Medical Tourism in India : A whistleblower from UK reports.

[Guest guest]

UK glare on Indian healthcare warts

AMIT ROY " Patients lying on the floor of a hospital in

Bengal’s Malda district bear testimony to the British Medical Journal’s

allegation. (PTI file picture) " London, Nov. 19: Two Indian doctors have

written a whistle-blowing article in the current edition of the British Medical

Journal, alleging that while rich foreigners receive excellent medical treatment

when they come to India, most poor Indians have to put up with an appalling

level of care.

“The private health sector in India is burgeoning, but at the cost of public

healthcare,” claims the article by Dr Samiran Nundy, a consultant from Sir Ganga

Ram Hospital in Delhi, and Amit Sengupta, joint convener of the People’s Health

Movement in India.

Their article comes against a background of increasingly frequent reports in

British newspapers, such as the popular Daily Mail, which speak of the high

level of satisfaction expressed by UK patients who have gone to India for a wide

range of surgical operations.

These reports are not intended to project India in a positive light but to

embarrass the Labour government by arguing that conditions in Britain are

apparently so bad that even a Third World country like India offers a better

alternative.

One of the biggest problems in Britain is the waiting period, which patients

can circumvent by flying to India. Rates are much cheaper for equivalent private

treatment in India.

Poor Indians, of course, do not need to be told of the conditions they face in

government hospitals, but the attack by Nundy and Sengupta may come as a

revelation to the British.

The Telegraph can disclose that the British Medical Journal did not commission

the article, but Nundy was so enraged by the inequality he has witnessed that he

decided to put the scalpel into the medical establishment in India.

One of the journal’s deputy editors, Dr Trish Groves, said the idea for the

article was suggested by Nundy, who is on the journal’s editorial board. “We

were happy to publish it.”

While the West has been concerned about the brain drain and the recruitment of

nurses from Africa, less attention has been focused on India. Groves did not

want to pass a moral judgement on the twin-tier health service available in

India, but said the country needed to give urgent attention to serious new

problems.

In India, diseases such as diabetes and of the heart, more usually associated

with the affluent West, are becoming more common. “India has a very, very high

standard of private care. It has been on the cutting edge in things like IVF.

But India is facing more and more diseases, not just the traditional infectious

diseases, but also things like HIV,” said Groves.

She acknowledged that while some might believe in the benefits of the

“trickle-down” effect, good healthcare should be available to all.

Nundy and Sengupta say in their article: “Foreigners in increasing numbers are

now coming to India for private healthcare. They come from West Asia, Africa,

Pakistan and Bangladesh for complex paediatric cardiac surgery or liver

transplants — procedures that are not done in their home countries.”

They point out: “They also come from the United Kingdom, Europe and North

America for quick, efficient and cheap coronary bypasses or orthopaedic

procedures. A shoulder operation in the UK would cost £10,000 done privately or

entail several months’ wait under the NHS (National Health Service). In India,

the same operation can be done for £1,700 and within 10 days of a first email

contact.”

The authors say that not enough money is spent in India on healthcare. “The

recent remarkable growth of the private health sector in India has come at a

time when public spending on healthcare at 0.9 per cent of gross domestic

product is among the lowest in the world. This proportion has fallen from an

already low 1.3 per cent of GDP in 1991.”

The contrast between what is realistically available to rich foreigners and to

Indians could not be greater. “In a recent survey carried out by Transparency

International, 30 per cent of patients in government hospitals claimed that they

had had to pay bribes or use influence to jump queues for treatment and for

outpatient appointments with senior doctors, and to get clean bed sheets and

better food in hospital. The medical system is failing its own people.”

According to Nundy and Sengupta, who feel that foreigners are distorting

healthcare, “medical tourism to India is expected to become a billion-dollar

business by 2012”.

Their solution? “The first priority must be to increase public expenditure on

healthcare. In India, each year, tuberculosis kills half-a-million people and

diarrhoeal diseases more than 600,000. It is time for the government to pay more

attention to improving the health of Indians rather than to enticing foreigners

from affluent countries with offers of low cost operations and convalescent

visits to the Taj Mahal.”

 

http://www.telegraphindia.com/archives/archive.html

 

 

 

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