By Dr. Rajan Sharma,
India’s child actions towards Universal Health coverage are held back by the triad of accessibility, affordability and good quality. When one particular tries to provide for access to Health care it is crucial to keep good quality. When the requirements of care have to be ensured there is normally a price. It is not probable to reconcile all the 3 aspects without the need of compromising on one particular. Government of India’s policy of Mixopathy is the outcome of attempting to provide care on a shoestring price range to all Indians. The Government is concerned about care for all. The IMA is concerned about requirements of care. Government’s urgency and anxiousness in delivering minimum care to all is shared by IMA. Unfortunately, IMA’s issues on requirements of care seem to be not shared by the Government.
IMA’s issues: Why Mixopathy is dangerous
It is intriguing why the Indian Government must adopt China as its function model in Mixopathy and barefoot physicians. IMA’s concern is reputable considering that numerous lives could be lost in the advent to locate low-priced options. IMA firmly believes that the Health care delivery method of today is really robust in spite of withdrawal of the Governments.
The Public Health infrastructure and the ubiquitous private sector have withstood the onslaught of the Covid pandemic. Our 600 odd health-related colleges are turning out almost one particular lakh MBBS graduates just about every year. What is essential is the political will to move from ad hoc short appointment of physicians to creation of thousands of new posts deploying them in strength to meet the requires of our persons.
How Mixopathy operates
An understanding of how Mixopathy operates will open our eyes.
In contemporary medicine surgery is one particular element of the complete remedy to the patient’s illness.
For instance, when the tumour load is heavy in a cancer breast patient bulk reduction by surgery followed by radiation is resorted.
Similarly, when surgery is completed chemotherapy is initiated in numerous patients.
What is the equivalent of radiotherapy and chemotherapy in option systems?
During surgery, emergencies can take place. In case of shock (sudden and serious fall of BP) through surgery drugs like dopamine infusion or blood transfusion have to be utilized.
What is the equivalent of dopamine infusion and blood transfusion in option systems?
In post-operative period, the patient may well have to be offered important care in IMCU or ICCU. The patient may well be on a ventilator.
What is the equivalent of important care and ventilator in option systems?
In circumstances like acute cholecystitis or acute appendicitis antibiotics are administered as a life saving measure ahead of surgery. Moreover, antibiotics are utilized in the post-operative period to stay away from sepsis.
What is the equivalent of antibiotics in option systems?
Anaesthesia is administered for painless surgery and many important parameters are monitored. Amongst many other drugs oxygen is administered as nicely.
What is the equivalent of Anaesthesia and oxygen in other systems?
What is the equivalent of Laparoscopic surgery and robotic surgery in other systems?
It is evident that transplantation of contemporary medicine into other systems is not the answer. Interrupting the sequential flow of complete patient care and the backup systems puts the life of the patient in peril. The issues are genuine and nicely intentioned. IMA has the moral duty to resist Mixopathy.
When India is nicely sophisticated in contemporary infrastructure, has skilled health-related physicians and a backup provide of 100000 physicians per year from her 600 odd health-related colleges, the intention of the Government in pushing Mixopathy as a low-priced option below pandemic scenario and regulations is extremely suspicious. Such a retrograde step will lead to the collapse of the contemporary medicine method of education and practice. In totality certified surgical care and super specialities will develop into unavailable. As a matter of reality, contemporary medicine health-related colleges would close down due to the want to keep all these requirements and backup systems and the price involved. On the other hand, due to availability of low-priced option students will shift to colleges of other systems. The casualty will be the patient whose care and security are becoming compromised. Mixopathy will be a killer on the scale of planet wars. We as a nation must resist this critical disruption in our Health care.
The columnist is National President, IMA. Views expressed are the columnist’s personal.