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Even after 70 years of Independence, Doctors still avoid serving in rural areas: Madras HC


Even after 70 years of Independence, Doctors still avoid serving in rural areas: Madras HC

Noting that getting admission in a government medical college was a “Himalayan challenge”, the judge said, “Like any other profession, a busy practice and an affluent life would be the dream of every medical student.”

Madras: The Madras High Court has observed that even after 70 years of independence, doctors continue to avoid serving in rural areas and several methods tried out by the government to convince them have proved futile.

Justice Pushpa Sathyanarayana made the observation while disposing of a batch of pleas moved by service candidates, seeking a direction to the Tamil Nadu government to declare their areas also as remote and difficult.

The court, which refused to interfere in the ranklist released by the government for the 2019-20 academic year, directed the state to revisit the government order, declaring such areas as remote and difficult, based on objections made for the next academic year in the interest of PG course aspirants.

The court noted that though India has developed and modified health care in rural areas by setting up Primary Health Centres, many were without doctors or manned by nurses and paramedical staff or had one doctor and paramedical staff.

From these PHCs, patients are referred to district headquarters hospitals, which are supposed to have all facilities to manage at least 90 per cent of the cases, Justice Sathyanarayana said.

Noting that getting admission in a government medical college was a “Himalayan challenge”, the judge said, “Like any other profession, a busy practice and an affluent life would be the dream of every medical student.”

“Therefore, the rural practice is also becoming remote, especially in India, where we have our own native medicines like Siddha,Ayurvedha and Naturopathy,” the judge added.

The judge further noted that doctors in city-based multi-specialty hospitals/government hospitals are provided with multifarious equipment and depend on laboratory reports and said while there was no harm in using such facilities, doctors in these classified areas feel helpless as they get little experience on clinical skills.


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22 comment(s) on Even after 70 years of Independence, Doctors still avoid serving in rural areas: Madras HC

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  1. user
    Dr. Shamanna Ramaswamy April 5, 2019, 3:54 pm

    My first posting as an assistant surgeon (gazetted post) was in Northampoondi, North Arcot district under a District Medical Officer based in Vellore (now Velur). I was a Demonstrator of Anatomy, Madras Medical College, Madras and the posting was done by the Director of Medical Services, Madras. Madras Presidency was composite state.long be put itefore it was divided. I joined on October 2, 1952 after meeting the D M O .He asked me whether I had a cook with me because it was a \’God forsaken place\’ as he put it The nearest railway station was Agaram Sibbandi, four miles from the place of posting. I took a bus from Vellore to the station. There was no transport from the place where I alighted from the bus.Luckily help arrived in the form of a person to carry my trunk and hold all.I walked up to the centre and to cross a small \’nalah\’ (rivulet) on the way which, I was told would get flooded during rainy season!!At the centre the only place electrified was the dispensary.. I was not permitted to stay there I had to stay in one of the \’country tiled \’houses in the row opposite the dispensary. There was no electricity and I had to depend on kerosene lanterns. There was always the risk of scorpions falling from the roof! Water had to be drawn from nearby well. I had to ask the thoti to get the water. The majority of the people in that village were naickers, higher caste people . I, a brahmin was asked by them how I could ask the thoti ( an untouchable!!)to get water for the dispensary and for personal use and they refuse to take the medicines though I assure them that I was boiling the water to sterilize it \’Finally after a lot of persuasion, they agreed!! As for food, I had to get it from the way side vendors!! The people were surprised and asked me to get the priest\’s house at the temple.I had to ask my sixty year old father to come and cook for us two! As no medico would come to the censer, the post was vacant for a long time. I managed to get the number of out patients from 3 to 103! In mid December 1952 I managed to get a transfer back to Anatomy teaching in Madras. The person who replaced with me was very unhappy with me for having made the center \’popular\’ instead of making efforts to close it down. I had been advised not to take my customary walk on the road near by as there was danger from big black scorpions and snakes.I ignored their advice only to find one day a huge black scorpion gripped my right big toe! Luckily I could kick it off. Need less to say I refrained from taking the walks! I requested the rich among the villager to construct for me onut they did not oblige!

  2. Why the high court is located in capital cities… Shift them to remote areas… Then they will get accompained by medical facilities to which will be also use ful for poor people there….. And poor people also need justice… So lets shift the high courts to remote areas😇😤😤😤

  3. user
    Dr.Deepak Kumar Sinha April 2, 2019, 2:03 pm

    Find out the reason.

  4. user
    SURESH SOMASUNDARAM April 2, 2019, 8:40 am

    IT WILL BE BETTER TO PAY THE DOCTOR WHO IS WILLING TO SERVE IN THE REMOTE RURAL AREA , DOUBLE THE PAY THAT IS PAID TO A DOCTOR IN THE CITY, MEANING IF A CITY BASED DOCTOR IS PAID RS ONE LAKH PER MONTH, THE PERSON OF THE SAME CADRE SERVING IN THE RURAL AREA SHOULD BE PAID AT LEAST RS TWO LAKH PER MONTH, AND INCENTIVES SUCH AS TAX FREE SALARY FOR SERVING IN REMOTE AREAS

  5. Have you were tried making 10lakh montly Sal͏a͏ry in those rural areas ? Plus good additional perks
    Doctors will be in queue trying get into this job.

    Instead of coaxing a young medical student aged less 18yearaaspirant into commiting rural service. The prior will be better approach.