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Maybe this report is abbreviated. But, as it stands, the PWC recommendations are unworthy of serious consideration.
"Doctors", "nurses" are meaningless terms. What kind of doctors? MB? Licentiates ( rather like LHA, LMSSA?, bare-foot doctors in the Chinese model of a generation ago? Hakeems? Vaids? Graduates of the old style Benares Hindu University with a good grounding in Ayurveda? And then specialists? Likewise about nurses, midwives, health visitors, pharmacists.
Who will persuade the patients to go to the " doctors" and pay for their travelling expenses?
Let us look back to the situation sixty - seventy years ago. In one village a visiting woman doctor, on holiday with her parents; a stream of women and children arriving for free consultation. Another stream, equally enthusiastically waiting to see the doctor's father who was a farmer, good at bone-setting, good at dealing with bruises, pains, aches.......
Are things different today? Perhaps in the cities, where there may be more CT scanners, MRIs etc per 100, 000 population than we have in England.
Here in England we have been blessed with management consultants (starting with McKinsey, bless them), Modernising Medical Careers (may the Lord have mercy on its Designer), several versions of nursing hierarchies and training models (remember the Salmons, etc, and Every Nurse Must be a Graduate, Nursing 2000?).
I hope the Indians will work out their own salvation - without our help.
Re: India needs extra 100 000 doctors a year until 2034. Does it?
Maybe this report is abbreviated. But, as it stands, the PWC recommendations are unworthy of serious consideration.
"Doctors", "nurses" are meaningless terms. What kind of doctors? MB? Licentiates ( rather like LHA, LMSSA?, bare-foot doctors in the Chinese model of a generation ago? Hakeems? Vaids? Graduates of the old style Benares Hindu University with a good grounding in Ayurveda? And then specialists? Likewise about nurses, midwives, health visitors, pharmacists.
Who will persuade the patients to go to the " doctors" and pay for their travelling expenses?
Let us look back to the situation sixty - seventy years ago. In one village a visiting woman doctor, on holiday with her parents; a stream of women and children arriving for free consultation. Another stream, equally enthusiastically waiting to see the doctor's father who was a farmer, good at bone-setting, good at dealing with bruises, pains, aches.......
Are things different today? Perhaps in the cities, where there may be more CT scanners, MRIs etc per 100, 000 population than we have in England.
Here in England we have been blessed with management consultants (starting with McKinsey, bless them), Modernising Medical Careers (may the Lord have mercy on its Designer), several versions of nursing hierarchies and training models (remember the Salmons, etc, and Every Nurse Must be a Graduate, Nursing 2000?).
I hope the Indians will work out their own salvation - without our help.
Competing interests: No competing interests