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Yes, today's Editorial does nothing more than echoes our own
feelings.
Many doctors in Assam, in spite of having a full-time job in rural areas,
do private practice. I think they are afraid of competition from these
half-baked doctors. As I said earlier I have experience in these matters. I
mentioned that besides the so-called quacks, experienced pharmacists practise
as doctors even in the urban areas of Assam not to speak of rural areas
where conditions are worst.There are reasons for it and there is
not room for detailed explanations just here.
My suggestion was in the context of the deplorable condition of medical
education in Assam.
There are 40 professors' and some 240 nurses' jobs vacant. And the Assam
Medical College is about to be derecognised. Why not try to complete these gaps?
There are rural health care units in the villages. Why not nake them work with
adequate staff and medicinal stocks?
In UK there is a proposal to expand the ambulance services in order to
treat patients at home thereby easing pressures at the outpatient departments
and cutting down patients' waiting time. Ambulance staff besides having
first-aiders have already a higher cadre capable of looking after serius cases
like those of cardiac patients. It is also in the pipeline to entrust nurses and
pharmacist with more funtions of health care.
So basically the idea of licentiate medical practitioners is not a bad one.
What is bad is the lack of proper attitude which a humanitarian service demands.
Why should peoiple refuse to work in the villages? Why should our villages be no
go areas? If it is not good for an MBBS, why should it be better for a LMP? Why
should village dispensaries be reduced to cow-sheds? Doctors should be
provided with proper accommodation both for residence and his work and of course
an adequate remuneration.As I understand avenues for advancement in
the medical services do exist.
My point was get the best out of the existing resources before undertaking
further schemes.
Bhuban
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