Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
$stackFrame = (int) 1
$trace = [
	(int) 0 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php',
		'line' => (int) 2421,
		'function' => 'deprecationWarning',
		'args' => [
			(int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.'
		]
	],
	(int) 1 => [
		'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
		'line' => (int) 150,
		'function' => 'offsetGet',
		'class' => 'Cake\Http\ServerRequest',
		'object' => object(Cake\Http\ServerRequest) {},
		'type' => '->',
		'args' => [
			(int) 0 => 'catslug'
		]
	],
	(int) 2 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php',
		'line' => (int) 610,
		'function' => 'index',
		'class' => 'App\Controller\ArtileDetailController',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 3 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 120,
		'function' => 'invokeAction',
		'class' => 'Cake\Controller\Controller',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 4 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 94,
		'function' => '_invoke',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(App\Controller\ArtileDetailController) {}
		]
	],
	(int) 5 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php',
		'line' => (int) 235,
		'function' => 'dispatch',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 6 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Http\BaseApplication',
		'object' => object(App\Application) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 7 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php',
		'line' => (int) 162,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 8 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\RoutingMiddleware',
		'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 9 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php',
		'line' => (int) 97,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 10 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\AssetMiddleware',
		'object' => object(Cake\Routing\Middleware\AssetMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 11 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php',
		'line' => (int) 96,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 12 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware',
		'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 13 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 51,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 14 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php',
		'line' => (int) 98,
		'function' => 'run',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\MiddlewareQueue) {},
			(int) 1 => object(Cake\Http\ServerRequest) {},
			(int) 2 => object(Cake\Http\Response) {}
		]
	],
	(int) 15 => [
		'file' => '/home/brlfuser/public_html/webroot/index.php',
		'line' => (int) 39,
		'function' => 'run',
		'class' => 'Cake\Http\Server',
		'object' => object(Cake\Http\Server) {},
		'type' => '->',
		'args' => []
	]
]
$frame = [
	'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
	'line' => (int) 150,
	'function' => 'offsetGet',
	'class' => 'Cake\Http\ServerRequest',
	'object' => object(Cake\Http\ServerRequest) {
		trustProxy => false
		[protected] params => [
			[maximum depth reached]
		]
		[protected] data => [[maximum depth reached]]
		[protected] query => [[maximum depth reached]]
		[protected] cookies => [[maximum depth reached]]
		[protected] _environment => [
			[maximum depth reached]
		]
		[protected] url => 'latest-news-updates/cure-the-doctor-vikram-patel-4678119.html'
		[protected] base => ''
		[protected] webroot => '/'
		[protected] here => '/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html'
		[protected] trustedProxies => [[maximum depth reached]]
		[protected] _input => null
		[protected] _detectors => [
			[maximum depth reached]
		]
		[protected] _detectorCache => [
			[maximum depth reached]
		]
		[protected] stream => object(Zend\Diactoros\PhpInputStream) {}
		[protected] uri => object(Zend\Diactoros\Uri) {}
		[protected] session => object(Cake\Http\Session) {}
		[protected] attributes => [[maximum depth reached]]
		[protected] emulatedAttributes => [
			[maximum depth reached]
		]
		[protected] uploadedFiles => [[maximum depth reached]]
		[protected] protocol => null
		[protected] requestTarget => null
		[private] deprecatedProperties => [
			[maximum depth reached]
		]
	},
	'type' => '->',
	'args' => [
		(int) 0 => 'catslug'
	]
]
deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
$message = 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
$stackFrame = (int) 1
$trace = [
	(int) 0 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php',
		'line' => (int) 2421,
		'function' => 'deprecationWarning',
		'args' => [
			(int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.'
		]
	],
	(int) 1 => [
		'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
		'line' => (int) 151,
		'function' => 'offsetGet',
		'class' => 'Cake\Http\ServerRequest',
		'object' => object(Cake\Http\ServerRequest) {},
		'type' => '->',
		'args' => [
			(int) 0 => 'artileslug'
		]
	],
	(int) 2 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php',
		'line' => (int) 610,
		'function' => 'index',
		'class' => 'App\Controller\ArtileDetailController',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 3 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 120,
		'function' => 'invokeAction',
		'class' => 'Cake\Controller\Controller',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 4 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 94,
		'function' => '_invoke',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(App\Controller\ArtileDetailController) {}
		]
	],
	(int) 5 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php',
		'line' => (int) 235,
		'function' => 'dispatch',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 6 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Http\BaseApplication',
		'object' => object(App\Application) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 7 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php',
		'line' => (int) 162,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 8 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\RoutingMiddleware',
		'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 9 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php',
		'line' => (int) 97,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 10 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\AssetMiddleware',
		'object' => object(Cake\Routing\Middleware\AssetMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 11 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php',
		'line' => (int) 96,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 12 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware',
		'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 13 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 51,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 14 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php',
		'line' => (int) 98,
		'function' => 'run',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\MiddlewareQueue) {},
			(int) 1 => object(Cake\Http\ServerRequest) {},
			(int) 2 => object(Cake\Http\Response) {}
		]
	],
	(int) 15 => [
		'file' => '/home/brlfuser/public_html/webroot/index.php',
		'line' => (int) 39,
		'function' => 'run',
		'class' => 'Cake\Http\Server',
		'object' => object(Cake\Http\Server) {},
		'type' => '->',
		'args' => []
	]
]
$frame = [
	'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
	'line' => (int) 151,
	'function' => 'offsetGet',
	'class' => 'Cake\Http\ServerRequest',
	'object' => object(Cake\Http\ServerRequest) {
		trustProxy => false
		[protected] params => [
			[maximum depth reached]
		]
		[protected] data => [[maximum depth reached]]
		[protected] query => [[maximum depth reached]]
		[protected] cookies => [[maximum depth reached]]
		[protected] _environment => [
			[maximum depth reached]
		]
		[protected] url => 'latest-news-updates/cure-the-doctor-vikram-patel-4678119.html'
		[protected] base => ''
		[protected] webroot => '/'
		[protected] here => '/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html'
		[protected] trustedProxies => [[maximum depth reached]]
		[protected] _input => null
		[protected] _detectors => [
			[maximum depth reached]
		]
		[protected] _detectorCache => [
			[maximum depth reached]
		]
		[protected] stream => object(Zend\Diactoros\PhpInputStream) {}
		[protected] uri => object(Zend\Diactoros\Uri) {}
		[protected] session => object(Cake\Http\Session) {}
		[protected] attributes => [[maximum depth reached]]
		[protected] emulatedAttributes => [
			[maximum depth reached]
		]
		[protected] uploadedFiles => [[maximum depth reached]]
		[protected] protocol => null
		[protected] requestTarget => null
		[private] deprecatedProperties => [
			[maximum depth reached]
		]
	},
	'type' => '->',
	'args' => [
		(int) 0 => 'artileslug'
	]
]
deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

                trigger_error($message, E_USER_WARNING);

            } else {
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html>
<!--[if lt IE 7 ]>
<html class="ie ie6" lang='en'> <![endif]-->
<!--[if IE 7 ]>
<html class="ie ie7" lang='en'> <![endif]-->
<!--[if IE 8 ]>
<html class="ie ie8" lang='en'> <![endif]-->
<!--[if (gte IE 9)|!(IE)]><!-->
<html lang='en'>
<!--<![endif]-->
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8">
    
    <title>
        LATEST NEWS UPDATES | Cure the doctor -Vikram Patel    </title>
    <meta name="description" content="
-The Indian Express

Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame 

Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India&rsquo;s healthcare..."/>
    <meta name="keywords" content="public expenditure on health,Out-of-pocket health expenditure,Access to Health,Access to Healthcare,health policy,healthcare,healthcare in india,Public Health"/>
    <meta name="news_keywords" content="public expenditure on health,Out-of-pocket health expenditure,Access to Health,Access to Healthcare,health policy,healthcare,healthcare in india,Public Health">
   
    <link rel="alternate" type="application/rss+xml" title="ROR" href="/ror.xml"/>
    <link rel="alternate" type="application/rss+xml" title="RSS 2.0" href="/feeds/"/>
    <link rel="stylesheet" href="/css/bootstrap.min.css?1697864993"/>    <link rel="stylesheet" href="/css/style.css?v=1.1.2"/>    <link rel="stylesheet" href="/css/style-inner.css?1577045210"/>    <link rel="stylesheet" id="Oswald-css"
          href="https://fonts.googleapis.com/css?family=Oswald%3Aregular%2C700&amp;ver=3.8.1" type="text/css"
          media="all">
    <link rel="stylesheet" href="/css/jquery.modal.min.css?1578285302"/>    <script src="/js/jquery-1.10.2.js?1575549704"></script>    <script src="/js/jquery-migrate.min.js?1575549704"></script>    <link rel="shortcut icon" href="/favicon.ico" title="Favicon">
    <link rel="stylesheet" href="/css/jquery-ui.css?1580720609"/>    <script src="/js/jquery-ui.js?1575549704"></script>    <link rel="preload" as="style" href="https://www.im4change.org/css/custom.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery.modal.min.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery-ui.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/li-scroller.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<!-- <link rel="preload" as="style" href="https://www.im4change.org/css/style.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous"> -->
<link rel="preload" as="style" href="https://www.im4change.org/css/style-inner.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">

<link rel='dns-prefetch' href="//im4change.org/css/custom.css" crossorigin >

<link rel="preload" as="script" href="https://www.im4change.org/js/bootstrap.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.li-scroller.1.0.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.modal.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.ui.totop.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-1.10.2.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-migrate.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-ui.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/setting.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/tie-scripts.js">
    <!--[if IE]>
    <script type="text/javascript">jQuery(document).ready(function () {
        jQuery(".menu-item").has("ul").children("a").attr("aria-haspopup", "true");
    });</script>
    <![endif]-->
    <!--[if lt IE 9]>
    <script src="/js/html5.js"></script>
    <script src="/js/selectivizr-min.js"></script>
    <![endif]-->
    <!--[if IE 8]>
    <link rel="stylesheet" type="text/css" media="all" href="/css/ie8.css"/>
    <![endif]-->
    <meta property="og:title" content="LATEST NEWS UPDATES | Cure the doctor -Vikram Patel" />
     <meta property="og:url" content="https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html" />
     <meta property="og:type" content="article" />
     <meta property="og:description" content="
-The Indian Express

Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame 

Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India&rsquo;s healthcare..." />
     <meta property="og:image" content="" />
      <meta property="fb:app_id" content="0" />
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">

       <link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://im4change.in/images/apple1.png">
    <link rel="apple-touch-icon-precomposed" sizes="120x120" href="https://im4change.in/images/apple2.png">
    <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://im4change.in/images/apple3.png">
    <link rel="apple-touch-icon-precomposed" href="https://im4change.in/images/apple4.png">

    <style>
    .gsc-results-wrapper-overlay{
        top: 38% !important;
        height: 50% !important;
    }
    .gsc-search-button-v2{
        border-color: #035588 !important;
        background-color: #035588 !important;
    }

   .gsib_a{
        height: 30px !important;
          padding: 2px 8px 1px 6px !important;
    }

   
    .gsc-search-button-v2{
        height: 41px !important;
    }
    input.gsc-input{
        background: none !important;
    }
    @media only screen and (max-width: 600px) {
        .gsc-results-wrapper-overlay{
            top: 11% !important;
            width: 87% !important;
            left: 9% !important;
            height: 43% !important;
        }

        .gsc-search-button-v2{
            padding: 10px 10px !important;
        
        }
        .gsc-input-box{
            height: 28px !important;
        }
       /* .gsib_a {
            padding: 0px 9px 4px 9px !important;
        }*/
    }
    @media only screen and (min-width: 1200px) and (max-width: 1920px) {
        table.gsc-search-box{
            width: 15% !important;
            float: right !important;
            margin-top: -118px !important;
        }

        .gsc-search-button-v2 {
            
            padding: 6px !important;
           
        }
    }


</style>

    <script>
        $(function () {
            $("#accordion").accordion({
                event: "click hoverintent"
            });
        });

        /*
         * hoverIntent | Copyright 2011 Brian Cherne
         * http://cherne.net/brian/resources/jquery.hoverIntent.html
         * modified by the jQuery UI team
         */
        $.event.special.hoverintent = {
            setup: function () {
                $(this).bind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            teardown: function () {
                $(this).unbind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            handler: function (event) {
                var currentX, currentY, timeout,
                    args = arguments,
                    target = $(event.target),
                    previousX = event.pageX,
                    previousY = event.pageY;

                function track(event) {
                    currentX = event.pageX;
                    currentY = event.pageY;
                }
                ;

                function clear() {
                    target
                        .unbind("mousemove", track)
                        .unbind("mouseout", clear);
                    clearTimeout(timeout);
                }

                function handler() {
                    var prop,
                        orig = event;
                    if ((Math.abs(previousX - currentX) +
                        Math.abs(previousY - currentY)) < 7) {
                        clear();
                        event = $.Event("hoverintent");
                        for (prop in orig) {
                            if (!(prop in event)) {
                                event[prop] = orig[prop];
                            }
                        }
                        // Prevent accessing the original event since the new event
                        // is fired asynchronously and the old event is no longer
                        // usable (#6028)
                        delete event.originalEvent;
                        target.trigger(event);
                    } else {
                        previousX = currentX;
                        previousY = currentY;
                        timeout = setTimeout(handler, 100);
                    }
                }

                timeout = setTimeout(handler, 100);
                target.bind({
                    mousemove: track,
                    mouseout: clear
                });
            }
        };
    </script>
    <script type="text/javascript">
        var _gaq = _gaq || [];
        _gaq.push(['_setAccount', 'UA-472075-3']);
        _gaq.push(['_trackPageview']);

        (function () {
            var ga = document.createElement('script');
            ga.type = 'text/javascript';
            ga.async = true;
            ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
            var s = document.getElementsByTagName('script')[0];
            s.parentNode.insertBefore(ga, s);
        })();
    </script>
    <link rel="stylesheet" href="/css/custom.css?v=1.16"/>    <script src="/js/jquery.ui.totop.js?1575549704"></script>    <script src="/js/setting.js?1575549704"></script>    <link rel="manifest" href="/manifest.json">
    <meta name="theme-color" content="#616163" />
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-title" content="im4change">
    <link rel="apple-touch-icon" href="/icons/logo-192x192.png">
</head>
<body id="top" class="home inner blog">
<div class="background-cover"></div>
<div class="wrapper animated">
    <header id="theme-header" class="header_inner" style="position: relative;">
        <div class="logo inner_logo" style="left:20px !important">
                <a title="Home" href="https://im4change.in/">
                    <img src="https://im4change.in/images/logo2.jpg?1582080632" class="logo_image" alt="im4change"/>                </a>
        </div>
        <div class="langhindi" style="color: #000;display:none;"
             href="https://im4change.in/">
            <a class="more-link" href="https://im4change.in/">Home</a>
                        <a href="https://im4change.in/hindi/" class="langbutton ">हिन्दी</a>
                    </div>
        <nav class="fade-in animated2" id="main-nav">
            <div class="container">
                <div class="main-menu">
    <ul class="menu" id="menu-main">
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            style="left: -40px;"><a
                 target="_blank" href="https://im4change.in/">Home</a>
        </li>
        <li class="menu-item mega-menu menu-item-type-taxonomy mega-menu menu-item-object-category mega-menu menu-item-has-children parent-list"
            style=" margin-left: -40px;"><a href="#">KNOWLEDGE GATEWAY <span class="sub-indicator"></span>
            </a>
            <div class="mega-menu-block background_menu" style="padding-top:25px;">
                <div class="container">
                    <div class="mega-menu-content">
                                                                   <div class="mega-menu-item">
                                                 <h3><b>Farm Crisis</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/farmers039-suicides-14.html"
                                                       class="left postionrel">Farm Suicides                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/unemployment-30.html"
                                                       class="left postionrel">Unemployment                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/rural-distress-70.html"
                                                       class="left postionrel">Rural distress                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/migration-34.html"
                                                       class="left postionrel">Migration                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/key-facts-72.html"
                                                       class="left postionrel">Key Facts                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/debt-trap-15.html"
                                                       class="left postionrel">Debt Trap                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Empowerment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/union-budget-73.html"
                                                       class="left postionrel">Union Budget And Other Economic Policies                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/forest-and-tribal-rights-61.html"
                                                       class="left postionrel">Forest and Tribal Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-education-60.html"
                                                       class="left postionrel">Right to Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-food-59.html"
                                                       class="left postionrel">Right to Food                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/displacement-3279.html"
                                                       class="left postionrel">Displacement                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-work-mg-nrega-39.html"
                                                       class="left postionrel">Right to Work (MG-NREGA)                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/gender-3280.html"
                                                       class="left postionrel">GENDER                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-information-58.html"
                                                       class="left postionrel">Right to Information                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/social-audit-48.html"
                                                       class="left postionrel">Social Audit                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Hunger / HDI</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/poverty-and-inequality-20499.html"
                                                       class="left postionrel">Poverty and inequality                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/malnutrition-41.html"
                                                       class="left postionrel">Malnutrition                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/public-health-51.html"
                                                       class="left postionrel">Public Health                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/education-50.html"
                                                       class="left postionrel">Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hunger-overview-40.html"
                                                       class="left postionrel">Hunger Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hdi-overview-45.html"
                                                       class="left postionrel">HDI Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/pds-ration-food-security-42.html"
                                                       class="left postionrel">PDS/ Ration/ Food Security                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/sdgs-113.html"
                                                       class="left postionrel">SDGs                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/mid-day-meal-scheme-mdms-53.html"
                                                       class="left postionrel">Mid Day Meal Scheme (MDMS)                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Environment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/time-bomb-ticking-52.html"
                                                       class="left postionrel">Time Bomb Ticking                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/water-and-sanitation-55.html"
                                                       class="left postionrel">Water and Sanitation                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/impact-on-agriculture-54.html"
                                                       class="left postionrel">Impact on Agriculture                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Law & Justice</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/social-justice-20500.html"
                                                       class="left postionrel">Social Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/access-to-justice-47.html"
                                                       class="left postionrel">Access to Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/human-rights-56.html"
                                                       class="left postionrel">Human Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/corruption-35.html"
                                                       class="left postionrel">Corruption                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/general-insecurity-46.html"
                                                       class="left postionrel">General Insecurity                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/disaster-relief-49.html"
                                                       class="left postionrel">Disaster &amp; Relief                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        
                    </div>
                </div>
            </div>
        </li>
        <li class="menu-item  menu-item-type-post_type  menu-item-object-page "><a  target="_blank" href="https://im4change.in/nceus_reports.php">NCEUS reports</a>
            
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children parent-list ">
            <a  target="_blank" href="https://im4change.in/about-us-9.html">About Us <span
                    class="sub-indicator"></span></a>
            <ul class="sub-menu aboutmenu">
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                        target="_blank" href="https://im4change.in/objectives-8.html">Objectives</a>
                </li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/contactus.php">Contact
                        Us</a></li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/about-us-9.html">About
                        Us</a></li>
            </ul>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children ">
            <a  target="_blank" href="https://im4change.in/fellowships.php" title="Fellowships">Fellowships</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/media-workshops.php">Workshops</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/research.php">Research</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children   "><a
                 target="_blank" href="https://im4change.in/links-64">Partners</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            id="menu-item-539"><a  target="_blank" href="https://im4change.in/hindi/"
                                  class="langbutton langlinkfont17">हिन्दी</a></li>
    </ul>
</div>            </div>


                        <!--  <div style="float: right;">
                            <script async src="https://cse.google.com/cse.js?cx=18b4f2e0f11bed3dd"></script>
                            <div class="gcse-search"></div>
                        </div> -->
                       
            <div class="search-block" style=" margin-left: 8px; margin-right: 7px;">
                <form method="get" id="searchform" name="searchform"
                      action="https://im4change.in/search"
                      onsubmit="return searchvalidate();">
                    <button class="search-button" type="submit" value="Search"></button>
                    <input type="text" id="s" name="qryStr" value=""
                           onfocus="if (this.value == 'Search...') {this.value = '';}"
                           onblur="if (this.value == '') {this.value = 'Search...';}">
                </form>
            </div>
        </nav>
    </header>
    <div class="container">
        <div id="main-content" class=" main1 container fade-in animated3 sidebar-narrow-left">
            <div class="content-wrap">
                <div class="content" style="width: 900px;min-height: 500px;">
                    <section class="cat-box recent-box innerCatRecent">
    <h1 class="cat-box-title">Cure the doctor -Vikram Patel</h1>
    <a href="JavaScript:void(0);" onclick="return shareArticle(30060);">
        <img src="https://im4change.in/images/email.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>    </a>

    <a href="https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119/print"
       rel="nofollow">
        <img src="https://im4change.in/images/icon-print.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>
    </a>
</section>
<section class="recent-box innerCatRecent">
    <small class="pb-1"><span class="dateIcn">
    	<img src="https://im4change.in/images/published.svg?1582080666" alt="published"/> 
		 Published on</span><span class="text-date"> Dec 21, 2015</span>
        &nbsp; <span
                class="dateIcn">
		 	<img src="https://im4change.in/images/modified.svg?1582080666" alt="modified"/>    	 Modified on </span><span class="text-date"> Dec 21, 2015</span>
    </small>
</section>
<div class="clear"></div>
<div style="padding-top: 10px;">
    <div class="innerLineHeight">
        <div class="middleContent innerInput latest-news-updates">
            <table>
                <tr>
                    <td>
                                                <div>
                            <div align="justify">-The Indian Express<br /><br /><em>Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame <br /></em><br />Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India&rsquo;s healthcare delivery system if it is to achieve the government&rsquo;s vision of assuring health for all. The paper documented India&rsquo;s progress on major health indicators in the past decade, but also its many deficiencies. The most disturbing indicator of these deficiencies is the observation that the cost of healthcare is driving millions of Indians into poverty. Let us pause to consider the implication of this statement.<br /><br />In a country where the primary goal of economic development is to help raise people out of poverty, healthcare is driving millions into poverty. Whereas, in other countries, investment in healthcare is recognised as a route to promote growth by enhancing their citizens&rsquo; capabilities to be productive, healthcare in India is now one of the leading causes of poverty. We are, in simple terms, out of step with the rest of the world, not only the developed countries whose ranks we aspire to join, but also with other countries like ours.<br /><br />It is common to lay the entire blame, or at least the lion&rsquo;s share, for this on the government. This is certainly true to some extent, but the reality is that many sectors must share this blame, not least the medical profession, of which I am a member. In most countries, the medical profession plays a central role in working with the government and civil society towards improving access to affordable, quality care. In India, though, the medical profession is adrift from any alignment with this vision and is, if anything, increasingly seen as being complicit in perpetuating our abysmal health care system, and as an obstacle to a progressive one.<br /><br />Hardly a day goes by without us being reminded of how corruption of the basic values of respecting patient rights and promoting an evidence-based practice has reduced our professional standards to those where doctors effortlessly associate with crooked politicians and police officers. Consider some stories that illustrate this: Illegal payments for approval of and admission to private medical colleges; falsification of faculty records to meet the criteria for recognition of these medical colleges; unethical and irrational practices of unnecessary procedures, diagnostic tests and hospital admissions with a commercial incentive; kickbacks in cash or kind from companies or other physicians for prescriptions or referrals; fraudulent billing for insurance payments; lack of attention to quality of care leading to catastrophic health outcomes following routine surgical procedures; collusion with pharmaceutical companies to run &ldquo;health camps&rdquo; whose primary goal is to create markets for the company; and collusion with families to promote sex-selection.<br /><br />While much of this corruption lies in the private sector, now the dominant force in healthcare delivery in India, it is equally the case that corruption is also evident in the public sector. Consider absenteeism to run illegal private practices and the lack of basic dignity in healthcare, both frequent observations in the public system. It would be fair to say that the reputation of my profession has collapsed since I was a medical student in the 1980s.<br /><br />While many of my colleagues may argue this is unjustified, I doubt if any will deny that a radical revision of our healthcare system will need to be accompanied by a radical revision of the medical profession itself. This reform would need to begin from the very nature of the training our medical students receive, so as to prepare them not only to work in specialised urban hospitals but also in primary care in villages and towns.<br /><br />The reform would need to extend further, much further, to regulate the quality of care delivered, to make costs of care completely transparent in the spirit of the Right to Information Act, and to hold doctors (and hospitals) accountable for wilful lapses. The most formidable challenge to this goal has been the complete squandering of the golden opportunity afforded to our profession for self-regulation through the Medical Council of India, which is itself accused of grand levels of fraud and has singularly failed to achieve its mandate to uphold the high standards of medical education and quality of care. Any reform must begin with a root and branch re-engineering of this moribund body. Ironically, while we have failed to effectively regulate ourselves, our profession has also mounted a robust opposition to independent efforts to regulate us, for example through the clinical establishments act. This leaves an increasingly disgruntled patient community to resort to the consumer protection act and the criminal courts to hold us accountable. This procedure only poisons the precious relationship between our profession and the community we serve.<br /><br />Whereas the erosion of many fundamental values, such as that of providing scientifically grounded care in an environment of respect and dignity, will require a significant revision of training and continuing professional development, attending to commercially driven malpractices is more amenable to immediate action with potentially profound impact on impoverishment due to healthcare. The Jan Swasthya Abhiyan recently demanded that &ldquo;all payments of kickbacks and commissions&rdquo; be declared as illegal and compliance be<br /><br /><em>The writer is a psychiatrist with the Public Health Foundation of India and the London School of Hygiene &amp; Tropical Medicine. He was lead author of The Lancet paper, &lsquo;Assuring health for India&rsquo;s people&rsquo;<br /></em><br /></div>                                                           
                        </div>
                    </td>
                </tr>
            </table>
        </div>
    </div>
</div>
<div class="clear"></div>
    <br><a href="http://indianexpress.com/article/opinion/cure-the-doctor-healthcare-healthcare-in-india-indian-doctors/" class="re" target="_blank">The Indian Express, 21 December, 2015, http://indianexpress.com/article/opinion/cure-the-doctor-healthcare-healthcare-in-india-indian-doctors/</a><div class="clear"></div>
    <div style="padding-top: 18px;">
        <p class="post-tag">Tagged with:
                            <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=public expenditure on health"
                   title="public expenditure on health">
                    public expenditure on health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Out-of-pocket health expenditure"
                   title="Out-of-pocket health expenditure">
                    Out-of-pocket health expenditure                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Access to Health"
                   title="Access to Health">
                    Access to Health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Access to Healthcare"
                   title="Access to Healthcare">
                    Access to Healthcare                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=health policy"
                   title="health policy">
                    health policy                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=healthcare"
                   title="healthcare">
                    healthcare                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=healthcare in india"
                   title="healthcare in india">
                    healthcare in india                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Public Health"
                   title="Public Health">
                    Public Health                </a>
                        </p>
    </div>
<div class="clear"></div>
    <br><br>
    <div class="widget-top">
        <h4>Related Articles</h4>
        <div class="stripe-line"></div>
    </div>
    <div class="widget-container">
        <ul id="recentcomments">
                            <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/india-s-stretched-health-care-system-fails-millions-in-rural-areas-battling-sickle-cell-disease-abc.html"
                       title="India's stretched health care system fails millions in rural areas battling sickle cell disease - ABC">
                        India's stretched health care system fails millions in rural areas battling sickle cell disease - ABC                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/climate-change-will-likely-exacerbate-indian-rural-household-s-debt-burden.html"
                       title="Climate change will likely exacerbate Indian rural household's debt burden ">
                        Climate change will likely exacerbate Indian rural household's debt burden                     </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/the-importance-of-affordable-healthcare-for-all-and-other-key-lessons-from-the-pandemic-chapal-mehra-lancelot-pinto.html"
                       title="The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto">
                        The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/the-need-to-make-cancer-drugs-affordable-biswajit-dhar-and-chetali-rao.html"
                       title="The need to make cancer drugs affordable -Biswajit Dhar and Chetali Rao">
                        The need to make cancer drugs affordable -Biswajit Dhar and Chetali Rao                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/after-measles-experts-worry-typhoid-could-pose-the-next-health-challenge-as-india-delays-vaccine-tabassum-barnagarwala.html"
                       title="After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala">
                        After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala                    </a>
                </li>
                
        </ul>
    </div>
    <div class="comment-respond" id="respond">
    <a name="commentbox">&nbsp;</a>
    <h3 class="comment-reply-title" id="reply-title">Write Comments</h3>
    <form method="post" accept-charset="utf-8" role="form" action="/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>    <form class="comment-form" id="commentform" method="post" action="#commentbox" onSubmit="return validate()"
          name="cmtform">
        <input type="hidden" name="cmttype" value="articlecmt"/>
        <input type="hidden" name="article_id" value="30060"/>
        <p class="comment-notes">Your email address will not be published. Required fields are marked <span
                    class="required">*</span></p>
                <p class="comment-form-author">
            <label for="commenterName">Name</label>
            <span class="required">*</span>
            <input type="text" aria-required="true" size="30"
                   value=""
                   name="commenterName" id="commenterName" required="true">
        </p>
        <p class="comment-form-email">
            <label for="commenterEmail">Email</label> <span class="required">*</span>
            <input aria-required="true" size="30" name="commenterEmail" id="commenterEmail" type="email"
                   value=""
                   required="true">
        </p>
        <p class="comment-form-contact">
            <label for="commenterPh">Contact No.</label>
            <input type="text" size="30"
                   value=""
                   name="commenterPh" id="commenterPh">
        </p>
        <p class="comment-form-comment">
            <label for="comment">Comment</label>
            <textarea aria-required="true" required="true" rows="8" cols="45" name="comment"
                      id="comment"></textarea>
        </p>
        <p class="comment-form-comment">
            <label for="comment">Type the characters you see in the image below <span class="required">*</span><br><img
                        class="captchaImg"
                        src="https://im4change.in/securimage_show_art.php?tk=1253140788" alt="captcha"/>
            </label>
        </p>
        <input type="text" name="vrcode" required="true"/>

        <p class="form-submit" style="width: 200px;">
            <input type="submit" value="Post Comment" id="submit" name="submit">
        </p></form>
</div>
<style>
    .ui-widget-content {
        height: auto !important;
    }
</style>
<div id="share-modal"></div>
<style>
    .middleContent a{
        background-color: rgba(108,172,228,.2);
    }
    .middleContent a:hover{
        background-color: #418fde;
        border-color: #418fde;
        color: #000;
        }
</style>
<script>
    function shareArticle(article_id) {
        var options = {
            modal: true,
            height: 'auto',
            width: 600 + 'px'
        };
        $('#share-modal').html("");
        $('#share-modal').load('https://im4change.in/share_article?article_id=' + article_id).dialog(options).dialog('open');
    }

    function postShare() {
        var param = 'article_id=' + $("#article_id").val();
        param = param + '&y_name=' + $("#y_name").val();
        param = param + '&y_email=' + $("#y_email").val();
        param = param + '&f_name=' + $("#f_name").val();
        param = param + '&f_email=' + $("#f_email").val();
        param = param + '&y_msg=' + $("#y_msg").val();

        $.ajax({
            type: "POST",
            url: 'https://im4change.in/post_share_article',
            data: param,
            success: function (response) {
                $('#share-modal').html("Thank You, Your message posted to ");
            }
        });
        return false;
    }
</script>                </div>
            </div>
            <!-- Right Side Section Start -->
<!-- MAP Section START -->
<aside class="sidebar indexMarg">
    <div class="ad-cell">
        <a href="https://im4change.in/statemap.php" title="">
            <img src="https://im4change.in/images/map_new_version.png?1582080666" alt="India State Map" class="indiamap" width="232" height="252"/>        </a>
        <div class="rightmapbox">
            <div id="sideOne" class="docltitle"><a href="https://im4change.in/state-report/india/36" target="_blank">DOCUMENTS/
                    REPORTS</a></div>
            <div id="sideTwo" class="statetitle"><a href="https://im4change.in/states.php"target="_blank">STATE DATA/
                    HDRs.</a></div>
        </div>
        <div class="widget widgePadTop"></div>
    </div>
</aside>
<!-- MAP Section END -->
<aside class="sidebar sidePadbottom">
    <div class="rightsmlbox1" >
        <a href="https://im4change.in/knowledge_gateway" target="_blank" style="color: #035588;
    font-size: 17px;">
            KNOWLEDGE GATEWAY
        </a>
    </div>
    <div class="rightsmlbox1">

        <div>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/newsletter" target="_blank">
                    NEWSLETTER
                </a>
            </p>
        </div>
    </div>
        <div class="rightsmlbox1" style="height: 325px;">
        <div>
            <p class="rightsmlbox1_title">
                Interview with Prof. Ravi Srivastava
            </p>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/video/interview-with-prof-ravi-srivastava-on-current-economic-crisis">
                <img width="250" height="200" src="/images/interview_video_home.jpg" alt="Interview with Prof. Ravi Srivastava"/>
                </a>
                <!--
                <iframe width="250" height="200" src="https://www.youtube.com/embed/MmaTlntk-wc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe>-->
               
            </p>
            <a href="https://im4change.in/videogallery" class="more-link CatArchalAnch1" target="_blank">
                                More videos
                            </a>
        </div>
    </div>
    
        <div class="rightsmlbox1">
        <div>
            <!--div id="sstory" class="rightboxicons"></div--->
            <p class="rightsmlbox1_title"><a href="https://im4change.in/list-success-stories"  target="_blank">Success Stories</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
                        href="https://im4change.in/interviews"  target="_blank">Interviews</a>
            </p>
        </div>
    </div>

    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a href="https://www.commoncause.in/page.php?id=10" >Donate</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
        href="https://im4change.in/marquee"
        class="isf_link more-link" title="India Focus?" style="border: 4px solid #fdd922;width: 90%;background-color: #fdd922;text-align: center;color: #000000;font-size:18px"  target="_blank">India Focus</a></p>        </div>
    </div>

    <div class="rightsmlbox1" style="height: 104px !important;">
        <a href="https://im4change.in/quarterly_reports.php" target="_blank">
            Quarterly Reports on Effect of Economic Slowdown on Employment in India (2008 - 2015)
        </a>
    </div>
    
<!--     <div class="rightsmlbox1">
        <a href="https://play.google.com/store/apps/details?id=com.im4.im4change" target="_blank">
            
        </a></div> -->
    <!-- <section class="cat-box recent-box secMarg">
        <h2 class="cat-box-title">Most Visited</h2>
    </section> -->
    <!-- accordion Starts here -->
    <!-- <div id="accordion" class="accordMarg">
            </div> -->
    <!-- accordion ends here -->
    <!-- Widget Tag Cloud Starts here -->
    <div id="tag_cloud-2" class="widget widget_tag_cloud">
        <section class="cat-box recent-box secMarg">
                <h2 class="cat-box-title">MOST VISITED TAGS</h2>
            </section>
        <div class="widget-top wiPdTp">
           
            <div class="stripe-line"></div>
        </div>
        <div class="widget-container">
            <div class="tagcloud">
                                    <a href="https://im4change.in/search?qryStr=Agriculture"
                       target="_blank" class="tag-link-4 font4">Agriculture</a>
                                        <a href="https://im4change.in/search?qryStr=Food Security"
                       target="_blank" class="tag-link-4 font4">Food Security</a>
                                        <a href="https://im4change.in/search?qryStr=Law and Justice"
                       target="_blank" class="tag-link-4 font4">Law and Justice</a>
                                        <a href="https://im4change.in/search?qryStr=Health"
                       target="_blank" class="tag-link-4 font4">Health</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Food"
                       target="_blank" class="tag-link-4 font4">Right to Food</a>
                                        <a href="https://im4change.in/search?qryStr=Corruption"
                       target="_blank" class="tag-link-4 font4">Corruption</a>
                                        <a href="https://im4change.in/search?qryStr=farming"
                       target="_blank" class="tag-link-4 font4">farming</a>
                                        <a href="https://im4change.in/search?qryStr=Environment"
                       target="_blank" class="tag-link-4 font4">Environment</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Information"
                       target="_blank" class="tag-link-4 font4">Right to Information</a>
                                        <a href="https://im4change.in/search?qryStr=NREGS"
                       target="_blank" class="tag-link-4 font4">NREGS</a>
                                        <a href="https://im4change.in/search?qryStr=Human Rights"
                       target="_blank" class="tag-link-4 font4">Human Rights</a>
                                        <a href="https://im4change.in/search?qryStr=Governance"
                       target="_blank" class="tag-link-4 font4">Governance</a>
                                        <a href="https://im4change.in/search?qryStr=PDS"
                       target="_blank" class="tag-link-4 font4">PDS</a>
                                        <a href="https://im4change.in/search?qryStr=COVID-19"
                       target="_blank" class="tag-link-4 font4">COVID-19</a>
                                        <a href="https://im4change.in/search?qryStr=Land Acquisition"
                       target="_blank" class="tag-link-4 font4">Land Acquisition</a>
                                        <a href="https://im4change.in/search?qryStr=mgnrega"
                       target="_blank" class="tag-link-4 font4">mgnrega</a>
                                        <a href="https://im4change.in/search?qryStr=Farmers"
                       target="_blank" class="tag-link-4 font4">Farmers</a>
                                        <a href="https://im4change.in/search?qryStr=transparency"
                       target="_blank" class="tag-link-4 font4">transparency</a>
                                        <a href="https://im4change.in/search?qryStr=Gender"
                       target="_blank" class="tag-link-4 font4">Gender</a>
                                        <a href="https://im4change.in/search?qryStr=Poverty"
                       target="_blank" class="tag-link-4 font4">Poverty</a>
                                    
                                <a href="https://im4change.in/search?qryStr=Farm Laws" target="_blank" class="tag-link-4 font4">Farm Laws
                </a>
                <a href="https://im4change.in/search?qryStr=Citizenship Amendment Act" target="_blank" class="tag-link-4 font4">Citizenship Amendment Act
                </a>
                <a href="https://im4change.in/search?qryStr=CAA NPR NRIC" target="_blank" class="tag-link-4 font4">CAA NPR NRIC
                </a>
                <a href="https://im4change.in/search?qryStr=Job Losses" target="_blank" class="tag-link-4 font4">Job Losses
                </a>
                <a href="https://im4change.in/search?qryStr=Migrant Workers" target="_blank" class="tag-link-4 font4">Migrant Workers
                </a>
                <a href="https://im4change.in/search?qryStr=Unemployment" target="_blank" class="tag-link-4 font4">Unemployment
                </a>
                <a href="https://im4change.in/search?qryStr=PMGKAY" target="_blank" class="tag-link-4 font4">PMGKAY
                </a>
                <a href="https://im4change.in/search?qryStr=PM-KISAN" target="_blank" class="tag-link-4 font4">PM-KISAN
                </a>
                <a href="https://im4change.in/search?qryStr=PM-CARES" target="_blank" class="tag-link-4 font4">PM-CARES
                </a>
                <a href="https://im4change.in/search?qryStr=LFPR" target="_blank" class="tag-link-4 font4">LFPR
                </a>
                
            </div>
        </div>
    </div>
    <!-- Widget Tag Cloud Ends here -->
</aside>
<!-- Right Side Section End -->
        </div>
        <section class="cat-box cats-review-box footerSec">
    <h2 class="cat-box-title vSec CatArcha">Video
        Archives</h2>
    <h2 class="cat-box-title CatArchaTitle">Archives</h2>
    <div class="cat-box-content">
        <div class="reviews-cat">
            <div class="CatArchaDiv1">
                <div class="CatArchaDiv2">
                    <ul>
                                                    <li>
                                <a href="https://im4change.in/news-alerts-57/moving-upstream-luni-fellowship.html"  target="_blank">
                                     Moving Upstream: Luni – Fellowship                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"  target="_blank">
                                     135 Million Indians Exited “Multidimensional" Poverty as per Government...                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/explainer-why-are-tomato-prices-on-fire.html"  target="_blank">
                                     Explainer: Why are Tomato Prices on Fire?                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/nsso-survey-only-39-1-of-all-households-have-drinking-water-within-dwelling-46-7-of-rural-households-use-firewood-for-cooking.html"  target="_blank">
                                     NSSO Survey: Only 39.1% of all Households have Drinking...                                </a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/news-alerts-57"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
                                    <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/I51LYnP8BOk/1.jpg"
                             alt=" Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Short-Video-on-im4change-Hindi-website-Inclusive-Media-for-Change"  target="_blank">
                                 Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/kNqha-SwfIY/1.jpg"
                             alt=" "Session 1: Scope of IDEA and AgriStack" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-1- Scope-of-IDEA-and-AgriStack-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 1: Scope of IDEA and AgriStack" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/6kIVjlgZItk/1.jpg"
                             alt=" "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-2-Farmer-Centric-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/2BeHTu0y7xc/1.jpg"
                             alt=" "Session 3: Future of Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-3-Future-of-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 3: Future of Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                    


                <div class="divWidth">
                    <ul class="divWidthMarg">
                                                    <li>
                                <a href="https://im4change.in/video/Public-Spending-on-Agriculture-in-India-Source-Foundation-for-Agrarian-Studies"
                                   title="Public Spending on Agriculture in India (Source: Foundation for Agrarian Studies)"  target="_blank">
                                     Public Spending on Agriculture in India (Source: Foundation for...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Agrarian-Change-Seminar-Protests-against-the-New-Farm-Laws-in-India-by-Prof-Vikas-Rawal-JNU-Source-Journal-Of-Agrarian-Change"
                                   title="Agrarian Change Seminar: 'Protests against the New Farm Laws in India' by Prof. Vikas Rawal, JNU (Source: Journal Of Agrarian Change) "  target="_blank">
                                     Agrarian Change Seminar: 'Protests against the New Farm Laws...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Webinar-Ramrao-The-Story-of-India-Farm-Crisis-Source-Azim-Premji-University"
                                   title="Webinar: Ramrao - The Story of India's Farm Crisis (Source: Azim Premji University)"  target="_blank">
                                     Webinar: Ramrao - The Story of India's Farm Crisis...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/water-and-agricultural-transformation-in-India"
                                   title="Water and Agricultural Transformation in India: A Symbiotic Relationship (Source: IGIDR)"  target="_blank">
                                     Water and Agricultural Transformation in India: A Symbiotic Relationship...</a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/videogallery"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
            </div>
        </div>
    </div>
</section>    </div>
    <div class="clear"></div>
    <!-- Footer option Starts here -->
    <div class="footer-bottom fade-in animated4">
        <div class="container">
            <div class="social-icons icon_flat">
                <p class="SocialMargTop"> Website Developed by <a target="_blank" title="Web Development"
                                                                  class="wot right"
                                                                  href="http://www.ravinderkhurana.com/" rel="nofollow">
                                                                  RAVINDErkHURANA.com</a></p>
            </div>
            <div class="alignleft">
                <a
     target="_blank" href="https://im4change.in/objectives-8.html"
    class="link"
    title="Objectives">Objectives</a> | <a
     target="_blank" href="https://im4change.in/about-us-9.html"
    class="link" title="About Us">About Us</a> | <a
     target="_blank" href="https://im4change.in/media-workshops.php"
    class="ucwords">Workshops</a> | <a
     target="_blank" href="https://im4change.in/disclaimer/disclaimer-149.html"
    title="Disclaimer">Disclaimer</a>            </div>
        </div>
    </div>
    <!-- Footer option ends here -->
</div>
<div id="connect">
    <a target="_blank"
       href="http://www.facebook.com/sharer.php?u=https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html"
       title="Share on Facebook">
        <img src="https://im4change.in/images/Facebook.png?1582080640" alt="share on Facebook" class="ImgBorder"/>
    </a><br/>
    <a target="_blank"
       href="http://twitter.com/share?text=Im4change&amp;url=https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html"
       title="Share on Twitter">
        <img src="https://im4change.in/images/twitter.png?1582080632" alt="Twitter" class="ImgBorder"/>    </a>
    <br/>
    <a href="/feeds" title="RSS Feed" target="_blank">
        <img src="https://im4change.in/images/rss.png?1582080632" alt="RSS" class="ImgBorder"/>
    </a>
    <br/>
    <a class="feedback-link" id="feedbackFormLink" href="#">
        <img src="https://im4change.in/images/feedback.png?1582080630" alt="Feedback" class="ImgBorder"/>
    </a> <br/>
    <a href="javascript:function iprl5(){var d=document,z=d.createElement('scr'+'ipt'),b=d.body,l=d.location;try{if(!b)throw(0);d.title='(Saving...) '+d.title;z.setAttribute('src',l.protocol+'//www.instapaper.com/j/WKrH3R7ORD5p?u='+encodeURIComponent(l.href)+'&amp;t='+(new Date().getTime()));b.appendChild(z);}catch(e){alert('Please wait until the page has loaded.');}}iprl5();void(0)"
       class="bookmarklet" onclick="return explain_bookmarklet();">
        <img src="https://im4change.in/images/read-it-later.png?1582080632" alt="Read Later" class="ImgBorder"/>    </a>
</div>
<!-- Feedback form Starts here -->
<div id="feedbackForm" class="overlay_form" class="ImgBorder">
    <h2>Contact Form</h2>
    <div id="contactform1">
        <div id="formleft">
            <form id="submitform" action="/contactus.php" method="post">
                <input type="hidden" name="submitform" value="submitform"/>
                <input type="hidden" name="salt_key" value="a0e0f2c6a0644a70e57ad2c96829709a"/>
                <input type="hidden" name="ref" value="feedback"/>
                <fieldset>
                    <label>Name :</label>
                    <input type="text" name="name" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Email :</label>
                    <input type="text" name="email" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Message :</label>
                    <textarea rows="5" cols="20" name="message" required></textarea>
                </fieldset>
                <fieldset>
                    Please enter security code
                    <div class="clear"></div>
                    <input type="text" name="vrcode" class="tbox"/>
                </fieldset>
                <fieldset>
                    <input type="submit" class="button" value="Submit"/>
                    &nbsp; &nbsp; &nbsp; <a href="#" id="closefeedbakcformLink">Close</a>
                </fieldset>
            </form>
        </div>
        <div class="clearfix"></div>
    </div>
</div>
<div id="donate_popup" class="modal" style="max-width: 800px;">
    <table width="100%" border="1">
        <tr>
            <td colspan="2" align="center">
                <b>Support im4change</b>
            </td>
        </tr>
        <tr>
            <td width="25%" valign="middle">
                <img src="https://im4change.in/images/logo2.jpg?1582080632" alt="" width="100%"/>            </td>
            <td style="padding-left:10px;padding-top:10px;">
                <form action="https://im4change.in/donate" method="get">
                    <table width="100%" cellpadding="2" cellspacing="2">
                        <tr>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                10
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                100
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                1000
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                50
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                500
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                <input type="text" name="price" placeholder="?" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3" align="right">
                                <input type="button" name="Pay" value="Pay"
                                       style="width: 200px;background-color: rgb(205, 35, 36);color: #ffffff;"/>
                            </td>
                        </tr>
                    </table>
                </form>
            </td>
        </tr>
    </table>
</div><script type='text/javascript'>

    /* <![CDATA[ */

    var tievar = {'go_to': 'Go to...'};

    /* ]]> */

</script>
<script src="/js/tie-scripts.js?1575549704"></script><script src="/js/bootstrap.js?1575549704"></script><script src="/js/jquery.modal.min.js?1578284310"></script><script>
    $(document).ready(function() {
        // tell the autocomplete function to get its data from our php script
        $('#s').autocomplete({
            source: "/autocomplete"
        });
    });
</script>
<script src="/vj-main-sw-register.js" async></script>

<script>function init(){var imgDefer=document.getElementsByTagName('img');for(var i=0;i<imgDefer.length;i++){if(imgDefer[i].getAttribute('data-src')){imgDefer[i].setAttribute('src',imgDefer[i].getAttribute('data-src'))}}}
window.onload=init;</script>
</body>
</html>'

}
$maxBufferLength = (int) 8192
$file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php'
$line = (int) 853
$message = 'Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853'
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 48
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 148]
Code Context
            $response->getStatusCode(),

            ($reasonPhrase ? ' ' . $reasonPhrase : '')

        ));
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html>
<!--[if lt IE 7 ]>
<html class="ie ie6" lang='en'> <![endif]-->
<!--[if IE 7 ]>
<html class="ie ie7" lang='en'> <![endif]-->
<!--[if IE 8 ]>
<html class="ie ie8" lang='en'> <![endif]-->
<!--[if (gte IE 9)|!(IE)]><!-->
<html lang='en'>
<!--<![endif]-->
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8">
    
    <title>
        LATEST NEWS UPDATES | Cure the doctor -Vikram Patel    </title>
    <meta name="description" content="
-The Indian Express

Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame 

Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India&rsquo;s healthcare..."/>
    <meta name="keywords" content="public expenditure on health,Out-of-pocket health expenditure,Access to Health,Access to Healthcare,health policy,healthcare,healthcare in india,Public Health"/>
    <meta name="news_keywords" content="public expenditure on health,Out-of-pocket health expenditure,Access to Health,Access to Healthcare,health policy,healthcare,healthcare in india,Public Health">
   
    <link rel="alternate" type="application/rss+xml" title="ROR" href="/ror.xml"/>
    <link rel="alternate" type="application/rss+xml" title="RSS 2.0" href="/feeds/"/>
    <link rel="stylesheet" href="/css/bootstrap.min.css?1697864993"/>    <link rel="stylesheet" href="/css/style.css?v=1.1.2"/>    <link rel="stylesheet" href="/css/style-inner.css?1577045210"/>    <link rel="stylesheet" id="Oswald-css"
          href="https://fonts.googleapis.com/css?family=Oswald%3Aregular%2C700&amp;ver=3.8.1" type="text/css"
          media="all">
    <link rel="stylesheet" href="/css/jquery.modal.min.css?1578285302"/>    <script src="/js/jquery-1.10.2.js?1575549704"></script>    <script src="/js/jquery-migrate.min.js?1575549704"></script>    <link rel="shortcut icon" href="/favicon.ico" title="Favicon">
    <link rel="stylesheet" href="/css/jquery-ui.css?1580720609"/>    <script src="/js/jquery-ui.js?1575549704"></script>    <link rel="preload" as="style" href="https://www.im4change.org/css/custom.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery.modal.min.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery-ui.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/li-scroller.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<!-- <link rel="preload" as="style" href="https://www.im4change.org/css/style.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous"> -->
<link rel="preload" as="style" href="https://www.im4change.org/css/style-inner.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">

<link rel='dns-prefetch' href="//im4change.org/css/custom.css" crossorigin >

<link rel="preload" as="script" href="https://www.im4change.org/js/bootstrap.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.li-scroller.1.0.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.modal.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.ui.totop.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-1.10.2.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-migrate.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-ui.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/setting.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/tie-scripts.js">
    <!--[if IE]>
    <script type="text/javascript">jQuery(document).ready(function () {
        jQuery(".menu-item").has("ul").children("a").attr("aria-haspopup", "true");
    });</script>
    <![endif]-->
    <!--[if lt IE 9]>
    <script src="/js/html5.js"></script>
    <script src="/js/selectivizr-min.js"></script>
    <![endif]-->
    <!--[if IE 8]>
    <link rel="stylesheet" type="text/css" media="all" href="/css/ie8.css"/>
    <![endif]-->
    <meta property="og:title" content="LATEST NEWS UPDATES | Cure the doctor -Vikram Patel" />
     <meta property="og:url" content="https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html" />
     <meta property="og:type" content="article" />
     <meta property="og:description" content="
-The Indian Express

Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame 

Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India&rsquo;s healthcare..." />
     <meta property="og:image" content="" />
      <meta property="fb:app_id" content="0" />
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">

       <link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://im4change.in/images/apple1.png">
    <link rel="apple-touch-icon-precomposed" sizes="120x120" href="https://im4change.in/images/apple2.png">
    <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://im4change.in/images/apple3.png">
    <link rel="apple-touch-icon-precomposed" href="https://im4change.in/images/apple4.png">

    <style>
    .gsc-results-wrapper-overlay{
        top: 38% !important;
        height: 50% !important;
    }
    .gsc-search-button-v2{
        border-color: #035588 !important;
        background-color: #035588 !important;
    }

   .gsib_a{
        height: 30px !important;
          padding: 2px 8px 1px 6px !important;
    }

   
    .gsc-search-button-v2{
        height: 41px !important;
    }
    input.gsc-input{
        background: none !important;
    }
    @media only screen and (max-width: 600px) {
        .gsc-results-wrapper-overlay{
            top: 11% !important;
            width: 87% !important;
            left: 9% !important;
            height: 43% !important;
        }

        .gsc-search-button-v2{
            padding: 10px 10px !important;
        
        }
        .gsc-input-box{
            height: 28px !important;
        }
       /* .gsib_a {
            padding: 0px 9px 4px 9px !important;
        }*/
    }
    @media only screen and (min-width: 1200px) and (max-width: 1920px) {
        table.gsc-search-box{
            width: 15% !important;
            float: right !important;
            margin-top: -118px !important;
        }

        .gsc-search-button-v2 {
            
            padding: 6px !important;
           
        }
    }


</style>

    <script>
        $(function () {
            $("#accordion").accordion({
                event: "click hoverintent"
            });
        });

        /*
         * hoverIntent | Copyright 2011 Brian Cherne
         * http://cherne.net/brian/resources/jquery.hoverIntent.html
         * modified by the jQuery UI team
         */
        $.event.special.hoverintent = {
            setup: function () {
                $(this).bind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            teardown: function () {
                $(this).unbind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            handler: function (event) {
                var currentX, currentY, timeout,
                    args = arguments,
                    target = $(event.target),
                    previousX = event.pageX,
                    previousY = event.pageY;

                function track(event) {
                    currentX = event.pageX;
                    currentY = event.pageY;
                }
                ;

                function clear() {
                    target
                        .unbind("mousemove", track)
                        .unbind("mouseout", clear);
                    clearTimeout(timeout);
                }

                function handler() {
                    var prop,
                        orig = event;
                    if ((Math.abs(previousX - currentX) +
                        Math.abs(previousY - currentY)) < 7) {
                        clear();
                        event = $.Event("hoverintent");
                        for (prop in orig) {
                            if (!(prop in event)) {
                                event[prop] = orig[prop];
                            }
                        }
                        // Prevent accessing the original event since the new event
                        // is fired asynchronously and the old event is no longer
                        // usable (#6028)
                        delete event.originalEvent;
                        target.trigger(event);
                    } else {
                        previousX = currentX;
                        previousY = currentY;
                        timeout = setTimeout(handler, 100);
                    }
                }

                timeout = setTimeout(handler, 100);
                target.bind({
                    mousemove: track,
                    mouseout: clear
                });
            }
        };
    </script>
    <script type="text/javascript">
        var _gaq = _gaq || [];
        _gaq.push(['_setAccount', 'UA-472075-3']);
        _gaq.push(['_trackPageview']);

        (function () {
            var ga = document.createElement('script');
            ga.type = 'text/javascript';
            ga.async = true;
            ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
            var s = document.getElementsByTagName('script')[0];
            s.parentNode.insertBefore(ga, s);
        })();
    </script>
    <link rel="stylesheet" href="/css/custom.css?v=1.16"/>    <script src="/js/jquery.ui.totop.js?1575549704"></script>    <script src="/js/setting.js?1575549704"></script>    <link rel="manifest" href="/manifest.json">
    <meta name="theme-color" content="#616163" />
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-title" content="im4change">
    <link rel="apple-touch-icon" href="/icons/logo-192x192.png">
</head>
<body id="top" class="home inner blog">
<div class="background-cover"></div>
<div class="wrapper animated">
    <header id="theme-header" class="header_inner" style="position: relative;">
        <div class="logo inner_logo" style="left:20px !important">
                <a title="Home" href="https://im4change.in/">
                    <img src="https://im4change.in/images/logo2.jpg?1582080632" class="logo_image" alt="im4change"/>                </a>
        </div>
        <div class="langhindi" style="color: #000;display:none;"
             href="https://im4change.in/">
            <a class="more-link" href="https://im4change.in/">Home</a>
                        <a href="https://im4change.in/hindi/" class="langbutton ">हिन्दी</a>
                    </div>
        <nav class="fade-in animated2" id="main-nav">
            <div class="container">
                <div class="main-menu">
    <ul class="menu" id="menu-main">
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            style="left: -40px;"><a
                 target="_blank" href="https://im4change.in/">Home</a>
        </li>
        <li class="menu-item mega-menu menu-item-type-taxonomy mega-menu menu-item-object-category mega-menu menu-item-has-children parent-list"
            style=" margin-left: -40px;"><a href="#">KNOWLEDGE GATEWAY <span class="sub-indicator"></span>
            </a>
            <div class="mega-menu-block background_menu" style="padding-top:25px;">
                <div class="container">
                    <div class="mega-menu-content">
                                                                   <div class="mega-menu-item">
                                                 <h3><b>Farm Crisis</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/farmers039-suicides-14.html"
                                                       class="left postionrel">Farm Suicides                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/unemployment-30.html"
                                                       class="left postionrel">Unemployment                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/rural-distress-70.html"
                                                       class="left postionrel">Rural distress                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/migration-34.html"
                                                       class="left postionrel">Migration                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/key-facts-72.html"
                                                       class="left postionrel">Key Facts                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/debt-trap-15.html"
                                                       class="left postionrel">Debt Trap                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Empowerment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/union-budget-73.html"
                                                       class="left postionrel">Union Budget And Other Economic Policies                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/forest-and-tribal-rights-61.html"
                                                       class="left postionrel">Forest and Tribal Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-education-60.html"
                                                       class="left postionrel">Right to Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-food-59.html"
                                                       class="left postionrel">Right to Food                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/displacement-3279.html"
                                                       class="left postionrel">Displacement                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-work-mg-nrega-39.html"
                                                       class="left postionrel">Right to Work (MG-NREGA)                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/gender-3280.html"
                                                       class="left postionrel">GENDER                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-information-58.html"
                                                       class="left postionrel">Right to Information                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/social-audit-48.html"
                                                       class="left postionrel">Social Audit                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Hunger / HDI</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/poverty-and-inequality-20499.html"
                                                       class="left postionrel">Poverty and inequality                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/malnutrition-41.html"
                                                       class="left postionrel">Malnutrition                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/public-health-51.html"
                                                       class="left postionrel">Public Health                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/education-50.html"
                                                       class="left postionrel">Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hunger-overview-40.html"
                                                       class="left postionrel">Hunger Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hdi-overview-45.html"
                                                       class="left postionrel">HDI Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/pds-ration-food-security-42.html"
                                                       class="left postionrel">PDS/ Ration/ Food Security                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/sdgs-113.html"
                                                       class="left postionrel">SDGs                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/mid-day-meal-scheme-mdms-53.html"
                                                       class="left postionrel">Mid Day Meal Scheme (MDMS)                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Environment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/time-bomb-ticking-52.html"
                                                       class="left postionrel">Time Bomb Ticking                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/water-and-sanitation-55.html"
                                                       class="left postionrel">Water and Sanitation                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/impact-on-agriculture-54.html"
                                                       class="left postionrel">Impact on Agriculture                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Law & Justice</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/social-justice-20500.html"
                                                       class="left postionrel">Social Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/access-to-justice-47.html"
                                                       class="left postionrel">Access to Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/human-rights-56.html"
                                                       class="left postionrel">Human Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/corruption-35.html"
                                                       class="left postionrel">Corruption                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/general-insecurity-46.html"
                                                       class="left postionrel">General Insecurity                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/disaster-relief-49.html"
                                                       class="left postionrel">Disaster &amp; Relief                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        
                    </div>
                </div>
            </div>
        </li>
        <li class="menu-item  menu-item-type-post_type  menu-item-object-page "><a  target="_blank" href="https://im4change.in/nceus_reports.php">NCEUS reports</a>
            
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children parent-list ">
            <a  target="_blank" href="https://im4change.in/about-us-9.html">About Us <span
                    class="sub-indicator"></span></a>
            <ul class="sub-menu aboutmenu">
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                        target="_blank" href="https://im4change.in/objectives-8.html">Objectives</a>
                </li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/contactus.php">Contact
                        Us</a></li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/about-us-9.html">About
                        Us</a></li>
            </ul>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children ">
            <a  target="_blank" href="https://im4change.in/fellowships.php" title="Fellowships">Fellowships</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/media-workshops.php">Workshops</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/research.php">Research</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children   "><a
                 target="_blank" href="https://im4change.in/links-64">Partners</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            id="menu-item-539"><a  target="_blank" href="https://im4change.in/hindi/"
                                  class="langbutton langlinkfont17">हिन्दी</a></li>
    </ul>
</div>            </div>


                        <!--  <div style="float: right;">
                            <script async src="https://cse.google.com/cse.js?cx=18b4f2e0f11bed3dd"></script>
                            <div class="gcse-search"></div>
                        </div> -->
                       
            <div class="search-block" style=" margin-left: 8px; margin-right: 7px;">
                <form method="get" id="searchform" name="searchform"
                      action="https://im4change.in/search"
                      onsubmit="return searchvalidate();">
                    <button class="search-button" type="submit" value="Search"></button>
                    <input type="text" id="s" name="qryStr" value=""
                           onfocus="if (this.value == 'Search...') {this.value = '';}"
                           onblur="if (this.value == '') {this.value = 'Search...';}">
                </form>
            </div>
        </nav>
    </header>
    <div class="container">
        <div id="main-content" class=" main1 container fade-in animated3 sidebar-narrow-left">
            <div class="content-wrap">
                <div class="content" style="width: 900px;min-height: 500px;">
                    <section class="cat-box recent-box innerCatRecent">
    <h1 class="cat-box-title">Cure the doctor -Vikram Patel</h1>
    <a href="JavaScript:void(0);" onclick="return shareArticle(30060);">
        <img src="https://im4change.in/images/email.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>    </a>

    <a href="https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119/print"
       rel="nofollow">
        <img src="https://im4change.in/images/icon-print.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>
    </a>
</section>
<section class="recent-box innerCatRecent">
    <small class="pb-1"><span class="dateIcn">
    	<img src="https://im4change.in/images/published.svg?1582080666" alt="published"/> 
		 Published on</span><span class="text-date"> Dec 21, 2015</span>
        &nbsp; <span
                class="dateIcn">
		 	<img src="https://im4change.in/images/modified.svg?1582080666" alt="modified"/>    	 Modified on </span><span class="text-date"> Dec 21, 2015</span>
    </small>
</section>
<div class="clear"></div>
<div style="padding-top: 10px;">
    <div class="innerLineHeight">
        <div class="middleContent innerInput latest-news-updates">
            <table>
                <tr>
                    <td>
                                                <div>
                            <div align="justify">-The Indian Express<br /><br /><em>Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame <br /></em><br />Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India&rsquo;s healthcare delivery system if it is to achieve the government&rsquo;s vision of assuring health for all. The paper documented India&rsquo;s progress on major health indicators in the past decade, but also its many deficiencies. The most disturbing indicator of these deficiencies is the observation that the cost of healthcare is driving millions of Indians into poverty. Let us pause to consider the implication of this statement.<br /><br />In a country where the primary goal of economic development is to help raise people out of poverty, healthcare is driving millions into poverty. Whereas, in other countries, investment in healthcare is recognised as a route to promote growth by enhancing their citizens&rsquo; capabilities to be productive, healthcare in India is now one of the leading causes of poverty. We are, in simple terms, out of step with the rest of the world, not only the developed countries whose ranks we aspire to join, but also with other countries like ours.<br /><br />It is common to lay the entire blame, or at least the lion&rsquo;s share, for this on the government. This is certainly true to some extent, but the reality is that many sectors must share this blame, not least the medical profession, of which I am a member. In most countries, the medical profession plays a central role in working with the government and civil society towards improving access to affordable, quality care. In India, though, the medical profession is adrift from any alignment with this vision and is, if anything, increasingly seen as being complicit in perpetuating our abysmal health care system, and as an obstacle to a progressive one.<br /><br />Hardly a day goes by without us being reminded of how corruption of the basic values of respecting patient rights and promoting an evidence-based practice has reduced our professional standards to those where doctors effortlessly associate with crooked politicians and police officers. Consider some stories that illustrate this: Illegal payments for approval of and admission to private medical colleges; falsification of faculty records to meet the criteria for recognition of these medical colleges; unethical and irrational practices of unnecessary procedures, diagnostic tests and hospital admissions with a commercial incentive; kickbacks in cash or kind from companies or other physicians for prescriptions or referrals; fraudulent billing for insurance payments; lack of attention to quality of care leading to catastrophic health outcomes following routine surgical procedures; collusion with pharmaceutical companies to run &ldquo;health camps&rdquo; whose primary goal is to create markets for the company; and collusion with families to promote sex-selection.<br /><br />While much of this corruption lies in the private sector, now the dominant force in healthcare delivery in India, it is equally the case that corruption is also evident in the public sector. Consider absenteeism to run illegal private practices and the lack of basic dignity in healthcare, both frequent observations in the public system. It would be fair to say that the reputation of my profession has collapsed since I was a medical student in the 1980s.<br /><br />While many of my colleagues may argue this is unjustified, I doubt if any will deny that a radical revision of our healthcare system will need to be accompanied by a radical revision of the medical profession itself. This reform would need to begin from the very nature of the training our medical students receive, so as to prepare them not only to work in specialised urban hospitals but also in primary care in villages and towns.<br /><br />The reform would need to extend further, much further, to regulate the quality of care delivered, to make costs of care completely transparent in the spirit of the Right to Information Act, and to hold doctors (and hospitals) accountable for wilful lapses. The most formidable challenge to this goal has been the complete squandering of the golden opportunity afforded to our profession for self-regulation through the Medical Council of India, which is itself accused of grand levels of fraud and has singularly failed to achieve its mandate to uphold the high standards of medical education and quality of care. Any reform must begin with a root and branch re-engineering of this moribund body. Ironically, while we have failed to effectively regulate ourselves, our profession has also mounted a robust opposition to independent efforts to regulate us, for example through the clinical establishments act. This leaves an increasingly disgruntled patient community to resort to the consumer protection act and the criminal courts to hold us accountable. This procedure only poisons the precious relationship between our profession and the community we serve.<br /><br />Whereas the erosion of many fundamental values, such as that of providing scientifically grounded care in an environment of respect and dignity, will require a significant revision of training and continuing professional development, attending to commercially driven malpractices is more amenable to immediate action with potentially profound impact on impoverishment due to healthcare. The Jan Swasthya Abhiyan recently demanded that &ldquo;all payments of kickbacks and commissions&rdquo; be declared as illegal and compliance be<br /><br /><em>The writer is a psychiatrist with the Public Health Foundation of India and the London School of Hygiene &amp; Tropical Medicine. He was lead author of The Lancet paper, &lsquo;Assuring health for India&rsquo;s people&rsquo;<br /></em><br /></div>                                                           
                        </div>
                    </td>
                </tr>
            </table>
        </div>
    </div>
</div>
<div class="clear"></div>
    <br><a href="http://indianexpress.com/article/opinion/cure-the-doctor-healthcare-healthcare-in-india-indian-doctors/" class="re" target="_blank">The Indian Express, 21 December, 2015, http://indianexpress.com/article/opinion/cure-the-doctor-healthcare-healthcare-in-india-indian-doctors/</a><div class="clear"></div>
    <div style="padding-top: 18px;">
        <p class="post-tag">Tagged with:
                            <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=public expenditure on health"
                   title="public expenditure on health">
                    public expenditure on health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Out-of-pocket health expenditure"
                   title="Out-of-pocket health expenditure">
                    Out-of-pocket health expenditure                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Access to Health"
                   title="Access to Health">
                    Access to Health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Access to Healthcare"
                   title="Access to Healthcare">
                    Access to Healthcare                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=health policy"
                   title="health policy">
                    health policy                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=healthcare"
                   title="healthcare">
                    healthcare                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=healthcare in india"
                   title="healthcare in india">
                    healthcare in india                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Public Health"
                   title="Public Health">
                    Public Health                </a>
                        </p>
    </div>
<div class="clear"></div>
    <br><br>
    <div class="widget-top">
        <h4>Related Articles</h4>
        <div class="stripe-line"></div>
    </div>
    <div class="widget-container">
        <ul id="recentcomments">
                            <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/india-s-stretched-health-care-system-fails-millions-in-rural-areas-battling-sickle-cell-disease-abc.html"
                       title="India's stretched health care system fails millions in rural areas battling sickle cell disease - ABC">
                        India's stretched health care system fails millions in rural areas battling sickle cell disease - ABC                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/climate-change-will-likely-exacerbate-indian-rural-household-s-debt-burden.html"
                       title="Climate change will likely exacerbate Indian rural household's debt burden ">
                        Climate change will likely exacerbate Indian rural household's debt burden                     </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/the-importance-of-affordable-healthcare-for-all-and-other-key-lessons-from-the-pandemic-chapal-mehra-lancelot-pinto.html"
                       title="The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto">
                        The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/the-need-to-make-cancer-drugs-affordable-biswajit-dhar-and-chetali-rao.html"
                       title="The need to make cancer drugs affordable -Biswajit Dhar and Chetali Rao">
                        The need to make cancer drugs affordable -Biswajit Dhar and Chetali Rao                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/after-measles-experts-worry-typhoid-could-pose-the-next-health-challenge-as-india-delays-vaccine-tabassum-barnagarwala.html"
                       title="After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala">
                        After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala                    </a>
                </li>
                
        </ul>
    </div>
    <div class="comment-respond" id="respond">
    <a name="commentbox">&nbsp;</a>
    <h3 class="comment-reply-title" id="reply-title">Write Comments</h3>
    <form method="post" accept-charset="utf-8" role="form" action="/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>    <form class="comment-form" id="commentform" method="post" action="#commentbox" onSubmit="return validate()"
          name="cmtform">
        <input type="hidden" name="cmttype" value="articlecmt"/>
        <input type="hidden" name="article_id" value="30060"/>
        <p class="comment-notes">Your email address will not be published. Required fields are marked <span
                    class="required">*</span></p>
                <p class="comment-form-author">
            <label for="commenterName">Name</label>
            <span class="required">*</span>
            <input type="text" aria-required="true" size="30"
                   value=""
                   name="commenterName" id="commenterName" required="true">
        </p>
        <p class="comment-form-email">
            <label for="commenterEmail">Email</label> <span class="required">*</span>
            <input aria-required="true" size="30" name="commenterEmail" id="commenterEmail" type="email"
                   value=""
                   required="true">
        </p>
        <p class="comment-form-contact">
            <label for="commenterPh">Contact No.</label>
            <input type="text" size="30"
                   value=""
                   name="commenterPh" id="commenterPh">
        </p>
        <p class="comment-form-comment">
            <label for="comment">Comment</label>
            <textarea aria-required="true" required="true" rows="8" cols="45" name="comment"
                      id="comment"></textarea>
        </p>
        <p class="comment-form-comment">
            <label for="comment">Type the characters you see in the image below <span class="required">*</span><br><img
                        class="captchaImg"
                        src="https://im4change.in/securimage_show_art.php?tk=1253140788" alt="captcha"/>
            </label>
        </p>
        <input type="text" name="vrcode" required="true"/>

        <p class="form-submit" style="width: 200px;">
            <input type="submit" value="Post Comment" id="submit" name="submit">
        </p></form>
</div>
<style>
    .ui-widget-content {
        height: auto !important;
    }
</style>
<div id="share-modal"></div>
<style>
    .middleContent a{
        background-color: rgba(108,172,228,.2);
    }
    .middleContent a:hover{
        background-color: #418fde;
        border-color: #418fde;
        color: #000;
        }
</style>
<script>
    function shareArticle(article_id) {
        var options = {
            modal: true,
            height: 'auto',
            width: 600 + 'px'
        };
        $('#share-modal').html("");
        $('#share-modal').load('https://im4change.in/share_article?article_id=' + article_id).dialog(options).dialog('open');
    }

    function postShare() {
        var param = 'article_id=' + $("#article_id").val();
        param = param + '&y_name=' + $("#y_name").val();
        param = param + '&y_email=' + $("#y_email").val();
        param = param + '&f_name=' + $("#f_name").val();
        param = param + '&f_email=' + $("#f_email").val();
        param = param + '&y_msg=' + $("#y_msg").val();

        $.ajax({
            type: "POST",
            url: 'https://im4change.in/post_share_article',
            data: param,
            success: function (response) {
                $('#share-modal').html("Thank You, Your message posted to ");
            }
        });
        return false;
    }
</script>                </div>
            </div>
            <!-- Right Side Section Start -->
<!-- MAP Section START -->
<aside class="sidebar indexMarg">
    <div class="ad-cell">
        <a href="https://im4change.in/statemap.php" title="">
            <img src="https://im4change.in/images/map_new_version.png?1582080666" alt="India State Map" class="indiamap" width="232" height="252"/>        </a>
        <div class="rightmapbox">
            <div id="sideOne" class="docltitle"><a href="https://im4change.in/state-report/india/36" target="_blank">DOCUMENTS/
                    REPORTS</a></div>
            <div id="sideTwo" class="statetitle"><a href="https://im4change.in/states.php"target="_blank">STATE DATA/
                    HDRs.</a></div>
        </div>
        <div class="widget widgePadTop"></div>
    </div>
</aside>
<!-- MAP Section END -->
<aside class="sidebar sidePadbottom">
    <div class="rightsmlbox1" >
        <a href="https://im4change.in/knowledge_gateway" target="_blank" style="color: #035588;
    font-size: 17px;">
            KNOWLEDGE GATEWAY
        </a>
    </div>
    <div class="rightsmlbox1">

        <div>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/newsletter" target="_blank">
                    NEWSLETTER
                </a>
            </p>
        </div>
    </div>
        <div class="rightsmlbox1" style="height: 325px;">
        <div>
            <p class="rightsmlbox1_title">
                Interview with Prof. Ravi Srivastava
            </p>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/video/interview-with-prof-ravi-srivastava-on-current-economic-crisis">
                <img width="250" height="200" src="/images/interview_video_home.jpg" alt="Interview with Prof. Ravi Srivastava"/>
                </a>
                <!--
                <iframe width="250" height="200" src="https://www.youtube.com/embed/MmaTlntk-wc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe>-->
               
            </p>
            <a href="https://im4change.in/videogallery" class="more-link CatArchalAnch1" target="_blank">
                                More videos
                            </a>
        </div>
    </div>
    
        <div class="rightsmlbox1">
        <div>
            <!--div id="sstory" class="rightboxicons"></div--->
            <p class="rightsmlbox1_title"><a href="https://im4change.in/list-success-stories"  target="_blank">Success Stories</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
                        href="https://im4change.in/interviews"  target="_blank">Interviews</a>
            </p>
        </div>
    </div>

    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a href="https://www.commoncause.in/page.php?id=10" >Donate</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
        href="https://im4change.in/marquee"
        class="isf_link more-link" title="India Focus?" style="border: 4px solid #fdd922;width: 90%;background-color: #fdd922;text-align: center;color: #000000;font-size:18px"  target="_blank">India Focus</a></p>        </div>
    </div>

    <div class="rightsmlbox1" style="height: 104px !important;">
        <a href="https://im4change.in/quarterly_reports.php" target="_blank">
            Quarterly Reports on Effect of Economic Slowdown on Employment in India (2008 - 2015)
        </a>
    </div>
    
<!--     <div class="rightsmlbox1">
        <a href="https://play.google.com/store/apps/details?id=com.im4.im4change" target="_blank">
            
        </a></div> -->
    <!-- <section class="cat-box recent-box secMarg">
        <h2 class="cat-box-title">Most Visited</h2>
    </section> -->
    <!-- accordion Starts here -->
    <!-- <div id="accordion" class="accordMarg">
            </div> -->
    <!-- accordion ends here -->
    <!-- Widget Tag Cloud Starts here -->
    <div id="tag_cloud-2" class="widget widget_tag_cloud">
        <section class="cat-box recent-box secMarg">
                <h2 class="cat-box-title">MOST VISITED TAGS</h2>
            </section>
        <div class="widget-top wiPdTp">
           
            <div class="stripe-line"></div>
        </div>
        <div class="widget-container">
            <div class="tagcloud">
                                    <a href="https://im4change.in/search?qryStr=Agriculture"
                       target="_blank" class="tag-link-4 font4">Agriculture</a>
                                        <a href="https://im4change.in/search?qryStr=Food Security"
                       target="_blank" class="tag-link-4 font4">Food Security</a>
                                        <a href="https://im4change.in/search?qryStr=Law and Justice"
                       target="_blank" class="tag-link-4 font4">Law and Justice</a>
                                        <a href="https://im4change.in/search?qryStr=Health"
                       target="_blank" class="tag-link-4 font4">Health</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Food"
                       target="_blank" class="tag-link-4 font4">Right to Food</a>
                                        <a href="https://im4change.in/search?qryStr=Corruption"
                       target="_blank" class="tag-link-4 font4">Corruption</a>
                                        <a href="https://im4change.in/search?qryStr=farming"
                       target="_blank" class="tag-link-4 font4">farming</a>
                                        <a href="https://im4change.in/search?qryStr=Environment"
                       target="_blank" class="tag-link-4 font4">Environment</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Information"
                       target="_blank" class="tag-link-4 font4">Right to Information</a>
                                        <a href="https://im4change.in/search?qryStr=NREGS"
                       target="_blank" class="tag-link-4 font4">NREGS</a>
                                        <a href="https://im4change.in/search?qryStr=Human Rights"
                       target="_blank" class="tag-link-4 font4">Human Rights</a>
                                        <a href="https://im4change.in/search?qryStr=Governance"
                       target="_blank" class="tag-link-4 font4">Governance</a>
                                        <a href="https://im4change.in/search?qryStr=PDS"
                       target="_blank" class="tag-link-4 font4">PDS</a>
                                        <a href="https://im4change.in/search?qryStr=COVID-19"
                       target="_blank" class="tag-link-4 font4">COVID-19</a>
                                        <a href="https://im4change.in/search?qryStr=Land Acquisition"
                       target="_blank" class="tag-link-4 font4">Land Acquisition</a>
                                        <a href="https://im4change.in/search?qryStr=mgnrega"
                       target="_blank" class="tag-link-4 font4">mgnrega</a>
                                        <a href="https://im4change.in/search?qryStr=Farmers"
                       target="_blank" class="tag-link-4 font4">Farmers</a>
                                        <a href="https://im4change.in/search?qryStr=transparency"
                       target="_blank" class="tag-link-4 font4">transparency</a>
                                        <a href="https://im4change.in/search?qryStr=Gender"
                       target="_blank" class="tag-link-4 font4">Gender</a>
                                        <a href="https://im4change.in/search?qryStr=Poverty"
                       target="_blank" class="tag-link-4 font4">Poverty</a>
                                    
                                <a href="https://im4change.in/search?qryStr=Farm Laws" target="_blank" class="tag-link-4 font4">Farm Laws
                </a>
                <a href="https://im4change.in/search?qryStr=Citizenship Amendment Act" target="_blank" class="tag-link-4 font4">Citizenship Amendment Act
                </a>
                <a href="https://im4change.in/search?qryStr=CAA NPR NRIC" target="_blank" class="tag-link-4 font4">CAA NPR NRIC
                </a>
                <a href="https://im4change.in/search?qryStr=Job Losses" target="_blank" class="tag-link-4 font4">Job Losses
                </a>
                <a href="https://im4change.in/search?qryStr=Migrant Workers" target="_blank" class="tag-link-4 font4">Migrant Workers
                </a>
                <a href="https://im4change.in/search?qryStr=Unemployment" target="_blank" class="tag-link-4 font4">Unemployment
                </a>
                <a href="https://im4change.in/search?qryStr=PMGKAY" target="_blank" class="tag-link-4 font4">PMGKAY
                </a>
                <a href="https://im4change.in/search?qryStr=PM-KISAN" target="_blank" class="tag-link-4 font4">PM-KISAN
                </a>
                <a href="https://im4change.in/search?qryStr=PM-CARES" target="_blank" class="tag-link-4 font4">PM-CARES
                </a>
                <a href="https://im4change.in/search?qryStr=LFPR" target="_blank" class="tag-link-4 font4">LFPR
                </a>
                
            </div>
        </div>
    </div>
    <!-- Widget Tag Cloud Ends here -->
</aside>
<!-- Right Side Section End -->
        </div>
        <section class="cat-box cats-review-box footerSec">
    <h2 class="cat-box-title vSec CatArcha">Video
        Archives</h2>
    <h2 class="cat-box-title CatArchaTitle">Archives</h2>
    <div class="cat-box-content">
        <div class="reviews-cat">
            <div class="CatArchaDiv1">
                <div class="CatArchaDiv2">
                    <ul>
                                                    <li>
                                <a href="https://im4change.in/news-alerts-57/moving-upstream-luni-fellowship.html"  target="_blank">
                                     Moving Upstream: Luni – Fellowship                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"  target="_blank">
                                     135 Million Indians Exited “Multidimensional" Poverty as per Government...                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/explainer-why-are-tomato-prices-on-fire.html"  target="_blank">
                                     Explainer: Why are Tomato Prices on Fire?                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/nsso-survey-only-39-1-of-all-households-have-drinking-water-within-dwelling-46-7-of-rural-households-use-firewood-for-cooking.html"  target="_blank">
                                     NSSO Survey: Only 39.1% of all Households have Drinking...                                </a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/news-alerts-57"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
                                    <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/I51LYnP8BOk/1.jpg"
                             alt=" Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Short-Video-on-im4change-Hindi-website-Inclusive-Media-for-Change"  target="_blank">
                                 Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/kNqha-SwfIY/1.jpg"
                             alt=" "Session 1: Scope of IDEA and AgriStack" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-1- Scope-of-IDEA-and-AgriStack-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 1: Scope of IDEA and AgriStack" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/6kIVjlgZItk/1.jpg"
                             alt=" "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-2-Farmer-Centric-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/2BeHTu0y7xc/1.jpg"
                             alt=" "Session 3: Future of Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-3-Future-of-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 3: Future of Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                    


                <div class="divWidth">
                    <ul class="divWidthMarg">
                                                    <li>
                                <a href="https://im4change.in/video/Public-Spending-on-Agriculture-in-India-Source-Foundation-for-Agrarian-Studies"
                                   title="Public Spending on Agriculture in India (Source: Foundation for Agrarian Studies)"  target="_blank">
                                     Public Spending on Agriculture in India (Source: Foundation for...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Agrarian-Change-Seminar-Protests-against-the-New-Farm-Laws-in-India-by-Prof-Vikas-Rawal-JNU-Source-Journal-Of-Agrarian-Change"
                                   title="Agrarian Change Seminar: 'Protests against the New Farm Laws in India' by Prof. Vikas Rawal, JNU (Source: Journal Of Agrarian Change) "  target="_blank">
                                     Agrarian Change Seminar: 'Protests against the New Farm Laws...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Webinar-Ramrao-The-Story-of-India-Farm-Crisis-Source-Azim-Premji-University"
                                   title="Webinar: Ramrao - The Story of India's Farm Crisis (Source: Azim Premji University)"  target="_blank">
                                     Webinar: Ramrao - The Story of India's Farm Crisis...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/water-and-agricultural-transformation-in-India"
                                   title="Water and Agricultural Transformation in India: A Symbiotic Relationship (Source: IGIDR)"  target="_blank">
                                     Water and Agricultural Transformation in India: A Symbiotic Relationship...</a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/videogallery"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
            </div>
        </div>
    </div>
</section>    </div>
    <div class="clear"></div>
    <!-- Footer option Starts here -->
    <div class="footer-bottom fade-in animated4">
        <div class="container">
            <div class="social-icons icon_flat">
                <p class="SocialMargTop"> Website Developed by <a target="_blank" title="Web Development"
                                                                  class="wot right"
                                                                  href="http://www.ravinderkhurana.com/" rel="nofollow">
                                                                  RAVINDErkHURANA.com</a></p>
            </div>
            <div class="alignleft">
                <a
     target="_blank" href="https://im4change.in/objectives-8.html"
    class="link"
    title="Objectives">Objectives</a> | <a
     target="_blank" href="https://im4change.in/about-us-9.html"
    class="link" title="About Us">About Us</a> | <a
     target="_blank" href="https://im4change.in/media-workshops.php"
    class="ucwords">Workshops</a> | <a
     target="_blank" href="https://im4change.in/disclaimer/disclaimer-149.html"
    title="Disclaimer">Disclaimer</a>            </div>
        </div>
    </div>
    <!-- Footer option ends here -->
</div>
<div id="connect">
    <a target="_blank"
       href="http://www.facebook.com/sharer.php?u=https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html"
       title="Share on Facebook">
        <img src="https://im4change.in/images/Facebook.png?1582080640" alt="share on Facebook" class="ImgBorder"/>
    </a><br/>
    <a target="_blank"
       href="http://twitter.com/share?text=Im4change&amp;url=https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html"
       title="Share on Twitter">
        <img src="https://im4change.in/images/twitter.png?1582080632" alt="Twitter" class="ImgBorder"/>    </a>
    <br/>
    <a href="/feeds" title="RSS Feed" target="_blank">
        <img src="https://im4change.in/images/rss.png?1582080632" alt="RSS" class="ImgBorder"/>
    </a>
    <br/>
    <a class="feedback-link" id="feedbackFormLink" href="#">
        <img src="https://im4change.in/images/feedback.png?1582080630" alt="Feedback" class="ImgBorder"/>
    </a> <br/>
    <a href="javascript:function iprl5(){var d=document,z=d.createElement('scr'+'ipt'),b=d.body,l=d.location;try{if(!b)throw(0);d.title='(Saving...) '+d.title;z.setAttribute('src',l.protocol+'//www.instapaper.com/j/WKrH3R7ORD5p?u='+encodeURIComponent(l.href)+'&amp;t='+(new Date().getTime()));b.appendChild(z);}catch(e){alert('Please wait until the page has loaded.');}}iprl5();void(0)"
       class="bookmarklet" onclick="return explain_bookmarklet();">
        <img src="https://im4change.in/images/read-it-later.png?1582080632" alt="Read Later" class="ImgBorder"/>    </a>
</div>
<!-- Feedback form Starts here -->
<div id="feedbackForm" class="overlay_form" class="ImgBorder">
    <h2>Contact Form</h2>
    <div id="contactform1">
        <div id="formleft">
            <form id="submitform" action="/contactus.php" method="post">
                <input type="hidden" name="submitform" value="submitform"/>
                <input type="hidden" name="salt_key" value="a0e0f2c6a0644a70e57ad2c96829709a"/>
                <input type="hidden" name="ref" value="feedback"/>
                <fieldset>
                    <label>Name :</label>
                    <input type="text" name="name" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Email :</label>
                    <input type="text" name="email" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Message :</label>
                    <textarea rows="5" cols="20" name="message" required></textarea>
                </fieldset>
                <fieldset>
                    Please enter security code
                    <div class="clear"></div>
                    <input type="text" name="vrcode" class="tbox"/>
                </fieldset>
                <fieldset>
                    <input type="submit" class="button" value="Submit"/>
                    &nbsp; &nbsp; &nbsp; <a href="#" id="closefeedbakcformLink">Close</a>
                </fieldset>
            </form>
        </div>
        <div class="clearfix"></div>
    </div>
</div>
<div id="donate_popup" class="modal" style="max-width: 800px;">
    <table width="100%" border="1">
        <tr>
            <td colspan="2" align="center">
                <b>Support im4change</b>
            </td>
        </tr>
        <tr>
            <td width="25%" valign="middle">
                <img src="https://im4change.in/images/logo2.jpg?1582080632" alt="" width="100%"/>            </td>
            <td style="padding-left:10px;padding-top:10px;">
                <form action="https://im4change.in/donate" method="get">
                    <table width="100%" cellpadding="2" cellspacing="2">
                        <tr>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                10
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                100
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                1000
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                50
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                500
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                <input type="text" name="price" placeholder="?" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3" align="right">
                                <input type="button" name="Pay" value="Pay"
                                       style="width: 200px;background-color: rgb(205, 35, 36);color: #ffffff;"/>
                            </td>
                        </tr>
                    </table>
                </form>
            </td>
        </tr>
    </table>
</div><script type='text/javascript'>

    /* <![CDATA[ */

    var tievar = {'go_to': 'Go to...'};

    /* ]]> */

</script>
<script src="/js/tie-scripts.js?1575549704"></script><script src="/js/bootstrap.js?1575549704"></script><script src="/js/jquery.modal.min.js?1578284310"></script><script>
    $(document).ready(function() {
        // tell the autocomplete function to get its data from our php script
        $('#s').autocomplete({
            source: "/autocomplete"
        });
    });
</script>
<script src="/vj-main-sw-register.js" async></script>

<script>function init(){var imgDefer=document.getElementsByTagName('img');for(var i=0;i<imgDefer.length;i++){if(imgDefer[i].getAttribute('data-src')){imgDefer[i].setAttribute('src',imgDefer[i].getAttribute('data-src'))}}}
window.onload=init;</script>
</body>
</html>'

}
$reasonPhrase = 'OK'
header - [internal], line ??
Cake\Http\ResponseEmitter::emitStatusLine() - CORE/src/Http/ResponseEmitter.php, line 148
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 54
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 181]
Code Context
                    $value

                ), $first);

                $first = false;
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html>
<!--[if lt IE 7 ]>
<html class="ie ie6" lang='en'> <![endif]-->
<!--[if IE 7 ]>
<html class="ie ie7" lang='en'> <![endif]-->
<!--[if IE 8 ]>
<html class="ie ie8" lang='en'> <![endif]-->
<!--[if (gte IE 9)|!(IE)]><!-->
<html lang='en'>
<!--<![endif]-->
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8">
    
    <title>
        LATEST NEWS UPDATES | Cure the doctor -Vikram Patel    </title>
    <meta name="description" content="
-The Indian Express

Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame 

Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India&rsquo;s healthcare..."/>
    <meta name="keywords" content="public expenditure on health,Out-of-pocket health expenditure,Access to Health,Access to Healthcare,health policy,healthcare,healthcare in india,Public Health"/>
    <meta name="news_keywords" content="public expenditure on health,Out-of-pocket health expenditure,Access to Health,Access to Healthcare,health policy,healthcare,healthcare in india,Public Health">
   
    <link rel="alternate" type="application/rss+xml" title="ROR" href="/ror.xml"/>
    <link rel="alternate" type="application/rss+xml" title="RSS 2.0" href="/feeds/"/>
    <link rel="stylesheet" href="/css/bootstrap.min.css?1697864993"/>    <link rel="stylesheet" href="/css/style.css?v=1.1.2"/>    <link rel="stylesheet" href="/css/style-inner.css?1577045210"/>    <link rel="stylesheet" id="Oswald-css"
          href="https://fonts.googleapis.com/css?family=Oswald%3Aregular%2C700&amp;ver=3.8.1" type="text/css"
          media="all">
    <link rel="stylesheet" href="/css/jquery.modal.min.css?1578285302"/>    <script src="/js/jquery-1.10.2.js?1575549704"></script>    <script src="/js/jquery-migrate.min.js?1575549704"></script>    <link rel="shortcut icon" href="/favicon.ico" title="Favicon">
    <link rel="stylesheet" href="/css/jquery-ui.css?1580720609"/>    <script src="/js/jquery-ui.js?1575549704"></script>    <link rel="preload" as="style" href="https://www.im4change.org/css/custom.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery.modal.min.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery-ui.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/li-scroller.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<!-- <link rel="preload" as="style" href="https://www.im4change.org/css/style.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous"> -->
<link rel="preload" as="style" href="https://www.im4change.org/css/style-inner.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">

<link rel='dns-prefetch' href="//im4change.org/css/custom.css" crossorigin >

<link rel="preload" as="script" href="https://www.im4change.org/js/bootstrap.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.li-scroller.1.0.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.modal.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.ui.totop.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-1.10.2.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-migrate.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-ui.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/setting.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/tie-scripts.js">
    <!--[if IE]>
    <script type="text/javascript">jQuery(document).ready(function () {
        jQuery(".menu-item").has("ul").children("a").attr("aria-haspopup", "true");
    });</script>
    <![endif]-->
    <!--[if lt IE 9]>
    <script src="/js/html5.js"></script>
    <script src="/js/selectivizr-min.js"></script>
    <![endif]-->
    <!--[if IE 8]>
    <link rel="stylesheet" type="text/css" media="all" href="/css/ie8.css"/>
    <![endif]-->
    <meta property="og:title" content="LATEST NEWS UPDATES | Cure the doctor -Vikram Patel" />
     <meta property="og:url" content="https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html" />
     <meta property="og:type" content="article" />
     <meta property="og:description" content="
-The Indian Express

Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame 

Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India&rsquo;s healthcare..." />
     <meta property="og:image" content="" />
      <meta property="fb:app_id" content="0" />
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">

       <link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://im4change.in/images/apple1.png">
    <link rel="apple-touch-icon-precomposed" sizes="120x120" href="https://im4change.in/images/apple2.png">
    <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://im4change.in/images/apple3.png">
    <link rel="apple-touch-icon-precomposed" href="https://im4change.in/images/apple4.png">

    <style>
    .gsc-results-wrapper-overlay{
        top: 38% !important;
        height: 50% !important;
    }
    .gsc-search-button-v2{
        border-color: #035588 !important;
        background-color: #035588 !important;
    }

   .gsib_a{
        height: 30px !important;
          padding: 2px 8px 1px 6px !important;
    }

   
    .gsc-search-button-v2{
        height: 41px !important;
    }
    input.gsc-input{
        background: none !important;
    }
    @media only screen and (max-width: 600px) {
        .gsc-results-wrapper-overlay{
            top: 11% !important;
            width: 87% !important;
            left: 9% !important;
            height: 43% !important;
        }

        .gsc-search-button-v2{
            padding: 10px 10px !important;
        
        }
        .gsc-input-box{
            height: 28px !important;
        }
       /* .gsib_a {
            padding: 0px 9px 4px 9px !important;
        }*/
    }
    @media only screen and (min-width: 1200px) and (max-width: 1920px) {
        table.gsc-search-box{
            width: 15% !important;
            float: right !important;
            margin-top: -118px !important;
        }

        .gsc-search-button-v2 {
            
            padding: 6px !important;
           
        }
    }


</style>

    <script>
        $(function () {
            $("#accordion").accordion({
                event: "click hoverintent"
            });
        });

        /*
         * hoverIntent | Copyright 2011 Brian Cherne
         * http://cherne.net/brian/resources/jquery.hoverIntent.html
         * modified by the jQuery UI team
         */
        $.event.special.hoverintent = {
            setup: function () {
                $(this).bind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            teardown: function () {
                $(this).unbind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            handler: function (event) {
                var currentX, currentY, timeout,
                    args = arguments,
                    target = $(event.target),
                    previousX = event.pageX,
                    previousY = event.pageY;

                function track(event) {
                    currentX = event.pageX;
                    currentY = event.pageY;
                }
                ;

                function clear() {
                    target
                        .unbind("mousemove", track)
                        .unbind("mouseout", clear);
                    clearTimeout(timeout);
                }

                function handler() {
                    var prop,
                        orig = event;
                    if ((Math.abs(previousX - currentX) +
                        Math.abs(previousY - currentY)) < 7) {
                        clear();
                        event = $.Event("hoverintent");
                        for (prop in orig) {
                            if (!(prop in event)) {
                                event[prop] = orig[prop];
                            }
                        }
                        // Prevent accessing the original event since the new event
                        // is fired asynchronously and the old event is no longer
                        // usable (#6028)
                        delete event.originalEvent;
                        target.trigger(event);
                    } else {
                        previousX = currentX;
                        previousY = currentY;
                        timeout = setTimeout(handler, 100);
                    }
                }

                timeout = setTimeout(handler, 100);
                target.bind({
                    mousemove: track,
                    mouseout: clear
                });
            }
        };
    </script>
    <script type="text/javascript">
        var _gaq = _gaq || [];
        _gaq.push(['_setAccount', 'UA-472075-3']);
        _gaq.push(['_trackPageview']);

        (function () {
            var ga = document.createElement('script');
            ga.type = 'text/javascript';
            ga.async = true;
            ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
            var s = document.getElementsByTagName('script')[0];
            s.parentNode.insertBefore(ga, s);
        })();
    </script>
    <link rel="stylesheet" href="/css/custom.css?v=1.16"/>    <script src="/js/jquery.ui.totop.js?1575549704"></script>    <script src="/js/setting.js?1575549704"></script>    <link rel="manifest" href="/manifest.json">
    <meta name="theme-color" content="#616163" />
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-title" content="im4change">
    <link rel="apple-touch-icon" href="/icons/logo-192x192.png">
</head>
<body id="top" class="home inner blog">
<div class="background-cover"></div>
<div class="wrapper animated">
    <header id="theme-header" class="header_inner" style="position: relative;">
        <div class="logo inner_logo" style="left:20px !important">
                <a title="Home" href="https://im4change.in/">
                    <img src="https://im4change.in/images/logo2.jpg?1582080632" class="logo_image" alt="im4change"/>                </a>
        </div>
        <div class="langhindi" style="color: #000;display:none;"
             href="https://im4change.in/">
            <a class="more-link" href="https://im4change.in/">Home</a>
                        <a href="https://im4change.in/hindi/" class="langbutton ">हिन्दी</a>
                    </div>
        <nav class="fade-in animated2" id="main-nav">
            <div class="container">
                <div class="main-menu">
    <ul class="menu" id="menu-main">
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            style="left: -40px;"><a
                 target="_blank" href="https://im4change.in/">Home</a>
        </li>
        <li class="menu-item mega-menu menu-item-type-taxonomy mega-menu menu-item-object-category mega-menu menu-item-has-children parent-list"
            style=" margin-left: -40px;"><a href="#">KNOWLEDGE GATEWAY <span class="sub-indicator"></span>
            </a>
            <div class="mega-menu-block background_menu" style="padding-top:25px;">
                <div class="container">
                    <div class="mega-menu-content">
                                                                   <div class="mega-menu-item">
                                                 <h3><b>Farm Crisis</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/farmers039-suicides-14.html"
                                                       class="left postionrel">Farm Suicides                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/unemployment-30.html"
                                                       class="left postionrel">Unemployment                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/rural-distress-70.html"
                                                       class="left postionrel">Rural distress                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/migration-34.html"
                                                       class="left postionrel">Migration                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/key-facts-72.html"
                                                       class="left postionrel">Key Facts                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/debt-trap-15.html"
                                                       class="left postionrel">Debt Trap                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Empowerment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/union-budget-73.html"
                                                       class="left postionrel">Union Budget And Other Economic Policies                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/forest-and-tribal-rights-61.html"
                                                       class="left postionrel">Forest and Tribal Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-education-60.html"
                                                       class="left postionrel">Right to Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-food-59.html"
                                                       class="left postionrel">Right to Food                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/displacement-3279.html"
                                                       class="left postionrel">Displacement                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-work-mg-nrega-39.html"
                                                       class="left postionrel">Right to Work (MG-NREGA)                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/gender-3280.html"
                                                       class="left postionrel">GENDER                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-information-58.html"
                                                       class="left postionrel">Right to Information                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/social-audit-48.html"
                                                       class="left postionrel">Social Audit                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Hunger / HDI</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/poverty-and-inequality-20499.html"
                                                       class="left postionrel">Poverty and inequality                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/malnutrition-41.html"
                                                       class="left postionrel">Malnutrition                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/public-health-51.html"
                                                       class="left postionrel">Public Health                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/education-50.html"
                                                       class="left postionrel">Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hunger-overview-40.html"
                                                       class="left postionrel">Hunger Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hdi-overview-45.html"
                                                       class="left postionrel">HDI Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/pds-ration-food-security-42.html"
                                                       class="left postionrel">PDS/ Ration/ Food Security                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/sdgs-113.html"
                                                       class="left postionrel">SDGs                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/mid-day-meal-scheme-mdms-53.html"
                                                       class="left postionrel">Mid Day Meal Scheme (MDMS)                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Environment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/time-bomb-ticking-52.html"
                                                       class="left postionrel">Time Bomb Ticking                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/water-and-sanitation-55.html"
                                                       class="left postionrel">Water and Sanitation                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/impact-on-agriculture-54.html"
                                                       class="left postionrel">Impact on Agriculture                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Law & Justice</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/social-justice-20500.html"
                                                       class="left postionrel">Social Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/access-to-justice-47.html"
                                                       class="left postionrel">Access to Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/human-rights-56.html"
                                                       class="left postionrel">Human Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/corruption-35.html"
                                                       class="left postionrel">Corruption                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/general-insecurity-46.html"
                                                       class="left postionrel">General Insecurity                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/disaster-relief-49.html"
                                                       class="left postionrel">Disaster &amp; Relief                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        
                    </div>
                </div>
            </div>
        </li>
        <li class="menu-item  menu-item-type-post_type  menu-item-object-page "><a  target="_blank" href="https://im4change.in/nceus_reports.php">NCEUS reports</a>
            
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children parent-list ">
            <a  target="_blank" href="https://im4change.in/about-us-9.html">About Us <span
                    class="sub-indicator"></span></a>
            <ul class="sub-menu aboutmenu">
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                        target="_blank" href="https://im4change.in/objectives-8.html">Objectives</a>
                </li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/contactus.php">Contact
                        Us</a></li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/about-us-9.html">About
                        Us</a></li>
            </ul>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children ">
            <a  target="_blank" href="https://im4change.in/fellowships.php" title="Fellowships">Fellowships</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/media-workshops.php">Workshops</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/research.php">Research</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children   "><a
                 target="_blank" href="https://im4change.in/links-64">Partners</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            id="menu-item-539"><a  target="_blank" href="https://im4change.in/hindi/"
                                  class="langbutton langlinkfont17">हिन्दी</a></li>
    </ul>
</div>            </div>


                        <!--  <div style="float: right;">
                            <script async src="https://cse.google.com/cse.js?cx=18b4f2e0f11bed3dd"></script>
                            <div class="gcse-search"></div>
                        </div> -->
                       
            <div class="search-block" style=" margin-left: 8px; margin-right: 7px;">
                <form method="get" id="searchform" name="searchform"
                      action="https://im4change.in/search"
                      onsubmit="return searchvalidate();">
                    <button class="search-button" type="submit" value="Search"></button>
                    <input type="text" id="s" name="qryStr" value=""
                           onfocus="if (this.value == 'Search...') {this.value = '';}"
                           onblur="if (this.value == '') {this.value = 'Search...';}">
                </form>
            </div>
        </nav>
    </header>
    <div class="container">
        <div id="main-content" class=" main1 container fade-in animated3 sidebar-narrow-left">
            <div class="content-wrap">
                <div class="content" style="width: 900px;min-height: 500px;">
                    <section class="cat-box recent-box innerCatRecent">
    <h1 class="cat-box-title">Cure the doctor -Vikram Patel</h1>
    <a href="JavaScript:void(0);" onclick="return shareArticle(30060);">
        <img src="https://im4change.in/images/email.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>    </a>

    <a href="https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119/print"
       rel="nofollow">
        <img src="https://im4change.in/images/icon-print.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>
    </a>
</section>
<section class="recent-box innerCatRecent">
    <small class="pb-1"><span class="dateIcn">
    	<img src="https://im4change.in/images/published.svg?1582080666" alt="published"/> 
		 Published on</span><span class="text-date"> Dec 21, 2015</span>
        &nbsp; <span
                class="dateIcn">
		 	<img src="https://im4change.in/images/modified.svg?1582080666" alt="modified"/>    	 Modified on </span><span class="text-date"> Dec 21, 2015</span>
    </small>
</section>
<div class="clear"></div>
<div style="padding-top: 10px;">
    <div class="innerLineHeight">
        <div class="middleContent innerInput latest-news-updates">
            <table>
                <tr>
                    <td>
                                                <div>
                            <div align="justify">-The Indian Express<br /><br /><em>Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame <br /></em><br />Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India&rsquo;s healthcare delivery system if it is to achieve the government&rsquo;s vision of assuring health for all. The paper documented India&rsquo;s progress on major health indicators in the past decade, but also its many deficiencies. The most disturbing indicator of these deficiencies is the observation that the cost of healthcare is driving millions of Indians into poverty. Let us pause to consider the implication of this statement.<br /><br />In a country where the primary goal of economic development is to help raise people out of poverty, healthcare is driving millions into poverty. Whereas, in other countries, investment in healthcare is recognised as a route to promote growth by enhancing their citizens&rsquo; capabilities to be productive, healthcare in India is now one of the leading causes of poverty. We are, in simple terms, out of step with the rest of the world, not only the developed countries whose ranks we aspire to join, but also with other countries like ours.<br /><br />It is common to lay the entire blame, or at least the lion&rsquo;s share, for this on the government. This is certainly true to some extent, but the reality is that many sectors must share this blame, not least the medical profession, of which I am a member. In most countries, the medical profession plays a central role in working with the government and civil society towards improving access to affordable, quality care. In India, though, the medical profession is adrift from any alignment with this vision and is, if anything, increasingly seen as being complicit in perpetuating our abysmal health care system, and as an obstacle to a progressive one.<br /><br />Hardly a day goes by without us being reminded of how corruption of the basic values of respecting patient rights and promoting an evidence-based practice has reduced our professional standards to those where doctors effortlessly associate with crooked politicians and police officers. Consider some stories that illustrate this: Illegal payments for approval of and admission to private medical colleges; falsification of faculty records to meet the criteria for recognition of these medical colleges; unethical and irrational practices of unnecessary procedures, diagnostic tests and hospital admissions with a commercial incentive; kickbacks in cash or kind from companies or other physicians for prescriptions or referrals; fraudulent billing for insurance payments; lack of attention to quality of care leading to catastrophic health outcomes following routine surgical procedures; collusion with pharmaceutical companies to run &ldquo;health camps&rdquo; whose primary goal is to create markets for the company; and collusion with families to promote sex-selection.<br /><br />While much of this corruption lies in the private sector, now the dominant force in healthcare delivery in India, it is equally the case that corruption is also evident in the public sector. Consider absenteeism to run illegal private practices and the lack of basic dignity in healthcare, both frequent observations in the public system. It would be fair to say that the reputation of my profession has collapsed since I was a medical student in the 1980s.<br /><br />While many of my colleagues may argue this is unjustified, I doubt if any will deny that a radical revision of our healthcare system will need to be accompanied by a radical revision of the medical profession itself. This reform would need to begin from the very nature of the training our medical students receive, so as to prepare them not only to work in specialised urban hospitals but also in primary care in villages and towns.<br /><br />The reform would need to extend further, much further, to regulate the quality of care delivered, to make costs of care completely transparent in the spirit of the Right to Information Act, and to hold doctors (and hospitals) accountable for wilful lapses. The most formidable challenge to this goal has been the complete squandering of the golden opportunity afforded to our profession for self-regulation through the Medical Council of India, which is itself accused of grand levels of fraud and has singularly failed to achieve its mandate to uphold the high standards of medical education and quality of care. Any reform must begin with a root and branch re-engineering of this moribund body. Ironically, while we have failed to effectively regulate ourselves, our profession has also mounted a robust opposition to independent efforts to regulate us, for example through the clinical establishments act. This leaves an increasingly disgruntled patient community to resort to the consumer protection act and the criminal courts to hold us accountable. This procedure only poisons the precious relationship between our profession and the community we serve.<br /><br />Whereas the erosion of many fundamental values, such as that of providing scientifically grounded care in an environment of respect and dignity, will require a significant revision of training and continuing professional development, attending to commercially driven malpractices is more amenable to immediate action with potentially profound impact on impoverishment due to healthcare. The Jan Swasthya Abhiyan recently demanded that &ldquo;all payments of kickbacks and commissions&rdquo; be declared as illegal and compliance be<br /><br /><em>The writer is a psychiatrist with the Public Health Foundation of India and the London School of Hygiene &amp; Tropical Medicine. He was lead author of The Lancet paper, &lsquo;Assuring health for India&rsquo;s people&rsquo;<br /></em><br /></div>                                                           
                        </div>
                    </td>
                </tr>
            </table>
        </div>
    </div>
</div>
<div class="clear"></div>
    <br><a href="http://indianexpress.com/article/opinion/cure-the-doctor-healthcare-healthcare-in-india-indian-doctors/" class="re" target="_blank">The Indian Express, 21 December, 2015, http://indianexpress.com/article/opinion/cure-the-doctor-healthcare-healthcare-in-india-indian-doctors/</a><div class="clear"></div>
    <div style="padding-top: 18px;">
        <p class="post-tag">Tagged with:
                            <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=public expenditure on health"
                   title="public expenditure on health">
                    public expenditure on health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Out-of-pocket health expenditure"
                   title="Out-of-pocket health expenditure">
                    Out-of-pocket health expenditure                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Access to Health"
                   title="Access to Health">
                    Access to Health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Access to Healthcare"
                   title="Access to Healthcare">
                    Access to Healthcare                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=health policy"
                   title="health policy">
                    health policy                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=healthcare"
                   title="healthcare">
                    healthcare                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=healthcare in india"
                   title="healthcare in india">
                    healthcare in india                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Public Health"
                   title="Public Health">
                    Public Health                </a>
                        </p>
    </div>
<div class="clear"></div>
    <br><br>
    <div class="widget-top">
        <h4>Related Articles</h4>
        <div class="stripe-line"></div>
    </div>
    <div class="widget-container">
        <ul id="recentcomments">
                            <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/india-s-stretched-health-care-system-fails-millions-in-rural-areas-battling-sickle-cell-disease-abc.html"
                       title="India's stretched health care system fails millions in rural areas battling sickle cell disease - ABC">
                        India's stretched health care system fails millions in rural areas battling sickle cell disease - ABC                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/climate-change-will-likely-exacerbate-indian-rural-household-s-debt-burden.html"
                       title="Climate change will likely exacerbate Indian rural household's debt burden ">
                        Climate change will likely exacerbate Indian rural household's debt burden                     </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/the-importance-of-affordable-healthcare-for-all-and-other-key-lessons-from-the-pandemic-chapal-mehra-lancelot-pinto.html"
                       title="The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto">
                        The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/the-need-to-make-cancer-drugs-affordable-biswajit-dhar-and-chetali-rao.html"
                       title="The need to make cancer drugs affordable -Biswajit Dhar and Chetali Rao">
                        The need to make cancer drugs affordable -Biswajit Dhar and Chetali Rao                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/after-measles-experts-worry-typhoid-could-pose-the-next-health-challenge-as-india-delays-vaccine-tabassum-barnagarwala.html"
                       title="After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala">
                        After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala                    </a>
                </li>
                
        </ul>
    </div>
    <div class="comment-respond" id="respond">
    <a name="commentbox">&nbsp;</a>
    <h3 class="comment-reply-title" id="reply-title">Write Comments</h3>
    <form method="post" accept-charset="utf-8" role="form" action="/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>    <form class="comment-form" id="commentform" method="post" action="#commentbox" onSubmit="return validate()"
          name="cmtform">
        <input type="hidden" name="cmttype" value="articlecmt"/>
        <input type="hidden" name="article_id" value="30060"/>
        <p class="comment-notes">Your email address will not be published. Required fields are marked <span
                    class="required">*</span></p>
                <p class="comment-form-author">
            <label for="commenterName">Name</label>
            <span class="required">*</span>
            <input type="text" aria-required="true" size="30"
                   value=""
                   name="commenterName" id="commenterName" required="true">
        </p>
        <p class="comment-form-email">
            <label for="commenterEmail">Email</label> <span class="required">*</span>
            <input aria-required="true" size="30" name="commenterEmail" id="commenterEmail" type="email"
                   value=""
                   required="true">
        </p>
        <p class="comment-form-contact">
            <label for="commenterPh">Contact No.</label>
            <input type="text" size="30"
                   value=""
                   name="commenterPh" id="commenterPh">
        </p>
        <p class="comment-form-comment">
            <label for="comment">Comment</label>
            <textarea aria-required="true" required="true" rows="8" cols="45" name="comment"
                      id="comment"></textarea>
        </p>
        <p class="comment-form-comment">
            <label for="comment">Type the characters you see in the image below <span class="required">*</span><br><img
                        class="captchaImg"
                        src="https://im4change.in/securimage_show_art.php?tk=1253140788" alt="captcha"/>
            </label>
        </p>
        <input type="text" name="vrcode" required="true"/>

        <p class="form-submit" style="width: 200px;">
            <input type="submit" value="Post Comment" id="submit" name="submit">
        </p></form>
</div>
<style>
    .ui-widget-content {
        height: auto !important;
    }
</style>
<div id="share-modal"></div>
<style>
    .middleContent a{
        background-color: rgba(108,172,228,.2);
    }
    .middleContent a:hover{
        background-color: #418fde;
        border-color: #418fde;
        color: #000;
        }
</style>
<script>
    function shareArticle(article_id) {
        var options = {
            modal: true,
            height: 'auto',
            width: 600 + 'px'
        };
        $('#share-modal').html("");
        $('#share-modal').load('https://im4change.in/share_article?article_id=' + article_id).dialog(options).dialog('open');
    }

    function postShare() {
        var param = 'article_id=' + $("#article_id").val();
        param = param + '&y_name=' + $("#y_name").val();
        param = param + '&y_email=' + $("#y_email").val();
        param = param + '&f_name=' + $("#f_name").val();
        param = param + '&f_email=' + $("#f_email").val();
        param = param + '&y_msg=' + $("#y_msg").val();

        $.ajax({
            type: "POST",
            url: 'https://im4change.in/post_share_article',
            data: param,
            success: function (response) {
                $('#share-modal').html("Thank You, Your message posted to ");
            }
        });
        return false;
    }
</script>                </div>
            </div>
            <!-- Right Side Section Start -->
<!-- MAP Section START -->
<aside class="sidebar indexMarg">
    <div class="ad-cell">
        <a href="https://im4change.in/statemap.php" title="">
            <img src="https://im4change.in/images/map_new_version.png?1582080666" alt="India State Map" class="indiamap" width="232" height="252"/>        </a>
        <div class="rightmapbox">
            <div id="sideOne" class="docltitle"><a href="https://im4change.in/state-report/india/36" target="_blank">DOCUMENTS/
                    REPORTS</a></div>
            <div id="sideTwo" class="statetitle"><a href="https://im4change.in/states.php"target="_blank">STATE DATA/
                    HDRs.</a></div>
        </div>
        <div class="widget widgePadTop"></div>
    </div>
</aside>
<!-- MAP Section END -->
<aside class="sidebar sidePadbottom">
    <div class="rightsmlbox1" >
        <a href="https://im4change.in/knowledge_gateway" target="_blank" style="color: #035588;
    font-size: 17px;">
            KNOWLEDGE GATEWAY
        </a>
    </div>
    <div class="rightsmlbox1">

        <div>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/newsletter" target="_blank">
                    NEWSLETTER
                </a>
            </p>
        </div>
    </div>
        <div class="rightsmlbox1" style="height: 325px;">
        <div>
            <p class="rightsmlbox1_title">
                Interview with Prof. Ravi Srivastava
            </p>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/video/interview-with-prof-ravi-srivastava-on-current-economic-crisis">
                <img width="250" height="200" src="/images/interview_video_home.jpg" alt="Interview with Prof. Ravi Srivastava"/>
                </a>
                <!--
                <iframe width="250" height="200" src="https://www.youtube.com/embed/MmaTlntk-wc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe>-->
               
            </p>
            <a href="https://im4change.in/videogallery" class="more-link CatArchalAnch1" target="_blank">
                                More videos
                            </a>
        </div>
    </div>
    
        <div class="rightsmlbox1">
        <div>
            <!--div id="sstory" class="rightboxicons"></div--->
            <p class="rightsmlbox1_title"><a href="https://im4change.in/list-success-stories"  target="_blank">Success Stories</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
                        href="https://im4change.in/interviews"  target="_blank">Interviews</a>
            </p>
        </div>
    </div>

    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a href="https://www.commoncause.in/page.php?id=10" >Donate</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
        href="https://im4change.in/marquee"
        class="isf_link more-link" title="India Focus?" style="border: 4px solid #fdd922;width: 90%;background-color: #fdd922;text-align: center;color: #000000;font-size:18px"  target="_blank">India Focus</a></p>        </div>
    </div>

    <div class="rightsmlbox1" style="height: 104px !important;">
        <a href="https://im4change.in/quarterly_reports.php" target="_blank">
            Quarterly Reports on Effect of Economic Slowdown on Employment in India (2008 - 2015)
        </a>
    </div>
    
<!--     <div class="rightsmlbox1">
        <a href="https://play.google.com/store/apps/details?id=com.im4.im4change" target="_blank">
            
        </a></div> -->
    <!-- <section class="cat-box recent-box secMarg">
        <h2 class="cat-box-title">Most Visited</h2>
    </section> -->
    <!-- accordion Starts here -->
    <!-- <div id="accordion" class="accordMarg">
            </div> -->
    <!-- accordion ends here -->
    <!-- Widget Tag Cloud Starts here -->
    <div id="tag_cloud-2" class="widget widget_tag_cloud">
        <section class="cat-box recent-box secMarg">
                <h2 class="cat-box-title">MOST VISITED TAGS</h2>
            </section>
        <div class="widget-top wiPdTp">
           
            <div class="stripe-line"></div>
        </div>
        <div class="widget-container">
            <div class="tagcloud">
                                    <a href="https://im4change.in/search?qryStr=Agriculture"
                       target="_blank" class="tag-link-4 font4">Agriculture</a>
                                        <a href="https://im4change.in/search?qryStr=Food Security"
                       target="_blank" class="tag-link-4 font4">Food Security</a>
                                        <a href="https://im4change.in/search?qryStr=Law and Justice"
                       target="_blank" class="tag-link-4 font4">Law and Justice</a>
                                        <a href="https://im4change.in/search?qryStr=Health"
                       target="_blank" class="tag-link-4 font4">Health</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Food"
                       target="_blank" class="tag-link-4 font4">Right to Food</a>
                                        <a href="https://im4change.in/search?qryStr=Corruption"
                       target="_blank" class="tag-link-4 font4">Corruption</a>
                                        <a href="https://im4change.in/search?qryStr=farming"
                       target="_blank" class="tag-link-4 font4">farming</a>
                                        <a href="https://im4change.in/search?qryStr=Environment"
                       target="_blank" class="tag-link-4 font4">Environment</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Information"
                       target="_blank" class="tag-link-4 font4">Right to Information</a>
                                        <a href="https://im4change.in/search?qryStr=NREGS"
                       target="_blank" class="tag-link-4 font4">NREGS</a>
                                        <a href="https://im4change.in/search?qryStr=Human Rights"
                       target="_blank" class="tag-link-4 font4">Human Rights</a>
                                        <a href="https://im4change.in/search?qryStr=Governance"
                       target="_blank" class="tag-link-4 font4">Governance</a>
                                        <a href="https://im4change.in/search?qryStr=PDS"
                       target="_blank" class="tag-link-4 font4">PDS</a>
                                        <a href="https://im4change.in/search?qryStr=COVID-19"
                       target="_blank" class="tag-link-4 font4">COVID-19</a>
                                        <a href="https://im4change.in/search?qryStr=Land Acquisition"
                       target="_blank" class="tag-link-4 font4">Land Acquisition</a>
                                        <a href="https://im4change.in/search?qryStr=mgnrega"
                       target="_blank" class="tag-link-4 font4">mgnrega</a>
                                        <a href="https://im4change.in/search?qryStr=Farmers"
                       target="_blank" class="tag-link-4 font4">Farmers</a>
                                        <a href="https://im4change.in/search?qryStr=transparency"
                       target="_blank" class="tag-link-4 font4">transparency</a>
                                        <a href="https://im4change.in/search?qryStr=Gender"
                       target="_blank" class="tag-link-4 font4">Gender</a>
                                        <a href="https://im4change.in/search?qryStr=Poverty"
                       target="_blank" class="tag-link-4 font4">Poverty</a>
                                    
                                <a href="https://im4change.in/search?qryStr=Farm Laws" target="_blank" class="tag-link-4 font4">Farm Laws
                </a>
                <a href="https://im4change.in/search?qryStr=Citizenship Amendment Act" target="_blank" class="tag-link-4 font4">Citizenship Amendment Act
                </a>
                <a href="https://im4change.in/search?qryStr=CAA NPR NRIC" target="_blank" class="tag-link-4 font4">CAA NPR NRIC
                </a>
                <a href="https://im4change.in/search?qryStr=Job Losses" target="_blank" class="tag-link-4 font4">Job Losses
                </a>
                <a href="https://im4change.in/search?qryStr=Migrant Workers" target="_blank" class="tag-link-4 font4">Migrant Workers
                </a>
                <a href="https://im4change.in/search?qryStr=Unemployment" target="_blank" class="tag-link-4 font4">Unemployment
                </a>
                <a href="https://im4change.in/search?qryStr=PMGKAY" target="_blank" class="tag-link-4 font4">PMGKAY
                </a>
                <a href="https://im4change.in/search?qryStr=PM-KISAN" target="_blank" class="tag-link-4 font4">PM-KISAN
                </a>
                <a href="https://im4change.in/search?qryStr=PM-CARES" target="_blank" class="tag-link-4 font4">PM-CARES
                </a>
                <a href="https://im4change.in/search?qryStr=LFPR" target="_blank" class="tag-link-4 font4">LFPR
                </a>
                
            </div>
        </div>
    </div>
    <!-- Widget Tag Cloud Ends here -->
</aside>
<!-- Right Side Section End -->
        </div>
        <section class="cat-box cats-review-box footerSec">
    <h2 class="cat-box-title vSec CatArcha">Video
        Archives</h2>
    <h2 class="cat-box-title CatArchaTitle">Archives</h2>
    <div class="cat-box-content">
        <div class="reviews-cat">
            <div class="CatArchaDiv1">
                <div class="CatArchaDiv2">
                    <ul>
                                                    <li>
                                <a href="https://im4change.in/news-alerts-57/moving-upstream-luni-fellowship.html"  target="_blank">
                                     Moving Upstream: Luni – Fellowship                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"  target="_blank">
                                     135 Million Indians Exited “Multidimensional" Poverty as per Government...                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/explainer-why-are-tomato-prices-on-fire.html"  target="_blank">
                                     Explainer: Why are Tomato Prices on Fire?                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/nsso-survey-only-39-1-of-all-households-have-drinking-water-within-dwelling-46-7-of-rural-households-use-firewood-for-cooking.html"  target="_blank">
                                     NSSO Survey: Only 39.1% of all Households have Drinking...                                </a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/news-alerts-57"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
                                    <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/I51LYnP8BOk/1.jpg"
                             alt=" Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Short-Video-on-im4change-Hindi-website-Inclusive-Media-for-Change"  target="_blank">
                                 Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/kNqha-SwfIY/1.jpg"
                             alt=" "Session 1: Scope of IDEA and AgriStack" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-1- Scope-of-IDEA-and-AgriStack-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 1: Scope of IDEA and AgriStack" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/6kIVjlgZItk/1.jpg"
                             alt=" "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-2-Farmer-Centric-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/2BeHTu0y7xc/1.jpg"
                             alt=" "Session 3: Future of Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-3-Future-of-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 3: Future of Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                    


                <div class="divWidth">
                    <ul class="divWidthMarg">
                                                    <li>
                                <a href="https://im4change.in/video/Public-Spending-on-Agriculture-in-India-Source-Foundation-for-Agrarian-Studies"
                                   title="Public Spending on Agriculture in India (Source: Foundation for Agrarian Studies)"  target="_blank">
                                     Public Spending on Agriculture in India (Source: Foundation for...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Agrarian-Change-Seminar-Protests-against-the-New-Farm-Laws-in-India-by-Prof-Vikas-Rawal-JNU-Source-Journal-Of-Agrarian-Change"
                                   title="Agrarian Change Seminar: 'Protests against the New Farm Laws in India' by Prof. Vikas Rawal, JNU (Source: Journal Of Agrarian Change) "  target="_blank">
                                     Agrarian Change Seminar: 'Protests against the New Farm Laws...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Webinar-Ramrao-The-Story-of-India-Farm-Crisis-Source-Azim-Premji-University"
                                   title="Webinar: Ramrao - The Story of India's Farm Crisis (Source: Azim Premji University)"  target="_blank">
                                     Webinar: Ramrao - The Story of India's Farm Crisis...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/water-and-agricultural-transformation-in-India"
                                   title="Water and Agricultural Transformation in India: A Symbiotic Relationship (Source: IGIDR)"  target="_blank">
                                     Water and Agricultural Transformation in India: A Symbiotic Relationship...</a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/videogallery"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
            </div>
        </div>
    </div>
</section>    </div>
    <div class="clear"></div>
    <!-- Footer option Starts here -->
    <div class="footer-bottom fade-in animated4">
        <div class="container">
            <div class="social-icons icon_flat">
                <p class="SocialMargTop"> Website Developed by <a target="_blank" title="Web Development"
                                                                  class="wot right"
                                                                  href="http://www.ravinderkhurana.com/" rel="nofollow">
                                                                  RAVINDErkHURANA.com</a></p>
            </div>
            <div class="alignleft">
                <a
     target="_blank" href="https://im4change.in/objectives-8.html"
    class="link"
    title="Objectives">Objectives</a> | <a
     target="_blank" href="https://im4change.in/about-us-9.html"
    class="link" title="About Us">About Us</a> | <a
     target="_blank" href="https://im4change.in/media-workshops.php"
    class="ucwords">Workshops</a> | <a
     target="_blank" href="https://im4change.in/disclaimer/disclaimer-149.html"
    title="Disclaimer">Disclaimer</a>            </div>
        </div>
    </div>
    <!-- Footer option ends here -->
</div>
<div id="connect">
    <a target="_blank"
       href="http://www.facebook.com/sharer.php?u=https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html"
       title="Share on Facebook">
        <img src="https://im4change.in/images/Facebook.png?1582080640" alt="share on Facebook" class="ImgBorder"/>
    </a><br/>
    <a target="_blank"
       href="http://twitter.com/share?text=Im4change&amp;url=https://im4change.in/latest-news-updates/cure-the-doctor-vikram-patel-4678119.html"
       title="Share on Twitter">
        <img src="https://im4change.in/images/twitter.png?1582080632" alt="Twitter" class="ImgBorder"/>    </a>
    <br/>
    <a href="/feeds" title="RSS Feed" target="_blank">
        <img src="https://im4change.in/images/rss.png?1582080632" alt="RSS" class="ImgBorder"/>
    </a>
    <br/>
    <a class="feedback-link" id="feedbackFormLink" href="#">
        <img src="https://im4change.in/images/feedback.png?1582080630" alt="Feedback" class="ImgBorder"/>
    </a> <br/>
    <a href="javascript:function iprl5(){var d=document,z=d.createElement('scr'+'ipt'),b=d.body,l=d.location;try{if(!b)throw(0);d.title='(Saving...) '+d.title;z.setAttribute('src',l.protocol+'//www.instapaper.com/j/WKrH3R7ORD5p?u='+encodeURIComponent(l.href)+'&amp;t='+(new Date().getTime()));b.appendChild(z);}catch(e){alert('Please wait until the page has loaded.');}}iprl5();void(0)"
       class="bookmarklet" onclick="return explain_bookmarklet();">
        <img src="https://im4change.in/images/read-it-later.png?1582080632" alt="Read Later" class="ImgBorder"/>    </a>
</div>
<!-- Feedback form Starts here -->
<div id="feedbackForm" class="overlay_form" class="ImgBorder">
    <h2>Contact Form</h2>
    <div id="contactform1">
        <div id="formleft">
            <form id="submitform" action="/contactus.php" method="post">
                <input type="hidden" name="submitform" value="submitform"/>
                <input type="hidden" name="salt_key" value="a0e0f2c6a0644a70e57ad2c96829709a"/>
                <input type="hidden" name="ref" value="feedback"/>
                <fieldset>
                    <label>Name :</label>
                    <input type="text" name="name" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Email :</label>
                    <input type="text" name="email" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Message :</label>
                    <textarea rows="5" cols="20" name="message" required></textarea>
                </fieldset>
                <fieldset>
                    Please enter security code
                    <div class="clear"></div>
                    <input type="text" name="vrcode" class="tbox"/>
                </fieldset>
                <fieldset>
                    <input type="submit" class="button" value="Submit"/>
                    &nbsp; &nbsp; &nbsp; <a href="#" id="closefeedbakcformLink">Close</a>
                </fieldset>
            </form>
        </div>
        <div class="clearfix"></div>
    </div>
</div>
<div id="donate_popup" class="modal" style="max-width: 800px;">
    <table width="100%" border="1">
        <tr>
            <td colspan="2" align="center">
                <b>Support im4change</b>
            </td>
        </tr>
        <tr>
            <td width="25%" valign="middle">
                <img src="https://im4change.in/images/logo2.jpg?1582080632" alt="" width="100%"/>            </td>
            <td style="padding-left:10px;padding-top:10px;">
                <form action="https://im4change.in/donate" method="get">
                    <table width="100%" cellpadding="2" cellspacing="2">
                        <tr>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                10
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                100
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                1000
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                50
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                500
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                <input type="text" name="price" placeholder="?" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3" align="right">
                                <input type="button" name="Pay" value="Pay"
                                       style="width: 200px;background-color: rgb(205, 35, 36);color: #ffffff;"/>
                            </td>
                        </tr>
                    </table>
                </form>
            </td>
        </tr>
    </table>
</div><script type='text/javascript'>

    /* <![CDATA[ */

    var tievar = {'go_to': 'Go to...'};

    /* ]]> */

</script>
<script src="/js/tie-scripts.js?1575549704"></script><script src="/js/bootstrap.js?1575549704"></script><script src="/js/jquery.modal.min.js?1578284310"></script><script>
    $(document).ready(function() {
        // tell the autocomplete function to get its data from our php script
        $('#s').autocomplete({
            source: "/autocomplete"
        });
    });
</script>
<script src="/vj-main-sw-register.js" async></script>

<script>function init(){var imgDefer=document.getElementsByTagName('img');for(var i=0;i<imgDefer.length;i++){if(imgDefer[i].getAttribute('data-src')){imgDefer[i].setAttribute('src',imgDefer[i].getAttribute('data-src'))}}}
window.onload=init;</script>
</body>
</html>'

}
$cookies = []
$values = [
	(int) 0 => 'text/html; charset=UTF-8'
]
$name = 'Content-Type'
$first = true
$value = 'text/html; charset=UTF-8'
header - [internal], line ??
Cake\Http\ResponseEmitter::emitHeaders() - CORE/src/Http/ResponseEmitter.php, line 181
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 55
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Home हिन्दी

Cure the doctor -Vikram Patel

Published on Dec 21, 2015   Modified on Dec 21, 2015

-The Indian Express Healthcare in India is a leading cause of poverty. The medical profession must own its share of the blame Earlier this month, The Lancet published a paper calling for a radical transformation of the architecture of India’s healthcare delivery system if it is to achieve the government’s vision of assuring health for all. The paper documented India’s progress on major health indicators in the past decade, but also its many deficiencies. The most disturbing indicator of these deficiencies is the observation that the cost of healthcare is driving millions of Indians into poverty. Let us pause to consider the implication of this statement. In a country where the primary goal of economic development is to help raise people out of poverty, healthcare is driving millions into poverty. Whereas, in other countries, investment in healthcare is recognised as a route to promote growth by enhancing their citizens’ capabilities to be productive, healthcare in India is now one of the leading causes of poverty. We are, in simple terms, out of step with the rest of the world, not only the developed countries whose ranks we aspire to join, but also with other countries like ours. It is common to lay the entire blame, or at least the lion’s share, for this on the government. This is certainly true to some extent, but the reality is that many sectors must share this blame, not least the medical profession, of which I am a member. In most countries, the medical profession plays a central role in working with the government and civil society towards improving access to affordable, quality care. In India, though, the medical profession is adrift from any alignment with this vision and is, if anything, increasingly seen as being complicit in perpetuating our abysmal health care system, and as an obstacle to a progressive one. Hardly a day goes by without us being reminded of how corruption of the basic values of respecting patient rights and promoting an evidence-based practice has reduced our professional standards to those where doctors effortlessly associate with crooked politicians and police officers. Consider some stories that illustrate this: Illegal payments for approval of and admission to private medical colleges; falsification of faculty records to meet the criteria for recognition of these medical colleges; unethical and irrational practices of unnecessary procedures, diagnostic tests and hospital admissions with a commercial incentive; kickbacks in cash or kind from companies or other physicians for prescriptions or referrals; fraudulent billing for insurance payments; lack of attention to quality of care leading to catastrophic health outcomes following routine surgical procedures; collusion with pharmaceutical companies to run “health camps” whose primary goal is to create markets for the company; and collusion with families to promote sex-selection. While much of this corruption lies in the private sector, now the dominant force in healthcare delivery in India, it is equally the case that corruption is also evident in the public sector. Consider absenteeism to run illegal private practices and the lack of basic dignity in healthcare, both frequent observations in the public system. It would be fair to say that the reputation of my profession has collapsed since I was a medical student in the 1980s. While many of my colleagues may argue this is unjustified, I doubt if any will deny that a radical revision of our healthcare system will need to be accompanied by a radical revision of the medical profession itself. This reform would need to begin from the very nature of the training our medical students receive, so as to prepare them not only to work in specialised urban hospitals but also in primary care in villages and towns. The reform would need to extend further, much further, to regulate the quality of care delivered, to make costs of care completely transparent in the spirit of the Right to Information Act, and to hold doctors (and hospitals) accountable for wilful lapses. The most formidable challenge to this goal has been the complete squandering of the golden opportunity afforded to our profession for self-regulation through the Medical Council of India, which is itself accused of grand levels of fraud and has singularly failed to achieve its mandate to uphold the high standards of medical education and quality of care. Any reform must begin with a root and branch re-engineering of this moribund body. Ironically, while we have failed to effectively regulate ourselves, our profession has also mounted a robust opposition to independent efforts to regulate us, for example through the clinical establishments act. This leaves an increasingly disgruntled patient community to resort to the consumer protection act and the criminal courts to hold us accountable. This procedure only poisons the precious relationship between our profession and the community we serve. Whereas the erosion of many fundamental values, such as that of providing scientifically grounded care in an environment of respect and dignity, will require a significant revision of training and continuing professional development, attending to commercially driven malpractices is more amenable to immediate action with potentially profound impact on impoverishment due to healthcare. The Jan Swasthya Abhiyan recently demanded that “all payments of kickbacks and commissions” be declared as illegal and compliance be The writer is a psychiatrist with the Public Health Foundation of India and the London School of Hygiene & Tropical Medicine. He was lead author of The Lancet paper, ‘Assuring health for India’s people’

The Indian Express, 21 December, 2015, http://indianexpress.com/article/opinion/cure-the-doctor-healthcare-healthcare-in-india-indian-doctors/

Tagged with: public expenditure on health Out-of-pocket health expenditure Access to Health Access to Healthcare health policy healthcare healthcare in india Public Health

Related Articles

• India's stretched health care system fails millions in rural areas battling sickle cell disease - ABC
• Climate change will likely exacerbate Indian rural household's debt burden
• The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra & Lancelot Pinto
• The need to make cancer drugs affordable -Biswajit Dhar and Chetali Rao
• After measles, experts worry typhoid could pose the next health challenge as India delays vaccine -Tabassum Barnagarwala

 

Write Comments

Your email address will not be published. Required fields are marked *

Name *

Email *

Contact No.

Comment

Type the characters you see in the image below *

Video Archives

Archives

• Moving Upstream: Luni – Fellowship
• 135 Million Indians Exited “Multidimensional" Poverty as per Government...
• Explainer: Why are Tomato Prices on Fire?
• NSSO Survey: Only 39.1% of all Households have Drinking...
• More...

Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...

"Session 1: Scope of IDEA and AgriStack" in Exploring...

"Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...

"Session 3: Future of Digitalisation in Agriculture" in Exploring...

• Public Spending on Agriculture in India (Source: Foundation for...
• Agrarian Change Seminar: 'Protests against the New Farm Laws...
• Webinar: Ramrao - The Story of India's Farm Crisis...
• Water and Agricultural Transformation in India: A Symbiotic Relationship...
• More...

Website Developed by RAVINDErkHURANA.com

Objectives | About Us | Workshops | Disclaimer

Support im4change
	10 100 1000   50 500