Rajath Profile picture
18 Apr, 12 tweets, 5 min read
Some of us are back. Although we are doing good work by individual patients we look after building a healthcare system fir the nation is a different ball game.
Few points
1. Healthcare is not an election issue, politicians will not prioritise it, budget allocation v low
2. Our govt run places are free at point of use, but inadequate, incompetent, poorly manned, not networked - patient is not the focus, bad outcomes are norm and accepted
3. Private sector is not homogenous very shoddy to the best possible Corporate hospitals maybe cutting edge and have best outcomes in the world. But these are businesses with investors prone to free market forces. Out of pocket expense without a good insurance cover is +++
4. Trust deficit. Doctors are deified or vilified. Medical profession has not done much to gain trust of the public but also it can’t be that we are roughed up and beaten up. This merits another thread.
5. We rather have miracle cures than a sound, efficient, compassionate, patient centred healthcare. Quackery hence abounds. Current Govt has legitimatised it with Ayush bunkum
6. The focus is too much (in your tweet too) on the doctor. No, modern medicine is team work. We need to value nurses, med techs, support staff, Asha workers and so on.
7. Healthcare is not a priority. For the public, illness is an unwelcome situation and doctors/expenses a necessary evil. Never an election issue. Politicians will never take it up as a cause - reflection of priorities of the nation
8. We have the lowest budget allocation for healthcare. Added to this, focus is on curative medicine and not preventive. If healthcare were an ailing patient - our current treatment is both misdirected and meagre
9. Doctors returning from abroad may improve quality and outcomes in the small areas of their work in well oiled systems . Some may even be misfits and feel disabled to employ their skills.
10. What is needed is a complete reworking, reallocation and remodelling of healthcare provision. Starting with - can this be a priority for the voting public? Then it may have a cascading effect.

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