Thursday, December 12, 2024
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Shocking editorial!

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Editor:

We are shocked to see the editorial, Harijan Colony: Call for a pragmatic approach. (ST June 18, 2019). The entire content of the editorial is against the residents of the Harijan Colony and in the name of pragmatism and slum clearance, you have chided CM Conrad Sangma for his assurance to the Punjabi Lane settlers by saying, “But this does not solve the long term problem which is that of a slum in the vicinity of the largest market of Meghalaya, which is bursting at the seams.”

Dharavi is the biggest slum of Asia in the heart of Mumbai city. The city administration and the State government has not taken any steps to relocate the residents out of the city in the name of cleaning up the city. Right to a housing of one’s choice is a fundamental right and no state can force any such policy on the residents. You have not made a single reference to the history of the area and have arbitrarily condemned the residents of the area. Significantly, the whole editorial thrust is to give legitimacy to the Shillong Municipal Board, whose actions are in contempt of orders of the Meghalaya High Court.

We expect the Shillong Times to adopt an impartial approach and not a biased and sectarian approach against the poorest of the poor residents who have served the state of Shillong for the last two centuries.

Yours etc.,

Gurjit Singh,

Via email

MeECL services collapsing  

Editor,

The services of the MeECL are going from bad to worse in spite of numerous and regular shut-downs for so called maintenance works. Power outages are frequent in all major towns of the state. Rural areas go without any power supply for weeks on end. Reverse polarity happens every now and then posing a danger to the users. The inefficiency is so glaring yet there is no accountability whatsoever. The senior management seems to have lost all control over it’s ground and maintenance staff!

To add to the woes of the paying individual consumer, the MePDCL also seems to be on a downward slide. Two years back I had complained online on their website as well as to the Grievance Committee that one cannot make any corrections/alterations in respect of their profile like contact number etc. Nothing has been done even up-to today. Doesn’t this Corporation have an IT Manager? And if yes, what is he/she doing? Or is it that no one bothers to check and test the functionality of the various options on the website?

The worse, however, is that their website has now been non-functional for a month! Online payments can, therefore, not be made. Do the officials of this utility expect the senior citizen consumer to go back to the old practice and stand in line for an hour or more to pay the electricity bill?

Those at the helm of affairs in these two Corporations, what do you do during your working hours? Do you even attend office, because that is what it looks like? We are paying for electricity unlike you who get free power supply!

Is there any hope for these utilities, or are they on the verge of collapse?

Yours etc.

Eugene Thomas,

Shillong 793006

Is medical  education  expensive ?

Editor,

I  have  often  pondered  over  this  dilemma  faced  with  a  barrage  of  high  profile  persons  including  political leaders, social scientists, administrators  and  even  doctors like  Dr  Devi  Shetty  endorsing  the  view  that  it  is.  Figure  of  1 crore  being  spent  by  the  Government  on  every   MBBS doctor  produced  has  been  bandied  about  for  a  long  time. This  is  the  excuse  used  to  introduce  a  compulsory  rural  service  for  MBBS  students from  time  to  time  in  different  states  in  different  forms. Even  the  idea  of  No Objection certificate  from  MCI  needed  by  MBBS  doctors  to  go  abroad  stems  to  some  extent  from  this  hoax. Yes  I  call  it  a  hoax  or  a  propaganda and  I  will  try  to  prove  the  same.

Where did  this  figure  come  from ? My  idea  is  that  it  was  picked  up  from  what    private  medical  colleges  charge  as  fee  and  ancillary  charges  from  its  victims. Total  of  about  67,000  MBBS  doctors  are  produced  in  India  every  year. If  it  costs  1  crore  per doctor  as  input  cost  then  we  are  spending  67000  crores  on  this  venture  as  a  nation. With  approximately  32,000  Government  seats  we  can  whittle  down  the  Government’s  expenditure  to  32000  crores  which  is  65 %  of  the  nation’s  budget  for  healthcare. Even  taking  into  account  the  states’  contribution the  Government  then  is  spending  about 40%  of  its  annual  budget  for  health  only  on  medical education. If  we  take  example  of  UT  Chandigarh  which  has  budget  of  about  475  crore  for  health  which  it  has  to  cover  expenditure  of  all 4  major hospitals multiple dispensaries  and other  facilities  at  its  command  obviously  it  is  not  spending  100  crore  out  of  this  only  on  education  of  MBBS  doctors.

Fact  is  Medical  Education  provides  cheap  labour  to  healthcare  and  if  anything, it subsidizes  the  healthcare  provided to  the  citizens  as  part  of  its  constitutional  responsibility  by  the  Government. If  undergraduate and  post graduate students  were  not  to  participate  in  providing  healthcare, the  entire  system  would  collapse  and  Government  would  need  to  hire  three  times  more  doctors  and  nurses  to  do  the  same  inadequate  job  it  currently  does. In fact  medical  education  saves  expenditure  which  government  would  otherwise  have  to  do  as  part  of  its  duty.

Why  then  is  this  oft  repeated  propaganda  heard  that  Government spends “crores” to  make  one  doctor. The  reason  is  that  the Government  is  loathe  to  let  go of  the  cheap   labour  which  it  has  used  and  abused  for  10  years  or  so  it  takes  to  prepare  a  doctor  and  wishes  to  extend  the period of  bonded  labour  by  another  2-3  years  by  hook  or  crook  if  possible. Unfortunately  since  this  figure  has  been  loosely  and  frequently  stated  in  public , press  and  even  in  court  judgments  and  it  has  never  really  been  countered, hence  it  has  become  entrenched  in  public  psyche.

Medical  education  is  extremely  profitable  which  is  why  so  many  powerful  people  ventured  into  it. 80 MPs were  reportedly  owning Medical Colleges  at  one  time. Students  who  could  not  afford  the  60 lac to 1 crore  cost  in private colleges in India  go  abroad  where  the  MBBS  education  is  obtained  in  15-30  lakhs   cost  from  different  countries. Obviously  those  managing  the  colleges  in  China, Philipines, Russia, and  so  many  other  countries make  a  profit  from  this amount.

What  is  needed  is a  white  paper  from  the  Government  as  well  as  the  medical  associations  on  the  factual  cost  of  medical  education  after  a  detailed  study  of  the  matter.

Yours etc.,

Dr  Neeraj  Nagpal 

Convenor,Medicos  Legal  Action  Group,  

Managing Director MLAG  Indemnity, 

Ex  President  IMA  Chandigarh

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