let us look at the original scheme started a decade ago by a Congress CM, to get an idea.
Where we are/will be going with Ayushman Bharath
"Unfortunately, many governments today are withdrawing from their responsibility to provide quality health services to people and are resorting instead to 'public-private partnerships' (PPPs). Eager votaries of such PPPs and state-supported health insurance schemes would have us believe that the state should hand over large-scale public funds to the private medical sector, based on the uncritical assumption that private providers will provide good quality health care to the population. In this context, these scathing reflections on the private medical sector from within the medical profession provide us with a healthy counterview. These observations give us a glimpse of what we might expect if the state decides to hand over responsibility for providing health care on a large-scale to unregulated, profit-driven private agencies, without any regulation or accountability\
Health and health care should be treated as basic rights for every human being. These rights are an inalienable part of the Right to Life, which is one of the fundamental rights enshrined in the Constitution of India.
"
while the majority of patients turn to private medical services for a variety of reasons, there is large-scale dissatisfaction regarding the quality of services, unaffordable costs of care, and unnecessary procedures and surgeries often conducted in private medical facilities. It is clear that the laws regulating private medical services are very weak or non-existent, while their implementation is so perfunctory that, effectively, these services are completely unregulated. Though the private medical sector is a behemoth that dominates the entire health care scenario, since it is unregulated and lacks any standardization, this giant has feet of clay.
Given this context, the central government passed the 'Clinical Establishment Act' in 2010 to regulate private medical services across the country. However, instead of welcoming standards to regulate their profession, most associations of private doctors bitterly opposed this Act. While some of this opposition is directed at certain deficiencies and lacunae in the Act, the basic stand of most doctors' associations can be summed up as follows: 'We private doctors are doing an excellent job of regulating ourselves. All is well, though there may be a few rare exceptions. So there is no need for society and the state to regulate doctors.'"
This book contains the thoughts and reflections of such rational doctors: their critical introspections, their 'dissenting diagnosis', which runs counter to complacency about the state of medical practice displayed by mainstream associations of private doctors. These doctors are courageously holding up a mirror to the profession. Their 'voices of conscience' are full of righteous anger, yet they also reflect a sense of helplessness at the sorry state of this once 'noble profession'.
"We should not lose sight of the wider factors that have led to this situation. Since the 1990s, like all sectors of Indian society, the health care sector has been swept up in the whirlwind of globalization, liberalization and privatization. How did it come to pass that a well- intentioned, service-oriented profession was transformed into a market- driven commodity, and then into a corporate-led, profiteering industry? It was as if most doctors—preoccupied as they were with their own individual practices—were unable to comprehend this sweeping process. In just a few decades, the entire context of the private medical sector was transformed. Pharmaceutical companies, insurance companies, corporate hospitals, medical equipment companies, private medical colleges, multinational vaccine manufacturers—all these powerful actors related to the private medical sector have been united in their drive for expanding profits, and they have ensured that health care becomes more and more of a commodity in the market "
"The doctor has to prioritize the patient's well-being first, not the doctor's own self-interest. But those(Doctors) who were grounded in the idea of service have felt the ground swept away from under their feet, their traditions of 'keep the patient foremost' rapidly buried under the ruthless logic of 'keep profits foremost'.
"either by design or by accident, the privatization of medical education is rapid. Of the approximately 425 medical colleges functioning today, well over half are private, accounting for 48 per cent of the approximately 53,235 seats at the MBBS level. Newly trained doctors, who have paid handsomely for their training are, almost by definition, unavailable for modestly paying jobs in the public sector. Unless state governments invest in medical and nursing education, especially in the underserved states, we can expect little by way of a strengthened primary health care system. All doctors must read this book, and health policymakers, and all those interested in the future of public health in India". Chennai 13 December 2015 Keshav Desiraju
"In this context, the reflections of these seventy-eight rationally practising doctors from various parts of the country may sound like the swan song of a species on the verge of extinction. But the concerns that are being raised are not restricted to doctors alone. These anguished voices are now finding wider resonance, in the form of deeply felt, popular dissatisfaction and simmering anger, regarding practices in the private health care sector. Sporadic but growing attacks on private hospitals are the regrettable but inevitable consequence of a problem that is now too large to be pushed under the carpet."
"Encounter kardenge"
Hey be careful !
"If you talk like this when you are visiting India,They will label you "Naxalite/Maoist" and do an encounter. We don't want to lose you " was the advice given by a well wisher.
Where we are/will be going with Ayushman Bharath
"Unfortunately, many governments today are withdrawing from their responsibility to provide quality health services to people and are resorting instead to 'public-private partnerships' (PPPs). Eager votaries of such PPPs and state-supported health insurance schemes would have us believe that the state should hand over large-scale public funds to the private medical sector, based on the uncritical assumption that private providers will provide good quality health care to the population. In this context, these scathing reflections on the private medical sector from within the medical profession provide us with a healthy counterview. These observations give us a glimpse of what we might expect if the state decides to hand over responsibility for providing health care on a large-scale to unregulated, profit-driven private agencies, without any regulation or accountability\
Dissenting Diagnosis
By Arun Gadre, Abhay ShuklaHealth and health care should be treated as basic rights for every human being. These rights are an inalienable part of the Right to Life, which is one of the fundamental rights enshrined in the Constitution of India.
"
while the majority of patients turn to private medical services for a variety of reasons, there is large-scale dissatisfaction regarding the quality of services, unaffordable costs of care, and unnecessary procedures and surgeries often conducted in private medical facilities. It is clear that the laws regulating private medical services are very weak or non-existent, while their implementation is so perfunctory that, effectively, these services are completely unregulated. Though the private medical sector is a behemoth that dominates the entire health care scenario, since it is unregulated and lacks any standardization, this giant has feet of clay.
Given this context, the central government passed the 'Clinical Establishment Act' in 2010 to regulate private medical services across the country. However, instead of welcoming standards to regulate their profession, most associations of private doctors bitterly opposed this Act. While some of this opposition is directed at certain deficiencies and lacunae in the Act, the basic stand of most doctors' associations can be summed up as follows: 'We private doctors are doing an excellent job of regulating ourselves. All is well, though there may be a few rare exceptions. So there is no need for society and the state to regulate doctors.'"
This book contains the thoughts and reflections of such rational doctors: their critical introspections, their 'dissenting diagnosis', which runs counter to complacency about the state of medical practice displayed by mainstream associations of private doctors. These doctors are courageously holding up a mirror to the profession. Their 'voices of conscience' are full of righteous anger, yet they also reflect a sense of helplessness at the sorry state of this once 'noble profession'.
"We should not lose sight of the wider factors that have led to this situation. Since the 1990s, like all sectors of Indian society, the health care sector has been swept up in the whirlwind of globalization, liberalization and privatization. How did it come to pass that a well- intentioned, service-oriented profession was transformed into a market- driven commodity, and then into a corporate-led, profiteering industry? It was as if most doctors—preoccupied as they were with their own individual practices—were unable to comprehend this sweeping process. In just a few decades, the entire context of the private medical sector was transformed. Pharmaceutical companies, insurance companies, corporate hospitals, medical equipment companies, private medical colleges, multinational vaccine manufacturers—all these powerful actors related to the private medical sector have been united in their drive for expanding profits, and they have ensured that health care becomes more and more of a commodity in the market "
"The doctor has to prioritize the patient's well-being first, not the doctor's own self-interest. But those(Doctors) who were grounded in the idea of service have felt the ground swept away from under their feet, their traditions of 'keep the patient foremost' rapidly buried under the ruthless logic of 'keep profits foremost'.
"either by design or by accident, the privatization of medical education is rapid. Of the approximately 425 medical colleges functioning today, well over half are private, accounting for 48 per cent of the approximately 53,235 seats at the MBBS level. Newly trained doctors, who have paid handsomely for their training are, almost by definition, unavailable for modestly paying jobs in the public sector. Unless state governments invest in medical and nursing education, especially in the underserved states, we can expect little by way of a strengthened primary health care system. All doctors must read this book, and health policymakers, and all those interested in the future of public health in India". Chennai 13 December 2015 Keshav Desiraju
"In this context, the reflections of these seventy-eight rationally practising doctors from various parts of the country may sound like the swan song of a species on the verge of extinction. But the concerns that are being raised are not restricted to doctors alone. These anguished voices are now finding wider resonance, in the form of deeply felt, popular dissatisfaction and simmering anger, regarding practices in the private health care sector. Sporadic but growing attacks on private hospitals are the regrettable but inevitable consequence of a problem that is now too large to be pushed under the carpet."
"Encounter kardenge"
Hey be careful !
"If you talk like this when you are visiting India,They will label you "Naxalite/Maoist" and do an encounter. We don't want to lose you " was the advice given by a well wisher.
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