I got to know that every referred case for angiography and angioplasty got a kickback of Rs 5,000 and Rs 15,000 respectively. Seeing this trend, doctors started paying referring doctors Rs 1 lakh in advance and adjusting it as and when patients came in. This menace slowly spread its tentacles all over the medical field, including radiological diagnostics and biochemistry laboratories. For every test ordered, 20 per cent of the bill was given back to the referring doctor. This led to doctors recommending unnecessary tests. The pharmaceutical companies also saw burgeoning business. Acclaimed doctors were given televisions sets, refrigerators, air conditioners and cars depending upon the prescriptions. General practitioners would prescribe unnecessary drugs, and were given returns in cash. A fascinating excerpt from Dr Upendra Kaul's When The Heart Speaks.
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''The avoidance of the 'P' word had less to do with reality and more to do with the politics -- domestic and international -- of Mr Modi and his efforts to both appear statesman-like (vis-a-vis Pakistan) and rid himself of the taint of being some kind of Muslim-baiting hardliner.'
'My interest is to open up transparency to the people who unnecessary raise these issues. The prime minister has full right to go wherever he is going but the question is why is he not transparent on expenditure.' 'When the prime minister went to the UN, he spoke of transparency. You are not complying with it. It shows hypocrisy.' Commodore Lokesh Batra (retd) on why he filed an RTI to find out how much Prime Minister Narendra Modi has spent on his foreign visits.
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