus so rampant with powerful blessings today?

We so much wish that the PM speaks on an international platform how he justifies brutal violence against doctors all over India.

India deserves far better healthcare. But that starts with the facilities for majority: at the level of government-run hospitals, healthcare facilities all over India, reachable for the common man, affordable equally to all classes. © Dr. Rajas Deshpande

Unless all the government hospitals provide high quality free healthcare to all without discrimination, unless all the problems that the govt can resolve in a day by sanctioning adequate staff and funds for government-run healthcare are sorted out, it is futile to just increase the gap between the doctor and patient by blanket-defamation and maligning of the private healthcare on public platforms, especially international. Incidentally, our private hospitals also cater to millions of poor and the very ministers who run the country.

I have nothing personal against any political leader or party, I am hopeful of good changes happening in Indian healthcare. But I feel compelled to speak about the other side, the good doctors who are the pride of our country. I must defend the good in my profession, because I love it just as I love my patients, just as I love my India.
© Dr. Rajas Deshpande

Respect: The Depreciating Indian Salary

Respect: The Depreciating Indian Salary
© Dr. Rajas Deshpande

“Over 1.5 Crore Every Year! That becomes more than ten lacs per month! Wow!!” my student showed me the news that some brilliant engineering students passing out from India were hired by some software biggies in Campus Interviews, “They will start their careers at that salary. That’s life!”

I felt proud, as always, these news and similar have always made me feel that the Indian academic talent has always been looked up to and rewarded by the developed world. The tiny speck of jealousy that we earlier felt for our classmates who went for engineering and had their own homes and cars while we were still finishing internships has faded away long ago. The only regret that sometimes peeps out from the past is that of never having fully enjoyed our teens and youth. The fact that most doctors from India also earn huge salaries in the west as well as the middle east speaks a lot about the flaws in our “Indian” thinking.

“Doctors get respect and that is the best that you can get in life. People think of doctors as Gods. You should never think about money” told every sore-throated, pot bellied and self proclaimed socialist who did not become a doctor, and mostly had no doctor in family. This ranged from our own classmates to the highest administrators in the country.

Over the years, I now feel that even the engineering or other stream’s graduates are almost in the same boat. I cannot wish upon the newer generations what we went through.
What is really making us proud here? That India cannot afford to use its own best talent in any field? That the best in all fields are taken away, because what the best Indian companies can offer them is nowhere near what the world outside offers them? That the best salaries in all government jobs are reserved for bootlickers above the age of 55? That in no field can the government find the young talents superior to white haired yes men? © Dr. Rajas Deshpande

Or boast with a shameless pride that the most revered Satya Nadellas and Sundar Pichais made in India cannot find career scope in their own country?

Or, while proclaiming “Vasudhaiv Kutumbakam” (The World Is My Family) on one hand, are we going to perpetually cry the same song of socialism and patriotism, expecting all of them to only follow the examples of the rare (and respectable) ones who chose to shed material life for the country? India needs a million good volunteers in every field who will live and die poor while serving the society. But to force this upon all those who graduate from India is to invite them to leave the country. From politics and administration to Judiciary and lawyers, we need people who will work free or low cost, because the main disease: poverty and illiteracy, is a never ending curse in India. These are the people who choose the governments who throw “low cost everything” crumbs at the society, rather than uplifting the society to respectable self sustaining, paying capacity. © Dr. Rajas Deshpande The lifelong perks of representatives elected for even five years, from any political party are regularly updated, but the salaries and pensions of doctors and other employees who work lifelong are never upgraded without agitations and then only with allegations of greed!

No doctor wants to be a bad doctor, but no doctor wants to spend life in poverty and insecurity.

If at all a doctor decides to do charity and see all patients free/ concessional all his / her life, not only will they be lost to poverty and anonymity, but our government or media will never notice them. All they get is more paperwork to comply with every day, fear of suspension humiliation by the administrators and a salary that’s a shame given their talent and hard work.

There is this curious tendency in India: to force or to beg in the name of charity, social service or patriotism rather than rewarding the talent. There are very few examples of honesty, hard work and talent rewarded without political connections. © Dr. Rajas Deshpande

Are the medical students any less talented than their counterparts in engineering or other streams? Don’t they study equally hard and work 24/7 many more years before they qualify? Even after that, the highest salary that the government offers the starting doctor (even engineer) is laughable, and if they wish to work at a private/ corporate hospital, they cannot decide the rules of payment strategies. If they must start their own set up, they need huge investments, over fifty permissions, many recurring, every one requiring bribe in some form or other. And whichever one they choose from the three career options above, from day one the society and media will have already presumed them guilty of extracting money from patients, the government and even some judges urging them to understand the feelings of relatives beating up doctors. I wonder how many ministers , judges or media bosses would like to understand the feelings of those who beat them up for something their client/ petitioner didn’t like. The most pathetic part is that while all of the above officers are inaccessible to common man, they still have armed security, and the junior most doctor who faces armed relatives is denied security even by law! © Dr. Rajas Deshpande

Most top medical graduates and postgraduates, like almost all other streams from India are leaving voluntarily because of this situation. To deal with this, the best options that some governments came up with were long term bonds to force govt. service (without telling anyone where the govt. spends so much on medical education), and canceling permissions to leave India even after the bond is completed. Bravo! © Dr. Rajas Deshpande

The Hon’ble PM has time and again declared many institutes like AIIMS to be opened across India. This is welcome, but we must also look at the state of conditions and staff in the existing health institutes run by the government. That needs billions for repairs, facilities and hiring better staff. Unless the salary structure for young and talented medical specialists increases , there are no chances of any AIIMS-like institutes running efficiently, they will soon become dirty buildings with low budget staff, where desperate patients are chronically dissatisfied and mobs find chances to vent anger.

Earlier I had immense respect and pride for every doctor who decided to return to India with a positive attitude and a wish to serve the society, their only expectation being living a modestly good life. Now I doubt if they are doing justice to themselves or their family, by choosing a life of financial and personal compromises, where they not only sacrifice, but are still looked upon as “looters”, face a violent society and a prejudiced government.

Ten years ago, I would have told this student of mine “let go of a good life, stay in India, we have a lot to do for our country”. Today, I don’t interfere with their decisions to make a career outside India. Because I love my India as much as any soldier would,and I also love the talented people in it.

Jai Hind!
© Dr. Rajas Deshpande

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