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British Medical Journal Finds Indian Healthcare Corruption Double Than Rest Of The World, Highlights PBT’s Efforts To Include Non-doctors In Regulatory Bodies

The level of healthcare corruption in India is double to that of the rest of the world – this shocking finding was revealed in the top international medical journal, British Medical Journal (BMJ). In an editorial published in the latest issue of BMJ, it is claimed that wide-spread corruption among doctors and healthcare workers has steadily eroded public trust and respect for doctors.  Lack of accountability in both public and private health sectors has been found primarily responsible for the spread of corruption in the medical system in India.  The article has stressed that doctors must fight back against “kickbacks” to restore public trust.  The article has highlighted“People for Better Treatment” for their relentless campaign to instill accountability in Indian healthcare system. (see the article below)

BMJ (Healthcare Corruption) June 26, 2014

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  • agrwl July 6, 2014, 4:24 am

    People for betterment of
    Foreign Medical Graduates
    (COMPLETELY REVISED & UPDATED WITH NEW POINTS)

    President: R K Agrawal,
    231, Lalbaug, Morbi-2
    Gujarat
    Dt.30.06 2014
    To,
    The health minister,
    Ministery of Health & Family Welfare,
    Govt of india,
    New Delhi
    Sub:-Plight of Foreign Medical Graduates & ways to improve supply of competent doctors, while eliminating all types of incompetent doctors
    R/sir,
    Reason for students opting for foreign medical education
    Thousands of meritorious youth of mother India, who could not afford Crores of Donation in Pvt. colleges, & could not get meagrely available Govt. seats and still determined to pursue this noble profession, go abroad for economical medical education.
    Discrimination being meted out to them by MCI on return
    But on return, they are being discriminated in the name of screening test by the MCI, in collusion with NBI. Govt. of India being a mute spectator. A glance at the pass percentage of screening tests (just 15% to 30% with an average of 20%) will reveal the amount of discrimination being meted out by MCI to these graduates. For the last 2 seasons it is expected to be worse, just 10%.
    MCI’s argument
    I do not buy MCI’s argument that medical education all over the world is not up to Indian standards as justification for such a low pass percentage over such a long period. If their education is indeed so poor, how come they have much better healthcare system than India has ? And if 90% graduates are indeed not worthy, why not ban this worthless education completely? Why waste our youth & financial resources for such a worthless education & spoil life of 90% students by subjecting them to the same test & failing them again & again. They could have been productively used in other fields of life for the benefit of mother india.
    Actual reason
    However, the fact of the matter is that such discriminatorily low passing percentage is kept deliberately to incite fear psychosis in the minds of students, so that they do not go abroad & ultimately fall pray to Pvt. Colleges to cough up Crores in Donation. As the fear increases, demand for these seats increases, & as the demand increases, the donation amount increases.
    Justification of this reason
    As the actual reason is to incite fear psychosis to frustrate them, MCI do not come up with any plan to give them further training or to give then restricted/ supervised practice licence even in rural areas, which are dependent on Quacks for their healthcare needs.
    Adverse impact
    Part of donation goes to MCI bosses is no more a secrete. MCI bosses become wealthy, the dens of corruption flourish, but, mother india suffers. Artificial shortage of doctors is created. Rural population falls pray to quacks, thus our National Health parameters decreases, & mother India becomes sick.
    Situation of Private Medical Colleges
    Scores of Pvt. colleges openly auction their seats in crores, & pass their students from their own Pvt universities by taking crores again. We know how their faculties & facilities are checked by MCI, which exist only on paper. However, the quality of Doctors produced is nowhere checked even on paper. They all are blanketly stamped competent without any scrutiny because corrupt officials get their share of Donation.
    Pointed questions to MCI
    Has MCI ever checked the standard of these Pvt. Medical College students by subjecting them to such a test?
    Is it not possible that MCI is asking for some alien standards from foreign college students, which its own Pvt. College graduates do not possess?
    The permanent solution to this problem
    The permanent solution to this problem lies in subjecting both foreign graduates as well as Pvt. College graduates to a uniform licentiate examination to know if they all have minimum basic knowledge before allowing them to play with our life.
    World overview in support of proposed solution
    All the developed countries such as UK, USA, Canada, Austrailia, Newzealand and even the least developed countries like Nepal has uniform licentiate exam applicable to both local as well as foreign graduates. However, as the actual reason was to discriminate foreign graduates to the point of frustration to help fill private college seats at huge donation, MCI made it applicable to only foreign graduates, branding private college graduates blaketly competent.
    Benefit of proposed solution
    There will be several benefits to mother india & the only losers will be corrupt officials & Pvt. Medical College mafia, as explained below.
    1.There will be no discrimination against anyone as all are subjected to the same test. As the fear psychosis will eliminate, more & more students will go abroad thus increasing supply of competent Doctors which ailing mother india badly needs, without any burden on Govt. resources, & without compromising on standards.
    2.Increased supply of quality Doctors will improve the health parameters of ailing mother India. India will be gradually viewed as a healthy country.
    3. All incompetent doctors, whether Foreign gradutes or Pvt. college graduates will not be able to get in to the system, thus reducing medical negligence, which will be again beneficial to ailing mother India.
    4. Only losers will be corrupt officials & private medical mafia making crores by auctioning their seats, & still giving sub standard education, as demand for their seats will be greatly reduced as students will have the choice of economical education without fear of discrimination.
    6.But, the benefit to mother India will be that healthcare will be free of corruption, money power & vested interests, which in turn will reduce the overall cost of healthcare, medical negligence will be reduced, healthcare will be improved, rural population will get increased supply of quality doctors & mother india will no longer be ailing.
    7. It will also promote competence in Pvt. Medical Colleges as they will have no choice but to improve their standards.
    The proof of validity of above argument
    The proof of validity of above argument lies in the fact that the only opposition you will face is from corrupt officials, the Pvt. college mafia & the existing students of such colleges. Opposition from existing students of Pvt. colleges can be overcome by not making these rules applicable to existing students. Those left will be corrupt officials & Pvt. Medical college Mafia, as they will lose the maximum, which they deserve.

    Quick Temporary solution
    If all these need legislative changes, taking a long time, in the short run we can atleast reduce the discrimination meted out to Foreign Graduates by not subjecting them to some alien standards of test which our own Pvt. Colleges graduates do not possess, by subjecting a sample of such Pvt College graduates to this test on experimental basis to find out if the standard expected are indeed those possessed by Pvt. College Graduates. Since, all these Pvt. college graduates are blanketly stamped competent, they all must easily pass this test. Or, else it will prove that blanket stamping of Pvt. college graduates as competent is indeed money driven & not merit driven.
    Benefit of temporary solution
    This will reduce some discrimination in short run, will increase supply of quality doctors, as fear of subjecting them to some alien standards will be removed & Govt. will also come to know the actual standards of Pvt. College Graduates.
    Precaution to be taken
    However, to get the real picture all this exercise should be undertaken by an independent body free from the influence of MCI as this will also expose how these Pvt. Colleges were recognised by MCI, which is the main culprit.
    Alternate temporary solution of rural posting
    Alternatively, those foreign graduates who scores 40% in screening test may be given restricted/ supervised licence to practice in rural areas. For each year of rural service they may be given 5 bonus marks. When this add up to 50% they may be given full licence.
    Benefit of alternate temporary solution
    Rural population is presently dependent on Quacks for their healthcare needs. These graduates are well trained in modern medicine in the sence that healthcare of many foreign countries is depenent on so trained doctors only. They are deliberately branded incompetent by MCI for illicit financial gains. However, to alienate fear of MCI, it is proposed to give them restricted/ supervised licence.
    Thanking you,
    Yours sincerely,
    (R K Agrawal)
    Copy to:
    1. Prime Minister of India, sh. Narendra bhai Modi, New Delhi
    2. National Board of Examination, New Delhi
    3. Medical Council of India, New Delhi

  • agrwl July 6, 2014, 4:40 am

    People for betterment of
    Foreign Medical Graduates
    President: R K Agrawal,
    231, Lalbaug, Morbi-2
    Gujarat
    Dt.30.06 2014
    TO,
    HEALTH MINISTER,
    GOVT OF INDIA,
    NEW DELHI
    SUB:- NATIONAL EXIT EXAM FOR MEDICAL GRADUATES
    R SIR,
    IN A SHAMLESS MOVE TO PROTECT INCOMPETENCE AND THE DEGRADING STANDARDS OF MEDICAL EDUCTION IN PRIVATE COLLEGES AND TO CONTINUE THE CORRUPT PRACTICES IN PRIVATE MEDICAL COLLEGES, MCI HAS RECOMMENDED NATIONAL EXIT EXAM TO BE OPTINAL AND NOT MANDATORY ‘INITIALLY’. GOD KNOWS HOW LONG THIS ‘INITIALLY’ WILL MEAN.
    THE EARLIER APPOINTED IMPARTIAL BOARD OF GOVT. APPOINTED BOARD OF GOVERNERS RIGHTLY SENSED THE COLLUSION BETWEEN MCI AND PRIVATE MEDICAL COLLEGE MAFIA IN THEIR CORRUPT PRACTICES. TO NAIL THIS, IT PROPOSED A NATIONAL EXIT EXAM APPLICABLE TO ALL WHO INTEND TO PRACTICE MEDICINE IN INDIA WITH CLEAR ROAD MAP OF MAKING IT MANDATORY BY 2015. BUT FOR CORRUPT PRACTICE TO CONTINUE, THE CURRENT BOARD HAVING PROXIMITY TO MEDICAL MAFIA HAS REPLACED THE CLEAR FRAME WORK OF TIME FOR WHICH IT WAS OPTINAL, BY A VAGUE WORD ‘INITIALLY’.
    THE MCI IS ALWAYS DISCRIMINATING WITH FOREIGN GRADUATES BY BRANDING THEM AS INCOMPETENTS, AND SUBJECTS THEM TO SCREENING TEST WHICH IS ALWAYS DESIGNED TO FAIL FOREIGN GRADUATES.
    BUT WHEN IT COMES TO CHECKING THE QUALITYOF DOCTORS PRODUCED UNDER ITS OWN SYSTEM BY SUBJECTING THEM TO SAME TEST WHICH FOREIGN GRADUATES ARE SUBJECTED TO , IT TURNS ITS BACK AND FINDS VARIOUS EXCUSES TO AVOID SCRUTINY OF DOCTORS PRODUCED UNDER ITS OWN SYSTEM.
    EVEN THE BAR COUNCIL OF INDIA HAS MADE SIMILAR EXAM FOR ADVOCATES TO BE MANDATORY BUT CURRENT MCI HAVING PROXIMITY TO MEDICAL MAFIA IS RELUCTANT TO DO SO.
    IT SEEMS IN THE EYES OF CORRUPT MCI, LIFE IS LESS PRECIOUS THAN JUSTICE ?
    WE DEMAND HEALTH MINISTRY TO APPROVE THE BILL IN ITS CURRENT FORM IMMEDIATELY SO THAT ATLEAST A STAGE IS SET FOR EXIT EXAM AS SOON AS POSSIBLE.
    WE ALSO DEMAND THE HEALTH MINISTRY AND MCI TO MAKE IT MANDATORY IMMEDIATELY TO THOSE TAKING FRESH ADMISSIONS FROM NEXT YEAR. EVEN IF IT IS MADE MANDATORY TODAY IT WILL BE PRACTICALLY EFFECT AFTER 5 YEAR.

    THANKING YOU,

    YOURS FAITHFULLY,

    (RK AGGRAWAL)

    COPY TO PRIMME MINISTER OF INDIA