Wednesday, 23 September 2015

[www.keralites.net] Corruption and Cheating in Health care

 

Kulwant Raj Sharma posted a Resource

 

Corruption in healthcare, some secrets from an insider

To make a point, allow me to treat you to a story : 
An Egyptian pharaoh (? tutankhanem) was planning his burial tomb after his death. There was a huge treasure to be buried along with his embalmed dead body (mummy). Often, tombs were raided and treasures looted, so he wanted a fool-proof plan to secure his after-life treasure from loot. Finally he hit upon a brilliant idea. A small burial chamber with a small treasure was to be built in front. The main and real chamber was to be behind this small one. Once the small chamber had been raided, looters will lose interest and the main chamber shall remain untouched. The plan worked and the main chamber was discovered only a few decades ago, after more than two thousand years! 
Moral of the story : big treasures big loots are often hidden behind small treasures small loots. These small entities work as deceptions. 

This 'corruption in healthcare profession' which the people keep howling about is a deception. 

Real loot is taking place behind this smoke-screen. Some examples are: 
1. Angioplasty and stent : lay public feels so smart crowing about cost of stents. Real loot is that in 90% of cases, neither angioplasty nor stent are required, even when coronary angiography reveals blockages in heart arteries. As per research based guidelines, issued by internationally respected authorities like American Heart Association, American College of Cardiology and Canadian Cardiology Society etc. etc., most of the heart artery blockages respond very well to treatment with medications. But a prescription can earn only a few hundred rupees, therefore angioplasty, stent or bypass surgery becomes a preferred mode of treatment. Though costing to the poor patient a huge packet, results for him are actually inferior. 
2. Three out of four cases of brain stroke, kidney failure (needing dialysis transplant) and heart-attacks can be predicted prevented using published research based diagnostic therapeutic intervention strategies. People complain about the kick-backs the referring doctor gets from the hospital. This is a deception. Real loot / thuggery took place when this same patient was never evaluated by the same doctor over the past many years for risk factor quantification management. All along the patient was given false assurances that everything was alright. Simple inexpensive tests at THAT stage could have revealed the hidden risk at that time and the same could have been averted with the use of inexpensive medications well in time. 

Wake up and be smart. At present, you are only being too-smart by half!


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