Page 38 - NAMAH-Oct-2017
P. 38

Namah                                  Vol. 25, Issue 3, 15th October 2017





        kin to be deficient.                     compromised, but an overdose of medical
                                                 investigations surely leaves the patient and her
        Return on Investment considerations      family deprived of mental peace and some
                                                 hard-earned green stuff.
        To be a mere graduate in any discipline of
        medicine does not amount to much these  When the costliest of medicines and gadgets
        days. Even to become a graduate, the hapless  get recommended by physicians, stakeholders
        souls have to experience at least five and a  of pharmaceutical companies and those in the
        half years of the tyranny of the classroom,  field of medical equipment laugh all the way
        with the trauma of a stint as an intern thrown  to the bank. Admittedly, quite a lot of money
        in for good measure.                     gets pumped into research and development,
                                                 but it is open to debate as to how much profit
        Monetary rewards obviously vary depending  could be considered rational and socially
        upon their choice of a career. They could  justified.
        choose to be in their own private practice, or
        join a private sector outfit or become a part of  Much like the marketing honchos in the private
        the public health delivery mechanism.    sector who bring in business and resultant
                                                 moolah, such physicians happen to be the
        If public spending on the health infrastructure  blue-eyed boys of any entity which boasts
        is woefully inadequate, private players end  of being a corporate facility.
        up playing an important role in the medical
        education scenario. Many aspiring physicians  The grey-eyed ones
        opt for a private sector skill provider. As a
        consequence, hassled parents end up shelling  Physicians who are part of the government
        out sackfuls of the green stuff. Return on  healthcare-delivery system and happen to be
        Investment considerations then determine  conscientious by nature are often overloaded
        the choice of their career.              with work. Monetary rewards are often not
                                                 commensurate with the efforts being put in.
        The blue-eyed ones                       The eyes of a majority of them would be a
                                                 dull grey, revealing a soul which is tormented
        The resourceful ones set up their own practice.  and has given up hope.
        If the going is good, some of them end up
        laughing all the way to the bank, what  Besides having to publish research papers
        with hefty commissions coming in from  in peer-reviewed journals and making
        such allied medical service providers  presentations at medical seminars, students
        as marketers of branded medicines and  have to be guided, examinations have to be
        diagnostic clinics.                      conducted and internal meetings need to be
                                                 attended. Administrative chores cannot be
        Those who happen to be associated with  ignored.
        five-star private sector health facilities have
        tough business targets to meet. This is not  Above all, routine patient care cannot be
        to say that patient care necessarily gets  made to suffer. Patients, whether of the ‘in’ or


        38
   33   34   35   36   37   38   39   40   41   42   43