A delegation of the Indian Medical Association (IMA),Ludhiana,met Manish Tiwari,Ludhiana MP,and submitted him a memorandum regarding the Clinical Establishment Bill. Giving their representation,the IMA Ludhiana said the policies of the Central Government would prove detrimental to patients and doctors. The affect of the Bill being introduced by Ghulam Nabi Azad was discussed in detail. A memorandum of demands was submitted to Tiwari.
The IMA delegation led by Dr Narotam Dewan said the bill passed in Lok Sabha without any discussion and deliberation would prove potentially harmful to the private health sector in the country which provides 90 per cent health services. This bill in its present form has been introduced without taking the private sector into confidence.
Condemning the bill,the IMA members said the the bill makes a Chief Medical Officer of the district in charge to inspect any time,impose fine up to Rs 5 lakh or to cancel registration of clinics/nursing homes/hospitals without facility for appeal in the court of law against this decision. The criteria for registration involves impossible conditions of infrastructure and staff which is on a par with the western countries and cannot be afforded by people in developing country like ours.
The members of IMA Ludhiana said this bill introduced in Jammu and Kashmir by the Health minister in 2006 has played a havoc with the private health services in the state. J&K could afford disruption in private health services because there about 90 per cent of health services are being provided by the government sector.
The IMA members said that anti -patient polices should be stopped. In India,instead of providing free health services,taxes are imposed on medicines,medical equipment and medical education.
It is becoming very difficult for people to acquire allopathic education,have proper experience,establish clinics/nursing homes/hospitals and to practice the art and science of medicine/surgery. To apply for admission to MBBS course,parents have to purchase about 20 prospectuses and application forms costing about Rs 2000 each making it a total of about Rs 40,000.
There are no provisions for soft loans for medical students to spend on education facilities or for the doctors to pursue higher studies or to establish medical facilities. Doctors are already being regulated and accountable to the consumer protection courts,civil courts,criminal courts,police and above all a public opinion.