Medical Dialogues
  • Dermatology
Login Register
This site is intended for healthcare professionals only
Login Register
  • MD Brand Connect
  • Vaccine Hub
  • MDTV
    • Breaking News
    • Medical News Today
    • Health News Today
    • Latest
    • Journal Club
    • Medico Legal Update
    • Latest Webinars
    • MD Shorts
    • Health Dialogues
  • Fact Check
  • Health Dialogues
Medical Dialogues
  • Medical News & Guidelines
      • Anesthesiology
      • Cardiology and CTVS
      • Critical Care
      • Dentistry
      • Dermatology
      • Diabetes and Endocrinology
      • ENT
      • Gastroenterology
      • Medicine
      • Nephrology
      • Neurology
      • Obstretics-Gynaecology
      • Oncology
      • Ophthalmology
      • Orthopaedics
      • Pediatrics-Neonatology
      • Psychiatry
      • Pulmonology
      • Radiology
      • Surgery
      • Urology
      • Laboratory Medicine
      • Diet
      • Nursing
      • Paramedical
      • Physiotherapy
  • Health news
      • Doctor News
      • Government Policies
      • Hospital & Diagnostics
      • International Health News
      • Medical Organization News
      • Medico Legal News
      • NBE News
      • NMC News
  • Fact Check
      • Bone Health Fact Check
      • Brain Health Fact Check
      • Cancer Related Fact Check
      • Child Care Fact Check
      • Dental and oral health fact check
      • Diabetes and metabolic health fact check
      • Diet and Nutrition Fact Check
      • Eye and ENT Care Fact Check
      • Fitness fact check
      • Gut health fact check
      • Heart health fact check
      • Kidney health fact check
      • Medical education fact check
      • Men's health fact check
      • Respiratory fact check
      • Skin and hair care fact check
      • Vaccine and Immunization fact check
      • Women's health fact check
  • AYUSH
    • Ayurveda
    • Homeopathy
    • Siddha
    • Unani
    • Yoga
  • State News
      • Andaman and Nicobar Islands
      • Andhra Pradesh
      • Arunachal Pradesh
      • Assam
      • Bihar
      • Chandigarh
      • Chattisgarh
      • Dadra and Nagar Haveli
      • Daman and Diu
      • Delhi
      • Goa
      • Gujarat
      • Haryana
      • Himachal Pradesh
      • Jammu & Kashmir
      • Jharkhand
      • Karnataka
      • Kerala
      • Ladakh
      • Lakshadweep
      • Madhya Pradesh
      • Maharashtra
      • Manipur
      • Meghalaya
      • Mizoram
      • Nagaland
      • Odisha
      • Puducherry
      • Punjab
      • Rajasthan
      • Sikkim
      • Tamil Nadu
      • Telangana
      • Tripura
      • Uttar Pradesh
      • Uttrakhand
      • West Bengal
  • Medical Education
      • Ayush Education News
      • Dentistry Education News
      • Medical Admission News
      • Medical Colleges News
      • Medical Courses News
      • Medical Universities News
      • Nursing education News
      • Paramedical Education News
      • Study Abroad
  • Industry
      • Health Investment News
      • Health Startup News
      • Medical Devices News
      • Pharma News
      • Pharmacy Education News
      • Industry Perspective
  • MDTV
      • Health Dialogues MDTV
      • Health News today MDTV
      • Latest Videos MDTV
      • Latest Webinars MDTV
      • MD shorts MDTV
      • Medical News Today MDTV
      • Medico Legal Update MDTV
      • Top Videos MDTV
      • Health Perspectives MDTV
      • Journal Club MDTV
      • Medical Dialogues Show
This site is intended for healthcare professionals only
LoginRegister
Medical Dialogues
LoginRegister
  • Home
  • Medical news & Guidelines
    • Anesthesiology
    • Cardiology and CTVS
    • Critical Care
    • Dentistry
    • Dermatology
    • Diabetes and Endocrinology
    • ENT
    • Gastroenterology
    • Medicine
    • Nephrology
    • Neurology
    • Obstretics-Gynaecology
    • Oncology
    • Ophthalmology
    • Orthopaedics
    • Pediatrics-Neonatology
    • Psychiatry
    • Pulmonology
    • Radiology
    • Surgery
    • Urology
    • Laboratory Medicine
    • Diet
    • Nursing
    • Paramedical
    • Physiotherapy
  • Health news
    • Doctor News
    • Government Policies
    • Hospital & Diagnostics
    • International Health News
    • Medical Organization News
    • Medico Legal News
    • NBE News
    • NMC News
  • Fact Check
    • Bone Health Fact Check
    • Brain Health Fact Check
    • Cancer Related Fact Check
    • Child Care Fact Check
    • Dental and oral health fact check
    • Diabetes and metabolic health fact check
    • Diet and Nutrition Fact Check
    • Eye and ENT Care Fact Check
    • Fitness fact check
    • Gut health fact check
    • Heart health fact check
    • Kidney health fact check
    • Medical education fact check
    • Men's health fact check
    • Respiratory fact check
    • Skin and hair care fact check
    • Vaccine and Immunization fact check
    • Women's health fact check
  • AYUSH
    • Ayurveda
      • Ayurveda Giuidelines
      • Ayurveda News
    • Homeopathy
      • Homeopathy Guidelines
      • Homeopathy News
    • Siddha
      • Siddha Guidelines
      • Siddha News
    • Unani
      • Unani Guidelines
      • Unani News
    • Yoga
      • Yoga Guidelines
      • Yoga News
  • State News
    • Andaman and Nicobar Islands
    • Andhra Pradesh
    • Arunachal Pradesh
    • Assam
    • Bihar
    • Chandigarh
    • Chattisgarh
    • Dadra and Nagar Haveli
    • Daman and Diu
    • Delhi
    • Goa
    • Gujarat
    • Haryana
    • Himachal Pradesh
    • Jammu & Kashmir
    • Jharkhand
    • Karnataka
    • Kerala
    • Ladakh
    • Lakshadweep
    • Madhya Pradesh
    • Maharashtra
    • Manipur
    • Meghalaya
    • Mizoram
    • Nagaland
    • Odisha
    • Puducherry
    • Punjab
    • Rajasthan
    • Sikkim
    • Tamil Nadu
    • Telangana
    • Tripura
    • Uttar Pradesh
    • Uttrakhand
    • West Bengal
  • Medical Education
    • Ayush Education News
    • Dentistry Education News
    • Medical Admission News
    • Medical Colleges News
    • Medical Courses News
    • Medical Universities News
    • Nursing education News
    • Paramedical Education News
    • Study Abroad
  • Industry
    • Health Investment News
    • Health Startup News
    • Medical Devices News
    • Pharma News
      • CDSCO (Central Drugs Standard Control Organisation) News
    • Pharmacy Education News
    • Industry Perspective
  • Home
  • News
  • Blog
  • ...

Dialogue-to-reciprocate for ethical medical practice

Written by Pooja Bhatia Bhatia Published On 2015-06-05T18:29:55+05:30  |  Updated On 5 Jun 2015 6:29 PM IST
Dialogue-to-reciprocate for ethical medical practice
  • facebook
  • twitter
  • linkedin
  • whatsapp
  • Telegram
  • Email


Dialogue-to-reciprocate for ethical medical practice

Ethics in medical practices has been under scrutiny in the minds of common people. As soon as you step into the closed confinement of a clinic or your reputed hospital, your health worries might get subsidized. However, what stays with you, is the mental agony to refrain yourself from spending too much, Alas! this cannot be contained in most situations. For, health is something very personal, and sensitive, with zero margins for compromise, and any unprecedented action.

The point we are trying to make here, is the deep temptation (correlated) of profiting from the growing perplexity, which in turn, scars the image of the noblest profession. We might put the situation in the same perspective as a fittest of the survival strategy vs., chaos caused by sudden spurt in demand for primary to premium healthcare service. Yes, your family physicians to your specialist medical consultants still continue to be your trusted advisors-with no looking back, at some critical decisions for life. However, the cost burden is always closely considered by a family with a moderate income. That is where you feel the pinch, and the paradox of listening to your doctor, before the situation gets out of control. This is a point where most of us would definitely not withdraw.

No wonder the lucrative healthcare business has attracted more attention of the government in the recent times; which has been concerned about the quality of service delivered. India is fast gaining its reputation for its healthcare ecosystem, and the globalization. One such recent proposition thrown by the regulatory bodies to monitor the supply chain of stents, implanted during critical heart surgeries, has left many questions unanswered, if not yet opened the Pandora box.

First, let us understand the intricacies of a stent supply and demand ecosystem. A cardiovascular disease is a perennial problem with the middle-aged Indians, not to be ignored as you grow older. India has seen a rapid transition in the number of heart patients; with over 100,000 surgeries being performed annually. Health insurance has been a big boon for the healthcare industry, and has made primary healthcare more accessible, and affordable. We would not comment on any individual case, but there are discrepancies in procuring the hardware required for emergency heart surgeries, especially the stent, as per some recent surveys by respected authorities, and the media reports.

It all starts from where it ends. Stents of different quality, material, and sizes are required by various hospitals. The importing company makes a whopping profit of 120%, claims the report by the Food and Drug Administration (FDA), followed by the distributor profit margin of another 120%. Few hospitals in Mumbai, Pune, Nashik (where the FDA has conducted the survey), are reported to be pocketing a profit of another 20% on their procurement cost. As a result, a stent costing Rs 25,000 is sold at an MRP of Rs 150,000 to the patients. As we can easily derive from this mathematical paradigm, it is the patients who have to bear the brunt at last, in addition to their deteriorating health condition.

While the FDA is under procedure to extract the cost details, starting from the importing company to the distributors- we welcome this step, so, as to closely monitor such unacceptable practices. However, there is a common belief of once bitten twice shy- if not followed literally. The growing trust deficit between the medical supervisors, and the patients, is a matter of grave concern. We do suspect that given the demand for healthcare service- the current situation will lead to chaos, evil temptations in the scenario of aggressive demand-supply pull. However, considering the ethics sworn in by the doctors, it's not just a simple money equation between the doctor and his patient, which is left.

I believe that the medical industry is transparent in more than just one way. It has been customized to suit your interests, and level of expectations. When you step in to a big hospital, your expectation of treatment is no longer minimal. You wish to be pampered and shown care for your psychological wellbeing too. This is where the role of infrastructure and investment in resources comes in to being in the metros. Few patients now seek a deeper consultancy from their doctors to strike a balance between the know-how and the diagnosis.

The issue of overcharging for stents is critical under the emergency framework delivered by a hospital. It can clearly not be money laundering exercise, and needs to be investigated properly. More welcome change would be a close, and a stronger administration by the legal authorities, followed by a clear jurisdiction of the stents under the essential control drugs. The FDA commissioner, Dr Harshadeep Kamble, has referred to the Centre that cardiac stents be brought under the list of essential medicines under the Drugs Price Control Order as these are lifesaving drugs.

Healthcare is an ethical service, and under no circumstances it should be commoditized by the malpractices of few players in the industry. A human sentiment has to be guarded against all odds by a concerted effort of the key pillars in the whole healthcare system. The larger picture is to save the humanity.

Pooja Bhatia Bhatia
Pooja Bhatia Bhatia
    Show Full Article
    Next Story

    Editorial

    Real-World Case study: Darbepoetin Alfa for Chemotherapy-Induced Anemia in Metastatic Breast Cancer - Dr Aditya Murali

    Real-World Case study: Darbepoetin Alfa for Chemotherapy-Induced Anemia in Metastatic Breast Cancer...

    Aspirin in Primary Prevention- When to Consider?

    Aspirin in Primary Prevention- When to Consider?

    Featured image representing medico legal

    What's the Role of Expert Opinion in Medical Negligence?

    7- Point Discharge Protocol for AECOPD: Time to Inculcate in Practice

    7- Point Discharge Protocol for AECOPD: Time to Inculcate in Practice

    Aspirin Use in Women Aged 40-50 with Diabetes and Hypertension: Identifying the Ideal Candidates

    Aspirin Use in Women Aged 40-50 with Diabetes and Hypertension: Identifying the Ideal Candidates

    View All

    Journal Club Today

    High Blood Pressure in Children Tied to Mothers Pregnancy Health: NIH Study Finds

    High Blood Pressure in Children Tied to Mother's Pregnancy Health: NIH Study Finds

    View All

    Health News Today

    Health Bulletin 10/ May/ 2025

    Health Bulletin 10/ May/ 2025

    View All
    © 2022 All Rights Reserved.
    Powered By: Hocalwire
    X
    We use cookies for analytics, advertising and to improve our site. You agree to our use of cookies by continuing to use our site. To know more, see our Cookie Policy and Cookie Settings.Ok