re #1: [1] The common man walks in a government hospital and comes out on a stretcher -- dead meat. If you carry the charm and persona of the rich, or a personal recommendation of a powerful minister, the doctors at the GMC/Hospicio will come to you like puppies licking your feet and always looking up. The GMC is equipped to give the best in medicine. “Much good work goes on in that hospital, and we should understand and acknowledge that.” But when a patient needs emergency attendance forget it. This is true and qualifying it with necessarily is mere rhetoric. re #2:When it comes to private hospital's it is another story. What tests are conducted and how many times in a private hospital is a matter of personal interest to the concerned doctors or hospital. It is common knowledge that they are commission agents besides being doctors. A Doctor in a govt hospital will not recommend operation if it can be avoided but the same cannot be certainly said of a visiting doctor ‘operating’ in a private hospital. The ceaserian delivery stats will confirm that. NOBODY expects charity from private hospitals (in Goa or elsewhere) People come to private hospital aware of the cost implications, Hence the high amounts charged need to be justified with transparent services. re #3:The kin of the patient do not get a fair hearing. Dr Colaco you take things for granted. Your assume that all patients are knowledgeable and can directly communicate with the concerned doctor. Here, often the fact is that the patient is helplessly lying in bed while the kin are clueless about what exactly is the problem. The Doctor is certainly expected to properly explain the case to the patient or to a family member attending her particularly when it involves an operation. Just declaring that the patient will die in 6 months or six hours if not operated is not enough the doctor should properly explain the how and why. What do you think Dr Colaco? re #4:Fact is that a hospital is a big business. You say:That is why Governments (unfortunately) feel compelled to run public hospitals. I doubt anything positive can be written about the chaps who run the public hospitals in Goa. I say : That is why The common man walks in a government hospital and comes out on a stretcher -- dead meat.
Message: 10 Date: Thu, 25 Mar 2010 16:12:59 -0400 From: "J. Colaco < jc>" <[email protected]> To: "Goa's premiere mailing list, estb. 1994!" <[email protected]> Subject: Re: [Goanet] Private Hospitals Personal Interest Message-ID: <[email protected]> Content-Type: text/plain; charset=ISO-8859-1 Anthony M Barreto <[email protected]> wrote: [1] The common man walks in a government hospital and comes out on a stretcher -- dead meat. [2] When it comes to private hospital's it is another story. [3] The kin of the patient do not get a fair hearing. [4] Fact is that a hospital is a big business. COMMENT: My dear Tonybab, Your post was quite striking in many ways. This is a topic which interests me immensely. So, please allow me to comment on your post. re #1: While I am appalled at the state to which our Goa's public hospitals have degenerated over the past 40 years - despite the amount of funds Goa has generated during this time span and continues to generate, this statement of your isn't necessarily true. It has been my personal belief that civil servants who have no idea of Goa should never be at the helm of institutions in Goa until they have received a firm understanding of Goa and its needs (usually takes 10-15 years of domicile). If you put such folks in charge ..... the primary interest will be mercenary ...and the institution will degenerate because of a lack of true interest. Please read the basic premise of Rajan Parrikar's posts on Goa. needless to say, I agree with him. Even so, much good work goes on in that hospital, and we should understand and acknowledge that. One rarely hears about the cases which the public hospitals save. re #2: It is my understanding that private hospitals (in Goa) are primarily there NOT for charitable purposes. During the Portuguese era, the nuns and the lottery helped run some of the private hospitals. They were apparently spotlessly clean and they reportedly provided the best level of care that was known then and which could be provided at the time. That was then. In the late 1960s-1970s ...there was a lot of politics (at the time of Deans Vengsarkar, Abraham and the surgeon Dean who followed - based at GMC) to take over those hospitals; and take over, they did. It is impossible now, for private hospitals to run at a high level unless they take short-cuts or they charge high amounts. re #3: Not very clear what you mean by that statement. Are you suggesting that doctors should 'talk' to relatives of an adult patient - without being specifically advised to do so by the adult patient? re #4: That it is. That is why Governments (unfortunately) feel compelled to run public hospitals. I doubt anything positive can be written about the chaps who run the public hospitals in Goa. jc Tony Martin Copy/Content Writing Galgibaga, Canacona Your Mail works best with the New Yahoo Optimized IE8. Get it NOW! http://downloads.yahoo.com/in/internetexplorer/
