Social Justice Through Health Care
Tuesday, March 9th, 2010SOCIAL JUSTICE IN HEALTH CARE We just come across a person who may be fully satisfied with the delivery system of health care run by the government or the private sector. This is true not only for development but also for developed countries. Every law-abiding, contributing individual has certain legitimate expectations of the state. Disenchantment of delivery of health care forces people to seek better solutions across borders. Even the current flow of patients from developed countries to developing countries has grown into a medical tourism. Medical tourism is not one way traffic. Poor of India are known to visit Rashid Hospital Lahore for kidney transplants. Medical tourism will certainly bring the world class equipment and services in our hospitals now. The tertiary care hospital company may act as referral hospitals excellent. Lack of adequate clinical material, as patients are often referred to parleyences is prompted medical doctors in the developed world medical adventurism. Very recently, two NGOs led by renowned plastic surgeon of Indian origin were India, claiming their credit hundreds of cleft lip and palate surgery done in a week. During my brief interaction when I asked a fundamental question how do you justify surgery one step by one specialist for a clinical entity requiring 3-5 surgeries developed by 10 specialists over a period of 20 years, he There was no response. Record on local doctors to conduct these surgeries. These NGOs provide a battery of medical residents in training for hands on training. Dumping of questionable services and drugs continues unabated in the absence of strict regulation. Clear guidelines up to date by the health authorities have not yet been issued to safe guard the health interests of this nation. Most drugs banned in developed countries are still dumped in the Indian market. The only trade policy dictates of multinational companies in the health sector in developing countries. State and National Councils of Health, the watchdogs of our national interests of health are controlled by elected representatives from among physicians. Competitive populism to be elected to high office, takes the bite off those very regulators. In this “sector leads market forces” of health, among other factors, population size, economic prosperity and literacy levels dictate the look of the main actors. Subjective and objective assessments of operations Health care leave people confused with huge piles of data and interpretations without end. At the tail end of govt. care system is the health clinic in rural or slum upgrading the center, and the end user a villager illiterate or semi literate or a slum dweller. Dispensary is the human face, the welfare state may present to his people. In years past providers were among the same social class they used to serve. can be a Doctor friend, philosopher and guide to the locals. Unfortunately, the economic and social disparity between the service providing physicians and the public service users has increased dramatically. Ad-hocism in the delivery of health care should be abolished with effect Now. The doctors and paramedical personnel appointed on the basis of annual contract, not showing an interest in national programs. Established private health care providers have also shown no significant commitment of national programs. The middle class has it even fragmented. Now it is fashionable to attribute an economic value to all issues like sex, but for social responsibility and justice. In this era of rapid growth, non-unionized, suffering silent millions can not be evaded. After reading about the biodiversity I came across a very interesting quote, “the only species of economic importance will survive.” In our active pursuit of economies of magnetization, we assigned economic values to anything, except to the corporation. Commodification of Education has produced a new breed of professionals who have little concern for professional ethics. Privatization is the buzzword with governments, because it removes responsibility from the government. Private players are eyeing many health facilities viable. There are no takers for noncommercial use, viable institutions in rural areas. Rural health facilities providing social medicine. Very recently, one of the key players in the private sector health care cited the cost of developing a hospital bed in business at Rs 30-60 Lacs. These health services are now definitely out of every common man. Such hospitals are certainly necessary to a nation with the current rate of growth, ‘Bharat’ really need other types of hospitals. There are very strong social currents of the exploiters against the private health care, inadequate public sector resources for health care and the agnostic approach of the welfare state. Health for all is a proposal very high, but expensive. There are ways and means to reduce the pressure exerted by government institutions. Public-private health insurance, supervision and regulation of health care in the private sector can all do little things easy. Education of preventive health care can go very far in improving public health. Community participation in health care has produced few but wonderful examples. Community participation can further compensate for missing minor, but essential in the system of care run by the government. Setting up companies in the health system with the Bank assistance has improved the functioning of Govt. health facilities sector considerably. Community participation through NGOs can further improve the system, but most NGOs significant turn away from Govt. run institutions to health care because of their doubts about the integrity of government officials. Government establishment of health care is increasingly perceived as not taking care hospitals, but as police stations, where the medico legal reports are prepared and conducted autopsies. Most of the time government doctors is spent in court, testified that the medical and legal experts. Emergency, post mortem, and then more homework VIP hardly leave doctors free to any meaningful work in public hospitals. There is an urgent need to separately administer curative, preventive, legal, and intelligence wings of health. Public hospitals attract the poorest of the poor, especially those in the unorganized sector. Their contribution to national GDP is far from small. With a current growth rate, social mobility is considered in all strata of society. Many segments of the informal sector can be organized so that they also enjoy the patronage of the welfare state in the form of health insurance policies. Outside of direct benefit to those segments of society, the state will benefit from the ‘off loading’ of the system load of health care run by the government and its load on the driven private insurance institutions health care. The poorest of the poor in the faith based welfare state. Sanjivini, the policy of insurance with the Cooperative Societies Punjab Milkmen is already a great success. ECHS (Ex military Contributory Health Scheme) is a success story. These success stories can be reproduced with countless bands similar panwallas, dhabewallas, drivers, etc. Simply autorikshaw organize the unorganized sector. There is no shortage of role models among government doctors too. Their inclusion rather than drift after the division of the delivery of health care will contribute immensely to improve the system. Stability of tenure is an excellent incentive government can give its doctors at no cost nothing to the Exchequer. Yet beyond decades of occupation should be discouraged because it leads to the development of interest holders old and denial of opportunity for young people. Adequate resources is a major problem in the government. run health system. There are clinics where specialists are displayed and many others in civilian hospitals for non-specialists are posted. These results fit in healthcare defective and inefficient. Nodal hospitals can be created for services around the clock emergency cannibalization defunct institutions and patients, when crores worth of equipment lying unused and good wages are bleeding white Exchequer. Most medical retirement in the same administrative rank. This stagnation has forced too many doctors off a brilliant service. Simply seeking options for the place of posting, the implementation honestly with minimum displacement on merit can also revitalize the Govt. senior doctors. The private system of health care is a totally market-oriented business. Say “market forces” have the least respect for systems of ethical and moral values. Channels of multi-level marketing has evolved in the name of referral systems. End result is the exploitation of man unsuspecting town, which still considers the person a holy healer. This “incentive system” is strengthening the influence of untrained, unscrupulous and unregistered medical on the illiterate masses. Not many qualified doctors are unscrupulous. Much of the providers of private health care truly feel threatened by blackmailers of all kinds. Act on Consumer Protection is a very comfortable flying bat in the hands of their executioners. Under the constant threat of being blackmailed, providers of private health care are becoming more defensive attitude. More patients are referred to a tertiary care for this reason alone, floods and reference institutions. People have the common sense that the disease is an invitation to exploitation by providers of private health care. Even charitable hospitals are charging as heavily as hospitals completely private. Medical profession is fully responsible and capable of self-correction. Tips and medical associations can jointly evolve a fail safe mechanism to keep their black sheep in check even without government assistance, but the buck stops with the government. Welfare is the State duty, not only in providing systems of care, but also good management of health care and social justice through the mechanism of health care. Name: Dr. Pardeep Kumar Sharma Email-ID: omfspardeep @ yahoo. com. (M): 0988456296 Date of birth: 12. 02. 1962 Education Qualifications: BDS (Bachelor of Dental Surgery) MDS (Master of Dental Surgery in Oral and Maxillofacial) Education Institutions Attended Govt. Bargara High School: Registration (1969-1977) Distt. Faridkot, Punjab, India DAV College Chandigarh: pre-university (1973-79) (Punjab University) Barjindra College Faridkot: Pre-Medical (1980) Dental Wing, Medical College: BDS (1981-1986) Patiala Dental College and Hospital: MDS (2003-2006) Amritsar Professional Experience House Officer, Christian: 1987-1988 Medical College & Hospital, Ludhiana Research Officer, All India: January 1989-June 1989 Institute of Medical Sciences AIIIMS, New Delhi Dental Officer, Indian armies: July 1989 to August 1994. Forces in the rank of captain 3 Medical Officer (Dental): W. e. f. November 1995 to date Punjab Civil Medical Service (PCM) Research papers published ”The role of programmed cell death in dental anomalies associated with cleft lip and palate. “Medical Hypotheses” Churchil Living Stone Publishers, London 1991 Post traumatic adhesion polatoglossal a case report stomatologica India (1990). Undertakes research ”Malocclusion and associated factors in children of Delhi” a study sponsored by the Indian Council of Medical Research (ICMR). Areas of interest: Environment, Health, Defense, International Affairs and rationalism