----- Forwarded Message ---- From: Srinivasan Parthasarathy <[email protected]> To: RAMKRIPA Group <[email protected]>; TC TC <[email protected]> Sent: Mon, March 28, 2011 7:40:42 AM Subject: [ramkripa:6137] Commission!!!!...... ..........Must Read Indirect methods are prevailing every where. Vasu From: Nischal Kenia >Subject: Commission!!!!...... ..........Must Read > > > > >COMMISSION > >Corruption has many names, and one of these names is “commission”. The >government is no doubt corrupt… but civil society isn’t innocent either. >Professionals and businessmen of various sorts indulge in unscrupulous >practices. I recently had a chat with some doctors, surgeons and owners of >nursing homes about the tricks of their trade. Here is what they told me: >1) 40-60% kickbacks for lab tests. >When a doctor (whether family doctor / general physician, consultant or >surgeon) >prescribes tests – pathology, radiology, X-rays, MRIs etc. – the laboratory >conducting those tests gives commissions. In South and Central Mumbai -- 40%. >In >the suburbs north of Bandra -- a whopping 60 per cent! He probably earns a lot >more in this way than the consulting fees that you paid him! >2) 30-40% for referring to consultants, specialists & surgeons. >When your friendly GP refers you to a specialist or surgeon, he gets 30-40% >from >them. >3) 30-40% of total hospital charges. >If the GP or consultant recommends hospitalization, he will receive kickback >from the private nursing home as a percentage of all charges including ICU, >bed, >nursing care, surgery etc. >4) Sink tests. >Some tests prescribed by doctors are not needed. They are there to inflate >bills >and commissions. The pathology lab understands what is unnecessary. These are >called “sink tests”; blood, urine, stool samples collected will be thrown into >the sink. >5) Admitting the patient to “keep him under observation”. >People go to cardiologists feeling unwell and anxious. Most of them aren’t >really having a heart attack, and cardiologists and family doctors are well >aware of this. They admit such safe patients, put them on a saline drip with >mild sedation, and send them home after 3-4 days after charging them a fat >amount for ICU, bed charges, visiting doctors etc. >6) ICU minus intensive care. >Nursing homes all over the suburbs are run by doctor couples or as >one-man-shows. In such places, nurses and ward boys are 10th class drop-outs >in >ill-fitting uniforms and bare feet. These “nurses” sit at the reception >counter, >give injections and saline drips, perform ECGs, apply dressings and change >bandages, and assist in the operation theatre. At night, they even sit outside >the Intensive Care Units; there is no resident doctor. In case of a crisis, >the >doctor -- who usually lives in the same building -- will turn up after 20 >minutes, after this nurse calls him. Such ICUs admit safe patients to fill up >beds. Genuine patients who require emergency care are sent elsewhere to >hospitals having a Resident Medical Officer (RMO) round-the-clock. >7) Unnecessary caesarian surgeries and hysterectomies. >Many surgical procedures are done to keep the cash register ringing. Caesarian >deliveries and hysterectomy (removal of uterus) are high on the list. While >the >woman with labour-pains is screaming and panicking, the obstetrician who >gently >suggests that caesarian is best seems like an angel sent by God! Menopausal >women experience bodily changes that make them nervous and gullible. They can >be >frightened by words like“cysts” and “fibroids” that are in almost every normal >woman’s radiology reports. When a gynaecologist gently suggests womb removal >“as >a precaution”, most women and their husbands agree without a second’s delay. >8) Cosmetic surgery advertized through newspapers. >Liposuction and plastic surgery are not minor procedures. Some are >life-threateningly major. But advertisements make them appear as easy as >facials and waxing. The Indian medical council has strict rules against such >misrepresentation. But nobody is interested in taking action. >9) Indirect kickbacks from doctors to prestigious hospitals. >To be on the panel of a prestigious hospital, there is give-and-take involved. >The hospital expects the doctor to refer many patients for hospital admission. >If he fails to send a certain number of patients, he is quietly dumped. And so >he likes to admit patients even when there is no need. >10) “Emergency surgery” on dead body. >If a surgeon hurriedly wheels your patient from the Intensive Care Unit to the >operation theatre, refuses to let you go inside and see him, and wants your >signature on the consent form for “an emergency operation to save his life”, >it >is likely that your patient is already dead. The “emergency operation” is for >inflating the bill; if you agree for it, the surgeon will come out 15 minutes >later and report that your patient died on the operation table. And then, when >you take delivery of the dead body, you will pay OT charges, >anaesthesiologist’s >charges, blah-blah-blah. > >Doctors are human too. You can’t trust them blindly. Please understand the >difference between: >· Young surgeons and old ones. >The young ones who are setting up nursing home etc. have heavy loans to >settle. >To pay back the loan, they have to perform as many operations as possible. >Also, >to build a reputation, they have to perform a large number of operations and >develop their skills. So, at first, every case seems fit for cutting. But with >age, experience and prosperity, many surgeons lose their taste for cutting, >and >stop recommending surgery. >· Physicians and surgeons. >To a man with a hammer, every problem looks like a nail. Surgeons like to >solve >medical problems by cutting, just as physicians first seek solutions with >drugs. >So, if you take your medical problem to a surgeon first, the chances are that >you will unnecessarily end up on the operation table. Instead, please go to an >ordinary GP first > > > >Regards > >Nischal Kenia. > > -- You received this message because you are subscribed to the Google Groups "RAMKRIPA" group. To post to this group, send email to [email protected] To unsubscribe from this group, send email to [email protected] For more options, visit this group at http://groups.google.co.in/group/ramkripa?hl=en?hl=en-GB
