But Karnataka has got to be the worst place for a medical practitioner. And the KPME Act has nothing to do with this.
It is a strange dilemma that a doctor finds him/herself in: deficiency in the midst of plenty. Indian economy is up and running, but the healthcare professional strangely finds him/herself left out of the Indian success story.
In the hospital set up, you need to tow the line of the management, and accept a pre-set salary or 'cuts' from the consultation charges, which are rather like seedless peanuts!
- the general public wants first-class service at the lowest cost, preferably free of cost
- the doctors want a fulfilling career that provides them with financial security on par with other vocations
- the government (in the ideal world) would want a seamless primary and secondary care service that satisfies both stakeholders; public and healthcare professionals
The state owned NHS of UK (even though many in that country find faults with it) comes to mind as a service that achieves just this. Free healthcare funded for by the taxpayers' money that is deducted at source.
We need to look at these and other models to decide the best suitable healthcare delivery system that can be adapted to our conditions. Mindlessly capping fees and charges in an increasingly capitalized and corporatized society is not going to cut it.
Somehow, I cannot see the present government of Karnataka making any thoughtful, pragmatic changes in this regard, given the fact that it has its eyes set on the upcoming state elections.
So, dreadful, populist measures such as Indira Canteen and KPME Act will continue to be inflicted on the unsuspecting populace, as this government attempts to revive the dynasty that has clearly done its time.
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