Tuesday, November 21, 2017

Corporate greed or General Indian public's Stupidity and Dr.Harry's rules on Indian Medical treatment

 Corporate greed or General Indian public's Stupidity and  Dr.Harry's rules on Indian Medical treatment
"As a physician with 34 years of experience, I think I have a right as well as responsibility
to express my 2 cents worth of opinion"

"In my opinion, every medical problem is a social problem and all too many are also economical problems"
 "Dr.Boyd Cooper inSex without tears"
this random thought was spurred by the report in  Deccan chronicle today.
Dr.Harry's rules/facts/aphorisma/wiseman's words

 # 1 "When you go to a corporate Hospital you are basically saying i am willing to pay the  exorbitant cost of treatment
whatever be the Outcome."

# 2" if your child/relative dies the Hospital is under no obligation to provide trasportation for the dead body to your place of residence"

#3 "Once you have admitted your patient in a corporate Hospital, you have little control over the  treatment."
#4 "if you are not satisfied  with the treatment, or can no longer afford the cost, All you can do is to leave against medical advise,"
#5" you can go to consumer court on many frivoulous complaints against your neighbourhood Doctor and make his life Miserable,
 but have little to say about corporate Hospitals, because they have the legal muscle to fight you effectively."

#6 you or your friends or relatives can take to twitter, facebook, you will get your 30 seconds of fame, and useless replies from the health minister"
#7 people of your Mohalla will come down with rocks and iron rods "to teach the Doctors a lesson" in the process damaging the meagre facilities, causing more problems to other poor patients.
( this is unlikely to happen in  a large  corporate hospital in the  nation's capital or other  Mtropolis.as they have  adequate security in place)




New Delhi: Union Health Minister JP Nadda has taken note of alleged overcharging by a Gurgaon-based private hospital from family members of a patient, who reportedly died of dengue recently.

A Twitter user @DopeFloat in a post on a microblogging site alleged that the hospital "charged Rs 18 lakh" for 15 days of treatment of dengue for a young daughter of his friend.

The tweet later went viral on social media.


D
@DopeFloat
One of my batchmate's 7 year old was in @fortis_hospital for ~15 days for Dengue. Billed 18 lakhs including for 2700 gloves. She passed away at the end of it. Corrupt assholes.
8:48 PM - Nov 16, 2017
 1,138 1,138 Replies   10,366 10,366 Retweets   4,508 4,508 likes
Twitter Ads info and privacy
After the post was widely circulated on social media, the Union health minister on twitter said: "Please provide me details on hfwminister@gov.in. We will take all the necessary action."


Jagat Prakash Nadda

@JPNadda
Please provide me details on hfwminister@gov.in .We will take all the necessary action. https://twitter.com/dopefloat/status/932155286927720448 …
11:08 PM - Nov 19, 2017
 320 320 Replies   1,277 1,277 Retweets   1,373 1,373 likes
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Fortis denied any wrongdoing. It said all standard medical protocols were followed in treating Adya Singh and all clinical guidelines were adhered to.

In a " detailed clarification" submitted to the health minister, Fortis said it had charged Rs 15.79 lakh.

Family of the patient, Adya Singh, alleged that the doctors continued her treatment in the ICU, in full knowledge that her condition had deteriorated beyond cure.

"The doctors kept the child in ICU for so many days, but her brain had already damaged gradually, which the doctors deliberately did not test. They continued the treatment knowing that her brain was dead," Jayant Singh, father of the patient said.

Singh said that the doctors in Fortis Hospital finally conducted an MRI test on his insistence, and told the family that "nothing could be done anymore as her brain was 70 to 80 per cent dead."

After the patient's death, the hospital also denied an ambulance for the deceased child and refused to give a death certificate citing that the rule of Leaving Against Medical Advice (LAMA) had applied in this case. The family was also told to get a birth certificate from another hospital, alleged the father.

"Now I find that the rule cited is wrong," Singh added.

Singh informed that the child was first admitted to Rockland Hospital, and later shifted to Fortis Hospital, but cause of her death has not been accounted in either of the hospitals.

"Fortis has not reported the casualty and Rockland gave me a 'brought dead' certificate. None of the hospitals have mentioned the cause of death as dengue," he said.

Meanwhile, Fortis hospital in a statement claimed that "all standard medical protocols were followed in treating the patient and all clinical guidelines were adhered to. She was admitted with Severe Dengue which progressed to Dengue shock syndrome and was managed on IV fluids and supportive treatment as there was a progressive fall in platelet count and hemoconcentration. As her condition deteriorated, she had to be put on ventilatory support within 48 hours," the hospital said in a statement.

On September 14, the family decided to "take her away from the hospital against medical advice (LAMA) and she succumbed the same day," it said.

The hospital said an itemised bill "spread over 20 pages was explained and handed over to the family" at the time of their departure from the hospital.

All consumables are transparently reflected in records and charged as per actuals, it claimed.

With input from agencies.
"There is a significant difference between what is reported and what really happened"
If you read the article carefully you will understand.


 When India Attained independence The socialistic oriented Government promised free public Healthcare for all citizens.9universal healthcare.

"The fundamentals of how a government system provides for its citizen's rests on the morals and ideologies that underlie the system itself. A socialist government possess the essential aspect, "conception of liberty is the positive provision for the entire population" (Strachez, 1936:214). Liberty for the entire population, in other words: equality. Socialism's foundation is based on egalitarian ideals for the benefit of its people, steering away from establishing an economic profit that would conflict with the liberty of well being. Health service is to be regarded as a social or human right, evenly available to all, versus a substantial determination by the commercial market depending on purchasing power. (Roemer, 1976)."

Except for one small island ruled by dreaded Communist dictatorship no other country has fully satisfied the Universal Healthcare.
 "CUBA LIBRE"
http://www.radford.edu/~junnever/law/cuba.htm


Health care delivery is the responsibility of the state.

Prevention and curative services are integrated with national social and economic development.
"The population participates in developing and maintaining the health care system." (Iatridis, 1990:30).

  for the  purpose of  WHO records India provides FREE and UNIVERSAL Healthcare.

 So theoretically this girl should have  been treated in a Government hospital for free.

Unlike some countries ,The  general public in India is allowed to go to private facilities for their Healthcare needs if they wish and can afford.

 the problem we are facing is  we have  a yawning gap between the haves and havenots.
A yawning gap between theory and practice.
Even a worse gap between  Government Hospitals and  private corporate Hospitals.

and even a worse gap between what the general public is willing to do and  not willing to do.

 We agitate against any increase in charges  of any public facility.
we will paygladly for a bottle of  water but  agitate against raising  Muncipal water charges.
We complain  lack of water supply but do not even bother to shut  a open or a leaky tap.
We are willing to pay lakhs of rupees for  treatment  of Dengue  but are unwilling to keep our places of residence clean  and  free of stagnant water where  the  Mosquito.
which not only carries Dengue but all these other diseases.

"Diseases transmitted by mosquitoes include: malaria,
dengue, West Nile virus, chikungunya,
 yellow fever,( thankfully not known in India for reasons unknown)
 filariasis, tularemia, dirofilariasis, Japanese encephalitis,
Saint Louis encephalitis, Western equine encephalitis,
 Eastern equine encephalitis, Venezuelan equine encephalitis,
 La Crosse encephalitis, and Zika ..."
"http://www.hindustantimes.com/columns/you-should-know-5-deadliest-mosquito-borne-diseases-in-india/story-HVE7pprbScppKyqClE5GoN.html"
We are willing to pay 15000 INR for each platelet transfusion but unwilling to pay 150 for the  muncipal sweeper to keep
the premisis clean

" When you go to a corporate Hospital you are basically saying i am willing to pay the exorbitant cost of treatment
whatever be the Outcome."

Understand this you stupid DOPE

https://en.wikipedia.org/wiki/List_of_countries_with_universal_health_care

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