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Interview With a Surgeon Hidden Hero of the NHS

wledge to ask questions when they visit their doctors. Further, physician rating as being tried in your website if used in an unbiased and intelligent manner can only lead to better quality of medical care.

7. On many occasions, doctors have been accused of being driven by bottom line figures. Are hospital managements to blame?

Delivering healthcare is an expensive process. Even an economically booming India does not have a bottomless pit of money in the public sector; the private sector cannot provide healthcare without healthy finances and by definition profit. At some point of time even wealthy paying patients have to draw a line on how much they can spend on healthcare.

The issue is about orientation and primacy. Does the healthcare sector exist to make money by delivering care? Or does the healthcare sector exist to provide healthcare by using money as a resource? As doctors we should take the latter view; that orientation would include making a profit as a private provider or prioritizing (rationing) in the public sector.

Unfortunately these become fuzzy on many occasions leading to accusations. I dont think patients want to see hospitals and doctors becoming bankrupt; but I am sure patients would like to feel that their health is the main priority of the provider and money is a mere tool to achieve it.

8. On National Doctors Day, give us your thoughts on how India could improve the lot of doctors in the country?

Uniformity of basic standards and infrastructure is a fundamental aspect of job satisfaction for doctors. In a country which has the high standards of Apollo and AIIMS there are also PHCs unsuitable and unworthy for inhabitation let alone medical treatment. It is desperately important for the government to address this problem. Resolving it will not be quick or pain free but it lead to a major transformation in the attitude of doctors and the attitude
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