Dr.B.M. Hegde has written two books and it is a must read.” What doctors do not study in Medical colleges “Now he is bold to reveal all these.This is from Dr. B M Hegde.Prof. B. M. Hegde, MD, FRCP, FRCPE, FRCPG, FRCPI, FACC, FAMS.Padma Bhushan Awardee 2010.
How Indian Doctors Loot Patients, These observations are completely true.
Corruption has many names, and one of civil society isn’t innocent either. Professionals and businessmen of various sorts indulge in unscrupulous practices.
1) 40-60% kickbacks for lab tests.
When a doctor (whether family doctor / general physician, consultant or surgeon) prescribes tests – pathology, radiology, X-rays, MRIs etc. – the laboratory conducting those tests gives commissions.In South and Central Mumbai — 40%.In the suburbs north of Bandra — a whopping 60 per cent!
He probably earns a lot more in this way than the consulting fees that you pay.
2) 30-40% for referring to consultants, specialists & surgeons.When your friendly GP refers you to a specialist or surgeon, he gets 30-40%.
3) 30-40% of total hospital charges.
If the GP or consultant recommends hospitalization, he will receive kickback from the private nursing home as a percentage of all charges including ICU, bed, nursing care, surgery.
4) Sink tests. Some tests prescribed by doctors are not needed.
They are there to inflate bills and commissions.The pathology lab understands what is unnecessary.These are called “sink tests”; blood, urine, stool samples collected will be thrown.
5) Admitting the patient to
” keep him under observation “People go to cardiologists feeling unwell and anxious. Most of them aren’t really having a heart attack and cardiologists and family doctors are well aware of this.
6) They admit such safe patients,
put them on a saline drip with mild sedation and send them home after 3-4 days after charging them a fat amount for ICU, bed charges, visiting doctors fees.
7) Unnecessary caesarean surgeries and hysterectomies.
Many surgical procedures are done to keep the cash register ringing.Caesarean deliveries and hysterectomy (removal of uterus) are high on the list. While the woman with labour -pains is screaming and panicking,the obstetrician who gently suggests that caesarean is best seems like an angel sent by God!Menopausal women experience bodily changes that make them nervous and gullible.They can be frightened by words like ” and “fibroids” that are in almost every normal woman’s radiology reports.When a gynaecologist gently suggests womb removal”as a precaution” most women and their husbands agree without a second’s thought.
8) Cosmetic surgery advertized through newspapers.
Liposuction and plastic surgery are not minor procedures.Some are life-threateningly major but advertisements make them appear as easy as facials and waxing.The Indian medical council has strict rules against such misrepresentation but nobody is interested in taking action.
9) Indirect kickbacks from doctors to prestigious hospitals.
To be on the panel of a prestigious hospital,there is give-and-take involved.The hospital expects the doctor to refer many patients for hospital admission.If he fails to send a certain number of patients,he is quietly dumped and so he likes to admit patients even when there is no need.
10) “Emergency surgery” on dead body.
If a surgeon hurriedly wheels your patient from the Intensive Care Unit to the operation theatre,refuses to let you go inside and see him and wants your signature on the consent form for “an emergency operation to save his life”it is likely that your patient is already dead.
The “emergency operation” is for inflating the bill;if you agree for it,the surgeon will come out 15 minutes later and report that your patient died on the operation table and then, when you take delivery of the dead body, you will pay OT charges, anaesthesiologist’s charges, blah-blah-
Doctors are humans too. You can’t trust them blindly. Please understand the difference.
11) Young surgeons and old ones.
The young ones who are setting up nursing home etc. have heavy loans to settle. To pay back the loan,they have to perform as many operations as possible.Also, to build a reputation, they have to perform a large number of operations and develop their skills.So, at first, every case seems fit for cutting
But with age, experience and prosperity, many surgeons lose their taste for cutting, and stop recommending operations.
12) Physicians and surgeons.
To a man with a hammer, every problem looks like a nail.Surgeons like to solve medical problems by cutting, just as physicians first seek solutions with drugs.So, if you take your medical problem to a surgeon first, the chances are that you will unnecessarily end up on the operation table.Instead, please go to an ordinary GP first