Thread by @bhat_dr

@APanagariya when key issue with demand side, why is focus on supply side? Check 👇4 data facebook.com/medicoslegalac…
what about transformational measure by those with massive conflict of interest? facebook.com/medicoslegalac…
@RMantri , issue of demand won't change with #NmcBill2019
Sad

https://twitter.com/APanagariya/status/1156963329254002689

@APanagariya @RMantri "Stunningly, even if an MCI member is proved to be corrupt, under current legal framework, government can do little to remove him"
@RMantri how do u explain denial of sanction 2 prosecute by allied Govt in State of Gujarat?
timesofindia.indiatimes.com/india/ex-mci-b…
Most Doctors are ashamed of KD

@APanagariya @RMantri @RMantri u say "Union & state governments have already taken number of measures to provide low-cost insurance & cash transfer-based welfare to poor: demand side measures"

Achieving UHC though NHPS is very unrealistic sadly
facebook.com/groups/medicos…

facebook.com/groups/medicos…

@APanagariya @RMantri @Rmantri :On demand Side again: while NHPS has reduced cost of service, perhaps even without Cost Accounting data, why indemnity claims arising from providing service is still at Market rates? Least the Govt can do is capping compensation due to NHPS services 😰

@APanagariya @RMantri "MCI is a guild system:either indirectly ‘captured’ by incumbents, or worse, is directly controlled by them"
How exactly are Bar Council, Judiciary OR even Parliamentarians any different? Doesn't the last group even decide their own salary, and make laws on businesses they run?

@APanagariya @RMantri In a country where enforcing regulations is already poor, who will enforce the limited scope of work permitted by CHWs, as a new cadre of practitioners of Modern Medicine? And who will bear the Liability that arises out of their treatment provided?

@APanagariya @RMantri "the man from rural Odisha who carried his wife for over 10 km because there was no ambulance available in his rural area'
@APanagariya @RMantri to avoid such situations, please double number of equipped & staffed PHCs @ incentivise MBBS Doctors to run them.Nothing else will work

@APanagariya @RMantri @NITIAayog :having addressed Healthcare SUPPLY providers with NMC, while services provided r already broken, will not flooding the "market" further devalue the MBBS Doctor, the ideal Family Physician?Doctors already spend 2-3yrs preparing 4 PG, without treating patients @AIIMSRDA

@APanagariya @RMantri @NITIAayog @AIIMSRDA Existing emphasis on specialists (high yearly specialist:MBBS ratio) is seen even in Court Judgments that penalise an MD for providing Cardiac care. Creating new breed of Community Health workers through NMC will simply snuff out any remaining value of MBBS Doctors in rural India

@APanagariya @RMantri @NITIAayog @AIIMSRDA @NITIAayog Are we effectively creating MBBS Doctors for overseas market, while our citizens suffer? While there are enough benefits in NMC, unless we fix these shortcomings, the brightest minds will stay away from Noble Profession of Medicine; we all will pay the price
@AIIMSRDA