Saturday, March 02, 2019

How will you identify a quack if you don't know?

"We cannot allow anyone to make a mockery of medical education in the country," said the Supreme Court when the Medical Council of India (MCI) complained that it was not allowed to inspect certain medical colleges to see if the infrastructure is up to standard. "For some, it may be a matter of making money but for the court, it is only concerned with the quality of education." The court threatened to stop admissions to these colleges from the next academic year. Indeed. Surprising that the court is not aware that Madhya Pradesh has allowed Ayurvedic and Unani practitioners to prescribe allopathic drugs even though their training is completely different. In 2010, the Madras High Court allowed every alternative branch of medicine to perform surgery and administer anesthesia. Naturally, a woman died in Mumbai in 2012 when a Unani practitioner operated on her. The private RKDF Medical College in Madhya Pradesh is producing doctors who have not seen any patient. Our grossly inefficient legal system allows lawyers to prolong litigation indefinitely, thereby allowing these institutions to continue to produce untrained doctors, while earning enormous fees in the process. Madhya Pradesh is famous for a massive scam, known as the 'Vyapam Scam', wherein politicians and officials helped students to secure admissions to medical colleges, in return for hefty bribes. Instead of candidates, impersonators wrote exam papers, seating arrangements in examination halls were changed, presumably to allow cheating, and forged answer sheets were accepted by officials, in return for bribes. Apparently, this practice is prevalent in most states of India. The scam became sinister when those associated with it began to die in mysterious circumstances. Some fear that more people will die because the ringleaders are still free. The police apparently deleted pages with the Chief Minister's name from a hard disk. So, vast numbers of doctors from registered medical colleges are clearly substandard and there are over a million quacks treating patients openly. On the other hand, patients come to India for treatment from foreign countries because they can obtain high quality care at a fraction of the cost in US or Europe. India earned Rs 1.78 trillion from medical tourism in 2017 and could earn $9 billion by 2020, which is 20% of the global market. The rot starts in schools. This year 600,000 students dropped out of Board exams in UP because they will not be allowed to cheat. Why do students need to cheat? 77% of teachers in Delhi failed to pass exams to see if they are eligible to teach. What will students learn from such teachers? Millions of children are working to support their families, while many are seen begging on the streets of cities. If there is no education how can there be educated doctors?

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