There is an optimism is air about National Medical Commission Bill.
Lot of people believe that opening up medical education to private sector will improve number of doctors in circulation and reduce cost of medical education.
Let's see if this is possible.
Half of these colleges are government colleges. They charge 0-1,50,000 as fees per yr. (depends on category/caste).
Pvt medical colleges charge 7,50,000 to 18,00,000 per year.
1. Land and infrastructure
2. Teaching staff salaries
3. Non teaching staff salaries
4. Expense of running a free hospital
5. Running costs
All these are substantial costs and are mandatory per law.
Unless there is substantial amendment in law (what about effect on quality?) , this cost will not come down. On contrary, it will continue to increase at inflationary rate.
Poaching of existing teaching faculty will be a huge challenge leading to cost escalation.
Anyone familiar with India must realise that except land, everything in govt hospital is actually a logistical and financial liability.
Unless clean slate is given nobody would want this burden.
Are there any ways that can help?
I venture a few suggestions, all require substantial modifications in laws governing medical education.
2. Eliminate "class room teaching" and "demonstrations" shift to e-classrooms using MOOC structure. All content to be provided by govt free of cost. Existing elite govt institutes should do this within 6months.
4. These private doctors should certify skills learning
So, in theory, unless medical education (MBBS only , NOT PG) is radically decentralised, nothing will change.
It should be possible to run a medical college from a 5000sq ft facility that acts as control centre.
Essentially "Uber" model.
So contrary to govt's expectations,
Seats will not increase substantially, med-ed will NOT become cheaper in near future. Basically no significant change.
Total disruption of existing MBBS model, uberisation of MBBS,
Has anyone in decision making position got lung capacity (medical term for usable volume (not just girth) of chest) to make this paradigm shift?
Thanks for reading.