India free medical AB side is that a good or a legend

2013-06-06 source: Yunnan Information misread India's medical reform is the most successful medical reform in the world, and has embarked on a successful path of free medical care for all In fact, the public hospitals that provide "free medical care" in India are synonymous with the shortage of medicine, backward facilities and poor treatment of patients Nearly 80% of India's medical services are provided by private institutions and charities, which is higher than that of the United States, France, Japan and the United Kingdom, ranking first in the world Delhi is the implementer of "free medical care" in India because of its backward medical facilities It's hard to sum up the results of India's health reform in a single word It's just like this country itself, full of separations and contradictions India's public health system constitutes the world's largest "free health" system, but the real solution to most of India's medical needs is the private sector The ultimate goal of the reform is to achieve the most reasonable distribution of benefits India's medical reform has brought a unique development specimen for the world with its logic and way A-side public medical "looks beautiful" put on disposable latex gloves, and elok Singh leaned over to stick the stethoscope on the emaciated back of the middle-aged man in front of his eyes Then he scribbled down the diagnosis results and recommended medication on the prescription, which lasted no more than three minutes Elock is an attending physician at ram manohkar hospital The patient waiting for his diagnosis and treatment was discharged from the clinic to the hospital hall, unable to see the end Elock, who wrote the prescription, was like a bottle cap tightening machine on the assembly line He could hardly spare the time to talk to me As a public hospital, RAM manohkar hospital undertakes the largest "affordable" free medical care provided by the Indian government to ordinary people India's first constitution, adopted in 1949, made it clear that all citizens enjoyed free medical care As long as you are in India, you can see a doctor in a public hospital for free, except for medicine, registration fee, examination fee, medical treatment fee and even nutritional meal However, public hospitals are seriously "in short supply" In Mr elock's view, public hospitals have become synonymous with lack of medicine, backward facilities and poor treatment for patients The "free" medical treatment for lack of medical care, elock works eight hours a day, during which he often needs to receive more than 100 patients This means that even if he doesn't need to drink water and rest, he can rotate like a gyroscope, and he can give each patient no more than 5 minutes of diagnosis and treatment time, "how can he treat a patient well in such a short time?" For such a reality, elock also regrets that "the government's investment in public health care is very limited." According to statistics, India is currently the country with the lowest per capita investment in health care in the world The investment in health care is less than 1% of GDP Only 175000 beds in public hospitals are in use This is undoubtedly a drop in the bucket for a country with a population of more than 1.2 billion Another bad consequence of the lack of funds is the lack of drugs The types of antibiotics are very limited Many doctors can only prescribe and let patients go to the drugstore to buy drugs themselves Public hospitals are also hard to attract good doctors His colleague, mohanmmed, is a 25 year veteran oncologist In private hospitals, such qualifications are enough to enable him to live a decent middle-class life, but in public hospitals, his monthly salary is only $100 (about 650 yuan), and he still lives in slums "We stay in public hospitals because we think we are doing a great thing, but the society is very realistic If the government can't change the situation through effective reform." Elock sighed helplessly Free access to medicine, the first step of the government's change, fortunately, the bottleneck of the development of public health care, finally attracted the attention of the government The authorities are ambitious to increase medical investment and work out a health reform plan for free access to medicines for all According to the plan, in 2012-2017, the Indian government will invest 5.4 billion US dollars to public hospitals to achieve basically free access to medicine after seeing a doctor, changing the current situation that Indians can only go to public hospitals to "open the way" The new plan will put 348 cheap generic drugs on the government's procurement list and reject expensive drugs from foreign countries According to the government's blueprint, in five years, drug procurement spending will increase fivefold, accounting for 0.5% of GDP The population of free access to medicine in India will reach more than 600 million, accounting for more than half of the population Although India's public hospitals will still be underdeveloped and crowded with poor people, if the plan is implemented as scheduled, "universal health care" may not be a mirror image Private health care: over the past 20 years, all the achievements of India's rapid economic growth seem to be projected on Gurgaon, an emerging city a full hour's drive from the capital, New Delhi 26 shopping malls, 7 golf courses, chanel and Louis Vuitton are the most powerful pulse in the rapid rise of this emerging Asian economy Fortis healthcare, India's largest private hospital operator, opened its 76th global hospital chain here three years ago You may have psychological preparation for a world-class private hospital with technical level In India, "private" means "comfortable" and "high quality" In the hospital hall with two fountains, there are more than a dozen clearly divided functional areas in the dining area, from time-saving and money-saving fast food to exclusive high-end restaurant for dating In the business area, there are more than a dozen exclusive stores of world-famous clothing brands In the leisure area, there are health centers and Spa clubs providing personal coaches Of course, all projects are charged Fortis healthcare, India's most well-known medical group, is a leader in the field of medicine According to madhuigoel of Fortis healthcare international patient service center, the hospital has the world's most advanced 320 row 640 layer CT scanner, which only takes 0.35 seconds to complete the whole organ examination It and AIIMS jointly study the latest gene therapy of cancer blocking, and apply the latest research results to clinical "We attract the best doctors by providing them with 10-20% salary higher than the industry average, and more than 70% of them have studied in medical colleges in Europe and America." Mandeville said With high investment in medical equipment and talents, Fortis healthcare can provide the world's top level services for high-end patients Fortis healthcare has even passed the JCI certification in the United States, which represents the highest level of international medical services In Fortis healthcare, hundreds of local "rich" and international patients come to see a doctor every day In their view, it is absolutely normal for them to give their health and life to the unprecedented development of private hospitals in India Private medical solutions Fortis healthcare, where 80% of India's medical services are at the forefront of India's medical quality, may be an extreme case, but the private medical sector it represents plays an irreplaceable role in India's entire medical system India's population structure, geographical conditions and poor infrastructure make it possible for the country to face the heaviest medical burden in the world In view of this situation, it is difficult for the Indian government to build a strong public health system, and the market is basically occupied by private medical institutions According to the world bank, nearly 80% of India's medical services are provided by private institutions and charities, which is higher than that of the United States, France, Japan and the United Kingdom, ranking first in the world In fact, since the 1980s, the Indian government has realized that private investment can help India achieve the goal of "universal health" In 1983, the national health policy of India first proposed to increase the supply of hospitals through the development of private hospitals, and then the Indian government successively issued a series of detailed rules to support the investment of private medical industry, including providing cheap land and encouraging foreign investment In addition to large-scale private hospitals taking high-end routes, a large number of small clinics operated by individuals are also effectively making up for the lack of public health care in rural areas According to the survey, there are about 1.27 million rural private medical practitioners in India, with fees ranging from 10-50 rupees for each diagnosis and treatment