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Regulation of healthcare needed to check corruption: Salman Khurshid

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Salman Khurshid

New Delhi, July 12 : Congress leader Salman Khurshid on Thursday said a strong regulatory system is needed to check widespread corruption in the Indian healthcare sector where 25 per cent of the money spent on health is lost due to fraud.

“What you need really is a profound regulatory system. Regulation is itself something that can go wrong but if we have a good clear regulatory system it will help,” he said at the launch of book “Healers or Predators? Healthcare Corruption in India”.

Khurshid said private hospitals who get land from the government are obliged to provide 30 per cent of their beds to the poor for free but these obligations are hardly met. Patients with no real ailment and hence no expenditure are admitted to account for the 30 per cent.

The former Union Law Minister also said even the judges are not familiar with what constitutes a medical malpractice.

“We could have a death because of cardiac attack as the patient was put through tests that were not advisable and all that the hospital says is pay and we will release the body. How many cases have you heard where sanctions have been imposed on such malpractice?”

The book, which highlights corruption in India’s healthcare and medical system, is a compilation of various reports written by medical doctors on the various crises plaguing the sector and edited by Samiran Nundy, Keshav Desiraju and Sanjay Nagral.

BMJ Group Non-executive Director David Berger, who first highlighted deep-rooted but widely accepted corruption in Indian healthcare, said he was struck by the lack of trust between doctors and patients that destroys the healing relationship.

BMJ, a subsidiary of the British Medical Association, is a provider of journals, clinical decision support, events and medical education.

“The solutions are upstream, not downstream. Ranting about individual doctors being corrupt is no use. As a start, the Medical Council of India (MCI) needs to be reformed or replaced by an effective system of professional regulation where doctors are held to account,” Berger said.

Gastrointestinal surgeon and writer Nundy said there is wide asymmetry of information — doctors know everything and the patients know nothing. Patients look at doctors as god or near god and it is terrible to betray that trust, he said.

He said the Indian health system is the second most corrupt sector after police, as per a report by Transparency International. As part of solution, the country needs to first accept the National Medical Commission Bill, he said.

Other panelists at the book launch expressed deep concern over the Modi government’s flagship healthcare protection scheme, popularly called Modicare, because of the lack of basic regulation of the private sector, which accounts for 70 per cent of the country’s hospitals. The government will be heavily dependent on the private sector for the success of Ayushman Bharat.

However, NITI Ayog Member Health Vinod Paul, who believes self-regulation is essential, believes in the power of technology and analytics to raise a red flag at the possible points of corruption, and then “match it with a deterrent in terms of penalties and prosecution”.

“I think in a transparent, information technology driven system using analytics and artificial intelligence gives us an additional, very powerful tool which the developed nations have used to avert cases of corruption,” he said.

Health

Diabetes could contribute to infertility, warn experts

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Diabetes

New Delhi, Feb 16: Diabetes, commonly described as a “lifestyle disease”, can contribute to infertility in both women and men, warn health experts.

“Diabetes can cause infertility in both men and women. Both sexes are at equal risk of infertility,” S.K. Wangnoo, endocrinologist at Indraprastha Apollo Hospitals, told IANS.

Infertility affects up to 15 per cent of reproductive-aged couples worldwide. According to an estimate by the World Health Organization (WHO), the overall prevalence of primary infertility in India is between 3.9 per cent to 16.8 per cent.

“Diabetes in men damages DNA of the sperm and leads to reduced number of sperms and reduced motility of sperms which leads to infertility. Although having diabetes does not necessarily make men infertile, it could make them less fertile,” added Roopak Wadhwa, Consultant at Fortis Hospital, New Delhi.

On the other hand, diabetes in women is associated with polycystic ovary syndrome (PCOS) and other autoimmune diseases that can lead to infertility.

“Diabetes causes a lack of glucose control in the body which, in turn, can make the implantation of the fertile egg in the uterus difficult. Therefore, the chances of miscarriage in diabetic women increase between 30-60 per cent,” Wadhwa explained.

Another WHO report had stated that India had 69.2 million people living with diabetes in 2015.

By 2030, nearly 98 million people in India may have Type-2 diabetes, according to a study published in the Lancet Diabetes and Endocrinology journal last year.

While diabetic patients can always try parenthood, the risk of passing on the sugar disease to the child is approximately 50 per cent high, Wangnoo stated.

“It can also cause intra-uterine growth retardation (IUGR) and congenital anomalies. IUGR is a condition where an unborn baby is smaller than it should be because it is not growing at a normal rate inside the womb,” Wadhwa added.

Furthermore, he noted that diabetic mothers are at high risk of premature deliveries, abortions and perinatal (during birth) complications.

High diabetes can be risky for both mother and child. The experts suggest that maintaining a good lifestyle, an ideal body weight, keeping sugars within target range, avoiding smoking and alcohol and excessive work related stress are some of the preventive measures.

Besides infertility, diabetes can also raise the risk of cardiovascular and lung disease, arthritis, osteoporosis. An estimated 3.4 million deaths are caused due to high blood sugar, according to the WHO.

The global health body also estimates that 80 per cent of diabetes deaths occur in low and middle-income countries and projects that such deaths will double between 2016 and 2030.

IANS

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Health

Birth control pills could impair women’s ability to recognise emotion

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The study showed that healthy women who use birth control pills are poorer judges of subtle facial expressions than non-users. (Representative Photo)

London, Feb 12: Despite the widespread use of oral contraceptives (OCPs) by women, many are not aware that it may impair their ability to recognise others’ emotional expressions, which may have serious consequences in interpersonal contexts, suggests a new study.

The study showed that healthy women who use birth control pills are poorer judges of subtle facial expressions than non-users.

“More than 100 million women worldwide use oral contraceptives, but remarkably little is known about their effects on emotion, cognition and behaviour,” said senior author Alexander Lischke from the University of Greifswald in Germany.

“However, coincidental findings suggest that oral contraceptives impair the ability to recognise emotional expressions of others which could affect the way users initiate and maintain intimate relationships,” said Lischke.

To investigate the effects of OCPs on women’s emotion recognition, the researchers administered a special emotion recognition task to two similar groups of healthy women: 42 OCP users and 53 non-users.

The findings, published in Frontiers in Neuroscience, showed that OCP users were nearly 10 per cent less accurate on average than non-users in deciphering the most enigmatic emotional expressions.

Though the groups were equally good at recognising easy expressions, the OCP users were less likely to correctly identify difficult expressions, results showed.

The effect held for both positive and negative expressions, and regardless of the type of OCP or the menstrual cycle phase of non-users.

“Cyclic variations of estrogen and progesterone levels are known to affect women’s emotion recognition and influence activity and connections in associated brain regions. Since oral contraceptives work by suppressing estrogen and progesterone levels, it makes sense that oral contraceptives also affect women’s emotion recognition,” said Lischke.

There is a need for further studies that replicate and extend the findings of the present study before thinking about changing current guidelines regarding the prescription of OCPs, the study noted.

IANS

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The Delhi High Court seeks Delhi government response over bike ambulance controversy

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New Delhi, Feb 11 (IANS) The Delhi High Court on Monday asked the state government to file response to a plea alleging that trained paramedics are not deployed in bike ambulance service.

On February 7, the Central Accident and Trauma Services (CATS), an entity of the state government, launched a scheme of First Responder Vehicle, popularly known as bike ambulance service, to provide timely health assistance in traffic-congested areas and small lanes.

A bench of Chief Justice Rajendra Menon and Justice V. Kameswar Rao asked the Delhi government and CATS to file response on the plea seeking direction to deploy trained, young and energetic paramedics with requisite qualification and valid licence to drive two-wheelers.

The court has listed the matter for further hearing on May 2.

The court was hearing a plea filed by advocate Satakashi Verma and Kamlesh Kumar. In the plea, the advocates said that the scheme has been launched without doing due diligence with the help of untrained manpower, who are unfit to manage existing ambulance system due to lack of technical qualification.

The scheme was launched without deploying adequately qualified and trained paramedics, they added.

In their petition, they claimed that the existing staff of Assistant Ambulance Officer was found to be unfit for operation and maintenance of the bike ambulance service.

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