Good content by a member who is not a professor as addressed and makes
sense to read. A couple of may learn and I know he will tghank him unlike
writing to me. KR IRS 210244

---------- Forwarded message ---------
From: 'venkat giri' via iyer123 <[email protected]>
Date: Wed, 2 Oct 2024 at 19:50
Subject: [iyer123] CULTURAL QA 09-2024-30
To: Iyer <[email protected]>


*Respected sir/s,*

CULTURAL QA 09-2024-30

Q1:     What is your opinion on prescribing generic medicines in India?

A1: *GENERIC MEDICINES* in India are a cost-effective alternative to
brand-name drugs. *Generic medicines are **chemically identical* *to
brand-name drugs, and **have the same safety, quality, dosage form and
efficacy**.* They are usually sold at a substantial discount from the
brand-name price. The Ministry of Health & Family Welfare has taken various
regulatory measures to promote and ensure the quality of generic medicines.

Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP)

This program was launched in 2008 to make quality generic medicines
available at affordable prices to all. It has dedicated outlets called
*Janaushadhi
Kendras that provide generic medicines.*

*Lack of branding* is one of the key reasons *why generic medicines are not
famous in India.* *Brand names matter in India — retail goods, electronics,
groceries, and consumer durables*. And even in the generic drug business,
brand names still hold the major sales.

*The World Health Organization (WHO) defines generic drugs as
pharmaceutical products used in place of the originator brand product (that
holds a patent). Such medicines require no license from the patent holder
to manufacture and* *market the medicines once the patent expires.*

                        *People need to become more familiar with generic
drugs **because pharmaceutical companies are using the power of branding to
create an unnecessary divide between branded and generic medicines. The
branded drugs are marketed to physicians in a manner that creates a wrong
perception that branded medicines are better. It also incentivizes the
medical lobby — drug stores, private hospitals, local clinics, etc., by
offering a share of the sale.*

                             *If patients are prescribed branded medicines
by certain physicians or hospitals and buy them from a nearby store, the
doctor gets the margin from every sale. **Therefore, doctors’ endorsement
of generic alternatives to brand-name drugs is crucial to increasing their
usage.** The health ministry has required all doctors nationwide to use
generic medicine names**.*

*     In an amendment to the code of conduct for doctors made in October
2016, the Medical Council of India recommended that all doctors prescribe
drugs with clearly legible generic names. And they would do so in a way
that encourages generics. **The Indian government is mulling and
considering whether to enact legislation requiring generic drugs in patient
care.*

*E**ducation, Engineering (**prioritizing production**),**E**conomics
& **E**nforcement
are the cardinal principles for success of Generic drugs.*

  *Q**uality assurance by the government for any form of pharmaceutical
manufacturing is essential. Many international agencies are accusing India
of producing low-quality medicines that lead to the death of children in
Gambia. The Drugs Technical Advisory Board (DTAB) has proposed implementing
**Barcodes** or QR codes* *for 300 brands of drug products sold in India.
The barcode information will include UPC, the name of the active
pharmaceutical ingredient (API), and **the brand name.*

*It will be prudent, if Government health authorities can also incentivize
purchases by introducing loyalty discounts on generics.*

*United States. **Enacted in 1984, the Drug Price Competition and Patent
Term Restoration Act, informally known as the Hatch–Waxman Act,
standardized procedures for recognition of generic drugs.*
*          INDIA** is a major supplier of Generic Drugs world-wide.*
*LUPIN**, the largest generic drug manufacturer in India, offers a wide
range of items including generic drugs, biotechnology items.*

*              A series of scandals around the approval of generic drugs in
the late 1980s shook public confidence in generic drugs; there were several
instances in which companies obtained bioequivalence data fraudulently, by
using the branded drug in their tests instead of their own product, and a
congressional investigation found corruption at the FDA, where employees
were accepting bribes to approve some generic companies' applications and
delaying or denying others*

Q2:      What are the most over-hyped things in Indian society?

A2:

1. DEMOCRACY:

The idea of democracy is so entrenched in *our mindset *that we almost
treat it like a sacred scripture *– an infallible concept that guarantees
freedom and liberty for all who embrace it.*

*Many don’t think democracy actually works very well in practice.*

 *DEMOCRACY* is not about the best candidates, the best policies; it’s
about *whether or not one has several crores of money to spend on promoting
your politicians.*

                        And even when we really put democracy to the test,
it’s usually hijacked by misinformation and propaganda to the extent
that citizens
in effect don’t know whom/what for they’re voting.

In theory democracy sounds *GREAT*. In practice it’s highly overrated as an
effective way to govern society.

2. FREEDOM:

People who live in DEMOCRATIC countries regularly espouse values like free
speech, a free press, free and democratic elections. One can’t really say
what one wants to say any more. Because speech is policed. Freedom doesn’t
exist, except for own personal concept of what is it to be free.

3. LOTS OF FRIENDS:

During initial stages of FACEBOOK, nobody knew about the more sinister,
deleterious effects of making online connections, and sharing our whole
life to a bunch of *‘FRIENDS’*.

         So everyone, including myself included thought it was a great idea
to *‘FRIEND’* anyone who showed up in their recommendation algorithm,
including – ex-girlfriends, weird 2nd cousins, the old school/college mate.

 FACEBOOK led us to believe that there’s no upper limit on how many
‘friends’ we’re supposed to have. In fact the more the better. Truth is
astonishing. Evolutionary psychology tells us a realistic target for the
number of close friends is around 3 to 6.

VOW! Having tons of friends is *awesome**.* But most of us can live
perfectly happy, fulfilled lives *cherishing quality over quantity.*

Q4:     What do you know that some people don’t?

A4: Here are some things that some people may not know:

1. OCEAN SALT: If all the salt in the ocean were spread out over the
Earth's land, it would create a layer that is more than *500 feet thick*.

2. DRIKABLE WATER: Only 3% of the Earth's water is drinkable, while 97% is
salt water.

3. CARBON DIOXIDE: Plants need carbon dioxide to live, and forests remove
and store a large amount of carbon dioxide from the atmosphere each year.

4. POLLUTION: Pollution can cause chronic illness, neurological damage, and
a range of diseases. In some of the world's most polluted places, life
expectancy can be as low as 45 years.

5. CLIMATE CHANGE: Carbon dioxide levels on Earth are *higher than they
have been in over 4 million years.*

6. EGGS: The white string inside an egg keeps the yolk from splattering
against the shell.

*7. *SOCIAL MEDIA: 88% of people under the age of 29 *use social media.*



*Regards*

*V.Sridharan*

*Trichy  *



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