Dr. Pandit, who now practises in Wales (coincidentally, the same surname as Shaklu), wanted to bring back to India a special cancer surgery, but he could not accept the payment of private referral rebates or the exaggerated induction of surgery in public hospitals, so he had to leave India. Pen × fun × Pavilion www. ｂｉｑｕｇｅ。 ｉｎｆｏ

Patients spend their life savings to treat their illnesses and sell their homes and land, while some doctors specialize in unnecessary surgeries for kickbacks.

Many of the Andhra Pradesh peasant women were intimidated and misled by doctors and underwent hysterectomy, which not only required borrowing money and harmed their bodies, but also abandoned them because they could not have children.

Who should be responsible for such a crazy doctor, the answer is the Indian Medical Council, theoretically the medical committee is responsible for supervising doctors and medical schools, and has the power to revoke doctors' licenses, but its own scandal is enough (which reminds me of the Chinese Football Association) to use fake patients to deal with inspections, openly offer and accept bribes, the former head was accused of taking bribes, the new head was forced out after a year in office, and the accused head of the head can go to office again and then be arrested again for fraud, how can such a committee make people have a sense of trust.

Dr. Talwa, the current chairman of the Indian Medical Council, was invited to the interview, who said that most Indian doctors still have professional ethics, and Amir said that just a few articles such as "no bribery, no inducement and coercion of patients" are enough to revoke the licenses of most Indian doctors.

The survey shows that from 01 to now, not a single doctor in India has had his license revoked, while more than 150 doctors in the UK have had their licenses revoked during the same period. The high tuition fees of medical schools have given rise to more private medical schools that are not qualified, and these medical school students come out.

Dr. Gulati believes that the most important problem in India's health care is that there is too little investment, and this is a policy issue.

If there is not enough investment in medical schools, there will be fewer private medical schools, and the lack of public medical schools will produce private medical schools (there were 20 public medical schools and 1 private medical school before India's independence, as of 2001, there were 31 public medical schools and 106 private medical schools), the high tuition fees of private medical schools (500-6 million rupees/person) have given rise to more private medical schools, and the monthly salary of doctors in public hospitals is not as much as the interest on this tuition fee deposited in the bank, how can graduates earn back their tuition fees? Take back the buckle~~

On the other hand, the shortage of medical investment has caused a shortage of equipment and doctors in public hospitals, and patients can only go to private hospitals if they cannot get good treatment, and many doctors in private hospitals are not qualified to practice medicine (many private medical schools do not have enough qualifications to train students)~~

Also, it is not illegal for pharmaceutical companies to pay bribes to doctors, which is a loophole in the Indian law (India stipulates that it is illegal to take bribes, but it is not illegal to give bribes), so pharmaceutical companies are bribing doctors on a large scale, and doctors are forcibly prescribing these unnecessary and high-priced drugs to patients. According to his figures, pharmaceutical companies spend as much as Rs 120 billion a year on marketing.

At this time, Amir once again joked with Shakru who was present: "Boss, does our pharmaceutical company also spend so much sales expenses every year?" ”

Shakru shrugged and said, "Our pharmaceutical factory has no sales fees, because no doctor will write Will Gang's in the patient's medicine list, and it seems that men don't need a doctor's recommendation, they all go to the pharmacy secretly to buy ......"

Shaklu's words naturally caused a lot of laughter, but his heart was not so relaxed. In his previous life, he was originally an accountant in a public hospital, so he knew a lot about these things, in fact, these things like the above are not only in India, but also in the motherland in the previous life, but not as rampant as India.

On the other hand, the allocation of medical resources is too concentrated in large and medium-sized cities, and hospitals in small cities have no patients, and large hospitals cannot receive them.

And the saddest thing is that many doctors I know, especially surgeons, are determined not to let their children study medicine in the future, and the number of applicants for medical school is not as large as before.

After reading the depressing ones above, let's take a look at the gratifying ones. Shiwei of Niga Village has a daughter who was born with a heart defect and her disease requires complex surgery to cure, and Schweiy cannot afford to pay such an expensive cost, but fortunately they have the help of Dr. De Vishel, and now Shiwei's daughter is healthy and active.

Dr. Devise is the one who has been introduced by Dr. Devishe and his hospital to 4 million people in the Rural Cooperative Healthcare (RCM), in which a wide range of medical services are available for a fee of 150 rupees per person per year (10 rupees per person per month and 30 rupees per person per year by the state). Dr. Devishe's secret to maintaining the system is to reduce the cost of surgery with economies of scale (12% of heart patients in India operate at this hospital), and his system has been replicated elsewhere.

In India, where the price of the same drug can vary several times from place to place (for example, the price of the same drug can vary by five times between pharmacies and hospitals), and Dr. Summit Shire, the former head of Rajasthan's tax office, has a lot of experience in how to control drug prices.

Dr. Summit Charles said that the cost of medicines is very low, and that drug manufacturers collude with some doctors to raise the price of drugs for high profits, resulting in poor people not being able to afford drugs and delaying treatment. For example, the son of the doctor's maid, who could have been cured for 2 rupees, had to prescribe medicine for 400 rupees, and the mother had no money to buy the medicine and could only watch her son die.

The doctor also said that not all doctors are bad, and there are many good doctors who can help patients.

Despite all the trials and tribulations in the process of promoting affordable medicines, as long as the government can curb drug prices and promote common medicines, there is hope for patients in India.

"Boss, is there really such a big difference between the cost and the selling price of the pharmaceutical factory?" Amir asked Shakru again.

Shakrula replied with some embarrassment: "As a manufacturer, I am very reluctant to answer this kind of question, but fortunately, our products do not need to go to the hospital, and the main sales direction is in foreign markets, so I can say very calmly that Wilgang's profit is indeed very high, but this is not a life-threatening essential drug, you can buy it or not, so I don't think it should have much impact." ”

Aamir Khan eventually joked that no doctor would be willing to treat him after the show aired. (To be continued.) )