Re: Solutions for Aamir Khan

[Guest guest]

Refreshing change from Kishore.

Serious thoughts on serious matter sense humor!!!!!

Do ‘also’ keep this up.

Dr Parag Shah

From: Shah

Sent: Friday, June 08, 2012 10:03 AM

To: mgims

Subject: Solutions for Aamir Khan

The recent show by Aamir Khan has shown doctors in a bad light. There has

been a lot of discussion on how much of this is justified. The extent of the

rot may be debatable, but it is undeniable. However, no one has yet come up

with any concrete suggestions to remedy this situation.

Here are my two bits about this issue:

One important issue raised is the enormous amount of ‘donation’ required to

be paid for medical education. How can we remedy this matter? As I see it,

this can be tackled in two ways. Firstly, a common entrance exam for all

government as well as private medical colleges will end all manipulated

entrance exam results. This will effectively put paid to the ‘donation’

system, as all admissions will be strictly based on the scores of that one

exam.

A second way would be to increase the number of seats. Many have argued that

by increasing the seats we will be lowering the standards of doctors. Yet,

here we are in an age where medical colleges get recognition solely on

‘rented’ patients and part time hired consultants. The patronage of a

political Godfather is sufficient to garner the required stamp of approval.

It is time we loosened the tight regulations and allowed more corporate or

trust entities to open medical colleges.( I know that I should suggest that

the Government should open more colleges, but I am sure a lot of budgetary

problems will be paraded.) If on one hand we argue that there is a shortage

of doctors in India, and on the other we say that there are insufficient

patients to open more medical colleges, I think we need to revisit our

beliefs.

However, both these ways would require tremendous political will and

strength to withstand pressure from vested interests.

Another point raised was the commissions doctors were paid to refer their

patients for certain operations. The solution here is simple. If the

standards of Municipal or states run hospitals are improved, there will be

no need for patients to take refuge in shabby fly-by-night setups. It is

precisely because the government is unable to provide quality health service

that everyone rushes to private hospitals. However, this easier said than

done. The Government hospitals are riddled with bench warmers whose only aim

in life is to reach a pensionable age. Can we change the system so that

every promotion is performance based? The ideal adjunct to this would be to

do away with all reservations and get solely merit based systems. However,

with the present political compulsions, I don’t see that happening. A better

way out would be to have temporary posts of, say, two or three years. Each

post may be extended by a peer reviewed group which decides on the

efficiency of the person.

There will always be star doctors and patients will flock to them and pay

the extra money there. But then this happens with all industries. It is the

brand that counts.

I am sure all of you will have your own ideas of improving upon this. I am

waiting for your response.

Kishore Shah 1974

No virus found in this message.

Checked by AVG - www.avg.com

Version: 2012.0.2178 / Virus Database: 2433/5055 - Release Date: 06/07/12

[Guest guest]

If only there were a simple solution... :-)

Ravin '82

[Guest guest]

I agree with most of the points you have put forth. But, The strong private

lobby may not allow the common entrance test to go through, there may be more

court cases so to delay the implementation.Statistically there may be paucity of

doctors (or is it because of maldistribution?) Govt had come up with compulsory

rural servise for two yrs but that could not be implemented because of various

reasons.Should the new Medical colleges be opened in public sector? yes why not.

Where is a budgetory problem ?. Whentrillions are allowed (?) in scams I dont

think opening even ten new colleges will require that much Increasing the seats

is no solution.Then why all medical colleges in or very near the cities.Why not

in those areas which are under developed. Ultimate target is the common men and

poor people for him accessability, affordability is the big question. The rich

people can afford any hospital and can take care of themselves.I agree with you

that it requires a strong political will and real concern for national health.

At municipal and district hospital things can be improved provided the

administartive bottle-necks could be done away with.An MD medicine person posted

at district hospital, if asked to look after family planning servisec, or a MS

surger person is posted in tubersulosis ward--how the things can improve. It is

not only the problem of infrastructure in these hospital there are many

inter-personal. ego..... and other problem similar to any pther govt sector

henec the things move at snail's speed. It will require -- 1. Govt has to put

the health in priority list 2. enhancement of budgetory provision 3.No

political interference 4.Tehnocrats and bueaocrats sitting together to have

people-friendly planning 5.more emphasis in the areas where there is real

deficiency 6. Proper control (or the NRHM scam in UP, wheet scam in pujab, UP

may result) 7. Accountabilty--most important 8. Ultiamte is decisive

action for reward or punishmentOPG

To: mgims

From: kshahsky@...

Date: Fri, 8 Jun 2012 10:03:03 +0530

Subject: Solutions for Aamir Khan

The recent show by Aamir Khan has shown doctors in a bad light. There has

been a lot of discussion on how much of this is justified. The extent of the

rot may be debatable, but it is undeniable. However, no one has yet come up

with any concrete suggestions to remedy this situation.

Here are my two bits about this issue:

One important issue raised is the enormous amount of ‘donation’ required to

be paid for medical education. How can we remedy this matter? As I see it,

this can be tackled in two ways. Firstly, a common entrance exam for all

government as well as private medical colleges will end all manipulated

entrance exam results. This will effectively put paid to the ‘donation’

system, as all admissions will be strictly based on the scores of that one

exam.

A second way would be to increase the number of seats. Many have argued that

by increasing the seats we will be lowering the standards of doctors. Yet,

here we are in an age where medical colleges get recognition solely on

‘rented’ patients and part time hired consultants. The patronage of a

political Godfather is sufficient to garner the required stamp of approval.

It is time we loosened the tight regulations and allowed more corporate or

trust entities to open medical colleges.( I know that I should suggest that

the Government should open more colleges, but I am sure a lot of budgetary

problems will be paraded.) If on one hand we argue that there is a shortage

of doctors in India, and on the other we say that there are insufficient

patients to open more medical colleges, I think we need to revisit our

beliefs.

However, both these ways would require tremendous political will and

strength to withstand pressure from vested interests.

Another point raised was the commissions doctors were paid to refer their

patients for certain operations. The solution here is simple. If the

standards of Municipal or states run hospitals are improved, there will be

no need for patients to take refuge in shabby fly-by-night setups. It is

precisely because the government is unable to provide quality health service

that everyone rushes to private hospitals. However, this easier said than

done. The Government hospitals are riddled with bench warmers whose only aim

in life is to reach a pensionable age. Can we change the system so that

every promotion is performance based? The ideal adjunct to this would be to

do away with all reservations and get solely merit based systems. However,

with the present political compulsions, I don’t see that happening. A better

way out would be to have temporary posts of, say, two or three years. Each

post may be extended by a peer reviewed group which decides on the

efficiency of the person.

There will always be star doctors and patients will flock to them and pay

the extra money there. But then this happens with all industries. It is the

brand that counts.

I am sure all of you will have your own ideas of improving upon this. I am

waiting for your response.

Kishore Shah 1974

[Guest guest]

Kishore, I agree there has to be a start somewhere and here is where discussions

in forums like ours are so essential because the exchange of ideas leads to us

probably learning more and imparting more to other peers and importantly to our

own children.This I am so certain does make a huge difference to society !

Ashish Sachdeva '83

________________________________

To: mgims

Sent: Thursday, June 7, 2012 9:42 PM

Subject: Re: Solutions for Aamir Khan

 

Refreshing change from Kishore.

Serious thoughts on serious matter sense humor!!!!!

Do ‘also’ keep this up.

Dr Parag Shah

From: Shah

Sent: Friday, June 08, 2012 10:03 AM

To: mgims

Subject: Solutions for Aamir Khan

The recent show by Aamir Khan has shown doctors in a bad light. There has

been a lot of discussion on how much of this is justified. The extent of the

rot may be debatable, but it is undeniable. However, no one has yet come up

with any concrete suggestions to remedy this situation.

Here are my two bits about this issue:

One important issue raised is the enormous amount of ‘donation’ required to

be paid for medical education. How can we remedy this matter? As I see it,

this can be tackled in two ways. Firstly, a common entrance exam for all

government as well as private medical colleges will end all manipulated

entrance exam results. This will effectively put paid to the ‘donation’

system, as all admissions will be strictly based on the scores of that one

exam.

A second way would be to increase the number of seats. Many have argued that

by increasing the seats we will be lowering the standards of doctors. Yet,

here we are in an age where medical colleges get recognition solely on

‘rented’ patients and part time hired consultants. The patronage of a

political Godfather is sufficient to garner the required stamp of approval.

It is time we loosened the tight regulations and allowed more corporate or

trust entities to open medical colleges.( I know that I should suggest that

the Government should open more colleges, but I am sure a lot of budgetary

problems will be paraded.) If on one hand we argue that there is a shortage

of doctors in India, and on the other we say that there are insufficient

patients to open more medical colleges, I think we need to revisit our

beliefs.

However, both these ways would require tremendous political will and

strength to withstand pressure from vested interests.

Another point raised was the commissions doctors were paid to refer their

patients for certain operations. The solution here is simple. If the

standards of Municipal or states run hospitals are improved, there will be

no need for patients to take refuge in shabby fly-by-night setups. It is

precisely because the government is unable to provide quality health service

that everyone rushes to private hospitals. However, this easier said than

done. The Government hospitals are riddled with bench warmers whose only aim

in life is to reach a pensionable age. Can we change the system so that

every promotion is performance based? The ideal adjunct to this would be to

do away with all reservations and get solely merit based systems. However,

with the present political compulsions, I don’t see that happening. A better

way out would be to have temporary posts of, say, two or three years. Each

post may be extended by a peer reviewed group which decides on the

efficiency of the person.

There will always be star doctors and patients will flock to them and pay

the extra money there. But then this happens with all industries. It is the

brand that counts.

I am sure all of you will have your own ideas of improving upon this. I am

waiting for your response.

Kishore Shah 1974

No virus found in this message.

Checked by AVG - www.avg.com

Version: 2012.0.2178 / Virus Database: 2433/5055 - Release Date: 06/07/12

[Guest guest]

Closed discussions such as these also help in channeling our thoughts in

the right direction. Once you are in the middle of a very corrupt system,

you start believing, that's it, that's the way of life. What's the point in

being holier than thou?

Its discussions such as on this wonderful forum, when you learn that your

thinking wasn't wrong at all in being a clean person (or thinking on those

lines) and it assures you that there are a few people around you who think

alike...

Ravin '82

On Sun, Jun 10, 2012 at 7:43 AM, ashish sachdeva

wrote:

> **

>

>

> Kishore, I agree there has to be a start somewhere and here is where

> discussions in forums like ours are so essential because the exchange of

> ideas leads to us probably learning more and imparting more to other peers

> and importantly to our own children.This I am so certain does make a huge

> difference to society !

> Ashish Sachdeva '83

>

> ________________________________

>

> To: mgims

> Sent: Thursday, June 7, 2012 9:42 PM

> Subject: Re: Solutions for Aamir Khan

>

>

>

> Refreshing change from Kishore.

> Serious thoughts on serious matter sense humor!!!!!

> Do ‘also’ keep this up.

>

> Dr Parag Shah

>

> From: Shah

> Sent: Friday, June 08, 2012 10:03 AM

> To: mgims

> Subject: Solutions for Aamir Khan

>

> The recent show by Aamir Khan has shown doctors in a bad light. There has

> been a lot of discussion on how much of this is justified. The extent of

> the

> rot may be debatable, but it is undeniable. However, no one has yet come

> up

> with any concrete suggestions to remedy this situation.

>

> Here are my two bits about this issue:

>

> One important issue raised is the enormous amount of ‘donation’ required

> to

> be paid for medical education. How can we remedy this matter? As I see it,

> this can be tackled in two ways. Firstly, a common entrance exam for all

> government as well as private medical colleges will end all manipulated

> entrance exam results. This will effectively put paid to the ‘donation’

> system, as all admissions will be strictly based on the scores of that one

> exam.

>

> A second way would be to increase the number of seats. Many have argued

> that

> by increasing the seats we will be lowering the standards of doctors. Yet,

> here we are in an age where medical colleges get recognition solely on

> ‘rented’ patients and part time hired consultants. The patronage of a

> political Godfather is sufficient to garner the required stamp of

> approval.

> It is time we loosened the tight regulations and allowed more corporate or

> trust entities to open medical colleges.( I know that I should suggest

> that

> the Government should open more colleges, but I am sure a lot of budgetary

> problems will be paraded.) If on one hand we argue that there is a

> shortage

> of doctors in India, and on the other we say that there are insufficient

> patients to open more medical colleges, I think we need to revisit our

> beliefs.

>

> However, both these ways would require tremendous political will and

> strength to withstand pressure from vested interests.

>

> Another point raised was the commissions doctors were paid to refer their

> patients for certain operations. The solution here is simple. If the

> standards of Municipal or states run hospitals are improved, there will be

> no need for patients to take refuge in shabby fly-by-night setups. It is

> precisely because the government is unable to provide quality health

> service

> that everyone rushes to private hospitals. However, this easier said than

> done. The Government hospitals are riddled with bench warmers whose only

> aim

> in life is to reach a pensionable age. Can we change the system so that

> every promotion is performance based? The ideal adjunct to this would be

> to

> do away with all reservations and get solely merit based systems. However,

> with the present political compulsions, I don’t see that happening. A

> better

> way out would be to have temporary posts of, say, two or three years. Each

> post may be extended by a peer reviewed group which decides on the

> efficiency of the person.

>

> There will always be star doctors and patients will flock to them and pay

> the extra money there. But then this happens with all industries. It is

> the

> brand that counts.

>

> I am sure all of you will have your own ideas of improving upon this. I am

> waiting for your response.

>

> Kishore Shah 1974

>

> No virus found in this message.

> Checked by AVG - www.avg.com

> Version: 2012.0.2178 / Virus Database: 2433/5055 - Release Date: 06/07/12

>

>