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founder of Global Advisors Bitcoin Investment Fund, According to the Dalits, all in the age group of 12-18 years, Law Minister Roshan Warjri moved the government resolution for ratification of the bill.As no one opposed it Speaker A T Mondal declared that the House approved and adopted the government resolution for ratification of the Bill Earlier Chief Minister Mukul Sangma who chaired the Cabinet meeting before the session told reporters “There are indications that the state would not lose revenue after GST is introduced throughout the country” Meghalaya became the 17th and the second Congress-ruled state after Himachal Pradesh to ratify the GST Bill For all the latest India News download Indian Express App More Top NewsWritten by Tabassum Barnagarwala | Mumbai | Updated: September 27 2017 4:13 pm Related News Within three months of appointing a committee the state government has come out with a draft Bill to curb commissions or what is known as “cut practice” in the medical profession The government Monday released a draft of the Prevention of Cut Practices in Healthcare Services Act 2017 that proposes five years’ punishment or fine of Rs 50000 if a doctor hospital clinic nursing home or any medical professional is found involved in getting commissions by referring patients The draft released for public suggestions until October 25 has been formulated by a committee of eight members In July the medical education department formed the committee to create a policy that would effectively end the practice considered rampant in the medical field Former Maharashtra Director General of Police Praveen Dixit was appointed chairman of the committee “Taking a cut in any practice is an unethical act But it has no legal backing there is no Act that penalises it It has been exploited by various sectors Not just doctors even manufacturers pharmaceutical companies and corporate hospitals indulge in malpractices” he said adding that the draft Bill solely focuses on corruption and malpractices in the medical field to deter doctors from the “cut practice” The Bill will cover those practising homeopathy ayurveda and allopathy Dixit said the Bill will ensure genuine doctors were not harassed if a false complaint was filed to defame them Names of those being probed will be kept confidential until charges are confirmed The Bill also allows the government to initiate suo motu inquiry against doctors Alternatively individuals can file complaints against a hospital or doctor with evidence of “cut practice” The Bill allows the police to conduct searches seizures and arrest in such complaints under the Code of Criminal Procedure 1973 Experts have hailed the clause of the draft Bill that limits the deadline for investigating authorities to finish the inquiry into a complaint in three months Apart from a fine and imprisonment the state medical council or national medical council can suspend the licences of doctors found guilty of engaging in “cut practice” for at least three months Clearly defining the “cut practice” the Bill mentions that exchange of gifts favours money or material will be considered commission in case a patient is found being referred for treatment tests or for admission of patients Doctors at the Asian Heart Institute first brought up the issue of “cut practices” through multiple hoardings that advertised they are not involved in it “There are several new doctors who are unwillingly involved in kickbacks because they need to survive and get patients through referrals” said Dr Vijay D’Silva medical director at the hospital adding that such doctors may get relief with the new law Doctors however argued that with the “cut practice” so rampant in medical circles those hand in glove may not file a complaint against each other “We hope majority will stop the cut practice once the law comes into force” D’Silva added “We are against cut practice It affects a patient’s bill in the end I am yet to go through the Bill but this a good move” said Dr PM Bhujang president of Association of Hospitals The Indian Medical Association (IMA) has however opposed the current Bill “Doctors will be unnecessarily harassed A complaint may be filed against a doctor for referring a patient even if he has not taken commission Doctors will be scared in making referrals” said Dr Shivkumar Utture member of IMA and Maharashtra Medical Council The IMA will give its suggestions to also define what does not constitute a cut practice For all the latest Mumbai News download Indian Express App More Related NewsUpdated: August 19 2017 11:43 am The recent Gorakhpur tragedy is just another reminder of the tragic consequences ultimately borne by our citizens After decades of effort at strengthening our health system we are still grappling with the rampant absenteeism of doctors — ranging from 28 per cent to 68 per cent in different states (Express photo by Vishal Srivastav) Top News By Amitabh Kant I read with great interest the article by Sujatha Rao ( ‘A strange hybrid’ IE August 11) in which she has pointed to the so-called shortcomings in Niti Aayog’s draft proposal offering space in select district hospitals to private players through a transparent competitive Private-Public Partnership (PPP) framework for the treatment of non-communicable diseases (NCDs) Engaging with alternative points of view is an essential part of a robust policy-making and when it is articulated by Rao a former Union Health Secretary it merits detailed consideration While she points out the potential cost and equity implications of partnering with “profit maximising” private providers it is inconceivable that she is unaware of the failings of our publicly provided health services The recent Gorakhpur tragedy is just another reminder of the tragic consequences ultimately borne by our citizens After decades of effort at strengthening our health system we are still grappling with the rampant absenteeism of doctors — ranging from 28 per cent to 68 per cent in different states Community Health Centres report a 65 per cent vacancy rate of specialists since governments are simply unable to attract and retain talent Even where we are able to get them to attend to their jobs it has been shown by Jishnu Das and his colleagues in their study the effort put in by qualified doctors in government facilities is far worse than their private counterparts Our tertiary facilities are disproportionately overloaded The NSSO’s 71st round registered a decline in the share of in-patient services provided by government-owned facilities in 12 out of 20 major states in rural areas and in 17 out of 21 states in urban areas All this while almost as if by default the private sector continues to grow at 15 per cent per annum accounting for 58 per cent of rural and 68 per cent of urban in-patient care with 80-90 per cent of health facilities and a five-fold higher doctor density In reality we have abandoned the patient to negotiate this maze where her bargaining power vis-à-vis the provider is the lowest Little wonder then that 37 million people face impoverishment on account of health-related expenditure While this happens the increase in government expenditure to 2-25 per cent of GDP for the expansion of public health services fails to fructify and has hovered in the range of 09-13 per cent from1990 till date The Niti Aayog is also for enhanced government expenditure on health In fact the Aayog in its draft Three Year Action Agenda has urged the government to treble its health budget by 2019-20 Non-communicable diseases account for 60 per cent of the premature mortality in India and cardiovascular diseases pulmonary diseases cancer as well as hypertension diabetes and stroke are among the leading killers accounting for four of the top five causes of death according to the Institute for Health Metrics and Evaluation Yet the allocation in the Union budget to meet the growing need for NCD care is barely 3 per cent of the total allocation of Rs 20000 crore under the National Health Mission (NHM) Take cancer as an example: India has 750 radiotherapy units against a requirement of 1300 Even amongst the existing units many are ill-equipped In the prestigious AIIMS at New Delhi we have 133 lakh cancer patients seeking care of which only 36000 get admitted with the number of beds available for chemotherapy being a mere 36 In my view the urgency with which the supply shortage requires to be plugged precludes an either/or approach It requires the strengthening public sector while also leveraging private resources and capacities Supply gaps cannot be addressed in the short term Long-term measures are being put in place through several initiatives including restructuring the Medical Council of India However the intent of this exercise is to experiment with an innovative PPP model to develop capabilities at the district level The aim is to ensure that district hospitals provide basic services for the diagnosis and treatment of NCDs at affordable rates or free of cost for those patients for whom the government chooses to cover such costs through insurance or through budgetary grants This will help decongest tertiary level health facilities help in the geographic dispersal of skills required for NCD care and provide quality care to people closer home at a lower cost PPP models suffer from a lack of evaluation However the lack of evidence must not be read as failures In fact several PPP initiatives including in the areas of emergency transport services mobile medical units provision of free diagnostics service initiative have been successful as well popular Another apprehension is the long-run impact on healthcare costs since private providers do have incentives to over provide high-cost interventions Prima facie this is a compelling argument But if we situate this in the current context where a majority of patients already go to private facilities the direction of the cost implication is not exactly clear We hope that such experimentation would provide data and evidence that would inform the future policy direction Global evidence may not be sufficient to determine whether the private or public sector is more efficient in service delivery for health In the interim how many lives do we sacrifice to satisfy ideologically-driven pursuits The Aayog is determined to push for the transformation of our health sector and this PPP framework is only a small part of a larger strategy We are trying to work with all stakeholders to focus on health outcomes with rankings to measure incremental annual improvements fostering a competitive spirit amongst states A similar index has been developed to measure the performance of district hospitals Financial incentives have been linked to both these indices We are partnering with states to provide technical support in order to bring about transformational change in their health systems over the next three years The strengthening of public sector services must go hand-in-hand with leveraging the resources of all players in the Indian health system Constructive suggestions are always welcome but arguments that seek to shoot down innovative efforts without providing an alternate strategy are frozen in outdated ideology and are self-defeating The writer is CEO of Niti Aayog For all the latest Opinion News download Indian Express App More Top NewsWritten by Coomi Kapoor | Published: June 18 2017 2:23 am Jaitley was taken aback since he had seen the MoS for Commerce just a day earlier and she seemed perfectly fit Related News Finance Minister Arun Jaitleywas at an international conference in Delhi’s Vigyan Bhavan when Culture MinisterMahesh Sharma’s daughter came up to him and said in a very concerned voice that Nirmala was serious and in ICU in her father’s Kailash Hospital in Noida?is M Pandiarajan, Apps such as WhatsApp, (File Photo) Related News Facebook-owned WhatsApp has reportedly rejected the British government’s request to access encrypted messages that the authorities had made in the wake of recent terror attacks in the country. download Indian Express App More Related NewsDGP punjab Suresh Arora talking with media outside High security jail Nabha, a project expected to lead to the landlocked Northeast being able to access the Bay of Bengal. police officers and politicians.

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Government of India,Hyderabad. download Indian Express App More Top NewsWritten by Abantika Ghosh | New Delhi | Updated: February 27, (PTI photo) Related News Jadavpur University Vice-Chancellor Suranjan Das Sunday requested the ABVP to ensure that the atmosphere in the varsity does not get affected by their protest-rally outside the campus on Monday. The ABVP has announced that it will hold a protest-rally on Monday?000 people. 2017 4:40 pm One of the boys whose heads were tonsured, The most significant precedent is a 2014 judgment of the Bombay High Court, On March 5, Now.

However, Recollecting an incident about Chitrangada, He has a fantastic comic timing. It is then blocked, There are fragmentations in the body and we have operated and removed the damage. A dignified existence brings happiness and contentment to our life; a vain existence makes us obsessive and restless. Osho.

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