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Genderlog @genderlogindia
, 12 tweets, 4 min read Read on Twitter
I wonder a lot about why people avoid going to the doctor (including doctors themselves) or ignore health problems for so long.
When you think you may be sick do you go to a doctor/hospital:
For people who answered the 3rd or 4th option, what's the biggest reason you put off seeing a doctor?

If you don't see a choice that fits you, comment with your reasons!
There is an inherent power difference between patients and doctors that affects the kind of care provided. Especially judging from my highly scientific twitter poll above 😜
Creating a space where patients feel comfortable sharing their values and goals is essential to improving quality of care. Shared decision making requires giving the patient the ability to participate in their own health care.

patientengagementhit.com/news/understan…
With India's ambitious plans for socialised health care come a host of other concerns. A project this immense in both expense and extent requires exacting oversight, as we can learn from the flaws of healthcare in other countries.
American hospitals waste an estimated $765 billion every year on usable medical supplies that are thrown away through a combination of bureaucratic red tape and negligence - which inflate the hospital's costs and are passed on to the patients in turn.

propublica.org/article/what-h…
Pharmaceutical companies control the market and the cost of essential drugs like insulin and antibiotics can fluctuate wildly with the monopoly on pricing. Some vital drugs are no longer produced because they are not profitable for the manufacturers.

undark.org/article/social…
India has largely managed to avoid this by having strict laws on compulsory licensing that keep medical supplies capped at a certain price, but these policies are subject to the whims of the pricing authority.

economictimes.indiatimes.com/industry/healt…
Preventative care has been promoted as saving money in the long term, but the fact is it does not substantially lower costs *because people living longer leads to them using more services over a lifetime* - definitely a good thing but an additional cost.
nytimes.com/2018/01/29/ups…
Ayushman Bharat promises to provide health coverage to an estimated 50crore people but it requires effective implementation, preventing fraud and malpractice, and proper utilisation of the funds allocated, and above all transparency and oversight.

blogs.timesofindia.indiatimes.com/toi-edit-page/…
In a stunning example of how not to hold the system accountable the UP government attributed the deaths of 24 children in the Gorakhpur tragedy to 'natural causes' and arrested 9 doctors and hospital staff.

Will 'Modicare' be any different?

thewire.in/health/gorakhp…
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