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Volume LVIII, No. 2
The New VC
EDITOR-IN-CHIEF Rajesh Ramachandran
GROUP CREATIVE DIRECTOR R. Prasad
DEPUTY MANAGING EDITOR Sunil Menon
CHIEF OF BUREAU Pranay Sharma
POLITICAL EDITOR Bhavna Vij-Aurora
WRITERS Satish Padmanabhan (Deputy Editor),
Arindam Mukherjee, Lola Nayar, Qaiser
Mohammad Ali (Senior Associate Editors),
G.C. Shekhar (Associate Editor),
Dola Mitra (Sr Asst Editor), Pragya Singh, Prachi
Pinglay-Plumber, Minu Ittyipe (Asst Editors),
Ajay Sukumaran, Naseer Ganai (Senior Special
Correspondents), Ushinor Majumdar (Special
Correspondent), Arushi Bedi, Siddhartha Mishra
(Correspondents)
COPY DESK Giridhar Jha (Senior Editor),
Sreevalsan Thiyyadi, Saikat Niyogi, Satyadeep
(Sr Asst Editors), Martand Badoni (Sub Editor)
PHOTOGRAPHERS S. Rakshit (Chief Photo
Coordinator), Jitender Gupta (Deputy Photo
Editor), Tribhuvan Tiwari, Vijay Pandey (Chief
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LIBRARY Alka Gupta (Chief Librarian)
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GENERAL MANAGERS Debabani Tagore,
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DEPUTY GENERAL MANAGER Anuj Gopal Mathur
ASSISTANT GENERAL MANAGER
Diwan Singh Bisht
REGIONAL MANAGER Sonali Panda
CHIEF MANAGERS Gunjan
Gulati, Manju Pravin, Nabajyoti Sharma,
Shekhar Kumar Pandey
SENIOR MANAGERS Abhijit Singha, Amit
Sharma, Vikash Keshri
MANAGERS Amita Diwan Bhatia, Shekhar
Suvarana, Sudha Sharma, Vipin Kumar Tyagi
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Published for the week of January 09-15, 2018
Released on January 06, 2018
Total no. of pages 76, Including Covers
D
ELHI is a dangerous place to fall sick in. Here hospitals are corporate enti-
ties. When disease is business, it must get graver for the business to thrive.
The worse the illness, the better the profits—that is thus the obvious reve-
nue model. In a heartless industry that thrives on the customer’s misery,
mark-ups are not even considered an unethical practice. From surgical
gauze to gloves to masks to syringes, they are all being sold, often to a dead
patient, with a mark-up of 100 to 1,000 per cent. Profiteering, somehow, is the acc
epted business practice in this profession. Stents and orthopaedic implants, as Out-
look had exposed, were routinely sold at prices 300 to 1,000 per cent over the mini-
mum retail price. In fact, the Modi government had done a great service to patients
by capping the prices of these devices. Now will the government act against the
overcharging corporate hospitals?
That brings us to the question: if they are cor-
porate hospitals, why are they given land at
concessional rates? Since they overcharge the
patients, should not the hospitals be charged
over the prevailing market rate for the land on
which these buildings come up? Shouldn’t an
“overcharging cess” be levied on the doctors
who run these businesses or work there? It just
cannot be business as usual; it’s time these hos-
pitals answered these questions or else get sub-
jected to legal proceedings, civil and criminal.
Or else, let us try a new logic. We all under-
stand that healthcare or modern medical
treatment of diseases is a huge business run by
investors, managers and doctors and technicians. So, it is a marketplace. What is
their product? It ought to be the treatment of a disease or recovery from illness. If
that is the product they sell, then why do they charge for their failure, which is often
death? We cannot accept the mumbo-jumbo of “life and death is in the hands of
God”. Let us please keep Gods out o f Rs 50,000-a-day hospital rooms and Rs 1 lakh-
a-day ICU beds and ventilators. When we pay our bills, we don’t say money is in the
hands of God and so don’t blame us? If we pay, we need to get the product. The
product is recovery. That is the logic of the marketplace. Sure, every death is not
caused by medical negligence and we are not accusing the hospitals of criminal in-
tent for all the deaths, every time. All we want to insist is that we should not be
made to pay for a patient if she dies because we simply haven’t got the product for
which we paid, often taking loans. If a corporate hospital knows for sure that the
patient is going to die or there is very little chance of recovery, then the relatives of
a such a terminally ill patient should not be given hope and made to pay for all kinds
of unwanted, illogical and extremely expensive procedures and consumables.
If the government ensures that corporate hospitals are not allowed to extort the
relatives of a dead patient, a lot of money-grabbing practices would come to an end
on their own. If not a full waiver, the hospital should at least cut the bill by half when
they have failed to deliver their product. The other easier way out is to leave the
corpse with the hospital and just walk out. Anyway, we can only live with the mem-
ories of the dear dead. So, instead of a cremation or a burial we should hold a memo-
rial service for the VCH (victim of a corporate hospital). It is surely a better badge
of honour than the Victoria Cross of yore.
Rajesh Ramachandran
15 January 2018 OUTLOOK 3