Sunday, August 13, 2017

Chewing the cud..

Incidents like the ones that is happening in Gorakhpur are disasters waiting to happen in a country like India where corruption is rampant,and accountability non-existant.
Ideally what public should demand is a transparent enquiry into the incident and a look into where the system failed.The right heads need to roll,politicians from the past record are often unable to tell.
The systems need to be put in place so that it does not happen again.
The incident should not be swept under the carpet ,whether it be the media houses championing the cause or film makers looking to make a film.The idea is to contribute in what way one can to make India better.
I am not sure,if life-saving devices like oxygen ,anti-snake venoms,insulin should be monopolised by the private sector.It does sound bizarre that a government medical college was dependant on a private supplier for its oxygen supply.Do I smell a rat here?
In the hospital where I worked in central India,oxygen used to be a major issue.The staff would often wonder why I was getting so worked up over it.One would often find empty cylinders sent back from the suppliers as filled and at times there would be leaks in the cylinder.
Many a times I have had to send in an extra personal with a meter to measure the pressure at the point of receiving the cylinders.
The same year by God's grace we centralised the oxygen and bought ten large cylinders for a five bedded ACU so the alarm would keep us alert but I still found myself having to check from time to time how the flow went.
I have had similar experiences with snakebite patients with ASV prices roof high and the government hospitals for some reason not even comitted to intubating and ventilating a patient ours used to be the only hospital in the area which used to manage snakebites,
We did struggle with the logisitcs especailly initially when we were financially constrained.The government needs to remove taxes on these essential life-saving items and make sure that no extra cost is incurred by the patients for these items.
In Jharkhand one used to see adivasis from remote corners pushed into the out-patient with snake-bites with envenomation ,with no money in their pockets.For institutions like ours where we had to buy every medication there used to be a healthy tension but no patient's treatment are compromised in any way.God provides.
The normal trend in these parts is that the poor quietly pay the fees whereas the rich muscle their way and try to weild out as much charity as possible thus making institutions with good intent struggle.However the poor who quietly pay the fee often do it at a considerable added baggage to their person.A sudden sickness could set them back in their lives by a couple of years because they give themselves as bonded labourers to the rich landowners for the money that has been advanced to them.
Thus the vicious cycle goes on..
Yes this is one face of India...I have known.

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