A possible solution for India’s Healthcare crisis

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I think governments should make serving in government institutions mandatory for all students who study in government institutions – specifically professions like doctors, engineers and architects, but all graduate education ideally. I say doctors here, because it is the most urgent and visible, but the ideas are suggestions across all professions.

How many years the service should be should be clearly stated at the time of admissions (as opposed to imposed later, like now), so that people who don’t like the idea can try for admissions in other places. It will also be good for people who do not like the pay, working hours, work load, working condition, facilities, etc to choose opportunities that suit them better.

For doctors and engineers, the time should be at least five to ten years. More would be fine too. Until a point where we don’t have a crisis for such professionals, when it can be lowered – way far into the future.

This will encourage people who are looking to profit from the education to invest in creating those profit opportunities, rather than count on cheap education. It will also improve chances for the really poor people who can afford to live on government stripends and do not mind dedicating time to transforming the country.

It is a far better solution to the much resented quotas or complex evaluations of economic ability for reservations and will also help the government create doctors and other professionals who are at home in the rural scene where they are needed most.

It will also mean that poorer people from upper castes don’t get discriminated against and that more poor people will have greater chances to change their lives directly.

I think this is a good idea, because it will help the poorer sections of the country, rural areas, help address the healthcare crisis, and importantly, turn the education from a favor to the student into a student’s contribution to the country. A vital gift from the country and a vital service to the country.

Needless to say, such students will also have greater chances for becoming permanent in their government jobs, if they wish.

What about the many people who need the seats? Well, either you pay money in private colleges, or pay time in government colleges, if the time is too much, think if it as interest on the investment. You can always take loans and study where you like.

So, in this sense, it is actually a very capitalistic move.

All this said, education reform is still a necessity.

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5 thoughts on “A possible solution for India’s Healthcare crisis”

  1. dr.hemant mittal

    also ethics should be taught to doctors during medical education… even in a govt. setup they make huge sums of money thru “under the table dealing”…
    infact such is the lure of the same, that many never leave govt. service
    a junior level doctor can make upto 1 lakh per month in perks.

    so ethics and strict control on this required.

    dr.hemant mittal

  2. Not surprisingly, this has been suggested time and again by various medical educationists and panels on education, but never implemented because the healthcare industry in India is hostage to the doctor. That they are overworked and denied basic rights like overtime etc. are strong factors in their support. A bond should also come with a system wide re-haul in the way we work, if you pay me for 8 hours of work, I work for only 8, no 18, as many do now as Ketan has already pointed out. 

  3. Five years i’d say is too much, but a compulsorily bond is a good idea, many countries have it. It should be designed in a way that PG studies are not affected. 2 years for undergrad 3-5 years for Post grad would be fair to all. 

  4. I agree. I don’t understand why this is not done. It should be like the bond that defence officers sign – a minimum of ten years but ideally twenty years would be good. Government should use tax payer’s money (that pays for state run institutes) for public services, not for providing better career options to a ‘meritorious’ few.

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