For all those who think caste discrimination is eliminated once someone benefits from reservations:
Had a classmate who got admission to MBBS through SC reservation.
Did well & got into Surgery PG in open category. Did MS (Gen Surgery) at 1st attempt....1/n
I lost touch as I went abroad and returned after 10 yrs. Accidentally met him after nearly 15 yrs. Was practising as a Gen Surgeon in a Mumbai suburb.
The most noticeable thing was that he had changed his family name. I asked him what happened?
His words...2/n
"They see my family name & patients won't come to me. They don't want a Dalit Dr even if I am competent. My children won't get admission into a private school even if I can afford the fees, bcoz they don't want a Dalit.
He said, practice picked up remarkably once...3/n
he changed his family name. His children also got admission into a pvt school.
He also took pvt Marathi lessons so he could speak like savarnas & no one could identify him from his language
This is how caste discrimination works even in our cities.
END.
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Thread: On cults
Janja Lallich (American sociologist) & Michael Lampone (American psychologist) came up with this list of defining characteristics of cults 1. The group has a polarized, us-versus-them mentality, which may cause conflict with the wider society. 1/n
2. The group displays an excessively zealous and unquestioning commitment to its leader, and (whether he is alive or dead) regards his belief system, ideology, and practices as the Truth, as law. 2/n
3. Questioning, doubt, and dissent are discouraged or even punished. 4. Mind-altering practices (such as meditation, chanting, denunciation sessions, or debilitating work routines) are used in excess and serve to suppress doubts about the group and its leader(s). 3/n
Thread: Does increasing incomes improve mental health?
Intriguing Q and we now have some good research to answer it.
Interested? Read below.
Some of the findings will surprise you!.. #WMHD2021
1/n
In 1999, UK Govt implemented a minimum wage law ↑sing wages to £3.5/hr. This created 3 groups. 1. Whose wages ↑sed 2. Group whose wages did not increase bcoz were 100-110% of the eligibility threshold 3. Group whose firms did not increase their wages to meet eligibility..2/n
So this created a natural policy experiment for researchers to study the impact of minimum wage on #Mentalhealth
They assessed mental health using the GHQ-12, a standardized & well validated assessment questionnaire.
What did they find? ..3/n
Thread: #SuicidePrevention
I promised to tell you abt research on a new treatment which ↓suicides by 60%.
It's from Brazil & Indonesia, 2 countries ~ similar to India in development indicators. India has ~250k suicides /yr so ↓ 60% could save 150,000 lives.
Brazil first ..1/n
The Brazil study covers 50% of the population with information on 114 million ppl followed up for 12 yrs. Impressive, isn't it?
About half, 69 million received the new treatment & rest were controls. Those receiving the treatment had 61% lower suicide rate than controls ....2/n
and the effect was higher in women & young people.
Another study from Indonesia covered 10% of the population and found the same treatment reduced suicides by 18%.
I am not aware of any other Rx with such large effects on suicide prevention at population level..3/n
Short story of the impact of pandemic on ordinary people who are not on Twitter.
A few days back, Arjun (name changed) called my wife & asked to come & meet her.
Arjun is someone I have known for ~ 2 decade. An owner driver, I have used him for my frequent travels..1/n
to Mumbai & nearby places. He is honest, hardworking guy who my family & I trust a lot. He has ferried my kids when they were as small as 5-10 yrs old to Mumbai to my sister's place all alone with no adults in tow.
A devout God fearing man. Over the yrs, he got married..2/n
had two daughters & got himself a small place for his family.
I had no travel last 15 months, so he would call once in a few months to ask if I had any travel planned.
When he came to meet my wife 2 days ago, the most noticeable thing was how thin he looked. Asked him..3/n
Thread: Indian understanding of quality & effectiveness of medicines.
Many moons ago, I was contacted by a father from Bihar for his 35 yr old son. Had schizophrenia for nearly 15 years & not getting better since many years. Had seen many Drs but no benefit. He had heard ++
of me from a relative in Pune. "Can I please get my son to see you" he sounded desperate. I normally dissuade people from making such long journeys esp when they have already seen so many Drs + chronic illness. Don't want to raise their hopes. In this case, the father ++
a senior government official was quite insistent. He also had relatives in Pune to stay with for few days.
He took an appointment & arrived (with his wife & son) a few weeks later.
We did our usual assessment for new patients incl checking past treatment papers & current +++
THREAD: My personal experience working in India's public health system.
Regular readers of this timeline will know I am a supporter of a public healthcare system.
So naturally I get asked, why don't you work in the public health system, if you think it is so good?
Here's why ++
I trained in a public medical school Seth GS Medical College & KEM Hospital 1982-91 & left in 1991 to go to UK having completed a MD (Psychiatry).
I worked in the NHS in UK from 1991-1999, when I returned to India.
During my time in UK, I got to see first hand & closely ++
what a treasure the NHS is. From the millionaire to the homeless, everyone got the same treatment - free of cost at point of delivery & based on medical need. The primary care GP system was amazing. Anyway, I was determined that when I return to India, I would ++