Friday May 24, 2019

The three ‘Cardinal Sins’ which have done harm to the ‘MEDICAL PROFESSION’ in India

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By Dr J.K Bhutani

A practicing doctor’s take on the sins of medical profession in India

A Constitution Bench of the Supreme Court Monday recalled its order which had held the all-India common entrance test for medical admissions as ‘illegal’ and unconstitutional’ on the ground that it interfered with the right of private, minority and linguistic institutions to admit students……!

The restoration of NEET for MBBS/BDS and MD/MDS by the honorable Supreme Court is indeed a progressive decision. The introduction of NEET in 2012 by MCI, though a step in the right direction was thwarted by the powerful lobby of politicians who own most of the private medical colleges and have a solid-illegal business of nearly 25000 crores plus every year. Unfortunately the sane VOICE of Justice Anil.K.Dave who dissented to the partisan decision (2:1) of July-2013, which was delivered on flimsy grounds and (may be) some ulterior motives of the honorable judges, has prevailed for the good of the profession, society and the nation.
A doctor needs to pass the rigor of the merit-based-entrance, intensive training and the massive load and expectations of sick patient to have a satisfying career and also to retain the PRESTIGE and GLORY of this noble profession. A capitation-fed, poorly trained and pampered-one-rich-quota- doctor is neither good for the profession nor the patient.
The seething painful scars of ‘VYAPAM scam of MP’ and many such scams of almost all the private medical colleges and the deemed universities in the minds of impressionable budding doctors and public, surely are in for some relief at last.
The repute and the prestige of medical profession is not ALL the fault of the doctors but the fallout of many unrealistic government législations and blind aping of the American healthcare-model.
The three ‘Cardinal Sins’ which have done harm to the ‘MEDICAL PROFESSION’ in India are….

  1.  Inclusion of ‘Art of Medical Practice’ in Consumer Protection Act-1986
  2. Unregulated Privatization and CAPITATION Medical Education in 1990
  3. Health as a ‘RUTHLESS target oriented business model’ by corporate India in 1990s.

The reversal of capitation is just one REVERSAL which the Honorable court has expectantly addressed. we need more reversals of the above sins too.
NO society can be a cherished place if it practices HEALTH as a PROFIT or BUSINESS
The history shall teach us one day in future that HEALTH as a service, social responsibility and charity is the ONLY way to heal the mankind…!
We need to learn from Cuba and Britain and not blindly follow America.

Dr J.K Bhutani MD is a protagonist of preventive and promotive health care based on austere biology and facilitating self healing powers of human organism. He practices in Karnal, Haryana. Twitter: @drjkbhutani

  • Ashwati Menon

    Medicine has been a revered profession since time immemorial. privatization of medical institutes can effect the authenticity of it

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East African Countries Set to Ban Skin-Lightening Products Containing Hydroquinone

If bans are not backed by enforcement, they will have little effect on the use of the high demand skin-lightening products, despite the risk to health

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skin-lightening products
FILE - Aranmolate Ayobami, plastic surgeon at Grandville Medical and Laser clinic in Lagos, holds a tube of Skinlite a skin lightening product used at his clinic, on July 17, 2018, in Lagos, Nigeria. VOA

East African countries are set to ban skin-lightening products that contain hydroquinone, a medical agent linked to health problems when used in high concentrations. The East African Legislative Assembly last week passed a resolution calling for a region-wide ban on the manufacturing and importation of products containing hydroquinone.

At a beauty parlor in Arusha, 52-year-old Rose Mselle has been using skin-bleaching products since she was a teenager. She says women like her want to be beautiful. “And in the process of looking for beauty, or for our skin color to shine, we use things that we shouldn’t,” she added.

At a nearby market, 32-year-old clothing vendor Janet Jonijosefu used skin-lightening products that contain hydroquinone, a medical agent used to treat dark spots, for years. She stopped after her skin became fragile.

She said the beauty products containing hydroquinone badly affected her skin. She started developing patches on her face. She went to the doctor and was advised to stop using products containing hydroquinone and instead use aloe vera.

skin-lightening products
FILE – A shop sells skin-lightening products in Accra, Ghana, on July 3, 2018. VOA

Skin-lightening products often use high concentrations of hydroquinone, which can cause skin problems or become toxic when mixed with other bleaching chemicals.

Ghana, Ivory Coast, Kenya, Nigeria, Rwanda, and South Africa ban or regulate the agent in cosmetics. Tanzania bars imports. The East African Legislative Assembly last week passed a resolution on a region-wide ban of hydroquinone’s manufacture and importation.

Suzan Nakawuki, a member of the regional assembly from Uganda, noted that hydroquinone is not only used by women but also men. “We have seen men bleaching seriously even more than women,” she said. “But it’s becoming a problem. If we don’t regulate it, it is going to become very problematic.”

When used medically, hydroquinone can be an effective treatment for skin discoloration. Some East African lawmakers spoke out against a blanket ban. Aden Abdikadir, a lawmaker from Kenya, said he is concerned a blanket ban will cause “serious trade disruption” for cosmetics.

skin-lightening products
If bans are not backed by enforcement, they will have little effect on the use of the high demand skin-lightening products, despite the risk to health. Wikimedia Commons

If signed by heads of state, the ban becomes law in all six East African Community states, which include Burundi, Kenya, Rwanda, South Sudan, Tanzania and Uganda.

Critics point out bans on hydroquinone have failed to stop smuggled products from being sold openly. Cosmetics labeled as having hydroquinone are on display at shops in Arusha.

If bans are not backed by enforcement, they will have little effect on the use of the high demand skin-lightening products, despite the risk to health. (VOA)