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Posts Tagged ‘commerce in medicine’

There were times medical  profession’s  only purpose was to take care of the sick . Modern  principle of living  has contaminated  every walk of life .Medical profession  leads  by example in this race .

How can one justify celebrating a disease in a grand manner in public domain  in the name of increased awareness  ?

I am shocked to find an ad in a recent  The  Hindu Ad  (25-11-2011)

Some of the words  used are terrible and highly objectionable . It amounts to an  insult to all diabetic patients.

  • Diabetes award !
  • Diabetic  Carnival !
  • Join us in the fun of diabetes !
  • Glitz and glamor of diabetes!
  • Festival of diabetes !

How can a patient celebrate his illness ?

I think  the news paper  which  publish such ads  should also show some sensitivity .

I agree there are lakhs of diabetic patients who do require  intensive treatment  but the fair held in the air conditioned corridors of  a trade center is  never  going to address  this issue.

( Can I ask these organizers to  help and  serve the real diabetic burden in ill equipped public hospitals  across  our state ? )

It  is simply a commercial extravaganza   creating a fear complex among the healthy , rich men and women and make a living

out of   human anxiety . 

Who sponsors these medical  award nights ?

For those who are unaware  of the games doctors and pharma companies play,  here is a shocker – large amounts  of money is pumped into  such public events.

This is part of  a  larger board  room  strategies ( Can it be a conspiracy  !) to increase the per capital consumption of drugs of our population . And no doubt   doctors are integral part of this scheme with or without intention .

While MCI can penalize  a individual doctor  even for accepting a pen as gift from pharma company ,

they can do nothing but simply watch  as millions are  exchanged  in the name research , health education ,  and awareness .

The height  of  the  irony is  , these events are sponsored by WHO and the world  forums as well  !

Ironically   the  doctrine of  modern medicine  seems to suggest   . . .“Ethics is   primarily for individual physicians and do not  apply   for institution ”  This is the single   most dangerous  concept that is  playing havoc with human health”

It closely mimics the principle  of   war justice  . An  individual shooting another individual  is a definite  crime ,  while  multiple  individuals  killing  multiple   individuals   is not a crime , it is a war !

Disclaimer

The author has no  personal grudge  against any hospital or organization instigation. It ‘s   an expression  against so many commercial activities that occur  in the medical filed on day-to-day basis !

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It is heartening to read a series of open page articles in the India’s  national news paper  recently  which  started a  lovely debate about how the medical profession and doctor’s behavior is being perceived in this country . It all began  with this article by Dr Araveethi with   serious criticism  of the ways  and means  ,  by which doctors  indulge in  forbidden unethical acts . (mainly involving  financial  benefits ) Click on the Image to read the article.(Hope it works)

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While most agreed with his observation  surprisingly one  response by Dr. Manoramma Gadde  tried to justify it !  promptly  evoked strong reactions for and against.

And this   response from  Dr .A.R Antony  to  Dr Manorama Gadde   CAME A WEEK LATER  seemed a  best one. Read for yourself

I  enjoyed  the  entire article by Dr Antony ,   especially when he observes  ethical doctors are a rare breed and even   be a laughing  stock among their colleagues. This is very much true  but as he rightly points out ,  the majority  of goodness should prevail over the minority of evil . ( Let us hope it is not vice versa ,   as  evidence  is mounting  against this assumption  )

What is the role of modern science in  making medical  profession into a  self less service to  service only for self ?

Read  on this article   : Truths when silent are not heard in consultation rooms

Is there acceptable level of unethical   acts  for doctors  ?

100 %   perfection  is never  possible  in any field .

Like permissible carbon levels in environment and permissible  contaminant in tinned  foods  one can suggest  doctors can  also be allowed a quantum of  immorality ! (This is akin to making corruption legal  still the  ultimate aim  is  to control it ) .Probably this is what Dr Manorama tried to convey in his article  !

What is the patients role in the perpetuation  of un-ethicalness  of doctors ?

A patient with  half-baked ( internet  fed ) medical knowledge  asking for various tests   is quiet common phenomenon .  This is termed as pressure prescription . Patient  interference in medical  decision-making and doctors yielding to it is also a rampant phenomenon. Empowering patients beyond a level is unreasonable or not a desired goal.

Why  doctors  continue to be noble   but many hospitals are not  !  How is this possible ?

We have willfully  accepted  medical care  to  become an industry  .When corporate hospitals are listed in stock exchange what do you expect of them  ?  I do not know  how  the current generation of  prepaid medical professionals manufactured   from various  medical  education  factories  in our country side  will behave  . It is them , who are  running these dubious   hospitals and nursing homes . In my observation a genuine and meritorious  medical student is  never  interested in starting a  hospital or nursing home .   He lacks both the business sense and also the  resources . Hence  he  or she  often becomes an employee  of  a hospital  or institution  run   by  capitation fee fed neo- medical  graduates  with  Dalal street mentality.

Counter point

There are thousands of doctors especially in  primary health centres  and emergency wards  working round the clock  in all those ill equipped  poorly staffed  Govt hospitals trying to save lives desperately  .  Similarly  many private practitioners sitting in the remote towns and villages  spending their precious  evening   caring for the sick.

So , the problem lies  mainly in  the  proliferation of  pseudo  – modern medical science  in an unregulated fashion  mushrooming into the urban and semi urban areas .

Solution ?

Never believe the private sector in the present form (*Total chaos)   will provide an inclusive health care  to our population. The recent WHO statistics say India is the only country where  permanent assets like houses ,  livestock are sold by people to get a  seemingly  modern and scientific  health  care .(Poor villagers are  asked to spend their entire monthly salary to  do a costly PCR test (Now proved useless)  to diagnose a AFB positive open tuberculosis  !)

The  current model of health care  in most developing countries   especially India  , which  our corporates are actively pursuing  is counter productive for both rich and poor.

A rich old  man is simply not allowed to die a natural death  without spending a chunk of his accumulated wealth ,  while a young , active   poor  men of our country  die for want of  those  same facilities which goes futile  those dying elite bodies !

*Let me drift  to a  different topic .  The private sector health care is totally disorganized , lies in  complete chaos though  enriched with infrastructure and other resources. What they lack is the terrible common sense. While the Govt sector has  a organised administrative and functional model   with huge expertise  which lies mostly dysfunctional due to various  reasons. Which is causing more danger to society ?   The answer is tough one  It would a  close race between  hyperfunctional private sector  or dysfunctional  Govt Sector .

I dream a day when these private sectors  take over the  Govt hospitals  and vice versa so that both can  complement the best between them.

Final message

Most doctors are really  noble  in their thinking. In  few  ,their action may occasionally touch  the lines of immorality .( The definition of immorality or unprofessional acts are  often reset according to our convenience  ) .

Even if a conscious doctor wants to do  genuine  work in the existing system , he is  rarely allowed to pursue it .  So ,  in   the current situation  most doctors are at risk  of  tasting the bad fruit  every day with or without  their knowledge.

The doctrine of   hospitals  lack  ethical code , while  it is expected  from  individual doctors   is the single important factor that is responsible for the present chaos in medical care delivery

 So in my final analysis  I agree with many of the arguments on  both sides  .Even though  ethical doctors are available they are in a very short supply  . We need much ,  much more  . . .   I am afraid  the future looks bleak !  . . .  with humble excuses to all optimists out there.

What is  your  take on this issue ?

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Pessimism, from the Latin pessimus (worst), is a state of mind which negatively colors the perception of life, especially with regard to future events.

Understanding pessimism is not that simple  . Some people argue  optimism   represents a strong mind while  a pessimism  is the domain of the weak . But it is not necessarily true.  Both pessimist and optimist are unreal , and playing the dangerous game of predicting the future. So realism is the answer .

In this era of information highways , commercial exploitation of science ,  our thought process is grossly determined by our perception of events.We hardly have an intention or time to analyse our thought process.

  • An optimist  ( Rather , unregulated optimist ! ) is a person who welcomes  any growth good or bad.*
  • A pessimist  is  a  person who welcomes only good growth.*

So how to identify good growth ? That is the million dollar question!

  • Many of the  optimists may not  bother about the final outcome of a treatment *
  • A pessimist bothers only about that .
  • An optimist  rarely asks questions, blindly accepts every thing !
  • A pessimist never believes any thing !

Actually the fundamental principle of scientific medicine lies in proving the null hypothesis null and void.Any treatment is useless until proved other wise .  So pessimist can be argued to follow true science , while  many of  the hardcore  optimists are blind believers ..

*It may be  a harsh   way of  interpreting an optimist  but  uncontrolled optimism  has played havoc in our  patients like many of the failed treatments (Some of them released prematurely into patient domain   has  killed many lives  . Power of positive thinking should be within the  realms of scientific feasibility !

So in  our  journey   to  conquer human health ,   we   may  proceed with  an optimistic mind and  a pessimistic eyes !

This understanding is all the more important in this era of contaminated science .It is a well known fact ,  now last 50 years of  planet earth has inflicted the maximum damage  to ourselves  than our ancestors did in 5000 years. That’s why we are compelled to meet at Copenhagen .(We never learn from our mistakes, that’s a different story !) .

There is definite and urgent  need for world summit  on  cleansing the medical science from  the clutches  of commerce  and ignorance . A medical green house effect, with dangerous holes in health care  is imposing on us (Another pessimistic thought . . . of course in the interest of human kind !)

World health organization ,  a sleeping giant has to be awakened on this issue


Final message:

Mankind has evolved over many millenniums ,  probably with a sole  purpose of living ,  that is reproduction and propagation of our genre without harming the environment and other species.

Unrestricted  and unregulated growth of any kind is dangerous we call it as malignancy in pathology .In science , we tend to call it a” great future ”

Our  sixth sense*  has  outgrown  miserably  out of  reality  , as have we decided to take on the nature and GOD .Now , many developing country men do not believe in death .They are fighting a losing battle against the God. And they suffer with escalating health costs of keeping the elderly ,  alive who are  knocking at the doors of heaven or hell . The same countries,  which deny funds for curable illnesses of the poor is a different story altogether !

The principle of modern medicine  would ideally  be

  • Reduce human suffering irrespective of economic status
  • Curing a illness if there is a cure
  • Prolonging life if there is useful purpose
  • Allow a good quality death if there is no cure.
  • Most importantly  , prey to god give us strength and capacity to identify which is good and which is bad for our patients  .

Read and learn for a  complete guide on optimism and pessimism

* It  is  important to recognise , the same sixth sense  has   made it possible to share our views through a great tool of  Internet  . So we should not be against the growth of science but against the misuses and wrong interpretations of it .

Pessimism

Optimism

The traditional characters  of  a pessimist

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For  all those youngsters , who are into the mystery world of medical research  , please begin your journey with this great book.  The greatness lies in it’s  simplicity in expression & search of truth !

Download this 1 MB  marvel  ,  free from  http://www.jameslindlibrary.com  in less than a minute

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