Leisure, Lifestyle & Wellness
How to revamp health care delivery

The essentials of western medicine could be clubbed with the best of other systems like Ayurveda, Homeopathy, Siddha, Unani, Acupuncture, and Herbal medicines to make sickness care less expensive, more useful and less dangerous

 

"Unless we put medical freedom into the Constitution, the time will come when medicine will organize into an undercover dictatorship to restrict the art of healing to one class of men and deny equal privileges to others; the Constitution of the Republic should make a Special privilege for medical freedoms as well as religious freedom."  -Benjamin Rush, MD., a signer of the Declaration of Independence and personal physician to George Washington.


India is a very vast- almost like a continent- country with a little over 1.2 billion population. Majority of us are below the age of 30, but there is a growing population of the elderly and even the old elderly. We are biologically, culturally, racially, ethnically, environmentally and even in our food habits totally different from the white Europeans. As such the western model of what is believed to be scientific medicine does not fit in here. Even in the west their own system is felt to be outmoded for their present day needs.

 

(Amer. J.Med 2004; 116: 179)


Organ-based mechanistic reductionist model of the human physiology is found not to work in a holistic dynamic human body, which is nothing but the human mind (consciousness)-energy vibrations. Health is when the body cells, of which there are one hundred thousand trillion in all, are in sync. Disease is when they are out of sync.

 

Naturally, treatment is to reset the energy balance using various methods available in many systems of medicine all over the world. Unfortunately in the last century, money bags in the US joined hands to support only those medical colleges using their reductionist chemicals for treatment declared as “scientific” and the rest as unscientific, based on the Abraham Flexner report. Incidentally, Flexner was only a High School retired Head Master and knew nothing of medicine or science!


India’s major problem in health care is the poverty related malnutrition that not only kills young children of nutritional immune deficiency syndrome (NIDS) but saps the strength of the immune system in the majority of the poor adults as well making them vulnerable to many illnesses. Poverty also is a double edged sword in illness. Whereas it makes the poor more prone to illnesses, it takes away their daily wage earning capacity when they fall ill, thus pushing them further into the bottomless pit of want. If the government could work on a war footing to try and provide the following to all citizens, our sickness load almost vanishes with a few chronic illness left behind. They are:

 

Clean drinking water for all citizens

  • • Three meals a day uncontaminated with human and /or animal excreta
  • • A toilet for every house with sanitary drainage facilities
  • • A roof on their head in place of the star-lit sky
  • • Smokeless choolas in every house to avoid carbon monoxide laden smoke from getting into the house to kill women folk of heart attack and cancer and small children of pneumonia
  • • Keeping the girl child in school and college till the age of 20 to make her a healthy mother and also to drastically cut our fertility rate
  • • Self-help groups and cottage industries to help keep our village women economically empowered to counter their husband’s squandering money on alcohol, resulting in the wife and children going in search of their next meal-the killer stress indeed!
  • • Let every able bodied man and woman have opportunities to work hard to make a healthy and honourable living


Illnesses need a new working classification, which makes it easier to identify and also to treat easily using the best in all medical care systems being practised in India. I had suggested such a system years ago published in peer reviewed journals. I shall condense it here for the government to take notice if they want.


Disease classification:


• Emergency medicine………………………………………5%
• Minor illness syndromes…………………………………..35%
• Degenerative diseases……………………………………...10%
• Doctor-thinks-you-have a disease syndrome………………10%
• Patient –thinks-s/he-has-a-disease syndromes……………..10%
• Congenital diseases…………………………………………5%
• Incurable diseases like cancer etc…………………………..15%
• Psychological illnesses………………………………………5%
• Miscellaneous………………………………………………..5%


Today’s top heavy five-star hospital based western medicine spends almost three fourths of the money for emergency treatment of diseases most of which do not get “cured” anyway. We are only palliating making our intervention worse than his disease. We do need western medicine for emergency care of seriously ill patients but their proportion is very small in the whole picture. Top heavy western medicine must be confined to emergency care and corrective surgery alone. The large chunk of minor illness syndromes whose sheer numbers belie their benignity but they could all be managed with most of the alternate systems like, energy medicine using known and occult energies, Ayurveda and Homeopathy, Siddha, Unani, Acupuncture, and Herbal medicines. There are proven methods of treatment for degenerative diseases in some of the alternate medical systems.


A doctor thinks you have a disease syndrome and need no drug intervention but need advice to change the mode of living to a healthy life style avoiding smoking and alcohol, encouraging regular exercise, sensible diet, and to avoid negative thoughts. Patient thinks s/he has a diseases and need sensible psychotherapy and behavioural therapy. So also do some of the psychiatric diseases where western medicine pushes lorry loads of dangerous chemicals. The latter are now known to damage the brain to produce the new syndrome of dementia. (Dementia-a drug induced crime on mankind-book by Professor Grace Elizabeth Jackson)


Medical education:


India needs an integrated medical system education that takes the best in all systems after due authentication by hard scientific methods. We need a new curriculum and reorientation for teachers. The essentials of western medicine could be kept, which is to be clubbed with the best in other systems to make sickness care less expensive and more useful and less dangerous. The curse of western medicine today is the adverse drug reactions (ADRs), which are the leading cause of death in that system.


Doctors' training should stress on producing good, humane, empathetic healers who are very useful as we now know that the medicines and the interventions that we practice do not heal. It is the faith that the patient has in the system and his doctor that heals. Mind heals and reductionist chemical drugs only harm. (Genetics 2008; 179: 727 and Sci Transl Med 16 February 2011)


Medical education is crying for a change but that cannot come about in the present setting as all the vested interests have a stake in maintaining the status quo ante. We need some drastic changes right away. The idea of having more tertiary care centres spending tons of the tax payers’ money is a retrograde step. We need to close some such centres for the good of society as well. A fourteen country advanced nations study did reveal that where there are more doctors per capita and more specialists THERE IS LESS HEALTH AND MORE DEATH. The dangerous medical myth is that vaccines for every infectious disease will eradicate the disease. The recent rotavirus tragedy is one futile effort to prevent diarrhoeal diseases. Good childhood and pregnancy nutrition coupled with adequate rehydration therapy should control and eventually eliminate rotavirus diarrhoea. We should not fall prey to western propaganda even when the vaccine is locally manufactured.


The Future:


Long term observational studies of human species running into twenty five, (MRFIT) seventy five, (Grant study) and ninety years (Termen study) have upturned the findings of scores of short term cross sectional randomised controlled trials to show that there are nothing called risk factors, but there are risks of precocious death. The last two studies showed that for man to live long and healthy, one needs a healthy life style consisting of:


• Happiness is love. Full Stop. Love all to live well.

• Improve social relations— spend time with friends to lose the “I” (illness) to get the “WE” (wellness)
• Increase levels of physical activity— go for a long walk.
• Help others and express gratitude to those who have helped you
• Take on new challenges to remain fresh and in-the-moment at any age!
• Age is only a chronological number.
• Some worry is good for longevity and good health.


In addition to all these, India has the great legacy of that all-powerful health tonic in Yoga, the ancient Indian wisdom. We could make it a part of primary educational physical activity. Coupled with meditation this could lay a good foundation for healthy living lessening the burden of sickness care in later life as well. Yoga has no religion attached to it and is being practised in churches as well. If one carefully mulls over the above details one wonders how our ancient sages had thought of all these centuries ago! I should be pleased to give more details should the need arise. I have in fact a ready module in place which we tried on a small scale with success. So, all that is written above is doable.


 "At the end of times the merchants of the word will deceive the nations of the world through their Pharmacia."  (Sorcery) - Rev 18:23

(Professor Dr BM Hegde, a Padma Bhushan awardee in 2010, is an MD, PhD, FRCP (London, Edinburgh, Glasgow & Dublin), FACC and FAMS. He is also Editor-in-Chief of the Journal of the Science of Healing Outcomes, chairman of the State Health Society's Expert Committee, Govt of Bihar, Patna. He is former Vice Chancellor of Manipal University at Mangalore and former professor for Cardiology of the Middlesex Hospital Medical School, University of London.)

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COMMENTS

Ravi Pandey

2 years ago

Modern medicines are wonderful in emergencies.They are quite useful in large number of diseases either as cures(eg. nutritional disorders and infections) or as palliation and symptom removal.It is equally true that they are useless for large number of disorders and have many side effects.Before advocating for Indian System of medicines, their efficacy needs to be proven.It is perfectly all right to use them for some diseases where their efficacy is proven.each discipline should be allowed to grow independently and mindless integration will lead to jack of all trades and master of none.Perhaps a balanced approach is the need of the hour.life style modifications and preventive steps are great and should be taught from a young age and practiced life long.The benefits of yoga are no different from those of exercise unless Yama and Niyama are incorporated with it.
There are lacunae in modern medicine but that does not mean that it should be totally discarded.It only means that lacunae should be removed.
Even those who have risen to a level after practicing modern medicine, start criticising it either to remain in limelight or to to prove that they are different (and better) than others.The usual method is to highlight one sided research material ignore other material which does not suit their views.Such practices need to be condemned.

REPLY

Nagesh Kini

In Reply to Ravi Pandey 2 years ago

Ravi you seem to be a great votary of "wonderful modern medicine" so vociferously promoted by the pharma majors. Have you ever given a thought to their violent side effects?
Your snide remarks in the last para are certainly unwarranted as being in utterly bad taste!

Ravi Pandey

In Reply to Nagesh Kini 2 years ago

Yes. I am a great votary of modern medicine because i have come across large number of people who are alive because of modern medicine.There is no doubt that the medicines have side effects which are are sometimes serious.This is the reason why an analysis of benefit-risk ratio is required before starting a drug.

Jagannath Chatterjee

In Reply to Ravi Pandey 2 years ago

Ravi, Dr Hegde is not to be belittled. What he says reflects the thoughts of people injured by modern medicine who have had to study the original systems of medicine and practice them on oneself to stay alive. Modern medicine is for emergencies. When it tries to meddle in the process of disease recovery it merely destroys the symptoms and drives the disease to a deeper and more dangerous level. The symptoms are not the disease but indicate its nature and helps the physician find the cure; which may be a medicine or advice. For knowing the body states and how they are disturbed by the internal and external environment to produce disease are very well described in Ayurveda and homeopathy. The 1910 Flexner Report which was devised to destroy competition and ensure huge profits for chemical companies with a Nazi past by investing in "medicine" has done a great disservice to health and the mindset it cultivated and propagated needs to change.

Nagesh Kini

2 years ago

The learned doc is bang on!
The entire medical education system needs a revamp - include geriatrics as one of the subjects.
All alternative medical treatments as well as preventive care needs to be covered by medicare insurance.

SEBI bars MP-based JSV Developers, three directors from raising money

SEBI found JSV Developers collecting money from public through its various schemes of joint venture association for development and maintenance of land

 

Market regulator Securities and Exchange Board of India (SEBI) has barred Madhya Pradesh-based JSV Developer India and its three directors, VijayLaxmi Kathait, Bhupendra Singh Kathait and Dinesh Hemraj Tembhare from raising funds from public and not to float any new plans.

 

SEBI said it found that JSV Developer was collecting money from public through its various schemes of "joint venture association" for development and maintenance of land.

 

This plan was found to be allegedly in the nature of unauthorised 'Collective Investment Scheme (CIS)', SEBI said in an order issued on 31st July.

 

Noting that steps had to be taken to ensure that no investors is defrauded through fraudulent schemes, SEBI has directed JSV Developer and its three directors "not to collect any fresh money from investors from its existing scheme" and "not to launch any new association/scheme/plan or float any new companies to raise fresh moneys".

 

The company and its directors have also been asked not to dispose of any of the properties or alienate the assets of the existing scheme as well as not to divert the funds raised from public.

 

The orders have come into force with immediate effect and will apply until a final decision is taken in the matter.

 

Besides, the entities have been ordered to "immediately submit" the full inventory of the assets owned by JSV out of the amounts collected from the schemes and furnish all the information sought by SEBI including scheme wise list of investors, details of amount mobilised and refunded till date.

 

The market regulator had begun a probe into the matter after receiving a copy of order by Madhya Pradesh High Court from the Ministry of Finance, in 2012.

 

It was observed, among others, that the petitioners therein had filed a public interest litigation (PIL) seeking order of enquiry against various financial companies, including JSV Developer.

 

The petitioners had pleaded that thousands of persons of across Madhya Pradesh had been cheated by various finance companies under the garb of various schemes, which used to collect deposits from public with a promise to pay the money back with higher return of interest from 15-20%.

 

SEBI said that "the activity of fund mobilisation by JSV Developer with a resultant promise of returns clearly falls within the ambit of 'collective investment schemes' as defined in... the SEBI Act".

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Stock exchanges talking tough on compliance, corporate governance norms

Following a circular from the market regulator, both BSE and NSE has asked all listed companies to strictly comply with corporate governance norms

 

Nudged by Securities and Exchange Board of India (SEBI) to step up their vigil against companies lacking good corporate governance practices, both BSE and National Stock Exchange (NSE) have asked all listed companies to ensure compliance in ‘letter and spirit’ to all relevant norms.

 

The latest directive by the two stock exchanges also comes ahead of a new Corporate Governance Code to be implemented by SEBI for all listed companies with effect from 1st October.

 

Last week, SEBI, in a strong-worded circular has asked bourses to step up and equip their monitoring framework to identify practices where certain companies were observed to have flouted listing agreement and other corporate governance rules, including those related to holding of annual general meetings (AGMs) of shareholders.

 

Taking forward SEBI’s directions, the NSE, in a circular, said “the companies are advised to ensure that the principles of corporate governance are followed in letter and spirit and comply with SEBI circular.”

 

In a separate circular, the BSE also asked the listed firms to “take note of the SEBI circular and comply accordingly.”

 

The SEBI had informed the stock exchanges that there had been cases when corporate groups with multiple listed companies have wrapped off various AGMs within time gaps of 15 minutes without giving enough discussion time to shareholders, numbering over a lakh.

 

“Such a practice affects the rights of investors to seek clarifications/hold discussions and prima-facie appears to be prejudicial to the interest of the investors,” SEBI had said in the circular to the stock exchanges.

 

There have been instances when multiple listed companies of a single corporate group held almost back to back AGMs on a single day with very short-duration time gaps.

 

The companies explain such practices by saying that their various listed companies mostly have common shareholders, while holding AGMs on single day and at single venue saves time and cost too.

 

As per norms, principles of corporate governance are to be mandatorily complied with by listed companies.

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COMMENTS

arun adalja

2 years ago

according to me exchanges always favours companies even if they make mistakes and due to this investors are loosing money.i have come across many companies who call for board meeting for bonus and the prices goes high and then declares no bonus and price decreases and investor looses money.even sebi never cares for such incidence.

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