DR. ANBUMANI RAMDOSS (CONTD.): About 62 per cent of all the injections given in the country are alleged to be unsafe. This is a huge cause of concern. HIV/AIDS, Hepatitis, and a whole lot of other diseases are there. That is why we are trying to take a conscious decision on this. In due course, we are going to say that all syringes in the country will be auto-disabled because of this huge amount of unsafe injections.
On immunisation, in fact, we are adding Hepatitis-B vaccine to our immunisation programme. There was a pilot project in 35 districts, which had been a success in 15 cities. It had been very positive. We are adding the Hepatitis-B vaccine to the National Immunisation Schedule.
Sir, ASHA has been fully enlisted. There are Mitanin, ASHA, and health workers in the villages. Mitanin are also health workers. They are in Chhattisgarh and Madhya Pradesh. About 4,20,000 of them have been appointed. Out of that, about 3,50,000 ASHAs have been appointed in all the States. Out of that, literally 2,20,000 have been given a seven-day orientation training. It is to tell them what is their work. Like this, they have four seven-day training modules, which comes to 28 days. Once the entire mechanism is put in place, I am very, very confident that the immunisation coverage is going to go up. Because ASHA's main work is to take the woman and the child for immunisation. We are working on the cold chain also. I am very confident about it. On pulse polio, the coverage has come down. We are trying to rectify that issue.
On drugs, we have regulatory as well as promotional mechanism. They are trying to work in tandem with each other. When this National Drugs Authority comes in place, it is literally going to have 10 sub-divisions within itself. One for licensing, one for blood, one for medical devices, one for Indian system of drugs, etc. We have constructed a beautiful new building at the cost of approximately Rs.15-16 crore. It is ready to be occupied. Once this mechanism is put in place, we are going to put our personnel there.
On banned drugs, I would say let the Drugs Control Authority come. This question has been answered a number of times in this august House also.
On clinical trials, this is an issue which she has been raising every now and then. Sir, the Government of India at no point of time will subject its citizens to be used as guinea pigs. This is the focus issue. Ethics is going to be the central point in it. We will not compromise on this issue with any companies or manufacturers. We will not allow our citizens to be used as guinea pigs for any research activity. The Indian pharmaceutical industry is the fourth largest in the world in sheer volume. The highest US FDA approved pharmaceuticals outside the United States are in India. After the process regime, now the product regime is coming. We have to have lots of R&D facilities. Millions of dollars have been invested in it. Lots of global partnerships have been there. We are definitely wary of this problem. In fact, we have instituted an ethics committee and we have a National Ethical Committee and we are trying to monitor it. We have Pharmacovigilance Committee and all the medical colleges have been streamlined. If any adverse drug reaction (ADR) due to these trials is noted, severe action will be taken. We are contemplating even more stricter regime.
Dr. Prabha Thakur raised the point of integration of Indian and modern systems of medicine. We are moving on that. In fact, the Golden Triangle concept is there. We are doing more research on that.
In the National Rural Health Mission, we are having mobile medical units. We are giving one mobile medical unit for each district in the country. It is for the first time. In due course of time, each block will have a mobile medical unit. This will be going to help address health issues in a long way in rural areas. If any lady is going to deliver a baby, this unit can take her up.
Of course, there are issues regarding the PMSSY, the JSY, and fluoride problem. Fluoride problem is rampant in our country. Nearly 12 States in the country have fluorosis. Under the Rajiv Gandhi National Drinking Water Mission, there is a sub-mission for this. State Governments are also participating in it.
Lots of hon. Members have flagged the issue of population. The Government is very conscious of the fact that there has been an increase in population. In the last Census, the total population in the country was 102 crore. (Contd. by VKK/4O)
DR. ANBUMANI RAMDOSS (CONTD.): But, unofficially, today's estimated population is approximately about 110 crore. So, the rate is going down. Definitely, we are having a severe problem of population. We need to have population stabilisation procedures and methods. We are having them. But, we are not going to coerce or force anybody into any of these procedures. That is the policy of the Government and this is one of our very important programmes. In fact, if we have a lesser population, the country will have more development. We are creating a lot of awareness. In fact, Sir, the NFHS-3 shows that in the rural areas, even the illiterate women or women who have not studied beyond sixth standard are saying that they want only two children. This concept is now in rural areas also. This is a very healthy trend. In fact, in respect of minorities, some of them say that they don't want more children. Lot of IEC campaign, information, education and communication campaign has been started, in a big away, as a part of it and we are providing for it. If someone wanted to have a family planning concept or sterilisation or intrauterine device or any other method, this provision was not there. Now, we are giving lot of budgetary support. Both for HIV programme and population programme, condoms are being provided. There has been a tremendous increase in the supply and use of condoms. We are very conscious of that programme and doing it. She talked about doctors frequently going on strike and discrimination against students of weaker sections in some of the institutions. Sir, this is very unfortunate. In fact, Sir, earlier we have been having reports from lot of the hon. Members of the august House about discrimination in some of the institutions under the Central Government, one of them was AIIMS. Then, we appointed a committee under the UGC Chairman Mr. Thorat. He has made some recommendations. Whatever these recommendations are, we are not going to point finger at anybody. It is a social issue. We have to tackle it very consciously. We have to involve everybody associated with it and it is going to be a continuous process. It is a social problem. It is not a problem of individuals or anybody collective or groups or associations. The intention of the Government is to take up this issue, not only in this institute but also in other institutes where discrimination is being done against weaker sections. This has to be taken up holistically. That is the intention of the Government, not to find fault in personalities and persons.
Mr. Ahluwalia mentioned about transplant. He was commending, and I also share his remarks commending the doctors who have performed a unique surgery of double transplant of kidney and liver in the world. He spoke about doctor-patient ratio. Sir, there have been about 262 medical colleges rolling out 29,800 odd medical graduates every year, especially in the last few years. So, doctor-population ratio in this country is about 1700 persons to one doctor in the modern system. When you take the Indian system doctors put together, it is about 700 persons to one doctor. But, Sir, most of these doctors are concentrated in towns and cities. That is a big problem. There is no distribution among villages. That is the whole intention of the National Rural Health Mission. In fact, in the three years of take-over, I have taken on rectifying the earlier system. We are trying to plan out. One of the very good points made was: What is the Government doing on planning of the future health human resource? This is a very, very important topic and we are looking at it holistically. Personally, I have attended two conferences and one workshop on one topic of India's health human resources for the future. 'For the future' means that for the next 40 years, we have to plan out as to how are we going do, how many institutes we need, how many nurses, how many doctors, and how many are trained qualitatively, the curriculum change, etc. All that was discussed and they have given a lot of recommendations. In fact, Dr. Ranjit Roy Chaudhury has also made separate recommendations. We are very conscious of it and we are looking at it. This is one of the very, very important concepts of the Government. She asked about ASHA, their training, what is ASHA and how does ASHA fit into the system, etc. ASHA is not a doctor.
SHRIMATI BRINDA KARAT: How will she be paid?
DR. ANBUMANI RAMDOSS: ASHA is going to be paid according to the work she does. Initially, there is going to be remuneration and we are giving funds to ANM and sub-centre is going to pay to ASHA.
(Contd. by RSS/4p)
DR. ANBUMANI RAMDOSS (CONTD.): Sub-centres are going to have a joint account with the village head, and accountability, monitoring, all that is inbuilt mechanism. So, nobody will be able to take away any money or commit any irregularities in that. Even for immunisation, ASHA is paid money; for medical check up, ASHA is paid money; for delivery, ASHA is paid money. If ASHA induces the household to build a household latrine through the rural development programme, ASHA will be paid money. So, ASHA will be getting a lot of resources. ASHA is not going to be there on lifetime basis. ASHA has a chance of her being promoted also in the future after so many years as an ANM. So, there are a lot of things, which ASHA would be doing.
With regard to immunisation, I have already said that it has been taken note of, and once all these mechanisms are put in place, I am very, very confident that in the next two years, you are going to see a dramatic increase in the immunisation process in this country. With regard to registration, "Yes, if there is any pregnancy, there is no registration at present. If there is any death, there is no registration. If there is any delivery, there is no registration. Even though the law is there, in reality, it is not happening. ASHA is facilitating that procedure. If any lady is pregnant, immediately, ASHA is going to register that lady in the sub-centre. Today, we do not know how many women deliveries are taking place, how many abortions are taking place, how many pregnancies are there. ASHA will be consciously monitoring all the parameters in the villages. It is not that ASHA is going to be burdened. But these are some of the parameters which are easily maintainable by ASHA. Of course, with regard to fake and spurious drugs, I have to say that it is a fact that my predecessor, Shrimati Sushma Swaraj, had brought in an amendment at that point of time about giving capital punishment to the people who are dealing in spurious, fake drugs and killing people. Even though personally, I agree with her views , but then, as a part of the Government, we have to take certain decisions, and in fact, I will be bringing in the amended recommendations to the august House in due course of time again, where we have increased the punishment and added penal and legal clauses for strengthening this system. This is one part of it. Second part of it is the setting up of the National Drug Authority. Again, in this Session, if we get time, I will be introducing that Bill, and once that Bill is passed--I have gone through the formalities--we will be setting up the National Drug Authority. There will be a lot of work to do. We still have a long way to go. We should have a very transparent and vibrant mechanism to regulate this. This is one of the priorities for us. We are definitely going to do this.
So far as the issue of rationalisation of medicines given by doctors is concerned, this is a very important concept which the hon. Member has brought out. We do not have a pattern saying that you go to this doctor. If you go to one doctor, he says, you take 2 antibiotic; if you go to another doctor, he says you take 3 antibiotic. Similar is the case with blood. If there is an accident or any mishap, they give one unit of blood. But one unit of blood is not of much use. I do not say all doctors do like this. Some of them are trying to do that. Their associations are there, the IMA is there, councils are there, they have to monitor that. We are, in fact, supporting these associations under the IMA, the FOGSI, the Federation of Gynaecology, the Neurology, the Nephrology and Cardiology. The Government is also supporting them in their continued medical education so that more knowledge will be induced to these doctors. With regard to telemedicine concept, we are, in fact, working with ISRO to reach out this knowledge to the doctors for rationalisation.
Then, there was a question about the Central Drug Authority, PNSY, what has happened there and what we can do. There was a reference to the amendment also. Then, there was a reference about nutrition, drinking water and so on. Then, some hon. Members raised the issue of specialists going out of the country. Mr. V. Narayanasamy and other Members have referred to this issue. Sir, India has, I could say, not one of the best brains in the world; I can say that it has the best brains in the health sector in the world because in the top hospitals in U.S.A. or U.K. or Canada or Asustralia, the top doctors are Indians who had gone there at some point of time because they did not have any opportunities here, and in fact, this has been a process all these years. But now, the trend is reversing because of the concept of medical tourism. Now, not only patients are coming to India in hundreds and thousands, but also doctors who have gone there 20 or 30 years ago, they are coming back to India for good because they see the same opportunities in India, they get the same remuneration here and they enjoy a better life style here. They are all coming back. But some of the specialists like anaesthetists, neuro surgeons and cardiologists, are trying to be there.
(contd. by 4q)
DR. ANBUMANI RAMDOSS (CONTD.): But, then, we do not have a mechanism to check them. We are trying to work it out and we will take a conscientious decision. In some of the institutes, like the All India Institute of Medical Sciences, we are having a lot of issues. Today, the fees for one student in the All India Institute of Medical Sciences is approximately Rs.200/-. In some States, the private institutes have a high fees. Sir, after the Court's intervention, there were Committees set up for streamlining the fee structure and the admission procedure. Most of the Committee Chairmen were retired judges of the High Courts in the respective States. And that Committee goes, every year, into the fees structure and the admission procedure. The Supreme Court has said that that Committee should be appointed before the Government takes a view for streamlining the entire procedure. In Andhra Pradesh, some people say that they are charging Rs.4 lakhs or Rs.5 lakhs for one year. Sir, when we have a fees of Rs.200/-, which is, I could say, not one of the lowest, but the lowest, 60 per cent of the doctors leave the country. This we are trying to work out. I do not find faults, as such, with anybody because our students are our children; we have to encourage them, and they have to go all over the world, get new knowledge and come back. All these things are there. But we have to, and we are trying, to work out how they could be used here if we are giving subsidy. We are subsidising the education. So, they have to give back, they have to contribute to the country for what they have taken from the country. So, we are trying to work out that.
Pharmacopoeia. In fact, the Cabinet note is under finalisation, for giving autonomous status to the Indian Pharmacopoeia Commission. In fact, all these years, the Commission and CPL, Ghaziabad, have been functioning and they have been rolling out so many drugs and other issues. Sir, this is under the process.
And medicinal plants, I do not know how you could say I have spoken against medicinal plants. You could ask anybody in this country in the health sector, or anybody is saying that, and everybody says that the Health Minister is the one who is trying to propagate these medicinal plants not only nationally but also internationally. I come from a rural background, from a village in a small town, and I know their value, what these medicinal plants are doing and how this could, I could say, revive the Indian economy more because my expert says that this medicinal plant industry is going to be a five trillion dollar industry by 2045. What a potential we have! And we have the right climatic conditions in India. To grow these medicinal plants, they do not need much water; they do not need more pesticides. So, we are trying to revive that. Initially, Sir, when I took over as Minister, the medicinal plants budget was--I am not able to recollect correctly--approximately Rs.5-10 crores, but today, Sir, it is more than Rs.50-60 crores. That is not much, but, then, we are trying to do it in a big way. We are trying to coordinate with the Horticulture Mission, the Agriculture Ministry, and we have a National Medicinal Plant Board, and we are trying to expand that. Once that mechanism is put in place, then, we will give more funds to them. That is an ongoing process; we are trying to do that.
Shri Perumal spoke about HIV aids. ...(Interruptions)...
SHRIMATI BRINDA KARAT: When is the law coming, Sir?
DR. ANBUMANI RAMDOSS: Again, we have given it to the Lawyers Collective Forum. We need more discussion. There have been some tricky issues. So, we have asked them to have more consultations and give us a holistic recommendation. Once they give it, then we will decide. But the intention is clear. Once that comes, we will definitely do it. HIV/AIDS, Sir. We are now taking this as one of our important programmes. In fact, in the Common Minimum Programme itself, HIV/AIDS has also been mentioned. This shows the intention and the importance that the Government has given to this concept, how to prevent, how to reduce and ultimately how to eliminate or eradicate HIV/AIDS in this country. Sir, in 1986 we had the first case, but, today, according to our survey, there are 5.2 million estimated cases, and the UNAIDS say that you take the concept of cradle to grave. We take the vibrant age between 14 and 49. The latest estimate will be coming in a two months' time where the WHO, the UNAID and everybody is being incorporated. As for the sentinel surveillance, Sir, earlier, in 2002, there were only 649 sentinel surveillance sites where we could survey the HIV/AIDS. (Contd. by TMV/4R)
DR. ANBUMANI RAMDOSS (CONTD.): Today, it has increased to 1162 sites. We have strengthened the STA clinics from 880 to 886. The main concept here is establishment of Integrated Counselling and Testing Centres. These are the main centres. If anybody wants to get himself tested or to get counselling after testing, he can get it done here. Before testing we would counsel him what it is. Earlier there were 1,400 centres; now we have 4132 centres all over the country. These are the main centres where people can voluntarily go. The testing is done free of cost. The counselling is done free of cost. If it is negative, fine. If it is positive, we counsel what to do further and all that. We have put in place a good mechanism or set-up. The ICTC is relating to prevention from parent to child transmission. It has gone up now from 1023 to 1870. This has again increased. If the mother is HIV positive, the child could be saved from getting HIV. So, this is a very good concept which was started again by my predecessor.
Of course, the condom usage has increased from 50 per cent in 2001 to 72 per cent in 2006. There is a dramatic increase. We have increased the number of condom vending machines. We have installed 11,000 of them all over the country. It is just a beginning. Ultimately, our target is to install 1,00,000 condom vending machines in rest rooms, bathrooms, dhabas, petrol pumps, etc. You can go anywhere you want and get the condom through the condom vending machine. The Community Care Centres have palliative systems where people at the end-stage of HIV can spend their life. Mostly NGOs are being entrusted with that. Today, the number of such centres has gone up from 60 to 122.
The concept of ART, Anti-Retroviral Therapy, Centres was again initiated by my predecessor, Shrimati Sushma Swaraj. This was a very conscious decision and the country is very grateful to her for initiating that. The Government of India had envisaged provision of free anti-retroviral therapy to 1,00,000 people free of cost all over the country. We have targeted about 100 centres. Today, we have 126 centres providing free treatment to anybody who comes there. This is the first time drug. For establishing one centre, it takes a lot of time. It takes nearly six months to establish it. We have to train the doctors and nurses, put up the drugs, put up the CD4-count mechanism, etc. We are trying to increase it. Today, there are about 70,000 people in the centres. We are now trying to increase the number of people. We are asking more people who are affected to come there and get treatment free of cost. We can do that.
As regards Yoga, of course, we are trying to propagate Yoga in a big way. We have a National Yoga Centre. I always say that Yoga was founded in India, exported to America and imported back to India. Now we are looking at Yoga.
THE VICE-CHAIRMAN (PROF. P. J. KURIEN): Why don't you make arrangements for teaching Yoga to every MP?
DR. ANBUMANI RAMDOSS: I will be very happy to do that, Sir. (Interruptions)... We have a very beautiful centre called, the Morarji Desai National Yoga Centre on Ashoka Road. This is a beautiful building. I will urge all Members of Parliament to go there. We will give you whatever time you want. There are timings. You can go in the morning and evening and get trained in Yoga.
SHRI PENUMALLI MADHU: You are talking about Yoga. We know that there is one for the Members of Parliament in the Constitution Club. But it is not open.
DR. ANBUMANI RAMDOSS: Then, you can come to the centre. We will give you free classes there.
THE VICE-CHAIRMAN: If you do Yoga, you will show more patience.
DR. ANBUMANI RAMDOSS: Sir, I answered Dr. Kasturirangan's question about bringing ICMR under our Department. We are doing that. Dr. Natchiappan talked about subsidised medical education. Definitely they have to give back. There are some issues about the judiciary playing a role in the medical education, which I don't want to elaborate.
SHRI V. NARAYANASAMY: What about regulating the private medical colleges?
SHRIMATI BRINDA KARAT: He mentioned about that, but you were not there.
THE VICE-CHAIRMAN (PROF. P.J. KURIEN): He has already replied to that.
SHRI V. NARAYANASAMY: There are several medical colleges.
THE VICE-CHAIRMAN: He has already replied to that. You were not there.
DR. ANBUMANI RAMDOSS: There are two new programmes which we have launched last year.
SHRI V. NARAYANASAMY: Sir, I think that there is a conspiracy going on against me.
DR. ANBUMANI RAMDOSS: One programme is the National Programme on Prevention of Cardio-Vascular Disease, Diabetes and Strokes. This programme should have been conceptualised 20 years ago. (Contd. by KLS/4S)
DR. ANBUMANI RAMDOSS (CONTD): Now at least we are trying to take up this programme because of the number of people who have been affected by cardiovascular diabetes, stroke, chronic diseases, etc. The WHO is warning it. So, we have taken up a programme this year. We are just implementing it. The programme has not taken off now. We have been implementing it. A budget of Rs.17 crores, which is just minimal, has been put in place for the mechanism. But we envisage that this is going to be in the future, I could say, one of the biggest programmes for the Ministry because of the intensity of the people affected by the cardiovascular diabetes. Secondly, a new programme called the National Programme on Speech and Hearing has been started for those people who cannot hear properly. That programme also have launched with these two new programmes. Regarding cancer a lot of conscious efforts are being made. As I have been saying, this cancer programme is my very focussed programme on which I am concentrating a lot. In the Tenth Plan we had only about Rs.280 crores for the next five years. But, Sir, for the Eleventh Plan, we have asked the Planning Commission literally for Rs.2900 crores. I am positive that I will be getting about Rs.2400 or Rs.2500 crores because this is a programme, which has to be given a lot of focus. A lot of awareness has to be created with regard to early detection of cancer. Then we have infrastructures and we have 25 vigil cancer centres and we are giving a lot of infrastructure to expand them especially in the North-East. Regarding Polio, I am having a meeting with the Health Ministers of 10 States. On June 6 I have called them. Literally, this year funding for polio is Rs.1500 crores. This is such a huge funding which I am trying to do and we are trying our best because last year we had an outbreak. Early we had 66 cases but last year we had about 600 cases. Sir, I think most of the points I have covered, and if there any other points by the hon. Members, I will be happy to answer them. Sir, I would like to reiterate that the Government is very, very concerned about the poor, the needy, and the aam aadami. This is the whole intention of the Government and the National Rural Health Mission is one of the focussed programmes, and we will go all out to keep the availability of medical facilities to all the people of this country especially the rural people. Sir, once again, I would like to thank the hon. Members for giving me the opportunity to speak here. (Ends)
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ÁÖß´ÖŸÖß ´ÖÖµÖÖ ØÃÖÆü (ÛÎú´ÖÖÝÖŸÖ) : ¤æüÃÖ¸üß ²ÖÖŸÖ µÖÆü Æîü ×Ûú ×•Ö®Ö ¯ÖÏ¤êü¿ÖÖë ÃÖê ´Öî×›üÛú»Ö ÛúÖò»Öê•Öê•Ö ÃÖê •Öã›Íêü ÆüÖò×Ã¯Ö™Ëü»ÃÖ Ûêú ×»Ö‹ trauma centre, path lab †Öî¸ü ICU Ûêú ×»Ö‹ †Ö¯ÖÛêú ¯ÖÖÃÖ proposals †Ö‹ Æïü, †ÝÖ¸ü †Ö¯Ö ˆ®ÖÛúÖê ³Öß ¯ÖÏÖ£Ö×´ÖÛúŸÖÖ Ûêú †Ö¬ÖÖ¸ü ¯Ö¸ü »ÖëÝÖê ŸÖÖê Æü´Öë ²Ö›Íüß ÜÖã¿Öß ÆüÖêÝÖß… (ÃÖ´ÖÖ¯ŸÖ)
DR. ANBUMANI RAMDOSS: Sir, regarding stem cell therapy, the Government is trying to propagate stem cell therapy in a big way. We have a huge opportunity here. Whereas, lot other countries say that they could not, but, here, ICMR is the main institute which is taking up this and we have an institute in Mumbai where they have given about Rs. five to seven crores to initiate this. I have also held a lot of consultations. We would be happy to coordinate with Vellore through ICMR to have more stem cell therapies. In fact, I do not want to elaborate more, I will give the hon. Member more information when we meet. Trauma centres, yes, we are trying to bring in emergency programmes that will go a long way and it will take me a couple of months because there will be one number throughout the country. There will be one number and when anybody dials the number immediately there will be an ambulance and paramedical staff. We are trying to plan out all that in a big way. There will be private-public partnership, which we are trying to do.
ÁÖß •ÖµÖ ¯ÖÏÛúÖ¿Ö †ÝÖÏ¾ÖÖ»Ö : ´ÖÆüÖê¤üµÖ, ´Öï®Öê µÖÆü ´Öã§üÖ ˆšüÖµÖÖ £ÖÖ ×Ûú †Ö¯ÖÛúÖ ¯ÖÏÖ‡¾Öê™ü ®ÖÚÃÖÝÖ ÆüÖê´ÃÖ †Öî¸ü ¯ÖÏÖ‡¾Öê™ü ÆüÖò×Ã¯Ö™ü»ÃÖ ¯Ö¸ü ŒµÖÖ ÛÓú™ÒüÖê»Ö Æîü? ¾ÖÆüÖÓ ¯Ö¸ü ¯Öê¿Öê®™üËÃÖ ÛúÖ ÜÖæ®Ö “ÖæÃÖÖ •ÖÖ ¸üÆüÖ Æîü, ˆ®Æëü ŸÖÓÝÖú ×ÛúµÖÖ •ÖÖ ¸üÆüÖ Æîü †Öî¸ü »ÖÖÜÖÖë ¹ý¯Ö‹ Ûúê ×²Ö»ÃÖ ²Ö®ÖÖŸÖê Æïü… ´Ö¸êü Æãü‹ ¯Öê¿Öê®™ü ÛúÖê ÃÖã²ÖÆü ŸÖÛú ¸üÜÖŸÖê Æïü †Öî¸ü ÃÖã²ÖÆü ×²Ö»Ö ¤êüŸÖê Æïü ŸÖ£ÖÖ ÛúÆüŸÖê Æïü ×Ûú ¯ÖîÃÖÖ ¤üÖê †Öî¸ü †¯Ö®Öê ¯Öê¿Öê®™ü Ûúß ²ÖÖò›üß ÛúÖê »Öê •ÖÖ†Öê… µÖÆü ²ÖÆãüŸÖ •Öºþ¸üß ²ÖÖŸÖ Æîü, ´Öï ‡ÃÖ ²ÖÖ¸êü ´Öë †Ö¯ÖÃÖê •ÖÖ®Ö®ÖÖ “ÖÖÆüŸÖÖ ÆæÓü ×Ûú †Ö¯ÖÛúÖ ˆ®ÖÛêú ‰ú¯Ö¸ü ŒµÖÖ ÛÓú™ÒüÖê»Ö Æîü? (ÃÖ´ÖÖ¯ŸÖ)
DR. ANBUMANI RAMDOSS: Basically, in the Central Government today, we do not have a scheme as such for taking up the issue of the problem of the private sector in respective States. If the problem has been taken note of by the State Governments, definitely they will be acting. And we have our associations and councils to take cognisance of this, and also the Medical Council. Suppose there are any doctors who are trying to do this. It is the responsibility of the State Government to take action if there is a faulting hospital...(Interruptions)...
ÁÖß •ÖµÖ ¯ÖÏÛúÖ¿Ö †ÝÖÏ¾ÖÖ»Ö : This is not fair. ÃÖ¸ü, µÖÆü •Ö¾ÖÖ²Ö ŸÖÖê ×²Ö»Ûãú»Ö ³Öß ÃÖÆüß ®ÖÆüà Æîü… ...(¾µÖ¾Ö¬ÖÖ®Ö).. µÖÆü •Ö¾ÖÖ²Ö ÃÖÆüß ®ÖÆüà Æîü… ..(¾µÖ¾Ö¬ÖÖ®Ö). Æü´Ö ×›üÃÖÛúÃÖ ŒµÖÖë Ûú¸ü ¸üÆêü Æïü? ..(¾µÖ¾Ö¬ÖÖ®Ö).. Æü´Ö µÖÆüÖÓ ¯Ö¸ü ŒµÖÖë ²Öîšêü Æãü‹ Æïü? ..(¾µÖ¾Ö¬ÖÖ®Ö). ´ÖÓ¡Öß •Öß ÛúÖ µÖÆü •Ö¾ÖÖ²Ö ÃÖÆüß ®ÖÆüà Æîü… ..(¾µÖ¾Ö¬ÖÖ®Ö).. This is not fair.
SHRI V. NARAYANASAMY: Sir, I raised a very important issue of exploitation by the private medical colleges. That issue is a very important issue where only the rich people could be accommodated in the colleges whereas 50 per cent funds are being given under the management quota. There should be some regulation for it. They are charging Rs. 35 lakhs, Rs. 40 lakhs as capitation fee.
THE VICE-CHAIRMAN (PROF. P. J. KURIEN): Okay, yes, Mr. Narayanasamy, he will reply. Mr. Minister, tell the House what can you do about that?
DR. ANBUMANI RAMDOSS: Mr. V. Narayanasamy raised a very valid point. Like I already said, today medical education has become a business. Anybody who wants to do business invests in colleges and these people are selling seats. Sir, the permission to start a medical college is given by the respective States. States feel that if they want a college in the State, they give essential services saying that this college is essential for the growth of the State and they give permission and then they apply to us and inspection is done by the MCI and we give permission to them.
THE VICE-CHAIRMAN (PROF. P. J. KURIEN): Can't the Central Government do something about it?
DR. ANBUMANI RAMDOSS: I am coming to that. So, Sir, in fact, in his State, Pondicherry, he has raised an issue about the private sector not sharing the seats with the Government. This issue was raised earlier a couple of years ago, the shared percentage was about 85 per cent in aided or unaided colleges, 85 per cent to the Government and 15 per cent to the management. But, then, the judiciary poked their nose and they changed the entire system. Then, there were a lot of appeals going on, a lot of cases going on. Even today, the judiciary is saying that the unaided private medical colleges need not consider giving seats to the Government. This is something which has been there. Before, there was a clean mechanism of sharing. But, Sir, they are saying, till such time, the Government of India will take a decision of regulating this Act. We are now on the way to do that. The HRD Ministry and the Health Ministry jointly are going to bring in a bill to regulate it.
(Contd. By NBR/4U)
DR. ANBUMANI RAMDOSS (CONTD.): Till the committee is formed under the Chairmanship of a retired High Court judge, they are now considering the fee structure and quota. So, we are fully working on it.
SHRI SYED AZEEZ PASHA: Sir, whether the Medical Council of India has any authority, because the MCI is giving permission to medical colleges which do not have the infrastructure.
DR. ANBUMANI RAMDOSS: Sir, the role of the MCI is only to go and inspect an institution and give its recommendation whether that institution has facilities or not. It does not have the authority, today, to say that you give permission to any institution. The Government of India has only got the authority to give permission.
THE VICE-CHAIRMAN (PROF. P.J. KURIEN): That is okay.
Now, let us take up Half-and-Hour discussion.
SHRI S.S. AHLUWALIA (JHARKHAND): Sir, I wish to make a point. Sir, today it is a very long day. Lunch has been suspended. We are sitting in the House since 11'o clock. There is no doubt that it is a very important issue. I don't want to give trouble to Jaipalji. So, we can take it up tomorrow.
THE VICE-CHAIRMAN (PROF. P.J. KURIEN): Let me take the sense of the House. Whether the House agrees for taking it up tomorrow.
SOME HON. MEMBERS: Yes.
THE VICE-CHAIRMAN: Okay, okay. The House agreed.
The House is adjourned to meet at 11.00 a.m. on 10th May, 2007.
The House then adjourned at thirty-seven
minutes past six of the clock till eleven of the
clock on Thursday, the 10th May, 2007.