With their gleaming facades, five-star lobbies and rockstar doctors, big private hospitals are now a fact of life in India’s urban landscapes. Well-heeled middle-class patients and those with enough insurance now rush to them, hoping for world-class treatment but sure that either way it will cost them a bomb. “The choice is limited and the costs of care in the private hospitals are going up,” says Alok Mukhopadhyay of Voluntary Health Association of India.
Experts blame this in large part to the expensive superstructure created at these mega hospitals—the extensive use of technology, needless tests, prescriptions of expensive medicines, and fancy salaries to consultants among others. Though many of the hospitals have registered themselves as trusts and avail tax breaks, there is no regulation to ensure that they meet their commitment to poor patients. “Private hospitals are not open to oversight—monitoring and clinical quality is a huge question mark,” says Ravi Duggal, country coordinator, International Budget Partnership. Duggal has done extensive studies on healthcare in India.
Duggal blames the present unregulated status of private sector healthcare on the failure of the Union government to get the Clinical Establishment Act, 2010, enacted and the lack of initiative by states to bring in similar legislations. The irony is that while an overburdened public sector health structure is straining under the load, private hospitals are growing rapidly—but only in terms of number, not necessarily in quality of care.
Consumer advocate Jehangir Gai says that though healthcare costs in India may seem more affordable when compared to the West, “it is still out of reach of the average people. One illness can wipe you out. It is not individual hospitals but the whole system that is flawed”. He narrates a story from a medico- legal conference he attended where a doctor admitted to “being compelled to leave for not meeting income targets” of the hospital.
Thank you to all those who have taken the trouble to read the article and share their thoughts. Out of the arguments made here, there are two that perhaps need answering. So here they go.
1. The first part of the article compares outcomes (relative percentages of population of the religions concerned) irrespective of the process that led to those outcomes - whether immigration, relatively faster population growth or conversions. This was for two reasons. One, to put the figure of 2.3 per cent in "numerical perspective", as the article itself explained. The second reason was that outcomes are ultimately what the crux of debate is about. The rest of the article in any case dealt with process - or conversions in this case, from both a contemporary and historical perspective.
2. Some commenters have tried to cast doubts on the reliability of Census 2001. Those who do this should bear in mind that Census 2001 was conducted by a BJP government. Considering the extreme importance that BJP gives to this issue, it would be reasonable to expect that IF it had perceived a problem with the methodology that was distorting the numbers, it would have fixed it. As the article mentioned, BJP or BJP-supported governments have been in power for 10 of the last 40 years, or about a quarter of the time, and the only reasonable conclusion one can arrive at is that any misreporting of numbers, real or perceived, would be marginal and hence, not of importance.
To all other arguments made, my answer is the following: Please read the article again, with particular focus on the quotations of Vivekananda and Monier Williams, and the history of the missionary efforts in Bengal and their outcome.
Private hospitals, like any business, is only making profits while there is an acute shortage of good healthcare and doctors.
Why blame them for poor health care, when the government has washed itself of its responsibilty to the health of its citizens?
Even though covered with sufficient insurance, I always pray for just one thing that none in my family and near-dear ones is ever subject to the Indian healthcare system - private (leeches) or public (bacteria and viruses). So far my prayers are answered and hope they continue to be answered. I have a morbid fear, even if some would consider it nordering on the irrational, of the Indian Healthcare system - I simply don't trust it at all.
The idea that medical negligence occurs, is neither here nor there. We don't know, whether the flu, like in bird flu, or swine flu, is either the flu virus mutating unknown, whether the human biology is doing likewise or opposite, or whether the virus has become stronger, because it could be all of the above, one of the above, or some reason not to do with the virus, human biology, or the cure, as there might be reason(s) that could be independent of all three factors, either working in any of the ponderables mentioned above, or all of them mentioned above. Are we to blame the doctor, or the cure for any of the above, because the doctor isn't spreading the swine flu, or the bird flu virus.
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