WHAT HOSPITALS/DOCTORS DOING ? STENT PRICE REDUCED BUT NO BENEFIT TO PATIENTS

WHAT HOSPITALS/DOCTORS DOING ? STENT PRICE REDUCED BUT NO BENEFIT TO PATIENTS

PROF .DRRAM,HIV /AIDS,HEPATITIS ,SEX DISEASES & WEAKNESS expert,New Delhi,India, profdrram@gmail.com,+917838059592,+919832025033,ON WHATSAPP

People and media both social,print and electronic media is questioning Hospitals and Doctors that inspite of very much about 80% reduction of cardiac stent prices( Rs.Thirty thousand  from Rupees 2-3 lakhs) by Govt of India, cost of Angioplasty to patients  has decreased on 8-18% .The study was commissioned by "Advamed" after one year of slapping of price in Corporate,Large Pvt hospitals,Med Sized pvt hospitals,Government Hospitals ( Where price of Stent was less even before ) in metro & Ist tier Towns  of India and the growth of Angioplasty procedure is overall in all type of hospitals is only 2-7% only.

        Question raised are straight ? Why Hospitals and doctors are taking such hugh profits,inspite of so much price cutting by Government why patients are not getting any good  benefits?  Large chunk of public think that such procedures are conducted in Large Corporate and pvt hospitals by highly reputed ,named and famed Doctors so in spite of reduction of prices Hospitals increased their fee inform of doing all investigation needed for this procedure ,cost of surgery, as increased Fee of Surgeon,Assistants Doctors and staff and Anaesthetists, increase fee of accessories,OT Room, ICU and Room charges.Previously even Manufacturer were supplying these stents to such hospitals at much slashed wholesale price  but with a trick of either no print of retail price as exported material or printed retail price very high as today even with much generic medicines.

     This is not with the health sector only but in transport,education,building,household daily used things or big machines or vehicles,almost in all sectors etc benefit of price slashing hardly reach to consumer in India,our greed to earn money by hook or crook or our tendency to purchase regulators by bribe has paralysed all good policies of Government.

           Simple raising finger towards Doctors and hospitals appears no good the public itself is too responsible,why affluent and even middle class move to such costly hospitals and doctors,why they dont like to get treated at less costly med sized Hospitals and Government Hospitals? Every body wants to run after name and fame because such hospitals has investment of hundred to thousand crores,all specialities with modern advanced machines,reputed retired doctors of govt hospitals or usa/uk trained or established /recently passed superspecialists due to high salary and shares in profit,3-5 star hotel facilities.These Hospitals too illegally spend crores in advertisement beside robust marketing team to snatch patients from doctors practising in small town,cities,corporate houses,insurance companies,ESI,CGHS,ECHS etc  too against hefty commission and kick back.Health is a simple Business for them.People should understand this and should choose less costly hospitals to get treated with less cost.

                      Corrupt government regulators,lack of media exposures are too responsible for such Action and Policy paralysis of Government.Insurance Companies are too responsible for this as why they pay so high to such hospitals in name of NABH or JCI accredition while paying less to med Sized hospitals, instead of serving people as Agriculture Insurance,they more serve to corporates as these are also genesis of these houses and want that everbody be under their clitch and then they slowly increase their premium as in capatalistic countries.In Government Insurance,Bills are many times passed only after kick back in percentage,so either false bills are passed but real damaged insured get much less after fighting on papers and delay.

                    Although Study has pointed following reasons for such no benefits to patients which also appears true.

.Low
significant attrition of patients across care pathway
• Initiatives to improve affordability and accessibility are contingent on progress in first improving
awareness
• There is inequitable distribution of healthcare infrastructure between large cities, where healthcare
facilities are located, and smaller towns and rural, where the bulk of patients reside
• Unlike pharmaceuticals, healthcare infrastructure is critical for medical devices; poor accessibility
severely curtails penetration of medical devices to low tier cities
• Lack of insurance coverage and low reimbursement limits are impacting access to affordable quality
healthcare
• Devices are a small component of the procedure cost and focusing on cost of device alone will not
result in affordable care
• Constraining categorization and treating different types of devices under similar category will disincentivize.
            So by a mere 1.4 % GDP spent on Health in India,Government with limited doctors and hospitals cant bring changes by simple populistic announcements but after all if we doctors working in all sectors decide to change then change will definitely come as we  run the hospitals and we can promise that hospitals should not be allowed to run doctors.