The challenge is to acknowledge the inappropriateness of the current health education and delivery systems, and refashion health care delivery relevant for the country. The confluence of recent events is an opportunity to rethink health systems. The new Medical Council of India, the proposed Human Resources in Health Bill, the penultimate year of the National Rural Health Mission, preparations for the 12th Five Year Plan and the promise of a significant...

In government schools in the villages, teachers rarely turn up. They collect their monthly salaries and pay a part of it to Basic Shiksha Adhikari for marking false attendance. Medicines are diverted to the black market before they reach government hospitals. Poor people are turned away when they go to hospitals. There is endless corruption in the work done by various panchayats. Rations meant for people living in extreme poverty...

The Mamata Banerjee government has initiated an ambitious project to bring specialised health care to rural Bengal, asking private hospitals to set up “super-speciality” units alongside state-run hospitals in the districts. As a start, the chief minister has taken up with cardiologist and Asia Heart Foundation chairman Devi Shetty a plan to set up six such hospitals that would provide the sort of critical care that is now missing in most...

An unholy nexus between various healthcare providers, including doctors and private hospitals, has become a stumbling block in delivering benefits to the people at a time when Dispur is pumping in huge funds to bring improvement in the health sector. This was revealed in a multiple-stage survey conducted by Consumer Unity & Trust Society International, a reputed NGO. The survey has found that the government’s various welfare schemes like providing free medicines...

Dr. Subba Reddy, my classmate at the medical college, practises in a village in Kurnool District of Andhra Pradesh. A decade ago, a patient came to him for treatment of hydrocele. After examination, Dr. Reddy suggested surgery costing Rs. 500. The patient asked Dr. Reddy to refer him to a bigger hospital in a city. Dr. Reddy suggested a city hospital. After a few days, he received Rs.1,000 from the...