Reforms in MCI
By: Amit Bhushan Date: 17th Dec. 2017
A slew of bills and policy measures seems to be on the discussions agenda. Some like the crucial Medical Council reforms being relegated to back pages by the newspaper and not seemed to have been picked up by the channels as of yet for debate. This is even when these are likely to have a bearing on ordinary publics. The basic ‘issue’ regards MCI was the body presided over the Education of Medical professionals as well as guided their ‘conduct’ including ‘audit’ wherever was required. For most part it choked the supply of professionals and stood staunchly in defence of its members, rather than prescribing standard procedures, lay down best practices for its members and ensuring that these are followed. It had some contribution like bringing out some issues regards corporatization, but here it proved to be a toothless tiger and seemed happy with the epithet rather taking some stand that could have helped the situation for the population as well as its members. The Council may have had some contribution regards continuing education and seepage of critical new information and new emerging practices amongst its members wherein its contribution to help its member professionals could have had some appreciation, however their impact to welfare of general public was either low or not well publicized. The h’onable politicos would spend time sparing over who went wrong in sermonizing during elections rather than look at these aspects of governance and policy in the legislature.
While a new structure is being put in place, however it is not sure if its objectives are being clearly articulated or if it is not a handiwork of some lobbying in an area of high public importance. For example, how does the new structure help in improving the supply-side crunch of quality medical care at lower cost in small cities and backward areas. The population here is supposed to suffer twin cost of first going to large cities and then get fleeced by the growing menace of expensive (corporate) hospitals. It is also not clear if the quality standards of the education would be maintained while ensuring a healthy rise in ‘seats’ for the medical students and bring the overall cost of this education down. It is also to be noted that while the government gives subsidy to industry sectors in distress, but the healthcare sector in small towns and backward district which has always been in distress on account of supply side crunch has never got any subsidy whatsoever and neither the Council or its new avatar being argued now, has made any suggestions to be looking into these aspect. A view on the overall growth of the sector to be able to meet the challenges of the country with its high low income population needs to come out. Then there can be secondary areas like potential to train others in the low cost training institutions or to be able to effectively cater to others in the low cost service institutions thus created.
The reforms are important and need to be discussed on account not only for the sector itself but also because there are several other sectors facing similar bottlenecks. These can be other well publicized like Pilots and aviation sector, Marine and Waterways sector, Adventure sports and sports sector (with its total lack of any institutional mechanisms for nurturing domestic talent and professionals), Culture and Arts amongst others. The results has been disastrous such that even pure commercial activities like how to harness rail, waterways or road logistics sectors for efficient commercial activities is not even argued about in public since no professional body is available to percolate the best practices even though an area of importance for nearly all ‘businesses’ big or small. Nearly in all these areas, a small group or cabal of entities seem to dominate with the population not having any access to nurturing their inherent talents as well as proper mechanism for professional growth. Coming up of television and youtube phenomenon, some of the cultural aspects may have been unleashed though but it is projected as a mere letting go of the ‘frustration’ rather than any professional growth aspect as of yet. Let’s see the ‘Game’ evolve…