Quit India; Doctors Mr Ghulam Nabi Azad slogan of “Quit India ; MBBS Doctors” is gathering momentum. His policy is to make their working conditions impossible so that they will be forced to leave the country. After they have quit India his vision is that we shall all enjoy health under watchful clinical eye of BSc Community Healths and Ayush doctors posing as modern medical specialists. The ruling class including Mr Azad and others of his ilk however by some Act, Bill or ordinance will be treated at national expenditure in Mayo Clinics USA by the “quitted India” doctors. MBBS doctors in India today are unemployed, underemployed, poorly paid, exploited by making them work for extended periods without any salary / overtime. In the name of training they are used as bonded labor. But they are pilloried if they commit an error of judgment after being sleep deprived and on the job for 48-72 hrs at a stretch. Mr Azad claims in Parliament that doctors do not go to villages hence BSc Community Healths and Allopathic prescription by AYUSH is a necessity. We have approximately 120 cr population. At 1 doctor per 1000 population we should have 12 lac doctors. Around 6 lacs allopathic doctors exist in the country today. Even if 50% should be in Government service and 50% in private sector around 3 lac doctors should be in government service. Mr Azad has graciously provided for 31867 sanctioned posts of MBBS doctors in Primary Health Centers. Of these only 2489 posts are vacant. Basic problem is not that doctors are not willing to work for the nation in rural areas it is that Mr Ghulam Nabi Azad wants them to work for FREE. In his budget for 2013-14 Mr Azad has kept only 33000 crores for health If instead of measly 2.03 percent of budgetary allocation a more reasonable figure of 7.5 % was kept Govt would have funds to hire doctors and post them in rural areas. By forcing fresh graduates of MBBS to work in rural area for 1 year before PG Mr Azad is pulling wool over eyes of the nation. Fact is no benefit accrues to an MBBS doctor unless he works in Govt / public service in rural area. Since no posts are there in Government Primary Health Centers where are these MBBS doctors to work? It is simply political vote gathering gimmick with no thought put behind this harebrained scheme. Do budgeted development funds reach India’s poor at all ? Ex Prime minister Rajeev Gandhi famously estimated that of every rupee spent 15 P reached the poor. Administrative inefficiencies, poor targeting, high implementation costs and leakages characterize implementation of almost every scheme. Despite this Govt year after year rolls out schemes which are populist, sound grandiose when announced in parliament but are of no use to the common man. There was a 52000 crore loan waiver scheme in 2009 pre-election by UPA I. Food security Act will cost the nation 125000 cr. Mahatma Gandhi National Rural Employment Guarantee Act budgeted at 33000 cr showed 25 % fall in completed works in 2012-2013 compared with 2011-2012. This year in 4 months only 13% of last years work figures have been completed . Rural development projects 80194 crores is budgeted. 2013-2014 budget has 700000 crore for agriculture credit schemes, 41000 cr for Scheduled caste welfare and 28500 cr for Tribal welfare. If Government was to pour this much funds into health and education there would be no need for any of the welfare schemes and doles. Fact is these welfare schemes are not audited. Once central Govt sanctions it what happens to the money, how it is utilized, what is the “Bang for buck” is never disclosed. These are all avenues of massive and persistent corruption. These funds are siphoned off by the very masters who sanction through their minions. Dr Neeraj Nagpal Convenor Medicos Legal Action Group 09316517176
Posted on: Fri, 30 Aug 2013 15:10:56 +0000
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