One Post One Pay- The Right Of Doctors

"When all are doing the same work, then why should they get different pay?"

Labour laws across the world have been propagating Equal Pay for Equal work. While most labor laws have focused on issues such as gender equality, in the indian context, it holds a completely different meaning. Indian doctors seem to be facing a strong discrimination in their earnings based on the state/organisation in which they work.

Following is the compilation of the pay/stipend that resident doctors receive across different parts of the country.

STATE	COLLEGE	FEES	STIPEND	BOND	PENALTY
Delhi
	Maulana Azad M C Delhi	15600	71k, 73k, 75	Nil	Nil
	Univ College M C Delhi	15600	63k, 65k, 67k	Nil	Nil
	Lady Herding M C Delhi	15600	49k, 51k, 59k	Nil	Nil
	V M M C. Safdarjung Hosp.	27500	63k, 65k, 67k	Nil	Nil
	P G I M E R. Dr RML Hosp.	27500	63k, 65k, 67k	Nil	Nil
	Kasturba Hospital N Delhi	15600	51k, 56k, 60k	Nil	Nil
	Hindurao Hospital Delhi	13000	50k, 55k	Nil	Nil
	E S I P G I M S R Delhi	24000	57k, 63k, 70k	5 Years	7.5 Lacs
Karnatka
	Banglore Mc Banglore	37020	25k, 25k, 25k	Nil	Nil
	Indra Gandhi Ich Mysore	36770	30k, 30k, 30k,	Nil	Nil
	Mysore M C Mysore	36500	25k, 25k, 25k	3 Years	25 Lacs
	Kasturba I M S Hubli	37110	25k, 25k, 25k	Nil	Nil
	Vijaynagar I M S Bellary	40680	25k, 25k, 25k	3 Years	25 Lacs
	ESIPGIMSR Banglore	24000	52k, 54k, 56k	5 Years	7.5 Lacs
Maharashtra
	Seth G S M C Mumbai	60700	38k, 39k, 39k,	1 Years	50 Lacs
	Lokmanya T Mmc Mumbai	54200	38k, 39k, 39k,	1 Years	50 Lacs
	Topiwala NMC Mumbai	59200	38k, 39k, 39k,	1 Years	50 Lacs
	Grant M C Mumbai	71200	40k, 40k, 41k	1 Years	50 Lacs
	B J M C Pune	58300	38k, 39k, 39k,	1 Years	50 Lacs
	G M C Nagpur	70200	38k, 39k, 39k,	Nil	Nil
	G M C Aurangabad	67200	31k, 31k, 31k,	1 Years	50 Lacs
	Indra Gandhi GMC Nagpur	71550	38k, 39k, 39k,	1 Years	50 Lacs
	G M C Nanded	58200	40k, 40k, 41k	1 Years	50 Lacs
	Dr. V M G M C Solapur	48400	40k, 40k, 41k	1 Years	50 Lacs
	G M C Latur	58200	40k, 40k, 41k	1 Years	50 Lacs
	G M C Miraj	63400	40k, 40k, 41k	1 Years	50 Lacs
	S R T R M C Ambajogai	48000	40k, 40k, 41k	1 Years	50 Lacs
	V N G M G Yavatmal	58200	38k, 39k, 39k	1yr	50 lacs
	ESIPGIMSR Andheri Mumbai	24000	55k, 55k, 55k	5yrs	7.5 lacs
	ESIPGIMSR parel Mumbai	24000	53k, 53k, 53k	5yrs	7.5 lacs
Uttar Pradesh	C S J M M U Lucknow	60000	40k, 42k, 45k	Nil	Nil
	Inst Med BHU varanasi	19160	55k, 56k, 58k	Nil	Nil
	G S V M M C Kanpur	30000	47k, 49k, 50k	Nil	Nil
	Moti Lal NMC Allahbad	42000	50k, 51k, 53k	Nil	Nil
	JNMC AMU Aligarh	5255	21k, 21k, 22k	Nil	Nil
	Maharani L MC Jhansi	42000	47k, 48k, 50k	Nil	Nil
	L L R M M C Meerut	43000	47k, 48k, 49k	Nil	Nil
	BRDMC Gorakhpur	36000	47k, 48k, 50k	Nil	Nil
	S N M C Agra	30000	49k, 50k, 56k	Nil	Nil
Rajasthan	Sanjay G IMS Lucknow	35000	55k, 57k, 58k	Nil	Nil
	Dr Ram M L Lucknow	37000	47k, 52k, 57k	Nil	Nil
	U P Rural IMS Etawah	42000	49k, 51k, 52k	Nil	Nil
	SMSMC Jaipur	1875	19k, 51k, 52k	Nil	Nil
	RNTMC Udaipur	7175	36k, 38k, 39k	Nil	Nil
	Dr SNMC Jodhpur	4025	34k, 36k, 37k	Nil	Nil
	Sardar Patel MC Bikaner	2875	36k, 38k, 39k	Nil	Nil
	Jawahar L NMC Ajmer	1175	36k, 38k, 39k	Nil	Nil
	G M C Kota	2375	19k, 20k, 21k	Nil	Nil
Bihar	Patna M C Patna	0	30k, 30k, 30k	Nil	Nil
	Nalanda M C Ptana	1600	30k, 30k, 30k	Nil	Nil
	Darbhanga M C Lehriasarai	2202	30k, 30k, 30k	Nil	Nil
	Indira Gandhi I M S Patna	50000	40k, 40k, 40k	Nil	Nil
	Jawahar L NMC Bhagalpur	7200	36k, 36k, 36k	Nil	Nil
	A N Magadh M C Gaya	6000	30k, 30k, 30k	Nil	Nil
Chandigarh	G M C Chandigarh	31064	39k, 39k, 39k	Nil	Nil
Haryana	B D Sharma I M S Rohtak	21153	51k, 52k, 54k	Nil	Nil
Chattisgarh	Pt. Jawahar L NMC Raipur	20000	30k, 32k, 35k	Nil	Nil
Goa
	C Panaji Goa Goa M	24000	25k, 25k, 25k	3yrs	10 lacs
Gujrat
	B J M C Ahmedabad	49000	28k, 28.7k,29k	3yrs	10 lacs
	G M C Baroda	28000	28k, 28.7k,29k	3yrs	10 lacs
	M P Shah M C Jamnagar	4000	28k, 28.7k,29k	3yrs	10 lacs
	G M C Surat	3190	28k, 28.7k,29k	3yrs	10 lacs
	Deendatal UMC Rajkot	4000	28k, 28.7k,29k	3yrs	10 lacs
	G M C Bhavnagar	28000	28k, 28.7k,29k	3yrs	10 lacs
Punjab
	G M C Amritsar	50000	21k, 21k, 21k	3yrs	15 lacs
	G M C Patiala	40000	37k, 37k, 37k	3yrs	15 lacs
	Guru G S MC Faridkot	40000	37k, 37k, 37k	3yrs	15 lacs
Orissa
	S C B M C Cuttack	13450	32k, 34k, 35k	3yrs	10 lacs
	MKCGMC Brahampur	7200	32k, 34k, 35k	3yrs	10 lacs
	V S S M C Buria	8100	32k, 34k, 35k	3yrs	10 lacs
Uttarakhand
	G M C Haldwani	60000	34k, 37k, 40k	2yrs	5 lacs
Himachal Pardesh
	Indira Gandhi MC Simla	39000	25k, 27k, 30	5yrs	15 lacs
	Dr. Rajendra GMC Tanda	39000	25k, 27k, 30	5yrs	15 lacs
Meghalaya
	NEIGRIHMS, Shilong	6945	56k, 58k, 60k	Nil	Nil
Tripura
	Agartala G M C	20000	20k, 22k, 24k	Nil	Nil
	Agartala
Assam
	Guwahati MC Guwahati	2400	22k, 22k, 22k	10yrs	20 lacs
	Assam MC Dibarughar	17650	22k, 22k, 22k	10yrs	20 lacs
	Sichar MC Silchar	17000	22k, 22k, 22k	10yrs	20 lacs
Manipur
	R I M S Imphal	2430	52k, 54k, 55k	Nil	Nil
Kerala	G M C Culicut	51000	32k, 33k, 34k	1yrs	25 lacs
	G M C Trivandrum	51000	32k, 33k, 34k	1yrs	25 lacs
	G M C Kollayam	51000	32k, 33k, 34k	1yrs	25 lacs
	G M C Thrisaur	51000	32k, 33k, 34k	1yrs	25 lacs
	T D M C Allappuzha	45000	32k, 33k, 34k	1yrs	25 lacs
	MGMMC Jamshedpur	1000	31k, 32k, 33k	Nil	Nil
Madhya Pardesh
	Mahalma G MC Indore	49850	30k, 31k, 32k	1yrs	10 lacs
	Gandhi MC Bhopal	35000	30k, 31k, 32k	1yrs	10 lacs
	Netaji SCBMC Jabalpur	36572	30k, 31k, 32k	1yrs	10 lacs
	Gaja Raja M C Gwalior	35000	30k, 31k, 32k	1yrs	10 lacs
	S S M C Rewa	35000	30k, 31k, 32k	1yrs	10 lacs
Tamil Nadu
	Madras M C Chennai	20000	17k, 18k, 19k	2-5yrs	20 lacs
	Stanley M C Chennai	30000	17k, 18k, 19k	2-5yrs	20 lacs
	Kilpauk M C Chennai	20500	17k, 18k, 19k	2-5yrs	20 lacs
	C M C Colmbatore	29900	17k, 18k, 19k	2-5yrs	20 lacs
	Madurai M C Madurai	23500	18k, 19k, 20k	2-5yrs	20 lacs
	T MC Thanjvur	20500	18k, 19k, 20k	2-5yrs	20 lacs
	TMC Tirunelveli	20500	17k, 18k, 19k	2-5yrs	20 lacs
	G M K M C Salem	20500	17k, 18k, 19k	2-5yrs	20 lacs
	GMC TIRUCHIRAPPALLLI	20500	17k, 18k, 19k	2-5yrs	20 lacs
	GMC Chengalaptlu	30005	17k, 18k, 19k	2-5yrs	20 lacs
	G M C Theni	23500	16k, 17k, 18k	2-5yrs	20 lacs
	ESIPGIMSR Chennai	24000	61k, 61k, 61k	5yrs	7.5 lacs
West Bengal
	Inst P G M E R Kolkata	12000	25k, 27k, 29k	Nil	Nil
	Medical College kolkata	36000	25k, 27k, 29k	Nil	Nil
	R G Kar M C Kolkata	12000	25k, 27k, 29k	Nil	Nil
	Nilratnam SMC Kolkata	12000	25K, 27K, 29K	Nil	Nil
	Calicutta NMC Kolkata	12000	25K, 27K, 29K	Nil	Nil
	Burdwan MC Burdwan	12000	25K, 27K, 29K	1yr	10 lacs
	Bankura smc Bankura	12000	25K, 27K, 29K	Nil	Nil
	Inst child health kolkata	12000	25k, 27k, 29k	Nil	Nil
	ESIPGIMSR Kolkata	24000	49k, 49k, 49k	5yrs	7.5 lacs
	North B MC Darjeeling	12000	26k, 27k, 29k	Nil	Nil
	Dr B C Roy PGIPS	12000	25K, 27K, 35K	Nil	Nil

Taken from MARD document on stipends in various states compiled by MARD

As can be seen, there is a gross discrepancy in the pay scales that are currently being paid across the states. Moreover, there is a gross exploitation ongoing in the names of bonds and penalties in various states.

For Instance :-.
1.Fees ranges from Rs 71000 in maharashtra to 0 in bihar.
2.Stipend ranges from Rs 70000 in delhi to Rs 17000 in Tamil nadu.
4.Penalty for not doing bond service is Rs 10 lakh in Madhya Pradesh and Odisha to Rs 50 lakh in some states.
3.No bond service in some states to 10 years bond in assam

While in normal circumstances, justification may come in the form of different cost of living that may be existent in different states. However, this justification fails completely in the face of GROSS discrepancy that exists across states in terms of the stipend/salaries that are paid to doctors. Neither can this justification suffice the accusations of exploitations that doctors face across the nation in the form of bonds and penalties.

Healthcare in India, is suffering from a major disease of sub-classification. The management of the subject of health has been sub-classified as a state subject and entrusted to respective state govenrments, who have different policies. Hospitals under the government are classified on the basis of varied ownerships, that is, central government hospitals, state government hospitals, hospitals falling under autonomous institutions, all of which principally perform the same work, yet have different policies when it comes to pay and remuneration.

Not only this, there is sub-classification of posts of doctors, in terms of permanent, ad-hoc, contract etc, all of which have different policies and different pay. The biggest trauma to resident doctors is that even if you think of the same post, pay becomes different depending on which hospital one is associated with and which state one is currently based at.

The Supreme Court had paid due regard to this ongoing exploitation in the form of discrepancies across states and ordered the formation of Uniform Central Residency Scheme that would govern the functioning of resident doctors in a uniform manner regardless of which organisation they work with and which state they live in. This was in 1987. Central government following the orders in 1992 had drafted the uniform central residency scheme for doctors. However 24 years now, implementation of the scheme is still pending.

MARD along with resident doctors organisations across the country including FORDA, RDA AIIMS, RDA AMU, RDA BHU, KARD and many more have joined hands together to start a movement against this exploitation and implementation of the Central Residency Scheme this year

Become a part of this movement, by signing the following letter

Letter to the PM from government doctors