PREVIOUS HOUR

MCM-KGG/3N/4-00

ϟ֯ (֟) : ֲ ֟ , ֳ ֲ ָ ־ã ֺ ߅ ֟ , ״ֿ֮ ָ , ֳ֬ , ֟ ֓ և Ӿ ֟, Ӿ ָ ֤ ֓ ָ Ӿ پ , ׿ , ֌׸ ײֻ֕ ӟִ֕ , ִ ֲ ֤ ׿օ ֲ ִ֕־֤ Ӥ֮ , ֲ ֲ ָ פ -"ײֻ֕ ֮ ß , -֜և 㰟 " 㰟 ֺ ïֻ֟ ӱÙָ ֻ֮ ֟ , ӱÙָ כ, ֟ և כ ֮ ֋ ֟ , ׻֋ Ӿ ׻֋, Ӿ ָ ֋ ־ã , ֲ ֌ Ӿ ֻ ־ã , ֲ ӱÙָ , և , ֲ ֕ ָ ïֻ֟ ֛ , ָ ײػ ֛ ֤ օ ֛ ִ ׻֋ ׮־ ֯ ֻ֮ ״ֿ֮ , Ӿ כ ֻ ױָ , ֕ ׾֤ ׻ֵ, ֮֟, ִ ִõ֋ , ָ ֟ , וֻ ׾ֻ ָ ֟ - ֛ ִ ײ֟ ָ ־ã և þã ӡ , ֯ ֻ֟։ ֟ ָ߱ ֯ ״֙ ו ָ ֮֯ ִ , ֯ ײֻ ָ ״ֿ֮ ֱ ֋ ֮֯ ָ ״ֿ֮ ֣ ׾׳֮ ߴ׸ ֻ֮ ִ , ִ ֤ ֟ ֯ ׮־ ֟ և , ױ خ , ״ֻ خ , þã ӡֵֻ ֲ , , ֯֟ ֻ ִ ָ ֵ ָָ ִ ֣ ֟ ֋ ֋ ֮ ܟ ֋, ײֻ -ֲ֤ß ֋ ֲ ֲ֤ ׾ñ ָ ׮ֵӡ ֋, ֲ ָ ֯ þã ӡֵֻ þã , ֟ ָ ݻֻ ڴ ִ ״ֻ ִ֮ ֋ כ ֮ Ӥ ֻ ֋ -ִ ֮ ֋, ָ כ ָ ֜ և ևיÙ 17-18 ָ ֤ օ ׻֋ ָ ֲ֤ ֜ , ֻ , ׻֋ ݻ׿ֵָ ׯֻ֑ ׻֋ ֲ ִõ֋ כ֙ ϳ־ ָ ׮ֵ ָ ֛, ָ ִ כ֙ ָ ־ ִ ֵ֮ ֋ ֵ֮ ֵ֮ ָ ֮ ֲ֤ ָ ׮ֵӡ ׻ֵ , ׸ãןֵ , ָ ׸ãןֵ ָ ָ ֮֯ פ ֲ ֛ ֛ ֯ Ӥ ו֋ ָ ֟ ֋߅ (3O ָ ֿ:)

KLS-GS/3o/4.05

ϟ֯ (֟) : ָ ֟ ֵ, ֛ ָ כ֙ , כ֙ ׾֟ ֜ , ֲֻ߸ ֛ ֿ ׾ , ׾֟ - Ӿ ָ߲ ׾֟ ֜, ִ ׌ ֟ -

"וִָ , ִ ֟ ־ ,

ײ֮ ָ ֮, ֮־ӟ׸ "

׾֟ ־ ֻ 韵 ߅ ׾֟ ֲֻ߸ ֜ ֕ ֤ ִ ֮ ֲ ßֻ , ֲ ֤ ֓ ֋ þã ׾ֳ ָ֯ ָ ׿ָ ֲ ֤ ָ 20 ןֿ֟ ־ ָ ֟ ָ ֟ ָ , ִ߮ , ָ , Ӿ , ֟ Ӿ ֻ֟ ו֮ , ï֙ ֕ , ï֙ ֕ , ִ ֤ , ו ֮ ׻֋ , ֕ ׻֋ ֮ ֵ? ןִ ֟ ֮ ֟ ִ֯ ָ ֮־ ֮֬ , ָ ֲ ֤ ϳ׾֟ , þã ֲ þã ӟִ֕ , ֲ ֯ ֮־ ֮֬, ֯ ӟִ֕ , ׻֋ þã ӲӬ ֮µ ן ־׸ ָ ֮ פ ֵ ֯ ֟ Ͽ , ָ Ͽ ִ , ׻֋ ֲ ֟ ָ ֯ ֮ ֟ ֮֯ ֮ פ, ׻֋ ֯ - ֮־֤ (ִ֯)

SHRI RAVULA CHANDRA SEKAR REDDY (ANDHRA PRADESH): Sir, I thank you for giving me the opportunity to participate in the debate on the discussion of the working of the Ministry of Health and Family Welfare. Sir, previous speakers have mentioned many things about allocations and the actual functioning of the Ministry. Sir, if we go by the allocations, the Plan allocations to this Ministry, for 2003-04, it was Rs.6111 crores; thereafter it is Rs.7497 crores, then it is Rs.8500 crores, then it is Rs.10,000 crores, Rs.15,000 crores and it is Rs.19000 crores for 2007-08. But actually if we look at the revenue receipt for 2003-04, it was Rs.2,63,87 crores and when it is compared with 2007-08, it is Rs.4,86,450 crores. The problem is at the lower level more particularly in the rural areas where the poor masses are increasing day by day. The allocations are very meagre and we are unable to meet the actual demand at the field level. Sir, I would like to point out another thing that if you take the allocation of 2005-06, originally it was Rs.9332 crores but later on at the revised estimate stage, it was Rs.8500 crores. But the actual spending was only Rs.8076 crores. So, something is shown on the record and something else is actually happening in the field. Sir, as far as spending of the money is concerned, it is not properly utilised. The hospital is constructed but there are no doctors. If doctor is available no medical facilities are available, no medicines are provided. The actual allocation made to a Primary Health Centre is to the tune of Rs.50000 per year but the actual salary bill of a Primary Health Centre is about Rs.500000. There is a mismatch. Actual spending should reach the common people. They cannot afford to buy treatment from private hospitals. The Government hospitals are not properly equipped. The other day I was citing an example of a 1350-bedded hospital in my own State. It is in Karnool District. (Contd by 3p/sss)

-KLS-SSS/3p/4.10

SHRI RAVULA CHANDRA SEKAR REDDY (CONTD.): I will send a photograph to you Sir, wherein, a pig entered a hospital and had eaten away an infant. This is the state of affairs of the hospitals at the district levels. I will be sending you the copy.

THE VICE-CHAIRMAN (PROF. P. J. KURIEN): Is it a Government hospital?

SHRI RAVULA CHANDRA SEKAR REDDY: It is a Government hospital. It is a 1300-bedded hospital in Kurnool district headquarters. I was also saying earlier that if you want to join a Government hospital you must tell the family members that his fate is left to God. He may not come back. That is the state of affairs of Government hospitals in many parts of our country. Sir, the programmes of Government of India are not in tune with the demands. Sir, the population and bed ratio, the population and doctors, the population and nurses have stagnated. It is not in tune with the requirements of rural health. Sir, the private hospitals are making money. Shrimati Brinda was right in saying that earlier health is wealth, now it is ill health is wealth to private hospitals and doctors. Sir, this is the reality. Sir, I would like to request the hon. Minister that earlier we used to say prevention is better than cure. Now, prevention is literally lacking. Seasonal diseases are there but nobody is there at the district level. They are not bothered to look into the previous years' experiences and take preventive measures. Prevention should be the prime motive. I request the hon. Minister to concentrate on prevention part also. Sir, you are going to appoint ASHA. I do not know what purpose it will served. There are ANMs. We have about one ANM for 3000 population. One male ANM and another is female ANM. I do not know what exactly is the duty entrusted to ANM and ASHA. There will be a conflict again. I need a clarification from the hon. Minister. Though I was there in the Health and Family Welfare Consultative Committee, we appreciated the idea of ASHA and its ambitious programme of National Rural Health Mission but, I think, there will be a conflict at the lowest level. Sir, among the vector borne diseases, Malaria continues to be a serious problem and in this programme, vector eradication is the main preventive measure. If the Health Department implemented this properly they might have not only prevented Malaria outbreaks but also Chikungunya outbreak. Sir, because of Chikungunya, people were forced to spend about Rs. 3000 per family. My district was badly affected and in many parts of my State and other parts of the country, more particularly the State of Tamil Nadu, Sir, this disease really burdened the poor people in the rural areas and Government hospitals were not equipped with the medicines and amenities. Sir, for the National AIDS Control Programme, we need lot of money. I do not know why a person like Bill Gates comes all the way to India and spends money for AIDS Control Programme. Why not our Corporate sector? Why don't you make it mandatory? They are enjoying all the benefits. They are getting free land, free power, free water, tax exemption, everything they are getting. We are providing whatever is required for them, but nothing is done on health care. Bill Gates has come to India and spent money on AIDS Control Programme. Why don't you compel the corporate sector to spend money for this purpose? Sir, the object of National Cancer Control Programme is good. However, the district centres are not functioning properly due to lack of specialists, equipments and essential medicines even though these Centres get Rs. two and a half crores as one time measure, in comparison to Rs. five crores to the Regional Cancer Centre, thus, forcing the poor patients to look for private cancer institution which is the main reason why 95 per cent of our Chief Minister's Relief Fund and Prime Minister's Relief Fund is being spent on that. (Contd. by NBR/3q)

-SSS/NBR-MP/3q/4.15.

SHRI RAVULA CHANDRA SEKAR REDDY (CONTD.): I request the hon. Minister to concentrate more particularly on cancer hospitals.

Sir, trauma centres is another interesting aspect. The Government is sanctioning Rs. 1.5 crores to one centre. Out of this Rs. 1.5 crores, Rs. 63 lakhs goes for building, Rs. 66 lakhs goes for equipment, Rs. 20 lakhs goes for ambulance and Rs. 1 lakh goes for communication, while no money is earmarked for treatment! In some centres, trauma care is managed by untrained MBBS doctors! In some centres there are no specialists. No funds are made available for treatment. They are provided with only building and equipment and there is absolutely no money for treatment. Every sponsored scheme is crippled in implementation due to hotchpotch approach. A lot of funds are mis- utilized due to improper implementation.

Sir, I now come to CGHS. I fully agree with what Smt. Brinda has said. Now, people are going to private/corporate hospitals, getting treatment and money is reimbursed by the Government to hospitals. They are not going to Government hospitals. I request you to concentrate on providing facilities at Government hospitals and make it mandatory for people to go to Government hospitals. Giving money to corporate hospitals will in no way help. In future they are going to overburden the common man and the facilities will not be available to poor people.

The other aspect is drug control and food adulteration. I need not tell you much about the functioning of the drug control and food adulteration departments. They are only on paper. Literally, no control measures are taken at the lower level.

Sir, Health Insurance Scheme should be popularized. The Government should come out with a scheme to pay the premium for poor people who are Below Poverty Line. The Government can come out with a programme for ensuring the health of poor people and this can be a big success, if you involve the corporate sector. The hon. Minister can think about this programme.

I don't know what happened to NIMS, Hyderabad. The Ministry wanted to upgrade it. I hope he will do it.

SHRI V. NARAYANASAMY: Without touching Hyderabad, you will not complete your speech.

SHRI RAVULA CHANDRA SEKAR REDDY: Naturally, I represent my State. Mr. Narayanasamy, you are a national leader. I represent State. I am not Narayanasamyji to represent the nation. I am here to represent my State and to ventilate the grievances of my people. I know my limitations and constraints.

Sir, polio recurrence again is a concern to all of us. In my own State, districts like Visakhapatnam, East Godavari and West Godavari are badly affected and people are more worried about polio. I will give you another classic example. But, again, he accuses me that I am raising an issue of my State.

THE VICE-CHAIRMAN (PROF. P.J. KURIEN): You know the time constraint. Finish your points. Actually, your party is allotted four minutes. But, you have taken more than that.

SHRI RAVULA CHANDRA SEKAR REDDY: Sir, I will complete within two minutes.

There is a news item appeared in newspapers which says that, on an average, 5,000 people are victims of dog bites in the State. I believe this is the season and there is no medicine for dog bites. People are more worried. I request the hon. Minister to direct somebody to go there and assist the people.

Due to paucity of time, I stop here. Thank you. (Ends)

SHRI V. NARAYANASAMY (PUDUCHERRY): Mr. Vice-Chairman, Sir, thank you for giving me this opportunity. After a long time we are discussing the working of the Ministry of Health and Family Welfare in this House. I heard with rapt attention the speech made by hon. Smt. Brindaji. She concentrated more on rural people, the health of the rural people, women, children and drug prices.

SHRI PENUMALLI MADHU: What about old people?

(FOLLOWED BY PK "3r)

PK/3r/4.20

SHRI V. NARAYANASAMY : Since you are old, you are concentrating on that.

Sir, I agree with the hon. Member that when we say "Health for All", our concentration should be more on the people living in the villages, aadivasis, Scheduled Castes and the people who belong to backward classes, especially, the agricultural community and others. When we have the slogan "Health for All", I find that the funds spent by the State Governments in various States for health care of the people living in the villages are negligible. The hon. Minister has got ambitious plans, and various schemes are being evaluated. Various schemes are also being announced whether it is for polio, or, dengue fever, or, Chikungunya, or, malaria eradication, or even for the AIDS control programme. There are various programmes we have. Sir, I would like to submit to the hon. Minister that the money that is going to the rural areas for these programmes is negligible when compared to the urban areas. I want the hon. Minister to consider this. I would like to give one example as far as the ophthalmology is concerned. The people who are living in the villages -- because I have visited several villages - go to private hospitals for cataract operation. The people there say, "I have become blind". How did they become blind; they don't know? There is nobody to treat them. When the doctor goes there, when the cataract operation is done, they get their eyesight again. It is the job of the hospitals which are run by the Government, not the private institutions. It is not going to cost you anything more. I will give you one more example; there are so many examples. When the elderly people, who are more than 65-70 years old, get their eyesight again and when they put on the glasses they have got a new world. They feel they are capable of sustaining themselves. When they get eyesight again, they feel like that. It is not going to cost much for the Government. The Government has to concentrate more on giving eyesight to the poor people living in the villages when they do not know which disease has affected their eyes. They do not know which disease has affected them. This is the situation prevailing in the rural areas.

Secondly, I have brought to the notice of the hon. Minister about Chikungunya that has been prevailing throughout the country. The Madhya Pradesh Betul district was the worst affected. They say, "crocin is the only medicine; there is no other medicine." The farming community who have been working in the fields have been the worst affected. For two, three months, they are immobilised. Their limbs were swollen; their legs were swollen. They were not able to work; they had to lie down. The simple medicine is crocin. The hon. Minister had given an assurance in this august House that no one will die out of Chikungunya, but reports came that some people had died. I do not know whether that medicine is true or not, because when we discussed about the Chikungunya in this House, the hon. Minister said, the people will not die, but there were several deaths in Madhya Pradesh itself. I am grateful to the hon. Minister that he was able to send a team of doctors there. Though the State Governments had neglected, the doctors went there, they took care of those people and some of them were saved.

SHRI RAVULA CHANDRA SEKAR REDDY: The same situation is there in Andhra Pradesh and also in Tamil Nadu.

SHRI V. NARAYANASAMY: Let me come to every State. Sir, now I come to the problem of heart diseases. I give one example to the hon. Minister. If a poor man goes to the PGI Institute, Chandigarh -- I do not want to quote my State; he said that I should not quote my State - he wants to get an operation. It has to be done immediately. They say, "you come in 2009; there are a lot of people in the waiting list." This is because he is a poor man! If you go to any other country, you will find that even at the district level there is a hospital which can treat the heart patients. Can I quote the United States of America? In USA, at the district level, well- equipped Cardiac Institute is there. I don't want at the district level, but even at the regional level, why don't we have an institute like that? (Contd. by 3s/PB)

PB/3S/4.25

SHRI V. NARAYANASAMY (CONTD.): Sir, more people are prone to cardiac diseases in our country. Now, because we don't take care of the poor people, they die like cats and dogs. This is the situation as far as the heart diseases are concerned. They can't get the treatment because they cannot afford to spend the money on it. But the rich people go to private hospitals, they go to private institutions for treatment. Because the rich people are able to spend a lot of money, they are able to save their life. But as far as the poor people are concerned, they are living in the villages and, therefore, even if they get heart disease, they cannot get adequate treatment from the hospitals. They have to wait for two-three years and by that time the patient dies. The State Government also assists them. It gives them some compensation for going for operation. But how many people are saved like this unless and until the Government comes to the rescue of those people who have been affected? Sir, the hon. Minister very clearly announced 'Health for All in this country'. So, as far as the rural people are concerned, this concept has to be implemented in the right spirit. The Budget allocation has been increased. I am very glad about it. Now, as far as the question of providing health to all is concerned, it is not the primary responsibility of the hon. Minister alone or the Central Government alone, but it is the collective responsibility of the Central Government and the State Government. Both the Governments have to take care of the health of the people in which the funding agency and the monitoring agency is the Central Government. The State Governments cannot afford to spend a lot of money on that. Therefore, the infrastructure has to be created for which the funds have to be provided by the Central Government only. Therefore, Sir, I want the hon. Minister to consider this aspect.

Sir, another area on which some of the hon. Members have been insisting on is related to the various systems of medicines, whether it is Ayurveda, Unani, Siddha, etc., which have been prevalent in our country, invented in our country. I could find the elderly people go for such treatments, Siddha treatment in the hospitals. I am very glad that the hon. Minister is concentrating on it. But the adequate doctors have to be appointed, infrastructure has to be created. ...(Interruptions)... Even though the Allopathy treatment is available, they go for such treatments because these treatments don't have side effect. They go to Siddha Institutes; they go to Ayurveda Institute. ...(Interruptions)... Elderly people like you are going there.

THE VICE-CHAIRMAN (PROF. P.J. KURIEN): You know elderly people are going for Ayurveda and Siddha. ...(Interruptions)...

SHRI V. NARAYANASAMY: Sir, they are going for Ayurveda and Siddha. Now, we have got various medicinal plants. A lot of medicinal plants are available in the Himalayan region and in Kerala. But the exploitation is almost negligible. Now, why is the exploitation negligible? It is because the Government is not giving them adequate support. The medicines which are prepared by herbal plants are very cheap. The people are prepared to take it, but they are not getting adequate support from the Government. The Government has to give them the support. So, as the hon. Members are saying, the amount of support the Allopathy is getting, the other systems of medicines are not getting. ...(Interruptions)... The Ayurveda and Siddha Institutes are not getting it. I am talking about my State where we are getting adequate medicine. This is what I would like to submit. ...(Interruptions)...

THE VICE-CHAIRMAN: Don't get distracted. Otherwise, you will not get time.

SHRI V. NARAYANASAMY: Sir, population stabilisation is one of the areas where a major role has to be played by the Ministry of Health and Family Welfare. The urban people are more aware of the family planning methods and there is not much awareness among the rural people in this regard because of the living conditions, their economic conditions, etc. Moreover, they don't have particular knowledge on that. The kind of information dissemination for family planning in the rural areas has to be intensified so that the people understand that by increasing the population, it is not only their family which is affected but the whole country is affected. Therefore, Sir, I request the hon. Minister to concentrate on that aspect. The population stabilisation is one area where the hon. Minister has to focus on. (Contd. by 3t/SKC)

3t/4.30/skc

SHRI V. NARAYANASAMY (CONTD.): I am glad and am thankful to the hon. Minister that he has taken keen interest in the Jawaharlal Nehru Institute of Post-graduate Medical Education and Research in our State, which has been a pioneer institution that was neglected in the past. The posts of Professors have been filled up, equipment have been bought for cardiac institute, neurosurgery, orthopaedics and so on and in all the institutes the vacant posts in all the departments have been filled up. The hon. Minister was able to allocate more than Rs. 110 crores for the purpose of bringing the institute back into shape. Therefore, in this august House, I would like to thank the hon. Minister for giving importance to the Institute, which is the third institution in the country, after the All India Institute of Medical Sciences and PGIMER, Chandigarh, which has got its reputation and standing. I am grateful to the hon. Minister for that.

Sir, one area, which I would like the hon. Minister to look into, is organ transplant. There is a mushrooming of medical institutions in this country. Some of them are involved in organ trade. They admit patients, remove their kidneys and other organs and are indulging in their trade. There is no system to control that or to check whether these hospitals are taking proper care of the patients, or what action needs to be taken by the Government in case of such removal of organs. I know that the hon. Minister would shift the responsibility to the States saying that it is a State subject. But when it is the question of hospitals, I would prefer a Central legislation to that effect. I would like the hon. Minister to consider bringing in a Central legislation to that effect. Whichever be the private hospital involved in the removal of organs of patients who have been admitted in hospitals, should come under the power of that Central legislation; it should not be left to the State Government. The State Governments would not be able to implement effectively the legislations that they bring in. There should also be a provision that the person whose organs have been removed must be adequately compensated. Apart from meting out punishment to the hospital authorities who have been involved in this kind of illegal trade, adequate compensation must also be paid to the victims.

Sir, India is growing as a hub of medical tourism. Both private and public sectors are contributing towards this. Lots of patients are coming in from abroad, especially the Asian countries such as Pakistan, Bangladesh and other countries, for medical treatment and they have been treated successfully in our hospitals. I feel very proud and glad about that. But when it comes to the question of regulating the functioning of private hospitals, where is the mechanism? There are so many private hospitals in this country which claim that they are five-star hospitals and that they have the full equipment for the purpose of treating patients, whether it be the Apollo Hospital or the Escorts Hospitall they charge the patients like anything. If a patient goes inside these hospitals, he comes out a pauper. He has to pay Rs. 10, 15 or 20 lakhs when he visits these hospitals. Where is the mechanism to control it? Who is to control it? How to control it? It is the primary responsibility of the Health Ministry to see to it that the functioning of private hospitals in this country is regulated. It should not be left to the mercy of the private hospital authorities that are carrying out business in the hospitals. There is no doubt that they need to earn profits. But there should be reasonable profits; they must not exploit the patients who go there. I would like the hon. Minister to consider that aspect and see to it that there is a regulatory mechanism for controlling the functioning of the private hospitals in this country, whether big or small. (Contd. by 3u/ksk)

KSK/4.35/3U

SHRI V. NARAYANASAMY (CONTD): There is mushrooming of private medical colleges in this country. These private medical colleges get Essentiality Certificate from the State Government. The Medical Council of India gives permission. They then open colleges in various States. The land belongs to the State. Electricity is of the State. Water is from the State machinery. They start the institution there and they employ Doctors there. When it comes to the question of admission of students, minimum is 30-35 lakhs for MBBS and Rs. 75 lakhs for MD. Is it not a trade? Is it not commercialisation of medical education? Is it not a fraud on the part of the private medical colleges? And, they are generating black money. We have to see that area also. They don't bring into account the money which they collect from the students. Today, I saw, in Madhya Pradesh, as well as in the entire country, 64 medical colleges have been denied permission by the Government for the simple reason that they were giving bogus degrees to the Doctors. If the Institution is not up to the standards and a medical student comes out of that medical institution, what will be the fate of the patients? Who will control all this? The State Government has no control over it. The State Government cannot do anything. After giving the Essentiality Certificate to the private medical institution, the State Government has no control over it. When we ask them that our local students should get admission there, they say that State Government should not have any kind of control over admissions. They get people from Malaysia, Singapore, Australia and they collect money in dollars. Apart from that, they bring students from other States and the minimum amount of Rs.30-35 lakhs is being collected in the name of capitation fees. Are we living in a civilised society, in a country where barbarians are living? There is no mechanism to control them. They generate black money and there is no system to check it also. It is the primary responsibility of the Health Ministry to see that these medical institutions are regulated. Why are you not doing it? Why can't the State, in which college is started, ask them to give admission to local boys and girls? What for are these institutions there?

Sir, I will take two or three minutes. I am speaking on the subject which is very important and I would like to give suggestions.

Therefore, I would like to know from the hon. Minister whether he has thought of any mechanism of this kind, otherwise it will result in mushrooming of medical colleges. Anybody, who wants to start business, starts a medical college in this country. The State is not benefited. State boys and girls are not benefited. Somebody from outside comes and studies there and he gets the degree and go away. And, the State Government is giving all the support to them. Why are these institutions there in this country? Therefore, Sir, as I suggested to the hon. Minister, there are lot of loopholes in the system. Unless and until it is rectified or corrected, it will be very difficult to achieve 'health for all' as envisaged by you in your Health Ministry.

Then, Sir, you need the money for the purpose of treating the rural people. For that, I am very glad that the National Rural Health Mission has been brought by the UPA Government. I am grateful to the hon. Prime Minister and the hon. Minister of Health and also UPA Chairperson, Shrimati Sonia Gandhi, for bringing the National Rural Health mission which goes to the rural poor of this country. It has to be implemented in right spirit and true spirit and the poor people living in the villages should get the medical care. Every poor person should get medical care. Then alone, I will feel that the Health Ministry is achieving the 'health for all' that has been brought by them. Thank you. (Ends)

(followed by 3w - gsp)

GSP-HMS-4.40-3W

SHRI SYED AZEEZ PASHA (ANDHRA PRADESH): Sir, I thank you for giving me the opportunity to participate in this important discussion. Sir, for any country, health care is one of the important priority sector but, unfortunately, in our country, where we are declaring so many major achievements with much fanfare, we are very much lagging behind because the total spending on health care is hardly one per cent of our total GDP, although according to the National Common Minimum Programme, we have to spend two to three per cent on health care. We have not achieved that target as yet. This is a reason as to why we are there in the 20 per cent bottom countries of the world whose per capita income is much lower than India. So, this is a very serious aspect of the health care that we are taking up.

Sir, for any person, health care is one of the important things and is an area of concern. Sir, it seems that 58 per cent of our total annual income is being spent on health care, out of which, 40 per cent money is either borrowed or procured by selling the assets in order to somehow avail the health care.

Sir, these private hospitals, particularly, the corporate hospitals, are playing havoc with the lives of the people. They are charging exorbitant, hefty fees, which is also not in consonance with the quality of medical care which they are offering. I remember of an incident when one of our veteran trade union leaders was operated for the heart disease. He was successfully operated but afterwards due to the unhygienic conditions in the hospital led him to deathbed condition. I am talking about one of the topmost corporate hospital, which is having branches in each and every State headquarters. So, some of the friends had already prepared obituaries, and, some of the friends had already written elegy thinking that his condition was very precarious and he was going to die any moment. At this juncture, one of his close relatives, who happened to be the Chief Cardiologist in Osmania General Hospital, came there and on seeing his precarious condition, he immediately got him discharged from there. He took him to the Osmania General Hospital and under his strict medical care for a fortnight, he came out robust and cheerful. Afterwards, he held a press conference wherein he said that the hospital had taken about two to two and a half lakh rupees from the CGHS but could not provide good medical care. And, due to the unhygienic condition, he got infected. So, the Government should have proper regulation so that these hospitals do not play with the lives of the people.

One day I met one of my intimate friends in a corporate hospital. I asked what was the ailment? He said, "Nothing". I asked him, why was he there in the hospital. He said, "What to do; the hospital is offering me fifty per cent discount on the amount towards all the expenditure". So, he was getting himself thoroughly examined even for the ailments, which he did not have. Then, a hefty bill was prepared on which he was to get fifty per cent discount.

Sir, there is a sort of nexus between the corporate hospitals and some of the people, which is going on. Sir, I know the CGHS is not permitting the ordinary hospitals, which want to work very honestly. But these corporate hospitals are getting permission overnight so that they can play havoc with the life of the common man. (Contd. by sk-3X)

SK-PSV/3X/4.45

SHRI SYED AZEEZ PASHA (Contd.): Sir, in Delhi, there was a news item, that 90 per cent of the pregnant women are being forced for cesarean deliveries. How can it be when the same cases are admitted to Government hospitals...

THE VICE-CHAIRMAN (PROF. P.J. KURIEN): Mr. Pasha, we have to finish it today. Therefore, please try to conclude.

SHRI SYED AZEEZ PASHA: I know, Sir. When others were given 15-20 minutes, such an uncharitable comment you are dedicating only for me. I am going to finish it within 2-3 minutes.

THE VICE-CHAIRMAN: No, no. I am saying this to everybody.

SHRI SYED AZEEZ PASHA: I am finishing it within 2-3 minutes, Sir.

I am just highlighting what is happening in the corporate hospitals, how they are looting and how they are playing havoc. So, when 90 per cent normal deliveries are taking place in the Government hospitals, why so many cesarean operations are taking place in the corporate hospitals? They are forcing them by saying that the patient is in danger and you should go for cesarean so that they can present a bill of 40-50 thousand rupees. So, the authorities should take a serious view about it.

I want to say two more points, Sir. One is about Siddha, about which Mr. Narayanasamy has already spoken. I know that there are certain cases where allopathy has failed but we got success by herbal medicines. Fifty years ago, people in the then Soviet Union also looked into this matter. People in Siberia or other territories, how do they give successful medical treatment when modern medicine has failed? They say that they cannot put it aside by saying that these are quacks, but we should give serious consideration to the herbal medicines also. I also want to insist upon our Ministry to give a serious thought to it.

Lastly, with regard to medical education, I would say that indiscriminate permission is being granted to some medical colleges. Last year, one medical college was given permission. That college did not have any infrastructure. When they approached Medical Council, it rejected the permission bluntly. But surprisingly, the management got the permission within 24 hours. I don't know how. So, such sort of practices should be looked into very seriously. What will happen? Ultimately, medical education will become a great casualty if the permission is granted to some hospitals that don't have basic infrastructure, that don't have any basic standards. These are some of the issues which I wanted to highlight. Thank you very much. (Ends)

THE VICE-CHAIRMAN (PROF. P.J. KURIEN): Thank you Mr. Pasha. Shri Ekanath K. Thakur. Not there. Shri Harendra Singh Malik. Try to finish it in 5-6 minutes because we want to finish it. There is Half-an-Hour discussion also.

׻ (׸) : ֮֮ߵ ֳ֬ , ֮֮ߵ ӡ ֬և ֮֯ ™ߵ ִ þã ״ֿ֮ ֵֻ , ִ ֮֯ ֛ ָ פ - "ֲ ׻֋ þã" ָ , ֮֯ ֮ ֟ , ֮֮ߵ ӡ ֤ ֙ ָ ֟ ֮֟ ™ , ߟ ֵ , ִ ӓֻ ֮ ֓ ֮ , ֆ ־ ֣ ïֻ֟ ־ ֮ ֮ Ѿ ? ֮֮ߵ ӡ ֮֟ ִ ӓֻ 10-10 ߙ ֟ֆ ׻֋, ־ ߛ ß , ־ ֮ ӟִ֕ ֯ ָָ ֮ ֟֋ ֓ ִ ֮ ߾֮ ִ֯ ?

þã ֕֙ ֜, ֯ ֜և, ֜, ִ ֯ע ָ ֮־ָ, ֮֮ߵ ӡ ֕ ָָ ֣ ָ- ִֻ օ ֕ ָָ 42 㓔 þã ִ ֟ ֣ ִֻ ֮֋ ™ߵ ßָ ָ ֻ֟ ..

(3և/000 ָ ֿ:)

3Y/klg/4.50

׻ (֟) : ֵ֮֮ , ׻֋ ֜ օ ֕ ָָ ִֻ ֣-֣ ָ ׾ֳ ִֻ ϵ ,

֮־ָ, ֕ ߴ׸ ֜ ָ ׸ ֟ ֻ ״ֻ, ֟ ֮ ״ֻ, ֟ ״ֻ, ׮׿֟ þã օ ָ ֵ, ֮, ֨ ׻֋ Ի  ָ ӛָ , ָ ֵ ֆ ׾֬ , ײֻ Ù , ו ָָ ָ ֵ , ֨ և ֮ , ֮ ßָ , ׮׿֟ ָָ ִ ִ ߴ׸ , , , ֻ׸ , ד׮ֵ , ׻ֵ , ׻ֵ ױ ֯ ֜ ױ ָ ִ ӓֻ ֮ ֜ ָ ָ ָ ו ָ ֟ , ߸ ֣ ֟ ִ ֟ ֟-ןֿ֟ ֟ , ֲ ִ ֤ ïֻ֟ ׮֟ , ִ߮, , ֲ ײ ֵ , ָ ָָ ֤ ֮֮ߵ ӡ ִֻ ֕ וֻßָ ָ ֯ ָ ׮֙ ֤ ֓ , ֯ Ùײִֿ ֯ ֤ , և ׻֋ ָ ™ߵ ׮ֵ , ו֮ ֲָ ׾֮֯ ֟ , -ߙ ֟ , ָ ן־ ֳ ֜ ָ ״ ״׮Ù , ֯ ִֻ ָ ֋, ֋ ß ֕ AIDS , HIV ֛ ϓָ-ָ ß֮ , ֯ ן ָ ׿ ׾ֳ ֯ ׾ֳ ӯ ׿ ִ , ߴ׸ Ӆ ֮ Ù ־ פ AIDS ֻ ֻ ֆ ִו ָ ׌ֵ , ߴ׸ ß ִ , خפ ִ ָߵ ߾ ָ , ϵ

֮־ָ, ֕ ד ׾֬ ә և , כ֮ Ù, וִ , ָ ïֻ֟ , ױ ָߵ ד ׾֬ , וִ ֯ וֻ ïֻ֟ , AIIMS , ӟ , ִ ֮ ïֻ֟ ִ ֮ ïֻ֟ ֲ ֟ , , וִ ֟ Ի֕ ֟ , ָ ֲ ָ֮ ֛ ֟ , ָߵ ָߵ֟ ֛ͯ֟ פև ִ ֮֮ߵ ӡ ֯ ׌֟ ֯ ִ֬ ֲ ֤ ֟ , ֋֋ ֯ ֮֮ ֲ ֙ ָָ ֟ , ӡ ֮֮ ֯ ָ ָָ ӡ AIIMS ִ ָ ֛ ֲָ ֟ , ִ , ִ֟ ׸ ָ AIIMS ִ , ֟ AIIMS , ָָ ׾֬׵ ֵԯ׻ ֛ ֤ AIIMS ֛ ֵ֕ ֛ ֮֜ ִ , ֮֜ ִ ֕ ֟֟ Ӥ ָߕ, , ִ , ֯ ߙ-3 ׮֙ 27 Ӳָ ָ כ ֮ ֋ , , -״׮Ù ִ ָ , -ֵָ ִ ֕Ը , ָ כ֮ Ի֕ օ ָ ֛ ֟ , ֮ ֮֮ߵ ֤õ , ָ ֮֟ ֲ ֯ ӡֵֻ דֽ ׻־ ֟ , דֽ ָ ָ ֟֟ ֕ ָ ֵ֟ ָ߲ Ի֕ ׻֋ ֟ ׸ ָ , ׾֬׵ ׸ ָ , ִ , ֮ ִ -֋ ֯ ִ ֋ ֕ ֛ ֤֤ ֙ þã ӡֵֻ ֤֤ ֙ ? ָ ֻ Ùָ ֟ ֯ ֮ ִ

֮־ָ, ױ ֯ և , ֯ և ïֻ֟ և ִֻ , ִ , ֟ , ָ כ , ָ֙ ֻ֮ ֕ ֵօ 3/ ָ

aka-vkk/3z/4:55

׻ (֟) : ׻ ֵօ ו ã ׻ ֵ , ã ׾ֹ ֯ ָև ֋, ׾֢ ӡֵֻ ֵ ֯ ֋ וֻ ְָ ְָ כ , 30 ֋ ָ פ ״ֿ֮ ׻֋ 30 ֋ ָָ ! ֻ ֮ , ß ! ֟ MCI ֯ ӛ ִ , ו ֱֻ ֯ ִ , ֵָ MCI ָ , ״֙ ֮և, ӓ ו֋ ӓ ׸ ֮ ֤ ָ ֻ ׾ֳ ֮ ֵ ֮ ָև ו֋ ֯ ߬ ָև , ֟ ֯ ָև ӵ-ӵ ױ ֟ ׻֋ ֮֕ן ֤ ׻֋ خ , ָ , ָ ״׮ִִ ׻ױ֮ ֵ

ֳ֬ (0 00 ׸֮) : ׻ , ֟ ו֋

׻ : ָ, ֟

֮־ָ, և ïֻ֟ ٕ֕ ִֻ ָ ֮֮ߵ ӡ ֟ ו֮ ïֻ֟ ָָ ׸ֵ֟ ָ ִ߮ , ïֻ֟ ָ߲ ֕ ֮ ָ פ ïֻ֟ ָ ֯ և ֛ ֋, ֯ ׾֬֋ , פ Ϥ ֮֮ߵ þã ӡ דֽ ֬ ָ֮ ֛ ֟ ֟ ֟ ֿ ָ ߴָ ֛ - - ָ -, ߮-߮ ֤ ֛ , ד CGHS ִֻ , וִ֮ ׾֬ , ִ ְָ, ָ Ϥ ֮־ָ, ֯ ָ ֕ AIIMS Ù ֮ ֟ , ֯ ִ ߾Ο ֮ ֯ ָ ׾֢ ӡֵֻ ִ ֻ ֮ ִָ ֮֮ , ֯ ִ ӓֻ ïֻ֟ , ״ֻ߅ ֯ ïֻ ״ ֕ ָ SEZ ֕ ָ ֯ ִ ӓֻ ïֻ֟ , 10 ֻ 20 ֻ ״ֻ, ׮׿֟ ֯ן ֋

֯ ָ և כ ֟ , ִ ׸ֻ Ù ָ ָי כ ו , ָָ ָ ָ ٴ ֮ , ׸ֻ Ù ֮ ָָ ָ , և ֓, ֓ ֋ below standard student admission , ָ , ֲָ ׻ ָ օ ãן ִ ֋, ֯ ִ

֮־ָ, ָ ֯ ִ ӓֻ ָ߲ ֓, ֻ ָߵ , ָ ֮ ָ ֓ ָ ֟ , ֯ ӡֵֻ ִ ֯ ӡֵֻ ִ ӡֵֻ ִ ִ ׸ ׸ ׻֋, ָ߲ ֻ׮ֵ , ׻֋ ֻ ־ã , ֮־ָ, ׮׿֟ ׸̻ ֋

֮־ָ, ֮֯ ִֵ פ, - ֮־֤

(ִ֯)

STATEMENT RE: STATUS OF IMPLEMENTATION OF THE THIRTEENTH REPORT OF THE DEPARTMENT-RELATED PARLIAMENTARY STANDING COMMITTEE ON LABOUR

---

THE MINISTER OF STATE (INDEPENDENT CHARGE) OF THE MINISTRY OF LABOUR & EMPLOYMENT (SHRI OSCAR FERNANDES): Sir, I am making this Statement on the status of implementation of recommendations contained in the Thirteenth Report of the Standing Committee on Labour, as per direction issued by the Hon. Chairman, Rajya Sabha, in pursuance of the provisions of Rule 266 of the Rules of Procedures and Conduct of Business in the Council of States, on 28th September, 2004.

The Thirteenth Report of the Committee concern the Ministry of Labour and Employment, which was laid on the Table of the House on 17th May, 2006. I would like to mention that the Ministry had submitted to the Committee, the Action Taken Report on this Report on 7th July, 2006, which has been taken note of by the Committee in their 18th Report. Our Action Taken Report on their 18th Report has been sent on 29th March, 2007.

The status of implementation of the recommendations of the Committee, contained in the Thirteenth Report, is indicated in the Annexure to my Statement, circulated among hon. Members. I would not like to take the valuable time of the House to read out all the contents of this Annexure. I would request that this might be considered as read.

(Ends)

DISCUSSION ON WORKING OF MINISTRY

OF HEALTH AND FAMILY WELFARE - (Contd.)

ֵ ֿ Ͼֻ (™ߵ ֮֕֬ , פ) : ֳ֬ , כ ֵ֤ ׯ֔ ֻ ֵ , ֻ ֻ ֻ ֋օ ׻ ו֮֟ ֟ և , ֲ ֟ ָ֮ , , ׮ ָָ ָ ָָ ָ ׻֋ ִ ֻ , ָ ןֵ ֵ ֮֮ ֻ ֳ֯ן , ֟ ִ ֮֟ , ָ פ ? ӡֵֻ ֻ ֟ , ? ׯ֔ ֻ ֋ ֋ , ִ ֮ ߕ ֕ ? ('4a/sch' ָ ָ)

PREVIOUS HOUR