Pranam
Q1    Many a Q & A is unrelated to the age of the members in any group as
hereinafter; if the 80s were to learn how the AC works etc it is of no use
now. However, learning anything which is carried down the lane through
minds may be useful in the continuum of next birth. One such is whether the
medical profession is going down?; tell everyone honestly, is the demand
for MBBS reduced and there are no takers?. Read 2022 authentic bulletin: "The
Indian healthcare sector is expected to record a three-fold rise, growing
at a CAGR of 22% between 2016–2022 to reach US$ 372 billion in 2022 from
US$ 110 billion in 2016.

By FY22, Indian healthcare infrastructure is expected to reach US$ 349.1
billion.

As of 2021, the Indian healthcare sector is one of India’s largest
employers as it employs a total of 4.7 million people. The sector has
generated 2.7 million additional jobs in India between 2017-22 -- over
500,000 new jobs per year.

In the Economic Survey of 2022, India’s public expenditure on healthcare
stood at 2.1% of GDP in 2021-22 against 1.8% in 2020-21 and 1.3% in 2019-20.

A growing middle-class, coupled with rising burden of new diseases, are
boosting the demand for health insurance coverage. With increasing demand
for affordable and quality healthcare, penetration of health insurance is
poised to expand in the coming years. In FY21, gross direct premium income
underwritten by health insurance companies grew 13.3% YoY to Rs. 58,572.46
crore (US$ 7.9 billion). The health segment has a 29.5% share in the total
gross written premiums earned in the country.

The Indian medical tourism market was valued at US$ 2.89 billion in 2020
and is expected to reach US$ 13.42 billion by 2026.

According to India Tourism Statistics at a Glance 2020 report, close to
697,300 foreign tourists came for medical treatment in India in FY19. India
has been ranked 10th in the Medical Tourism Index (MTI) for 2020-21 out of
46 destinations by the Medical Tourism Association.

The e-health market size is estimated to reach US$ 10.6 billion by 2025.

As of January 2022, the number of medical colleges in India stood at 595.

As per information provided to the Lok Sabha by the Minister of State for
Health & Family Welfare, Dr. Bharati Pravin Pawar, the doctor population
ratio in the country is 1:854, assuming 80% availability of 12.68 lakh
registered allopathic doctors and 5.65 lakh AYUSH doctors.

On Tue, 17 May 2022 at 20:56, 'gopala krishnan' via iyer123 <
[email protected]> wrote:

> *CULTURAL QA 05-2022-17*
>
> *BEING  A COMPILATION THERE MAY  BE ERRORS*
>
> Q1           Why do you think the medical profession is slowly losing its
> charm?
>
> A1           Abraham Sukumar In medical service in India for more than
> three decades Sat
>
> *Medicine lost its charm when general practitioners disappeared from the
> scene*. The GPs had to go; medicine became too vast for one person to
> hold that large a volume of knowledge for immediate recall. Those of us
> brought up in the modern world of course know the benefits of the medical
> profession, which is vital to our healthy existence, but how can it be
> charming? An illustrative example from my experience may shed some light on
> that mystery.
>
> The year was 1966. The patient at my clinic in a busy side street in
> Royapettah, Madras was little Kudurathullah, aged 10 months. He had the
> general shape of a soccer ball, with eyes that were large and perfectly
> circular and expressive. It was expressing not so much fear as tense
> anticipation of the bad things that are certain to unfold shortly. In his
> short life he had known nothing but bad things happen in that place his
> mother has brought him to. With minimal cooperation from the patient, I
> managed to see his throat and auscultate his chest. *He needed antibiotic
> injection. That was drama time.*
>
> He saw the syringe and immediately wrapped himself in the ample clothing
> of his mother’s burka dress screaming the while at the top of his voice.
> His tear-stained eyes were the only parts of his body that was visible. *My
> nurse and an aunt of the boy held the screaming struggling boy to enable me
> to inject the antibiotic. The family lived in unhealthy surroundings and
> the boy came at regular intervals for respiratory infection*. Our
> relationship soon ended when I was promoted and transferred to Thanjavur
> 200 miles away.
>
> I returned to Madras after nine years. This time it was to the medical
> college in Kilpauk, another Chennai suburb quite a distance from
> Royapettah. *I was no longer a GP but a professor of surgery. My surgical
> practice was in a nursing home in Kilpauk*. One day I had visitors, a
> man, his wife and a 10-year-old son.
>
> ‘You may not remember us,’ said the man, ‘but you may this boy. He is
> Kuduratullah.’ The boy smiled a gentle smile. ‘He has heard so much about
> the troubles he gave you,’ said the father, ‘that *he wanted to see you
> in person.’*
>
> I felt deeply humbled. The relationship of the family to their doctor was
> so deep that coming to hear of his return to a distant suburb after ten
> years they have made what can be reckoned a pilgrimage to renew the
> friendship. *That was the charm in doctor-patient relationship that is
> now gone*. To the patient whose gallbladder I had removed recently as a
> specialist I am just the doctor who had removed his gallbladder. It is as
> bland as that. *Doctors of my era who had lived through both sides of the
> change know how deep a loss it is both to the profession and the patients.*
>
> Q2           Are bureaucrats allowed to take 1-2 months leave every year?
>
> A2           D D Rishi Former IRS | Advocate | LL. M.,Ph.D. (Law) | Sat
>
> Nobody bothers in bureaucracy if you go on leave for 1 or 2 months or
> years. Many of them go for study leave abroad for 2 years or more. *Lot
> many take leave for months till they get a post of their choice.* Unless
> your boss wants to be vindictive, leave is generally not denied.
>
> Bureaucracy is so heavily overstaffed that the official work does not
> suffer till the working strength goes below 25%. *In Covid period,
> administration was running smoothly, rather more efficiently, in spite of
> very low attendance in government offices.*
>
> Q3           Why do salt water and fresh water never mix even when they
> meet?
>
> A3           Ken Saladin Leading horses to water Sun
>
> *That’s completely mistaken*. The places where rivers meet the ocean are
> called estuaries. They’re highly important, *unique ecosystems in which
> the living organisms are adapted to the half-salty water and varying
> salinities t*hat result from the mixing of the fresh water of a river
> with the salt water of the sea. Any aquatic or especially estuarine
> ecologist can tell you in depth of the importance of the mixing of salt and
> fresh water. *For anyone to say they two don’t mix is just a mark of
> ignorance about the world of nature.* Anyone with a boat and minimal
> equipment can easily take water samples and measure their salinity at
> various point in and near an estuary and see *the mixing of the water,
> increasing with distance.*
>
> It’s not too hard to see how people in antiquity might believe this. Even
> where two rivers meet, as in this photo of the confluence of the Yangtze
> and Han rivers of China, they can flow for an appreciable distance before
> their waters become thoroughly mixed. Many of us have perhaps rafted the
> Grand Canyon and seen this effect, as I have, at the confluence of the
> clear Green River and muddy Colorado River. But they do mix eventually,
> just as the waters of a river and the sea do.
>
> *A dogmatic belief that fresh and salt water don’t mix apparently comes
> from the Quran, sura 25:53, shown here with a couple of alternative
> translations:*
>
> The only reason one might argue for this today, in spite of everyday
> evidence anyone can observe, is simply a dogmatic adherence to the Quran, a
> false belief that it can never be wrong about anything. I suppose one
> might, in the alternative, argue that Allah imposed that barrier at one
> time, *but the Quran doesn’t say that was to remain so for all time, even
> today.* There diverse ways of rationalizing one’s way around
> contradictions between ancient scriptures and today’s reality.
>
> Q4           Why are roundabouts so effective?
>
> A4           Steven Haddock Studied at York University (Canada)Wed
>
> *Largely because they force traffic to slow down.*
>
> One of the things that makes intersections dangerous is that traffic with
> the light tends to travel through them at the maximum legal speed. *Some
> people even have the habit of speeding up when they see a yellow light to
> make sure they “make it through”.*
>
> Roundabouts have more collisions, but fewer lethal collisions, even
> between cars and pedestrians which is an important factor.
>
> And that’s because the design of a roundabout forces you to slow down as
> you approach it. Even if you’re not paying attention to traffic, you are
> paying attention to the road shape which means you’re slowing down to
> navigate a curve.
>
> Then, of course, there’s traffic flow. Even though you have to slow down,
> which is a pain, it’s less likely you will have to stop. That keeps traffic
> flowing in all directions, even in a complicated set-up where more than two
> roads intersect.
>
> *In right-side countries, they also make left turns a breeze. Left turns
> are one of the real traffic* problems when using intersections and UPS
> and other courier companies actually plan routes to avoid left turns
> because even though the route may be longer, it will still use less fuel.
> Left turns reduce road capacity from a theoretical maximum of 1,800 cars
> per hour to about half that, and the wider the road the more left turns
> slow down traffic, both by interrupting flow in the oncoming direction, and
> by having cars lined up waiting for the turn.
>
> Q5           How does insurance work? What if I bought an accidental
> insurance and fortunately, I don't meet with any accidents and don't claim
> it? What will happen to the premiums I paid?
>
> A5           Prasanna Bhalerao M. Sc. in Electronics & Physics, Fergusson
> College, Pune4h
>
> *Insurance is and should be an expense and not something of an investment.*
>
> I assume that you have a two-wheeler or a 4-wheeler. The vehicle has
> insurance requirement. So you buy an insurance for every year of
> possession. You pay the premium. You may never meet an accident or
> sometimes a small skirmish damage is too small to bother claiming insurance
> damages. In short, you never claimed insurance till you own the vehicle. *Do
> you get this money back after you sell the vehicle or junk it? No, right?
> Then what is it you paid for? What did you get in return?*
>
> LIC is the culprit which sells insurance with a tag line “बीमा भी, निवेश
> भी” meaning you will get insurance and investment, i.e., you will get
> your premium plus bonus back after the end of the policy. Quit thinking in
> these terms. I have written a long article on this:
>
> *My note- Vehicle insurance and medical insurance is different from Life
> insurance, by any company.** Life insurance is also an investment in my
> opinion because,  after the insurance period if one survive he get the
> total amount paid with bonus accured.  *
>
> Q6           I have diabetes. But before food, it is around 120mg. But
> after food it is going up to 280mg. Why is this happening?
>
> A6           Disha Gupta Bachelor's of science student Fri
>
> You have diabetes. It is due to the low insulin level. Insulin helps to
> digest sugar and it is secreted by pancreas. You have to be on action soon
> it is not so high and at a dangerous level.
>
> *My suggestion is not to take tablet for this because it may cause many
> harm.*
>
> My uncle is taking pill from its initial stage and now it reaches 450mg.
> And also he is not able to eat any sugar, sweet and carbohydrates.
>
> Whereas, my mother also had been finding diabetic few years ago. She
> doesn't use any pills for it. She is just taking totally herbs based *vrinda
> madhumehhari kada* every morning and now her blood sugar level is normal.
> She is eating sugar, sweet and anything she wants just because of it.
>
> That's why I totally recommend you that. If you also want to take it. I
> will tell you how to purchase it.
>
> Otherwise it totally your choice……I hope this will help you……
>
> *My note- I do not think ayurvedic medicines can lower blood sugar levels.
> It is a fact for som* diabetics eating certain sugar items does not
> increase blood sugar level. I cannot explain the reason. I am diabetic.
> Certain sweets does not increase my blood sugar level
>
> Q7           What are some things every Indian should know about Indian
> history?
>
> A7           Ankit Kumar Singh an IT professional, trapped in a concrete
> jungle. May 5
>
> *Today, Sri Lanka is almost bankrupt; however, did you know that India was
> once in a worse state than Sri Lanka is now?*
>
> India had a closed economy in the 1990s. The government owned the majority
> of the companies in India, and foreign direct investment was restricted.
> Policies of previous congress government was weakening indian economy day
> by day.
>
> Oil prices were at an all-time high in August 1990 as a result of the Gulf
> War.
>
> Non-resident Indians were unable to send money to their loved ones in
> India.
>
> As a result, India's forex reserves were reduced to 600 million dollars.
>
> Indian reserves were only enough to keep the country running for a few
> weeks.
>
> Then came Manmohan Singh, India's finance minister at the time who took
> some unpopular but critical decision.
>
> *He immediately obtained a 2.2 billion dollar loan from the IMF and sold
> 600 million dollars of India's gold to international banks. To make Indian
> exports* more competitive he devalued Indian rupee by 20%. He also took
> some long term step. He brought new Industrial Policy and opened Indian
> market for foreign investors.
>
> He Ended his Parliament Speech for the budget session with the statement
> :“No power can now stop the growth of India”.
>
> The rise of India began.The foundations for an economic powerhouse was
> already laid.
>
> *By 2009, India had been able to repurchase the gold it had sold in 1990,
> as well as absorb the shocks of US sanctions against India in 1998, the*
> Kargil war in 1999, and the 2009 global economic crisis.
>
> In the decades that followed India was one of the fastest growing economy
> in the world giving tough competition to china.
>
> Peace.Credits:- Labour Law Advisor.
>
> Q8           Is it true that now that 5G exists, we no longer need
> airplane mode on a plane?
>
> A8           Andrew McGregor Performance Measurement Lead at Fastly
> (company) (2019–present)16h
>
> *No, that’s a coincidence.*
>
> We mostly no longer need airplane mode because airplane electronics
> finally caught up with the existence of cellphones.
>
> *Old airplanes really did have issues with cellphones on board. While it
> wasn’t likely to cause a crash, and so far as I know never did, it could
> have.*
>
> New airplanes are designed to cope with those signals.
>
> So we have come to a point in time where the old airplanes have almost all
> aged out of the fleet or been upgraded, and the new ones never had the
> problem to start with.
>
> *You’ll still be asked to put phones in airplane mode in some cases, and
> it is still important to do that when asked, but it’s not every flight now.*
>
> Q9           Which is the best and the worst airport in India, and why?
>
> A9           Shaunak Bhattacharjeee Lives in Kolkata, West Bengal, India
> (1996–present) Apr 5
>
> I am not sure about the best but I am very sure about the worst airport in
> India. I have been to 20–25 cities across the country in the last four
> years and I know a few things about some of the airports I have visited; as
> for the Kolkata airport, the map is ingrained in my brain. Anyway, coming
> back to the question*, if I were to nominate one airport to be the worst
> airport in India, it has to be the Hubli airport.*
>
> I am currently in Hubli and will be flying out tomorrow and I hope the
> Airports Authority of India doesn’t read this and take offence. See, the
> point is when you develop an airport, you need to take care of things
> outside the airport too. Uber does not operate in Hubli and the local cab
> drivers do not let Ola enter within the periphery of the airport. *The
> prepaid taxi counter is non-functional and therefore, passengers arriving
> at Hubli airport have no option but to surrender to the local taxi drivers
> who charge a fixed rate of 100 rupees per kilometre.*
>
> I came to my hotel which was 5 kilometres from the airport and I had to
> pay him 430 rupees. He started from 600 rupees and my bargaining skills
> bore fruit for the first time; I managed to bring it down to 430. My dad
> will be super proud of me! It is not like the driver has conned me, *I
> came to the hotel and the receptionist confirmed the same - that is how it
> has been for arriving passengers at the airport.*
>
> While there isn’t a big of an issue for passengers going to the airport
> because they can book an Ola and go there but the cabs dropping off the
> passengers are not allowed to pick up passengers by the local taxi drivers.
> They are carrying out a monopoly and with the prepaid taxis being out of
> service, they are demanding absurd prices from the passengers. *To date,
> I used to think Bangalore airport is the worst because it is 40 kilometres
> from the city and you had to shell 1,000 rupees for a trip.* But at least
> you got a cab over there and *compared to Hubli’s rate of 100–150 rupees
> per kilometre, Bangalore’s prices seem decent enough.*
>
> My note- I am astonished to hear the taxi rate at Calcutta. Probably a
> remedy will appear soon.
>
> Q10         Why is alcohol still bad for humans, despite it being in our
> culture since 7000BCE? I'd imagine by now, it would actually be good for
> us, or something we depend upon, yet it still causes long term health
> problems, and extreme withdrawal symptoms.
>
> A10         Matt Riggsby BA Anthropology, U.C. Berkeley Sat
>
> *Because it’s not that bad for us*. Moderate alcohol use along the lines
> of one or two drinks a day is, for all practical purposes, harmless, and
> that’s about the highest widespread level of alcohol use we’ve seen though
> most of history. *Now, very high levels of alcohol use are certainly
> harmful, but through most of history, that much alcohol simply wasn’t
> available to a statistically significant number of people*. It took
> things like the Agricultural Revolution of the early modern period and the
> development of industrial-scale distillation to make very large quantities
> of alcohol generally available. But even then, most people still don’t
> drink that much. There are certainly conditions and periods of social
> disturbance which see widespread alcohol abuse (Britain’s “gin craze,”
> various circumstances conspiring to drive high levels of alcoholism among
> Native Americans, etc.), but those are all quite recent and limited in
> scope. Evolution hasn’t had the time or selective pressures to make
> significant changes.
>
> *All the above QA are from  Quora  website  on    16-05- 2022. *
>
> *Quora answers need not be 100% correct answers .*
>
> *Compiled **and posted by R. Gopala krishnan on 17-05-2022*
>
>
>
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