Riding an Unbridled Horse to War


Corporate hospitals in India have enjoyed a checkered reputation. 

They had entered the market to fill a great void in quality medical care.  They were considered a boon in the 1990s in view of being internationally accredited hospitals with 5-star facilities, state of the art technology and several layers of safety checks. These were the very characteristics that were lacking in the government hospitals. They soon hired all the revered and legendary professors from apex government medical institutions, luring them with hefty salaries. These hospitals were thus an instant hit with those who could afford them. Not only did they offer luxurious facilities, they were also real game changers in terms of quality of care, providing excellent results. This resulted in doctors of Indian origin migrating back from the USA and the UK to work in India. These hospitals started attracting medical tourism and claimed that they were helping the Indian economy!1

While corporate hospitals were emerging as  the benchmark of medical care, the government hospitals failed to put a creditable competition due to dismal funding for health in India. The government has not been serious about upgrading healthcare services in the public sector.2,3 A recent event, as many others,  underline this fact. When Delhi’s health minister needed plasma therapy, he was admitted to a private hospital rather than a public sector hospital.4 The result is obvious. Over time, corporate hospitals have proliferated and have converted what was once a vocation into an ‘industry’ (the healthcare industry). 

The right to a healthy life and  healthcare has been recognized as a fundamental right of every citizen of India.5 The onus of providing it, therefore, lies on the State, especially if an individual cannot afford it. The fact is that the state has failed to ensure this. Indian healthcare is dependent on private medical setups. Over 60% (hospital) beds are in private hospitals. The out-of-pocket expenditure (met with by individual citizens) as a proportion of the total health expenditure was as high as 65% in 2015.6 With the gross shortage of beds and facilities in public sector hospitals, the government has enacted laws (various Clinical Establishment Acts or CEAs), which place the onus of providing medical care to the public on private hospitals too. The Law Commission of India, in its 201st report in 2006,7 was the first to moot the idea of mandatory provision of health services in an emergency. However, it had also stressed on a mechanism to reimburse the private establishments for the treatment provided—something that the state has royally ignored. The private hospitals were originally created to earn profit, and therefore, are opposed to the very idea of CEA.8 ,9

In almost every sector, private organizations are better, faster and more efficient than state-run monoliths. However, several principles of economics and competition do not apply to healthcare. The private initiative in this field is replete with mines, namely excessive medical intervention and iatrogenic harm. Corporate hospitals, just like the pharmaceutical industry, are more obsessed with marketing newer and costly techniques, rather than community care.10

The darker side of corporate hospitals started to become apparent within a decade or so. Corporations are basically financial arrangements for a common goal. Thus, corporate medicine has two dimensions—financial and clinical. How one balances the two makes all the difference. Today, corporate hospitals are mostly business ventures, which either hire doctors on salary to see patients for them or enter into agreements with doctors to see patients on a profit-sharing basis. Doctors have no say in corporate policies; however, they continue to have personal liability to individual patients.11

A peep into the anatomy and functioning of a corporate hospital will give you some insight. Doctors form only 10%–15% of the hospital’s workforce, with technicians, nurses, secretaries, managers, marketing, finance, housekeeping, security and legal services forming the rest. Not to forget hospital administrators, who often draw salaries much higher than that of an average doctor. Where does the money for the infrastructure and salaries of all these people come from? Obviously, from the patients! And who has the honour of taking it out of the patient’s pocket? In the patient’s eye, it is the man on the frontline—the doctor. It is not unusual for a patient to pay a hospital bill of Rs. 1 million, which may include only Rs. 10 000 as doctor’s fees. But in the patient’s mind, it is the doctor who has charged Rs. 1 million. Damn the greedy doctor!

Corporate philosophy is not in sync with the moral duties of a doctor. The former’s focus is on profits and not on the community’s needs. The management provides bonuses and incentives to those doctors who earn them larger profits. Every doctor who joins a corporate hospital is asked to take an indemnity insurance of at least of Rs. 5 million, preferably double that. In effect, the hospital sends the doctor a message that ‘every patient is a potential plaintiff—make sure you don’t miss anything! Cover every possibility; it is safer to over-investigate and over-treat.12 This leads to excessive investigation and over-treatment. In corporate hospitals, it is commonplace to encourage doctors to conduct aggressive screening tests for diagnosing breast, lung and colorectal cancers, even though science says that such screening may not improve overall mortality.13,14,15 Working for a corporate hospital thus has an inherent conflict of interest for the doctor, if one has to toe the corporate line.

The intelligent public can see the balance tipping on the other side, and obviously, there is outcry about ‘over-care’.16 Problem is not peculiar to India.  Global medical profession, after writing 16.2 million prescriptions of antidepressants a year for longer than a decade, discovers that these drugs are no better than placebo in a majority of cases.17,18 Even in the USA, there is talk of surgeries being done which may not benefit the patient. Over-care may be a global phenomenon; but, its implications are harsher for poorer societies.19 

In this scenario, an unprecedented COVID-19 pandemic unfolded earlier this year, as a public health emergency. Everyone expected the medical professionals to be the soldiers who will save them. Everyone also expected that corporate hospitals will rise to the occasion and take an active part in the public service. Free public service is okay as far as corporate social responsibility goes, but can a corporation survive without earning? Can it ignore that it has to pay the salaries of all the employees as well as humongous bills for various consumables and services?

Most corporate hospitals have senior doctors (retired from government service) as the heads of the department. As leaders of the team, they are expected to lead from the front.  And it is well known that COVID-19 is especially lethal in this age group. Government also announced that people above 65 years of age should stay at home. Some senior doctors decided to pay heed to this advice and abstained from coming to hospital. Many decided to take their leadership role seriously, and did come to hospital to lead their team from the front. These brave-hearts were cautious enough to significantly reduce their contact with patients and active management.

Patients with illnesses that were short of being an emergency, stopped coming to hospitals lest they may acquire the virus (SARS-CoV-2).  The revenues of corporate hospitals plummeted during the initial period of lockdown and the hospital administrators started panicking. While Indian Air Force was showering flowers on the front-line healthcare workers, their salaries were being cut due to the cash crunch.20 The stress on doctors was increasing as they were expected to stay quarantined away from their family while they looked after COVID-19 positive cases. Particularly distressed were those doctor couples who had small children. This group was earlier managing to work due to the backing by the maid servants and nannies. Lockdown meant that maids and nannies would not be coming. The schools were closed and parents found it extremely difficult to attend to duties leaving children unattended.

Government’s response in various states was variable and made a lot of difference. It was obvious that the Governments did not have the resources to Nationalise all the healthcare facilities. At the same time, it could not do without the roping in the corporate and private hospitals. For example, in Delhi, all hospitals were asked to keep 20% or more beds reserved for COVID-19 patients.21 This resulted in confusion about isolating these patients within the general premises with common air-conditioning and other services. Non-COVID-19 patients started avoiding hospitals lest they may catch the disease. Hospitals started to  turn back sick patients once their 20% quota of COVID patients was full. Doctors were reluctant to see patients without adequate PPE, which was perpetually in short supply. Who will bear the cost of PPE in a private hospital? Obviously the patient, and the cost of care skyrocketed. 

Charges per day for admission being quoted were ₹25,090 for general ward, ₹27,190 on twin sharing, ₹30,490 for a private room, ₹53,050 for ICU without ventilator and  ₹72,550 with a ventilator.22 Many other charges including treatment of non-COVID-19 comorbidities were extra. Cost of PPE varies from ₹3,900 to ₹7,900 depending on which ward the patient is admitted. A PET scan costs separate ₹27,600, while a chemoport insertion costs as much as ₹42,000 and so on. (Bed charges in Hyderabad were even higher, ranging from 1-1.5 Laks/day)23 The hospital charges are now subject of sarcastic editorial comments.24 Delhi Government asked corporate hospitals to share the cost of treatment25 and left them to fend for it. Corporate Hospitals said that they had limited resources, and from a financial point of view they may not be able to sustain operations.

The question is, “Are corporate hospitals really bad or is it just a matter of perception?” Some one has said that China perceives His Holiness Dalai Lama as a terrorist, and Masood Azhar as a religious leader. Are we giving Corporate hospitals a bad name without understanding their SWOT?

In Mumbai, hospitals were asked to reserve 80% beds for COVID-19 cases and also capped the price of treatment.26 Declining footfalls, rising consumables and staff costs led to a situation where private hospitals’ survival became difficult.27 Soon, several hospitals closed down.33 It was partly due to exposure of doctors to patients who were treated in routine facilities, but later turned out to have COVID-19, and partly due to problems with financial sustainability. Doctors started insisting that patients first be tested for the virus (SARS-Cov-2) before they took him/her up for treatment.  A patient coming for treatment of non-COVID-19 emergency, also had the right to ask that doctor be tested for Covid-19 before he touches him/her. Such tests could not be permitted as it was against National guidelines. Moreover testing capacity was limited and not enough to cope with such demands. And the question remained if the patient should be paying for all such tests? This situation places corporate hospitals at a great disadvantage.

Somehow, our Governments failed to empathise with the  working of private hospitals as well as that in Australia did. Corporate hospitals survive because of the revenue generated. If you are asking them to cut down their earnings, they need to be financially supported. If the Government does not support the hospital, all the financial burden will fall on the patient, which is the only source of revenue for a private hospital. Australia resorted to “a “once-in-a-century redesign” of the country’s hospital services and the federal government there decided to bear half of the cost of integrating the private hospital system with the public one in preparation for Covid-19.28

National Guidance on the management of COVID-19 cases were very clear.29 It asked for ‘Dedicated COVID Health Centres’ and ‘Dedicated COVID Hospitals’ for management of COVID-19 patients. The states that followed these guidelines (for example Odisha)30 were much better off than those who did not (like Maharashtra and Delhi). There are several factors that have led to high incidence rates of this disease in some states, but a public-private partnership to create region-wise dedicated facilities (somewhat like the Australian model) may have been beneficial. Was the Governments’ hesitation to shake hands with corporate hospitals due to trust deficit?

However rapacious corporate hospitals may be, they are an asset that can be fruitfully utilised in an emergency. It is always better to have some hospitals designated as the COVID-19 hospitals region-wise. If a private hospital is taken up for public work, the Government may also arrange for its funding to a reasonable extent. The salaries of doctors who are under quarantine for performing their professional duties should not be cut. Doctors need more than applause at this difficult time. Sadly, some have been asked to vacate their rented flats if they continue working in a hospital!31,34 Just like doctors, Corporate hospitals too need to be carefully handled. It is not impossible to modulate their behaviour.

It is clear that the Governments so far, do not trust any corporate hospital to be an honest and selfless service provider. They are willing to trust the doctors, who are governed by the medical ethics and can be penalized if they cross the line. No ethics has been mandated for corporate hospitals which in the eyes of the Government, are like unbridled horses. If doctors can not advertise, corporate hospitals can use the face of the same doctors to advertise. If doctors can not solicit patients, the hospitals can, through their marketing departments. And then there are dirtier practices too, that doctors have learnt from the corporate practices.32 Personally I think, it is high time that our planners thought of equating corporate hospitals with  doctors in terms of ethics. Knowing that they can be penalised for crossing the ethical boundaries, may add some self restrain in the corporate pursuit for profits.There is a huge capacity for medical care available out there which the Government can tap. The corporate hospitals will be too happy to be part of mainstream if the Government follows a win-win policy.


1, 16 Anand AC. Indian healthcare at crossroads (Part 1): Deteriorating doctor–patient relationship. Natl Med J India 2019; 32(1): 41-45.
2 India’s healthcare in dismal condition: Report. Available at www.businessstandard.com/article/news-ians/india-s-healthcare-in-dismal-condition-report-114092401264_1.html.
3  Jain D. Budget 2018: India’s health sector needs more funds and better management. Available at www.livemint.com/Politics/drnszDrkbt418WpuQEHfZI/Budget-2018-Indias-health-sector-needs-more-funds-and-bett.html.
4 https://www.ndtv.com/india-news/coronavirus-delhi-health-minister-satyendar-jain-in-hospital-with-coronavirus-to-be-administered-plasma-therapy-2248957
5 Anand AC. Indian healthcare at crossroads (Part 3): Quo Vadis? Natl Med J India 2019; 32(3): 175-183.
6 The World Bank. Out-of-pocket expenditure (% of current health expenditure).Available at https://data.worldbank.org/indicator/SH.XPD.OOPC.CH.ZS.
7 Law Commission of India. 201st report on emergency medical care to victims of accidents and during emergency medical condition and women under labour (draft model law annexed). August 2006. Available at http://lawcommissionofindia.nic.in/reports/rep201.pdf.
8 Pandey K. Why is private healthcare opposing the Clinical Establishments Act? Available at www.downtoearth.org.in/news/health/why-is-private-healthcareopposing-the-clinical-establishments-act-59766
9  40000 private hospitals and clinics closed in Karnataka. Available at https://health.economictimes.indiatimes.com/news/hospitals/40000-private-hospitalsclinics-closed-in-karnataka/61485393
10 Spence D. Medicine’s leveson. BMJ 2012;344:e1671.
11 Anand AC. A primer of private practice in India. Natl Med J India 2008;21:35–9.
12 Vaughan D. The dark side of organisations: Mistakes, misconduct and disaster. Ann Rev Sociol 1999;25:271–305.
13 Spence D. Greed isn’t good. BMJ 2011;342:d524.
14 Mayor S. Expert group advises separating risk and benefit information from cancer screening invitations. BMJ 2012;345:e5322.
15 Woloshin S, Schwartz LM. How a charity oversells mammography. BMJ 2012;345:e5132.
17 Hastings G. Why corporate power is a public health priority. BMJ 2012;345:e5124.
18 Spence D. Bitter sweets. BMJ 2008;336:562.
19 Krumholz HM. Cardiac procedures, outcomes, and accountability. N Engl J Med 1997;336:1522–3.
20 https://www.financialexpress.com/lifestyle/health/salaries-not-paid-for-three-months-kasturba-gandhi-hindu-rao-hospital-doctors-threaten-mass-resignation-in-delhi/1990306/
21 https://www.india.com/news/india/coronavirus-delhi-these-22-private-hospitals-asked-to-reserve-more-beds-for-covid-19-patients-check-list-4053712/
22 https://www.thehindubusinessline.com/news/loss-of-face-for-max-hospital-over-steep-covid-19-charges/article31826850.ece
23 https://timesofindia.indiatimes.com/city/hyderabad/hyderabad-private-hospitals-charging-lakhs-for-covid-19-treatment/articleshow/76365256.cms
24 https://timesofindia.indiatimes.com/blogs/jugglebandhi/hospital-hostages-thanks-to-coronavirus-one-sector-of-the-economy-is-making-mega-bucks-like-never-before/
25 https://www.hindustantimes.com/delhi-news/delhi-govt-asks-all-hospitals-to-share-covid-19-treatment-charges-amid-high-cost-buzz/story-niyhnQCqLtDAMvhkSRoFwO.html
26 https://www.theweek.in/news/india/2020/06/09/how-mumbai-private-hospitals-are-fleecing-covid-19-patients.html
27 https://economictimes.indiatimes.com/industry/healthcare/biotech/healthcare/covid-19-outbreak-a-near-death-experience-for-private-hospitals-too/articleshow/75239012.cms?utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst
28 https://www.theguardian.com/australia-news/2020/mar/31/federal-government-pay-half-integrate-private-public-hospitals-covid-19-response
29 https://www.mohfw.gov.in/pdf/FinalGuidanceonMangaementofCovidcasesversion2.pdf
30 https://www.ndtv.com/india-news/odisha-to-have-36-dedicated-hospitals-for-covid-19-patients-soon-report-2212462
31 https://www.newindianexpress.com/states/telangana/2020/mar/24/while-people-clapped-for-those-in-front-line-fighting-virus-telangana-landlords-leave-doctors-homele-2120839.html
32 https://www.dailyo.in/politics/the-ethical-doctor-medicine-corruption-cut-practice-referral-diagnosis-hospitals/story/1/13219.html
33 https://www.livemint.com/news/india/coronavirus-scare-3-private-hospitals-in-south-mumbai-closed-for-new-patients-11586443524154.html
34 https://www.deccanherald.com/national/amidst-covid-19-outbreak-landlords-ask-doctors-nurses-to-vacate-houses-govt-warns-owners-817435.html



  1. A very emotional article sir. it was a true picture of a corporate sector health care facilities you have reflected in your article. i sincerely hope if GOI will take a note of such reviews and take more out of pocket expenditure from a common man to the exchequer while delivering same health care facilities. many thanks for upbringing such an important topic at this time of public emergency.

    30 June 2020
  2. Sudeep Khanna said:

    Sir, an amazing ,realistic Presentation of today’s health scenario.
    Thank you for sharing.

    30 June 2020
  3. Yogesh chawla said:

    Very well said Anil You have given the true picture of what is happening How many Doctors have lost their life treating Covid The health budget has been very meagre all these yrs Hence hospitals were not well equipped to deal with a situation like Covid This pandemic has been an eye opener for all of us to see better facilities coming up in govt hospitals Recently in an interview of the Prime minister of Bhutan who happens to be a Doctor in the last 1.5 years of his position he raised the salaries of doctors and teachers as highest in Bhutan What a great initiative Hope other countries follow this example

    30 June 2020
  4. Neeraj Nagpal said:

    There are no free lunches your honor


    The honorable Supreme Court has asked private laboratories to do Covid 19 testing free (on credit to be paid later by Government). Honorable Chief minister Punjab has likened those doctors not running OPDs to deserters in times of war. Other states are conscripting private nursing homes for isolation and treatment of covid 19 patients without compensating them for their infrastructure and services. However everything is not gloomy, the country on request of the honorable prime minister has clapped for the covid warriors. We are grateful for the claps but are a teeny weeny bit concerned why the chaps insist in using our heads, face, and backs instead of their other hand or a utensil to clap or make the din. Why do they need to run after us, twist our arms to show the appreciation.

    In times of war for example in 1971 there was emergency conscription of doctors where anyone who was qualified fit and volunteered was given a short service commission. I have not seen a single advertisement by any Government state or center for creating more posts for doctors contractual or permanent even in these difficult times. UT administration has asked for private doctors to visit patients at home voluntarily meaning “free of charge”. There is no talk of providing them personal protection equipment or security what to talk of payment for their services but because their clinics are closed and they are idle hence they should volunteer. Once I sign up for this “service” and I refuse to visit a patient at odd hours in hot zone without PPE of course my registration will be cancelled or worse I will be tried and prosecuted like a deserter.

    In our country where spitting at the exact dead center where two walls meet is a compulsory subject taught as an art form since childhood, the social distancing implemented fairly well till now will only take us so far. Modern medicine today is neither cheap nor universally available mainly because of costs involved and viability. 15000 crore released by the Government for the fight against Covid 19 is a pathetic pittance which will not be sufficient even for cosmetic changes. If even in these difficult times we are not willing to put our money where our mouth is then we better leave it to Gods alone to save our country. Daily expense on proper PPE, sanitization and salary of a doctor on the frontline is huge specially when the price of these essential medical supplies has skyrocketed. We mouth platitudes, prey on patriotic sentiments, use propaganda, threaten with dire consequences but will not do what needs to be done. Hire doctors, pour money into this fight against Covid 19, create emergency infrastructure / field hospitals. In the absence of a serious and sustained effort, Private doctors and establishments should be prepared for the blame to be squarely placed at their doors publicly for the healthcare calamity which is anticipated in the forthcoming weeks.

    Dr Neeraj Nagpal
    Medicos Legal Action Group

    30 June 2020
  5. Satyendra Tyagi said:

    The article tries to follow the narrow path of being neutral to both corporate and public healthcare system; it however leaves an aftertaste of a bias towards the corporate system. Perhaps rightly so, but the massive scale of public healthcare needs would never be met by any corporate hospital. Well searched and as usual elegantly written.

    30 June 2020
  6. Kanchan K Malik said:

    Nuanced analysis and balanced writing. In-depth research too – covering all sides of the picture.

    “High time that our planners thought of equating corporate hospitals with  doctors in terms of ethics.” to make them accountable. And “If a private hospital is taken up for public work, the Government may also arrange for its funding to a reasonable extent.”

    A lot there for healthcare policy makers and regulators. Is anyone listening?

    30 June 2020
  7. Dr Deepak Kumar Jain said:

    It has been going on for ages that politicians in Bharat will tell people to go and get treatment for complicated diseases also like cancer etc through ayurvedic, homeopathic & unani system of medicine along with aloopthic government hospital, but if politicians fall sick then they will travel to foreign countries even for minor ailments on government expanses

    Similar is the case of education system also. Although they will get their children educated by own sources or from gifts / donation from here and there

    30 June 2020
  8. Dr Amitabh Sagar said:

    Dear Sir,
    An incisive perspective into the reality of the health sector in India and an eye opener to those who never understood the mechanics .
    I had given a talk on “ Violence on doctors … Time to wake up ! ‘ at APICON 2018. It has a common ground to understand this current write . For those who are interested , the same can be accessed from the conference book.

    30 June 2020
  9. Maj Gen Ajay K Dutta said:

    There is lack of will in government sector to create reasonable health facilities and simultaneously private sector has apathy towards suffering of society even during emergency. It is very much possible to establish, run and maintain good health institutions with present financial support and existing rules& regulations . Indian Armed forces are running good medical facilities distributed all over country. These facilities provide contemporary medical care, generate trained medical health care professionals and able to win trust and faith of their dependant clientele . Where as contemporary civil administration not able to establish, fail to run and are poorly maintained. Very large amount of finances are spend in making superspeciality hospital inJanakpuri & 1360 beaded Dawarka hospital with no benefit to dependent population. The policy makers are not able to generate adequately trained health care professionals and provide supporting finances .There is lack of planning, will to excel and no accountability & responsibility. It is very much possible to run even private sector health facilities with reasonable profit but most health administration sees an opportunity to boost finances instead of time to repay back to society during emergency. Now most of private health facilities are business module instead of service providers . The role of government regulators to demand more efficiency from government institutions and increased awareness of societal obligations from private medical institutions.

    30 June 2020
  10. Sankar prasad Gorthi said:

    Very thought provoking assessment for government to follow.ever since MBA persons came empathy is blunted.the salience network got subdued.thank u sir.

    30 June 2020
  11. Gourdas Choudhuri said:

    Well written. Worthwhile read. Truly reflective of the current state of affairs of our healthcare system.
    The author, a brilliant experienced doctor, finally pitches for change in attitude and approach on the part of the government towards the private healthcare in India, taking cues from an Australian model which seems to have worked.
    I think the issues are far too many and too complex, as we are deeply torn between an emerging India and a resource restricted Bharat (cracks that became apparent during lockdown with the migrant workers crisis recently vs Netflix watchers, for example). And this article could serve as a preface to a wider discussion of whether the country’s decision to move from a welfare state to a privatised model iin healthcare has been worthwhile ..or should we discuss alternative strategies keeping Bharat in mind.
    Thought provoking.

    30 June 2020
  12. Lt Gen Akhil Nagpal (Retd) said:

    My dear Admiral Anand,
    As usual a candid and a well researched and powerfully articulated piece. I can totally identify with your assessment since I too had a brush with the same while working as a Chief of Clinical Services in a corporate hospital.
    The trust deficit between patient and the private hospitals at present seems difficult to bridge. The Govt also remains sceptical and highly suspicious of this segment of health care.
    My own take is that as long as these Hospitals are administered by heartless MBAs in Health Care who have no ideas about bedside ground realities the situation will not be remedied. Things may become patient centric if those ex senior Govt Doctor’s that you allude to are put at the helm. The MBAs at best can be their financial advisors and facility managers
    Have seen senior and competent clinicians been treated as menials by the CEOs unless they are money churners .
    If Corporate hospitals continue to be viewed with suspicion, this large reserve of high end medical facilities may not be harnessed in a pandemic situation such as this. A wasteful pity.
    Look forward to more of your incisive analyses
    Warm regards.

    30 June 2020
  13. Bipin Puri said:

    Prof AC Anand has once again by his very insightful article described the ugly underbelly of corporate hospitals.
    India’s total healthcare spending (out-of-pocket and public), at a dismal 3.6% of GDP, is way lower than that of most other countries and has shown the gaps in the Public sector hospitals bringing the faultlines under the lens.
    The article has put into perspective as to how the Covid crisis has inundated and overwhelmed even corporate hospitals expenditures due to falling non covid footfalls, low return of cost besides Govt apathy and insensitivity.
    Prof Anand’s plea to the Govt to augment health care spending, romanticize the Public private partnership model and some subsidies/grants/ policing of corporate hospitals is a visionary thought which requires to be embraced as we look up to improve the health care landscape and ecosystem in our country.

    30 June 2020
  14. Maj Gen P K Patnaik retd said:

    Government hospitals will only improve if “who is who” will have no option but to be treated in them. The people in power who go to a Govt set up because of a competent clinician/ Surgeon squeeze out all the scanty resources for their individual need making meagre facilities to nil to public. Any way I feel the health sector will get a kick for better. As usual a brilliant article. I wish it should have been a more acidic (Tikha). Enjoyed reading it.

    30 June 2020
  15. Suprio Ganguly said:

    In a career that started with the Indian Army Medical Corps that started in 1982 to the NHS for the last 16 years, via three other countries which included stints in state run health services and the private sector, no ideal solution has been found for this issue you have so eloquently highlighted, Sir.
    100% state run services, even when affordable, lack optimum efficiency, nurture a large self serving health bureaucracy, waste resources and slow to respond. In the end, they are unsustainable.
    I think, insurance company driven clinical governance and tariff setting, in cooperation with the government , may be a way forward.
    The German health care model is worth taking a good look in this respect. Recommended.

    1 July 2020
  16. K Ganesh said:

    The lucid writing with extensive references make this vexatious issue such a pleasure to read! Yet hopefully planners and public both reflect on the key issue here of ethics! Corporates too adhere to business ethics which they observe in the breach which is why regulators are needed! But without a clear mandate for them corporate hospitals should not be held to standards! Profits can always be made even in the course of service, but governments need to show intent and back it with fiscal support! A GST on viral transport medium in the midst of a pandemic is just one such straw on Indian Healthcare’s back!

    1 July 2020
  17. Dr.Advaitham said:

    All corporate hospitals get excise duty and other concessions from both State and central Government following the undertaking given to the concerned authorities that they will provide FREE service to the public upto 20% of their bed strength..But this fact is hidden by all corporates and none of us know this Secret since we had seen and grown in Government sector with all its difficulties. Now when we see the five 🌟 🌟 🌟 🌟 🌟 star comfort we have forgotten the government sector which was responsible for our growth and success. No wonder that we support the corporate unconditionally. Similarly we all want 5 star hotels for our academic activities sponsored by Pharma companies and ignore generic medicines sold at 10% cost by government sector. Hence we are also responsible for indirectly helping health INDUSTRY to get huge profits at the cost of our Humanism.

    12 July 2020
  18. trial said:


    12 July 2020
  19. Excellent analysis.
    It is true that commercialization of healthcare has been damaging and distorting to the inherent nature of the medical profession and sad that we have to pay this price for better infrastructure, updated technology, qualified staff, improved services etc.

    13 July 2020

Leave a Reply

Your email address will not be published. Required fields are marked *