Profit Based Healthcare.

'You're right, we did make a profit.'

‘You’re right, we did make a profit.’

What a topic to write on! One of my pet grouses is the modern medical profession’s obsession with profits rather than patient welfare and very obligingly, Shackman has suggested this week’s Friday LBC topic to enable me to let off some steam! You may find another blogger Pravin also writing on this subject.

To start with, for those who may be interested about the medical profession in India, there is a remarkable book written by a group of doctors exposing some of the malpractices prevalent, reading which is a hair raising experience. I have read this a few times to stress points in discussions with some friends and am quite shocked at this knowledge being quite well prevalent but more astonishingly accepted as a fact of life. This drives me to believe that one has to be very lucky to find ethical medical practitioners.

I will share with my readers two personal stories to give my take on the subject.

A very long time ago, both my replaced hip joints needed to be revised and the surgeon I had been recommended to perform the revisions recommended that I get them done at a famous hospital in our town. The first one went without incident and I was quite happy with the outcome. The second one done after just two months went off well but the recovery process from the surgery took a very peculiar route at the hospital. Doctors who had nothing to do with my case would visit me and make some general enquiries and disappear. It was at the time of settling the bill that I found that those visits were being billed to me and I simply refused to pay. When the administrator came to find out what had happened, I pointed out this to him asked him to check from my surgeon if these were called in for consultation by him. I told the administrator that I will not pay and he could do what he wanted and that I was perfectly willing to stay on in the hospital till the bill was brought for settlement without the additional charges. My surgeon who has since then become a personal friend also supported me and after much toing and froing, the bill was reduced. I paid and got discharged albeit later than I should have been.

Another revision became necessary after ten years and on my refusing to go the same hospital again, the same surgeon suggested that we arrange for it in another newer hospital where too he had accreditation and I readily agreed and it was a delightful experience.

I have written about the other incident with my frozen shoulder when I wrote about My Health.

If I had such unpleasant experiences, I have also had some very good experiences which too are brought out clearly in the two stories that I have shared above. There are many more concerning the experiences that I have had with my GP as well my late wife’s Cardiologist. I also had some very good experiences with specialists and another hospital where I had to take my late father. Moreover, I recently had a serious problem for which I had to consult a specialist who not only made home visits as an exception, but also was very fair in the charging of his fees and most importantly, he gave me a lot of confidence and in a very short time cured me too.

So, we do have the two ends of the spectrum operating here in India as is confirmed by others. While I have had experiences of both things like this report contents also happen here.

I am sure that Shackman has similar tales to tell having undergone some serious issues with medicine in the recent past. I also keep reading about some serious issues with the Pharma industry like this article in The Washington Post. There are a number of other horror stories about which my readers know and I look forward to comments on whether the both good and bad exists in their patches of green too.

I also look forward to seeing some appropriate music links from Shackman for this most unlikely topic for music!

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18 Responses to Profit Based Healthcare.

  1. shackman says:

    Standing and applauding. We are on the same page but I took a softer approach. That someone could be denied health care because of profitability is the best argument against capitalism there is – and I am a fan of capitalism. Our healthcare system is touted as the best. Maybe – but it is only the best for the very wealthy.
    shackman recently posted..Profit Based Healthcare LBC 09/23/2016

  2. We have the same problems here. We’ve had some very good and very bad doctors. And consultants walking through and charging a lot is a standard trick.
    Cheerful Monk recently posted..Shoe Laces

  3. Our fairly successful universal care system is under attack by some elements, who want to have a two-tiered system, by which the wealthy can pay for the very best, and we would be left with the remains. Hoping that never happens!

  4. kylie says:

    I think many doctors are corrupted by their power, often it is just a question of how much.

    Well done for catching them in their games

  5. nick says:

    Thank goodness for the National Health Service here in the UK. Of course there are good and bad experiences as in other countries’ health services, but at least we’re not billed horrendous sums for the bad experiences. When I read stories of Americans who’ve been bankrupted by huge medical bills, I’m baffled as to why their co-citizens haven’t demanded a charge-free health service years ago.

  6. Pingback: Profit based healthcare | Business to the Buddha

  7. I neglected to say that my comment above was in relation to Canada, where we have, as long as I can remember, enjoyed basic health care available to all, with no strings attached.

  8. tammy j says:

    it is all such a mess here in the u.s.
    as long as profit is the motivation i guess it will remain so.
    and profit these days seems to be the motivation for EVERYTHING. literally.
    as the marine reminds me… you can’t legislate morality.
    i know there are really fine physicians. but i’m thinking for every one of those there is a money loving game player who is playing that dangerous game at the expense of the patient.
    i’m SO glad you stood your ground rummy. and…
    having a personal friend in that field is a wonderful plus!
    tammy j recently posted..blowing the bugle

  9. I think there are layers of medical/health services here but I am basically at the mercy of the public health system.

    When I broke my wrist, and there was a complication (which I think actually happened at the 1st place, like end of day at that ER & they didn’t follow through with x-ray to check it was set properly) – anyway I ended up with Albert Yoon, hand specialist at another hospital – what a fabulous guy! And all available to me for free…

    Although when I needed some help with a major problem of my soleplate/foot/ankle – the simply x-ray actually wasn’t actually good enough – still have no confidence in that doctor who does happen to be at my current clinic…

    but as some know my new guy there, a doctor from ?Sth India – absolutely listened and something minor I said has changed a whole lot of my diagnosis – and I’m way better….

    • We too have layers of medical facilities here and surprisingly enough the poor tend to get very good attention though they have to pay for medicines.

      I am glad to hear that you are very much better now.

      • certain medicines have a subsidy whilst others don’t…my new ones of the vertigo don’t but indirectly I will get that back… under the disability allowance I have with my super/payment

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