Citizens' Issues
Public Interest Exclusive
Satyamev Jayate: Following the money trail—Part 2

Gender determination can be stopped if stricter audits on how ultra-sound machines are followed.  But this would mean a straight 70-80% drop in business in India. Which manufacturer of ultra-sounds wants to see that happen?

The previous article Satyamev Jayate: Follow the money trail to catch a criminal ended with a promise to reveal more about the core reasons behind gender determination. Here it is, and let me be frank, this has not been an easy article to write. It is very difficult to try to present these facts in a simple and lucid fashion. The reality is that one is living through these issues, and the strain that medical episodes have on oneself, close friends and family, do have an impact. Most of all, there is this amazing reluctance, bordering on fear, within many in the medical community, to discuss this subject-unless in the strictest of confidences. So, some facts first:
Fact # 1: Today, the business of 'healthcare' as it is known is almost 15% of the GDP (gross domestic product) of the United States of America. This percentile figure would be the natural target in a rapidly evolving economy, like that of India's, especially with the middle-class as a target.
Fact # 2: It takes immense strength of purpose, character, intelligence, scheming, support as well as available power, to be able to take on the multiple lobbies which support this global healthcare business. These are not just the direct lobbies from within the profession, but also the lobbies representing other entities which stand to gain from expenses incurred on healthcare.
Fact # 3: Within the Indian context, there is the additional issue of superstition, social issues like female infanticide and more. And they are being misused for fiscal gains by the explosive mixture of religion and politics that prevails in India.
Fact # 4: The benefits of modern medicine and healthcare are, at the same time, not to be denied in any way whatsoever. Many of us are alive and kicking today because of this boon to mankind. Some of us have the strength to live out our truths because of this, too, present company included.
But it is the misuse which has deeper roots than simply the superstitions and social evils that provide business opportunity for the petty greed of clinics and hospitals offering gender determination and infant or foetus murder services. And, as always, this misuse starts from the top. In this case, both corporates and authorities are involved, without which this business can not survive.
Simply defined gender determination would not be possible without an ultrasound machine. Typically, the gender of a baby is known around the 18th week or so, though some clinics claim they can do so earlier-14th week also-the reliability decreases the earlier the ultrasound is done. It is also claimed that there is a DNA-based test available, which can be used as early as the 10th-12th week, with a blood sample, but results from this are not reliable at all. In both cases, it is not unknown for these illegal gender determination clinics to claim that the foetus is that of a girl, so that they make more money in the abortion.
If the manufacturers of the ultrasound machines and consumables used wanted to participate in blocking gender determination, then it would be as easy as (a) installing a hard drive that will retain data for an extended period of time and (b) audit with electronic records the consumables used on these ultrasounds. Matching the data thus obtained with the identity of the patient would provide a very decent mapping of misuse, if any, by the people owning and operating the ultrasound machine.
It would also mean reduced business for the sellers of the ultrasound machine and consumables, and the full business chain therein, as well as reduced income for the authorities if this was implemented. That part is simple to see, it is pure economics, and the parties involved will do anything to protect their business. Include kill the fully-formed girl child, if required, and let us not squirm away from these hard facts. And let me not name the global MNCs involved, because that is simple to find out, and dangerous to publish.
That's one part, the business model of the purveyors of a technology which has its good side also-the same technology is used, as mentioned in the previous article, also to help childless couples have babies. And more. But then, as more than one source from the ultrasound industry told me-if the illegal gender determination business were to somehow stop overnight, then business in India would be down by a straight 75%-80%. Which manufacturer of ultra-sounds wants to see that happen?
But it is the dark side of the foetus termination and infanticide business, which goes deep into the economics of life re-generation therapies and supposed cures for everything from sexual disorders to skin rejuvenation, and much more-including organ farming. This is the one which flourishes and provides what commerce has always called a "new income stream" -and becomes the subject of much speculation. That it exists is a simple fact of life-and that it is getting absorbed in mainstream healthcare is also becoming acceptable.
So how does one follow these diverse money trails?
1) Stricter audits on how ultra-sound machines are used. Implementation of the Pre-Natal Diagnostics Test Act of 1994 on a war footing with exemplary punishments. Existing and new ultra-sound machines to be provided with un-eraseable hard drives and "silent observer" tools which can be monitored online. External audits to hold the manufacturers, who typically also provide AMCs, liable for not detecting compliance by the owners/operators of these ultra-sound machines.
2) Stronger tracking back of airway bills and customs documentation from the Indian customs and central excise sources pertaining to the export and domestic movement of body parts, amino acids, and foetuses-exported for whatever reason.  This will require opening up of such information into the public domain without the typical issues of 'privacy'. The rules for carriage of such human remains, organs, tissue, amino acids or any other nomenclature, by air cargo out of India, are a good point to start from, without going into grisly details here.
If just these two money trails are suitably tracked, and action taken, then a large part of the problem can get solved.
Of course, the solution from the sociological approach is not covered here. But then, this was more about the money trail.

(Veeresh Malik had a long career in the Merchant Navy, which he left in 1983. He has qualifications in ship-broking and chartering, loves to travel, and has been in print and electronic media for over two decades. After starting and selling a couple of companies, is now back to his first love-writing.)




5 years ago

There are no hi-fi solutions required. Just there have to be telephone number where anonymous complaints can be made. Such complaints should be preferably recorded on a recording machine without human interface and monitored once in a day by an asst. Commisioner of Police level person. This will provide the courage to to the common man (more than woman) to inform the authority. If not everyone, at least one out of 100 persons knows at the centers where the female faetus identification is carried out and if he has the security of informing on a telephone number where anonymous complaints are recorded and followed up, atleast a fourth of them will provide the information. That makes one in 400 persons in any locality. Even half this number is enough to substantially reduce the female faeticide practice.

Vipin Arora

5 years ago

As you noted in the first part of the article, "...there is a gender determination clinic and a pregnancy assisting clinic within 2 kms of wherever we live,...", so we do not really need to follow the money trail when the crime is being committed in our backyard.
First, there should be exemplary punishments for these small fish, in every pond on every other street, and then we can go for punishing the big fish, the more organized players in this multi-billion blood crime.

A kumar

5 years ago

The Scheme of keeping Tabs on Ultrasound machines is too far fetched.
There is a need for direct response to the cases which are brought to notice for misuse. They need to tried and convicted for the offence of foeticide, which is infact murder. If this becomes well known the offences will fall on their own.
The MCI can open a 24 Hours help line for reporting such offending clinics annonymously.
All these clinics and doctors are well known to everyone except the authorities, who see no evil.
We should not propose any measures which enable offenders to beat the rap by shifting attention to others. This is the privilage of bureaucracy, and we should let it be at that.
In fact a bureaucrat, instead of prosecuting the offenders would have proposed just such a scheme of beating around the bush, so that in the end everyone loses sight of whom we are chasing.


nagesh kini

In Reply to A kumar 5 years ago

Speaking of the IMC opening a 24 hours its President not behind the bars for corruption charges of accepting Rs.85 lakhs bribe for recognizing/setting up new medical colleges and new post graduate courses. When the Regulators are corrupt what better can be expected of the students that they turn out? They seek to recover money they have expended on capitation and huge fees that they've shelled out.

Nagesh Kini FCA

5 years ago

Given the will to monitor, it is not difficult to put in place an effective audit trail by a mechanism to ascertain the usage of each and every machine by developing it with the cooperation of the manufacturer.
The enforcing authorities to work in close coordination with the medical and audit professions.Their respective Regulators the IMC and ICAI ought to sit across to devise the audit process.


5 years ago

Current population: 1,210,193,422
Males: 623,724,248
Females: 586,469,174
Delta: 37,255,074 -females are shortage. 37,255,074 males doesn’t have Life partners???
What is the value of education which does not inculcate passion and fearlessness for setting right what is wrong? Kiran Bedi
So, how different are we from the people who lived in and around the Nazi death-camps, with our studied silences?
Some thing is wrong in our common practices and belief system from many years. We are told that population is alarming, it is dangerous for humanity, two kids are
enough, family planning is good for humanity. We are told to follow china example. No one realize that to earn money Doctors can exploit the situation and can generate
wrong report in gender testing, nobody can identify / trace it because every thing is under the table.

Is this a secret-deal for a very important reason:?? they're super-depressing for the nation and thats why should not broadcast on TV against educated corporate and
political culprits??? Because I can't see any case against this issue till date.

What is needed today is the courage to speak; courage to unite; courage to question wrongs; courage to take on the corrupt; courage to ostracise and expose anti-social
elements. Kiran Bedi

This is a national problem. The only thing which demands is; promote the importance of girl for our(males) existence in educated communities with in our domain.
It is the existence of the woman that gives the universe its colors
She is the leading instrument in the grand orchestra of life itself

"it is the individual who has to change his perception" Aamir Khan

Public Interest Exclusive
Jagan Reddy under a tighter grip

CBI has asked banks to freeze accounts of Sakshi TV and the newspaper owned by the Kadapa MP while a special CBI court has summoned YS Jagan Mohan Reddy and 12 others including heads of three pharma companies to appear before it on 28th May

The Central Bureau of Investigation (CBI), probing the case of amassing allegedly disproportionate wealth, asked banks to freeze accounts of Jagati Publications, publisher of Sakshi Telugu newspaper, Indira Television which owns Sakshi TV and Janani Infrastructure, all related with YS Jagan Mohan Reddy. In its third charge sheet filed on Monday, the CBI has named Mr Reddy as prime accused.

Mr Reddy, son of Andhra Pradesh's chief minister (CM) late YS Rajasekhara Reddy (popularly known as YSR), is at loggerheads with the Congress, especially the high command, after his father's accidental death and has been demanding to be made CM, which he claims as his hereditary right. After failing to become CM, he floated his own party YSR Congress.

Separately, a special CBI court has asked the Member of Parliament (MP) from Kadapa and 12 others, including heads of three pharmaceutical companies to appear before it on 28th May in a disproportionate assets case. Managing directors Srinivasa Reddy (Hetero Drugs), Nityananda Reddy (Aurobindo Pharma), Sarat Chandra Reddy (Trident Life Sciences), senior IAS officer BP Acharya, AP Industrial Infrastructure Corporation's former officer Y Vijayalakshmi, former company secretary of Aurobindo Pharma Chandramouli are among those issued summons by the CBI court.

According to a PTI report, IAS officer Venkatarami Reddy, Ramky Group chairman Ayodhyarami Reddy, Jagati Publications (publisher of Sakshi Telugu daily) and Ramky Pharma India have been named as the other accused in the case. The CBI has said Ramky Pharma invested Rs10 crore in Jagati Publications as a quid pro quo for the benefits it secured from the then government headed by Jagan's father YS Rajasekhara Reddy.

Seeking to allay fears of the industry, Andhra Pradesh CM N Kiran Kumar Reddy said the ongoing CBI inquiries against some industrialists in the state should be seen as "temporary shortcoming". "The ongoing probes were a 'slight problem' to the industry, but these probes should be viewed as temporary. The government would shortly announce a new policy framework bringing uniformity in land allotment ensuring that there was no discretion in either price of extent of land given to the industry," the CM said. His remarks assumed significance in the backdrop of CBI inquiries into the investments made by some industries in the companies owned by YS Jagan Mohan Reddy.

The CBI has so far filed three charge sheets in the assets case of Jagan Mohan Reddy in which Jagati Publications represented by Mr Reddy is one of the accused. It is alleged that Jagati Publications got around Rs1,246 crore from companies which were benefited in various ways by the YSR government, said a newspaper report.

Meanwhile, raising heat over the arrest of Mr Reddy, political parties from the state has alleged that the UPA government is protecting him. Communist Party of India (Marxist) Politburo member and state secretary BV Raghavulu asked why the central agency has not arrested Jagan and other accused, including some industrialists and bureaucrats, in the case so far despite serious charges levelled against them.

Telugu Desam Party on the other hand, alleged that the central government was desperately trying to protect the YSR Congress President in the assets case. "Union ministers Pranab Mukherjee and P Chidambaram took the responsibility on them to protect Jagan," senior TDP MLAs Devineni Umamaheswara Rao and M Linga Reddy alleged.

At 12.20pm, Aurobindo Pharma was trading 4.3% down at Rs118.5 on the Bombay Stock Exchange while the benchmark Sensex was marginally up at 16,561.




5 years ago

Has similar action been taken against other politicians who are expected to play a crucial role in the ensuing presidential election?

Fuel Efficiency: Poor standards

Energy efficiency norms for cars are full of holes, finds Veeresh Malik

The new fuel...

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