Category: Doc save yourself

Covid paradox: salary cut for doctors other paid at home

Expensive Medical College seat- Is it worth it?

The Myth of cost of spending on medical education needs to be made transparent.

October 9, 2025 0

Cough syrup tragedy. Responsible: doctor-pharma-drug regulator?

A doctor has been arrested in Madhya Pradesh’s Chhindwara after a toxic batch of Coldrif cough syrup allegedly caused the deaths of 18 children across two states, exposing alarming lapses in drug quality control. Of the total deaths, 14 were reported from Chhindwara alone, A special team from Kotwali police arrested Dr Soni from Rajpal Chowk in Chhindwara late Saturday night after the FIR was registered against him, the SP said.

The doctor has been booked for negligence and prescribing the medicine even after its adverse effects on children for nearly a month. The manufacturer had been charged as it was supplying contaminated syrup, as per the test report, Pandey told PTI.

Here doctor who prescribed was arrested, whereas who manufactured the cough syrup is primarily responsible.

What is the role of ‘Drug regulator’ and ‘drug quality regulator’ in such cases?

Do they carry any accountability or responsibility?

Strangely doctors are invariably the easy scape-goats. It is time to treat pharmaceutical malaise. The rise in “falsified and substandard medicines” has become a “public health emergency.” A surge in counterfeit and poor-quality medicines means that thousands of patients a year are thought to die after receiving shoddy or outright fake drugs intended to treat ailments. Most of the deaths are in countries where a high demand for drugs combines with poor surveillance, quality control, and regulations to make it easy for criminal gangs and cartels to infiltrate the market.

If deep investigations are not done in such cases, poor quality medicines will continue to be marketed and doctors would be held responsible for the adverse reactions and deaths. Strict regulations for quality of pharmaceutical agents are need of the hour.

Usually, every problem related to health is called medical malaise, but that is a misnomer. In fact, health care comprises tens of different industries. Complex interplay of various industries like pharmaceutical, consumable industry and other businesses associated with health care remain invisible to patients. Various important components for example pharma industry, suppliers, biomedical, equipment, consumables remain largely unregulated. Collective malaise of all these is conveniently projected as medical problems as blame is conveniently passed on to doctors, as they are only visible component of mammoth health business. Rest all remain invisible, earn money and doctors are blamed for the poor outcome of the patient, as doctor is the only universal link that is visible with patient. By an average application of wisdom, it is easier to blame doctors for everything that goes wrong with patient.

In routine, if patient gets fake or low-quality medicines and does not get well, gets side effects, doctor will face harassment. Whereas people involved and industry will be sitting pretty and make money.

The government on Sunday also suspended Dr Soni from service. He has been attached to the health department regional officer in Jabalpur, as per an order.

MP Chief Minister Mohan Yadav on Saturday said strict action will be taken against those responsible.

The Tamil Nadu drug control authorities, in their report dated October 2, declared the Coldrif syrup sample (Batch No SR-13; Mfg: May 2025; Exp: April 2027) manufactured by Sresan Pharmaceuticals, Kancheepuram, as adulterated because it contained diethylene glycol (48.6% w/v), a poisonous substance “which may render the contents injurious to health”.

Following the report, the Madhya Pradesh Food and Drug Administration issued instructions to stop further sale and distribution of Coldrif statewide and immediately seize any available stock for investigation under the Drugs and Cosmetics Act, 1940. It also ordered that other products manufactured by Sresan Pharmaceuticals be removed from sale pending testing.

The Tamil Nadu government on Friday banned Coldrif following reports of deaths in Madhya Pradesh and at least three similar fatalities in Rajasthan due to suspected kidney infections.

Advantages-Disadvantage of being a doctor

Covid paradox: salary cut for doctors other paid at home

Expensive Medical College seat- Is it worth it?

The Myth of cost of spending on medical education needs to be made transparent.

October 5, 2025 0

R-G-Kar-hospital-Doctors-exploited-injustice-moral blackmail

#Kolkata-R-G-Kar-murder case has exposed the hardship of doctors in present era. Working with routine injustice whole those years looks trivial as compared to this incident. But strangely, still the doctors of R G Kar hospital are facing a kind of moral blackmail. To continue the protest for their genuine demands is getting difficult. Even when justice is still far and distant as it can be, they may face punitive action of worst kind. There is only a faint hope of real justice left although ‘token justice’ of temporary nature may be a possibility at the best.

Doctors are the only community who face worst kind of moral blackmail from governments and courts to end protest, even in case of blatant and cruel injustice as in R G Kar hospital.

Overall, a complex scenario for doctors. There is increasing discontentment amongst doctors because of complex and punishing system. They are bound by so many factors that they finally end up at the receiving end all the time. They are under Hippocratic oath and therefore expected to work with very high morality, goodwill and kindness for the sufferings of mankind and dying patients. They are also supposed to maintain meticulous documentation and also supposed to work under norms of medical industry. They are supposed to see large number of patients with fewer staff and nursing support while still giving excellent care in these circumstances. And if these were not enough, the fear of courts and medico-legal cases, verbal threats, abuses, and physical assaults and show of distrust by patient and relatives further makes working difficult. Additionally, there may be bullying by certain administrative systems at places, who use pressure tactics to get their own way.

In the present circumstances, when doctors have become doubtful about the advice for choosing medical career, some are naïve enough to spend millions on securing an expensive medical college seat. Problems faced by doctors are not only innumerable but are also so exceedingly complex that they are difficult to be analysed. Doctors feel so disgusted about the entire system that they do not encourage their children to take up this profession which until now was one of the coveted ones, there must be something going terribly wrong with the profession.

More of a law and order issue, the physical assault on doctors reflects that they are serving an uncivilized society. Such news is viewed by medical community anxiously and is definitely a poor advertisement for younger generation to take medicine as profession. The medical students need to think, why they wish to enter medical profession in such an unsupportive environment?

Covid paradox: salary cut for doctors other paid at home

Expensive Medical College seat- Is it worth it?

The Myth of cost of spending on medical education needs to be made transparent.

September 10, 2024 0

Physical/Legal violence against doctors: reminiscent of realms of ancient Hammurabi medical regulation

The painful incident of Kolkata Doctor rape and murder had unmasked the everyday struggle of the doctors in the present era. Her supreme sacrifice depicted the plight of doctors- being undervalued and demonized, forced to work as a sub-servant, irresponsible policing, blackmail by goons and vulture journalism-all have become an accepted form of harassment. Her murder has unveiled the despondency, moral burden and injustice that doctors work with.

With the evolution of medical science and medical care intertwined with medical business, braided changes in medical regulation is not an far off expectation. But reticulation of evolution to modern medicine and health care has not happened in isolation. Simultaneously there has been progressively complex emerging trends in medical business and changing patterns of health investments along with an era of corporate investments in health care has also ushered. Every one now wishes to live longer and dreams of better quality of life with support of progressive medical care. Opportunities projected by advancements in health care, have shown that these dreams can be a real possibility, in many cases. That kind of perception has given patients a hope in lieu of some money. With rich people willing to spend more, the insurance sector and investors putting money into health care, which was unthinkable few decades back in the past. This reticulation of business and health care allowed health care to be controlled in some way by administrators and investors. Away from the health providers, who actually treated the patients.

As it is no more simply treating a disease and involves many more issues. New model of medical regulation and business in health care is still not a mature process. It has emerged and progressed in just for few decades, as compared to medical treatments and systems that existed since ancient times. It is still in infancy and still has to go a long way to do real justice to every one. No one really knows how to regulate this difficult area, which encompasses life and death, deals with extremes of poverty and riches, mortality and morbidity, pain and relief , sadness and happiness, smiles and sorrows and uncountable emotions, intertwines with financial aspects. Most difficult part is amalgamation of intricacies of science with minds of patient and doctor’s skill in newly evolved milieu of financial complexities. Results are not encouraging for the medical profession.

Fear factors on doctors and impact of present legal complexities is already at par with that of Hammurabi’s era

Covid paradox: salary cut for doctors other paid at home

Expensive Medical College seat- Is it worth it?

The Myth of cost of spending on medical education needs to be made transparent.

August 25, 2024 2

Difficult to serve uncivilized society-poor Governance and pathetic law & order #Kolkata-Lady-Doc-murder

The brutal assault and murder on a woman doctor at R G Kar Medical college Kolkata has made doctors preparing for a career in the medical profession worried. This shameful act on a lady doctor reflects that doctors are serving an uncivilized society. Such news is viewed by medical community anxiously and is a poor advertisement for younger generation to take medicine as profession. Aspiring medical students need to think- whether they should enter the ring-on-fire, opt to become doctors to serve an uncivilized society.

Strangely media, courts, prominent people, celebrities, human right commission, woman right activists and women commission are little concerned about the blatant injustice done towards doctors. This again brings forth the hypocrisy of these people and organizations, who otherwise cry hoarse about woman rights and empowerment. Whenever a female is assaulted, there is an outrage, but the same support is not extended to a female if she is a doctor. Such bestiality should create havoc in minds of civilized people but this apathy to such incidents repeatedly clearly indicates otherwise. Can’t we see that such incidents are harbinger of many more in future? It is important to realize that this is the time to unify and condemn such episodes vehemently and prominently so that the miscreants realize that they cannot get away with it.

Brutality against doctors reveals a deep prejudice and lawlessness. Everyday violence against doctors is common merely on the basis of perceived negligence. Government is either unwilling to act and establish a strong culture of deterrence, so justice been elusive for medical professionals.

Even murderous assaults on doctors in the past are not enough to shake administrators, courts and doctors’ organizations out of slumber. Such violence, if unabated will be poor advertisement for next generation to take medical profession as a first choice.

Media and celebrities have proudly projected in films and television that doctors can be beaten and assaulted, in case there are unexpected results or in case of dissatisfaction. The “Reel Heroes” depicting violence against the doctor is seen as a routine and looked as an easily do-able- adventure due to unwillingness of Government to take stringent action. As patients will continue to get treatment in hospitals and few cannot be saved, so every death declaration may be a harbinger to such attacks in future.

After such big hue and cry after this incidence, Courts and Government have woken up and there is a hope that real culprits and preparators will be caught. People need to know the truth and not merely hanging the scapegoats.

August 19, 2024 0

Exploitation of Medical professionals fuelling Doctors’ revolt

The painful incident of Dr Archana Sharma’s Suicide (one year back) had unmasked the everyday struggle of the doctors in the present era. Her supreme sacrifice depicted the plight of doctors- being undervalued and demonized, forced to work as a sub-servant to bureaucrats, irresponsible policing, blackmail by goons and vulture journalism-all have become an accepted form of harassment. Her suicide has unveiled the despondency, moral burden of mistrust that doctors carry. Her death was the result of the apathy of fair justice that eludes medical community. Sadly, the society still is unable to realize its loss.

Let her sacrifice be a reminder to the whole medical fraternity; either fight against the prevalent injustice or perish, not being able to treat the patients would be a greater disservice to humanity.

Such incidents show that goons, public, regulators and administrators can use the nature of doctors’ work to be used against medical profession to make saviours as an easy prey for punishments on the pretext of dishonesty, negligence or semantics being used as legal weapons by law-enforcers, even in case of a perceived bias. In the process of such ‘tokenism’ goons and administrators prove their relevance to the medical system.

Private health care has become a predominant mode of health care delivery. The failure of public sector is mainly due to poor infrastructure and inept health management. Sadly health is being managed by administrators, who have never treated a patient in life-time. Inadequacy of public sector stems from the government inability to take responsibility of delivering quality accessible healthcare. This has added to the distress and has accelerated privatisation of health care.

Instead of making the process of opening a health care centre or hospital an easier process, it has been made a herculean task. Getting many dozens of licences is not easy. Doctors who try to open hospitals complain about numerous hurdles, but possibly are left with no option. It is still easier for big hospitals with investors’ money but difficult for doctors on their own. Running the hospital is no more an easy task due to bureaucratic and public pressures.

Private health sector especially smaller hospitals feel burdened by government schemes because of unrealistically low reimbursement rates for surgeries or procedures. Not only unreasonably low reimbursement payments are forced upon doctors but are delayed due to many unpleasant factors in government system.

There is no protection to doctors against physical assaults. Local goons and mobs easily get away with abusing and attacking doctors. The health care workers have become scapegoats for the inadequate and inept medical system.

Rather than developing a system to promote good doctor-patient relationship, Medical Consumer Protection Act has been imposed and created a situation of ‘us versus them syndrome’. It caused erosion of doctor-patient relationship and escalated cost of care. Propagation of stray and occasional incidents about negligence case in court or their outcomes are given disproportionate wide publicity in media. The patients are unable to understand the correct application of such stray incidents to themselves.

There is a growing mutual mistrust; doctors too have started looking at every patient as a potential litigant. Especially while dealing with very sick ones, practice of defensive medicine is a natural consequence.

To save themselves, doctors have to do mammoth paper work, leading to consumption of time that was meant for real deliberations for the benefit of patients.

Consequently insurance companies, medical industry and lawyers have become indispensable and have positioned themselves in between doctor and patients. Besides creating a rift between doctor and patient, they charge heavily from both sides; from patients (medical insurance, lawyer fee) and doctors (indemnity insurance, lawyer’s fee) alike. The vicious cycle of rising costs, need for insurance, medicolegal suits, and high lawyer fee (for patients and doctors) goes on unabated.

In reality it is not only the #RTH, it is the overall unfair, unsupportive and exploitive and punitive ecosystem for doctors, which is painful. Doctors are finding actually difficult to work in such environment.

Possibly it is a last cry before they quit or perish, if still remain unheard.

Covid paradox: salary cut for doctors other paid at home

Expensive Medical College seat- Is it worth it?

The Myth of cost of spending on medical education needs to be made transparent.

Exorbitantly expensive medical education and lowered merit

April 4, 2023 2

Doctor’ Revolt- a Mutiny long due globally- for professional dignity #RTH

Administrators’ wish to govern or regulate the medical profession cruelly is not new. Hammurabi 5000 years (King of Babylonia) ago had initiated to write the rules of the game. Although he was not even at the doorstep of medical science, but he promulgated some rules. It is difficult to say whether he was naive or brilliant enough to make it more mathematical. He fixed heavy prize for saving lives of rich people and used to cut the hands of physicians for death or untoward incident. But he was still wise enough to pay heavily if life was saved.

No one really knows how to regulate this difficult area, which encompasses life and death, deals with extremes of poverty and riches, mortality and morbidity, pain and relief , sadness and happiness, smiles and sorrows and uncountable emotions, intertwines with financial aspects. Most difficult part is amalgamation of intricacies of science with minds of patient and doctor’s skill in newly evolved milieu of financial complexities. Results are not encouraging for the medical profession.

With the evolution of medical science and medical care intertwined with medical business, braided changes in medical regulation is not an far off expectation. But reticulation of evolution to modern medicine and health care has not happened in isolation. Simultaneously there has been progressively complex emerging trends in medical business and changing patterns of health investments along with an era of corporate investments in health care has also ushered. Every one now wishes to live longer and dreams of better quality of life with support of progressive medical care. That kind of perception has given patients a hope in lieu of some money. With rich people willing to spend more, the insurance sector and investors putting money into health care, which was unthinkable few decades back in the past.

This reticulation of business and health care allowed health care to be controlled in some way by administrators and investors. These people actually controlling health care are away from the health providers, who treated the patients. The rulers are unaware of the limitation of medical science and the uncertainties and complexities of human body, so the regulation remains somewhat unfair to doctors.

Today the global system of medical regulation, is becoming somewhat similar, to those ancient codes in terms of punishment and revenge. Differential payment system for health care also resembles the Code of Hammurabi in some respects.

Fear factors on doctors and impact of present legal complexities is already at par with that of Hammurabi’s era. Aggrieved health care consumers may welcome a move toward harsh penalties in the name of justice and simply for revenge, but the law has failed to keep in mind the poor outcomes in complex diseases, limitation of science and of course the idiosyncrasies of the human body.

In such unfavourable and hostile circumstances, opting for a medical career is like getting into a trouble zone and getting entrapped into a system of exploitation and may be a self-bought disaster. It looks like as an absurd thought and highly ill advised.

Doctors and nurses have been reduced to no more than moral and economical slaves either by industry or administrators, not infrequently pulled by legal bridle in their noses.

Doctors have been left with only two ways either to persist, fight or perish. Silently quitting their beloved profession is going on for some time all over the world. Even in developed countries, there has been a fading enthusiasm to be a doctor

Increasing cruelty and unreasonable regulation is leading to doctors’ revolt. For example #NO-TO-RTH-AGITATION is a movement, the result of failure of Government to create public health system, but it has potential to fail the existing private doctors’ system as well. Smaller hospitals are already on verge of closure, will be forced to shut down.

It is a cry for survival for the doctors, if short-sighted bureaucracy can understand the real problem.

Slow or acute revolt is long due globally- no less than mutiny- a struggle for professional dignity.

Covid paradox: salary cut for doctors other paid at home

Expensive Medical College seat- Is it worth it?

The Myth of cost of spending on medical education needs to be made transparent.

Exorbitantly expensive medical education and lowered merit

April 2, 2023 1

Award of Medical Degree – Get Label of ‘Thief’ or ‘Butcher’ #NO-TO-RTH

Has the time come to say ‘no to medical profession’? At least paying millions and becoming a doctor is not worth it.

Movements like #NO-TO-RTH are result of long standing humiliation of medical profession.

Social media and celebrities have rewired the people’s mind against medical profession. It has created a terrifying picture about the harm that doctors do to patients. The turmoil against medical profession in the society is linked to social media that exploits the deep wired craving of patients to know more about the “realities”. This hot emotion, generating a sense of threat to them in hospitals, is exactly what they are designed to provoke. Especial comments- facts or not- produces entirely different reactions. The analytical comments about the possible harm awaken negative thinking, tribal instinct, and hardens opinion one way or other.

Media, celebrities and others are getting away with making disparaging remarks and doctors have no mechanism to retaliate. The hurtful blabber continues at will. By theatrically deriding hard work of doctors, they grabbed eyeballs to be at the centre stage of health care and prove their relevance to the system.

Among millions of patients being treated every day, there are bound to be few handfuls of adverse events, poor outcomes. Media, lawyers and other opportunistic elements sniff those few incidents and discuss it with distorted version that rewards are instantaneous.

Talking about death, negligence in medical care on media is a frightening topic and not without consequences. Ethical lines are crossed frequently. Negative emotions are generated like hate, anger and hurt and usually instigating against the medical profession. By use of few provocative words, the media can be set on metaphorical fire; the populism statistics hit the roof. The negative projection played in a peculiar way rules the internet and television. The media journalist hits an instantaneous stardom.

In the mad game for popularity, cross ethical lines and create rifts. They embellish it with more provocative words and share it with their name hoping to drive more engagement.

With no strong retaliation from doctors’ associations, shrugging and ignoring by individual doctors has made medical profession not only a scapegoat but a medium to gain cheap popularity for everyone who can publically bash the medical community. Doctors’ associations have failed to fight to save dignity and pride of their members.

In such unfavourable and hostile circumstances, medical students paying crores to get medical college seat is like getting into a trouble zone and getting entrapped into a system of exploitation and may be a self-bought disaster. Someone paying for being a doctor in millions and crores is an absurd thought and highly ill advised. For the candidates who are not financially strong, it may be difficult to even recover the money spent, what to say about the time and youth wasted in getting a degree which may or may not be that worth.

The painful aspect is that after a medical student is awarded a degree, he becomes part of the community that is labelled as ‘thief’ or ‘butcher’ or ‘worst’ on various platform openly by media and prominent people. Sadly no action is taken for their public humiliation and passed as a routine issue. Courts and human right commission also remain silent on grave injustice to this educated and hard working community.

Has the time come to say ‘no to medical profession’? At least paying millions and becoming a doctor is not worth it.

Covid paradox: salary cut for doctors other paid at home

Expensive Medical College seat- Is it worth it?

The Myth of cost of spending on medical education needs to be made transparent.

Exorbitantly expensive medical education and lowered merit

March 31, 2023 0

RTH-AGITATION-A Cry for Survival-Smaller hospitals need support

$#RTH-AGITATION- Rajasthan - Sadly doctors are fighting for their genuine rights and dignity against all. No one is with them - media, judiciary, Government and not even patients whom they have saved. Aspiring doctors should know the reality and introspect- why they wish to be a doctors in such circumstances? Smaller hospital and individual doctors' clinics are backbone of the health care system in India. Their contribution towards public health can’t be ignored. Be it Covid care or treatment of daily ailments, they are actually helpful to the public and indispensable in real sense. Their contribution to society is huge especially in view of broken public health care system. They provide health care near to public near their residential area at affordable cost. From an another angle, they generate employment to the workers as well as small businesses associated with their small hospitals. In a populous country like India, strengthening these smaller hospital is a desirable step. To strengthen the health care, Government can actually do well to support these hospitals and achieve health care to all. Supporting them will require a fraction of resources, as compared to the money needed in case Govt has to provide to public itself. It will be a short-sightedness of the Government policies, if instead of supporting them, Govt wishes to exploit their resources to give free health care to public.$

#RTH-AGITATION- Rajasthan – Sadly doctors are fighting for their genuine rights and dignity against all. No one is with them – media, judiciary, Government and not even patients whom they have saved.

Aspiring doctors should know the reality and introspect- why they wish to be a doctors in such circumstances?

Smaller hospital and individual doctors’ clinics are backbone of the health care system in India. Their contribution towards public health can’t be ignored. Be it Covid care or treatment of daily ailments, they are actually helpful to the public and indispensable in real sense. Their contribution to society is huge especially in view of broken public health care system.

They provide health care near to public near their residential area at affordable cost. From an another angle, they generate employment to the workers as well as small businesses associated with their small hospitals.

In a populous country like India, strengthening these smaller hospital is a desirable step. To strengthen the health care, Government can actually do well to support these hospitals and achieve health care to all. Supporting them will require a fraction of resources, as compared to the money needed in case Govt has to provide to public itself.

It will be a short-sightedness of the Government policies, if instead of supporting them, Govt wishes to exploit their resources to give free health care to public.

But administrators and bureaucratic system has failed on both fronts. Neither they were able to develop a dependable health care system for public, nor they tried to support smaller health systems. What they tried to do was akin to the ancient story of ‘ the farmer and the Golden goose’. The Greedy farmer wanted all the golden eggs instantly without feeding the bird and therefore killed the duck. Government with its short-sighted bureaucracy is killing its golden health care and not realizing the real potential and benefits.

In the present day, ebbed from all sides, doctors need to earn back the dignity of profession and resist oppression. The phenomenon of oppression of doctors in the name of regulation is a global issue. The populist oppressive schemes in the misleading names like #RTH-Rajasthan (RIGHT TO HEALTH) are prevalent everywhere globally in some form or another. Doctors and nurses have been reduced to no more than moral and economical slaves either by industry or administrators, not infrequently pulled by legal bridle in their noses.

Will Rajasthan’s Right to health bill do more harm than Good

Acquiring kind of skill , the years of passionate, merciless, excruciating medical learning is placed at the disposal of administrators, who themselves have failed to develop a good health care system in real sense.

#NO-TO-RTH-AGITATION is a movement , the result of failure of Government to create public health system, but it has potential to fail the existing private doctors’ system as well. Smaller hospitals are already on verge of closure, will be forced to shut down. It carries the risk of extinction of neighbourhood friendly doctor and hospitals.

The basic problem is the intentions for the task of developing a good health care system. The agenda of administration is to control the health care workers rather than developing a good health care system for citizens.

What NO-TO-RTH-AGITATION is actually doing? It is a cry for survival of the smaller hospitals- not only for themselves but for Indian Health care system, if short-sighted bureaucracy can understand the real problem.

Covid paradox: salary cut for doctors other paid at home

Expensive Medical College seat- Is it worth it?

The Myth of cost of spending on medical education needs to be made transparent.

Exorbitantly expensive medical education and lowered merit

March 27, 2023 1

What is wrong with medical profession? Choosing medical career- a mistake?

It is not easy to practice as doctor these days. Media full of doctors bashing, credibility crisis and regulators perpetually hounding doctors, who are forced to work under imposed medicolegal sword. There is no day that passes when system does not perpetuate negativity against medical profession. Doctors, ebbed from all sides, have lost the dignity and independence. Doctors and nurses have been reduced to no more than moral and economical slaves either by industry or administrators, not infrequently pulled by legal bridle in their noses.

The complex medical skill, the years of passionate, merciless excruciating medical learning is placed at the disposal of administrators, who themselves have already failed to develop a good health care system in real sense. Doctors have become soft targets for populist attention mongering and transforming social nuisance into messiah of the deprived by administrators -by sprouting the fraudulent generalities.

All the calculations that usually precede the enslavement of medicine, everything gets discussed by administrators and industry – except the well-being of the doctors and nurses.

Doctors have often wondered at the smugness with which administrators assert their right to enslave them, to control their work, to force their will, to violate their conscience, to stifle their mind. Irony is that while administrators do this, still they depend on the same doctors for saving lives -whose life they have throttled, who resent the treatment meted out to the health care workers.

In todays’ era there has been bullying of doctors by administrative systems, new unreasonable laws, which use pressure tactics on medical professionals to get their own way – no less than enslavement.

Problems faced by doctors are not only innumerable but are also so exceedingly complex that they are difficult to be analysed. Doctors feel so disgusted about the entire system that they do not encourage their children to take up this profession which until now was one of the coveted ones, there must be something going terribly wrong with the profession.

Medical courses are comparatively lengthy and expensive study course and difficult training with slave like duties. “enslavement of doctors”.
Uncertain future for aspiring doctors at time of training: Nowadays, doing just MBBS is not enough and it is important to specialize. Because of lesser seats in post-graduation, poor regulation of medical education, uneven criteria, ultimately very few people get the branch and college of their choice.
Hostile environment for doctors to begin: Suddenly young and bright children complete training and find themselves working in a hostile environment, at the receiving end of public wrath, law, media for reasons they can’t fathom. They face continuous negative publicity, poor infrastructure and preoccupied negative beliefs of society.
Difficult start of career: After a difficult time at medical college, an unsettled family life and with no money, these brilliant doctors begin their struggle. Even before they start earning a penny, the society already has its preconceived notions because of negative media publicity and treats them as cheats and dishonest. Their work is seen with suspicion and often criticised.
The fear and anxiety about the actual treatment, favourable and unfavourable prognosis of patient, keeps mind of a doctor occupied.
Blamed for all malaise: The society gets biased because of the media reports and some celebrity talking glib against medical profession. The blame for inept medical system, administrative failure and complexity of medical industry is conveniently loaded on doctors. These lead to formation of generalised sentiment against all doctors and are then unfortunately blamed for all the malaise in the entire healthcare system.
Personal and family life suffers: Large number of patients with lesser number of doctors is a cause of difficult working circumstances, and the frequent odd hour duties have a very negative impact on the family and personal life of the doctor.
Risk doctoring himself: Repeated exposure to infected patients in addition to long work hours without proper meals make them prone to certain health hazards, like infections which commonly include tuberculosis and other bacterial and viral illnesses. Radiologists get radiation exposure. Because of difficult working conditions, some doctors are prone to depression, anxiety and may start on substance abuse.21 occupational risks to doctors and nurses
Unrealistic expectations of society: Every patient is not salvageable but commonly the relatives do not accept this reality. Pressure is mounted on doctor to do more while alleging that he is not working properly. Allegations of incompetency and negligence are quite common in such circumstances. These painful discussions can go to any extent and a single such relative every day is enough to spoil the mood for the day.
Retrospective analysis of doctor’s every action continues all the life. It could be by patients and relatives every day in the form of “ Why this was not done before?” Everyday irritating discussions, arguments, complaints, disagreements add to further pain and discontentment, in case the patient is not improving. Or it could be by courts and so many regulatory bodies. If unfortunately there is a lawsuit against a doctor, he will be wasting all his time with lawyers and courts, which will takes years to sort out.

The decision taken in emergency will be questioned and in retrospect they may not turn out to be the best one, but later retrospective analysis along with wisdom of hindsight with luxury of time, may be labelled as wrong if a fault-finding approach is used. This along with general sentiment and sympathy with sufferer makes medical profession a sitting duck for lawsuit and punishments. Even if the doctor is proved to be not guilty, his harassment and tarnishing of reputation would be full and almost permanent.

11. Physical assault, routine instances of verbal abuse and threat are common for no fault of theirs. Many become punching bags for the inept medical system and invisible medical industry. Recently, even female doctors have not been spared by mobs. Silence of prominent people, celebrities and society icons on this issue is a pointer towards increasing uncivilized mind-set of society.

12. Medical industry may be rich but not the doctors: The belief that doctor’s is a rich community is not correct. Although decent or average earnings may be there, but earnings of most doctors is still not commiserate with their hard work viz-a-viz other professions. Doctors who also work like investor, a manager or collaborate with industry may be richer. But definitely most of doctors who are just doing medical care are not really rich.

13. Windfall profits for lawyers and law industry at the cost of doctors is a disadvantage for medical profession: zero fee and fixed commission ads on television by lawyers in health systems are a common advertisement to harass doctors. They lure patients to file law suits and promise them hefty reimbursements. There is no dearth of such relatives, lawyers who are ready to try their luck, sometimes in vengeance and sometimes for lure of money received in compensations. This encouragement and instigation of lawsuit against doctors is a major disadvantage for medical profession.

14. Overall, a complex scenario for doctors: There is increasing discontentment among doctors because of this complex and punishing system. They are bound by so many factors that they finally end up at the receiving end all the time. They are under Hippocratic oath and therefore expected to work with very high morality, goodwill and kindness for the sufferings of mankind and dying patients. They are also supposed to maintain meticulous documentation and also supposed to work under norms of medical industry. They are supposed to see large number of patients with fewer staff and nursing support while still giving excellent care in these circumstances. And if these were not enough, the fear of courts and medico-legal cases, verbal threats, abuses, and physical assaults and show of distrust by patient and relatives further makes working difficult.

In this era, a thought is gradually getting prevalent-‘Is choosing medical career or becoming a doctor is a mistake?

Covid paradox: salary cut for doctors other paid at home

Expensive Medical College seat- Is it worth it?