Doping in sports is coming up as a huge stealth tool for winning medals in competitive sports .There was a disturbing news in the media that a Country runs State orchestrated million dollars program to elevate sports people to winning pedestal .
We live in a period of ‘Overdrive’. We are Go getters and we get them at any cost .For us no institution is pristine . We fake and fraud with elan .
Our highest offices are bid by bigots , demagogues and liars . We acknowledge these and then react in a brain dead manner .
We segregate and discriminate .
We spread violence in the name of religion and peace
We have read about medieval dark ages in history books as scientific knowledge was the deciding factor which was pushing certain nations back in dark alleys
Are we really far from there with all our wealth and knowledge ???
My Alma Mater , Lady Hardinge Medical College , witnessed yet another incident of patient rage against physicians . There was a mob attack and the doctor was bitten by the patient . In response to that , doctors retaliated by a flash strike .
These kind of hooliganism has been on an increase with any unfortunate outcome during the treatment process .
These incidents are always condemned and should never be condoned
But if we look in depth there are some facts that we need to take into consideration
There is a lopsided physician centric milieu in India .How seriously they take their Hippocrates oath is entirely up to their own conscience . Physicians once out of their medical school are not much under any scrutiny or under any regulatory body .
Medical litigation are far and few and do not amount to a high pay off as compared to the loss incurred . Patient grievance forums are also not doing much justice to the patients
Again I reiterate , these forms of violence is reprehensible .
But we need a platform and an honest conversation about these issues
Primary care physicians are the back bone of US health care system .Currently health care is facing an acute shortage of primary health care physicians [PCP].Predictable shortage by 2020 is about 20,000 physicians Aging population , population growth and Affordable care act , they all contribute to it.Nurse practitioners and Physician assistants alleviate this issue to some extent but the overall picture is grim
Physician burn out rate is high and ever increasing . In 2014 , Family physician burn out rate was around 63 %.
Primary care physicians are the default dumpsters of health care .They should be capable of treating all medical issues with the most little help from specialists [Managed Care ]. They should practice corporate medicine with EMR documentation [15 min , each patient ]. They should have an expert opinion about whether patient can drive , keep a pet , lift 20 pounds , climb up to the first floor [anything that can have any remotest legal implication ]. They should be rhino skinned and be ever forgiving to the frustrated patients.
Not to mention the hostile legal environment
Sad part … There is no legal platform that addresses physicians issues
Physicians are life savers but not Gods
And human beings do need help
Its a moment of introspection for all of us . We witness , societal maladies are overflowing like a river above its danger mark .When the call for justice is not met judiciously , repercussions are not always pleasant .
These happen in the world over, time to time . This time its closer home
We are very lucky that we have freedom of speech and these problems are being openly acknowledged and not being brushed under the carpet .That is a step closer to finding a solution .
The mantra for peace and prosperity is integration and not segregation
The mantra is love and brotherhood and not hate and violence .
Science and technology has always bonded mankind .Digital era has united the humanity .Globalization and free trade has helped prospering us .
We need behavioral modifications and de conditioning .Integration should begin at the most basic level .There should be mandatory reservations for minorities at the grass root levels like schools ,colleges , training institutes , clubs , jobs,local bodies and so on and so forth . Those voices should be heard and be made a part of the decision making process
If color of skin is still a criterion in 21 st century then its most reprehensible and retrogressive .
I finished a decade being a H-1 B candidate as I still wait for that magical day when my priority date becomes current . Priority date is the date when US immigration services approves of your presence in the queue for application of green card .Green card is a step closer to citizen ship .
India is the only country which has years of back log in the process . At the moment , priority date is current for conversion to green card for applicants of 2005 .It is even worse for people who do not have a masters or doctorate .
Visa candidates always need sponsorship from their employees which puts them in an unfavorable position in job market . They cannot start a business or own a home as they do not know where the next visa is coming from and so on and so forth….
Most of us are legal immigrants .They are one of the most successful minorities in the US .They contribute in one of the most meaningful way in the US society , both economically and socially .
Then why this antique rule of quota system for each country ?
From what I have gathered it is not even a partisan issue . !
We need accomplished and sane Americans if we want America to continue its position as the World leader . Stumbling blocks do not help in any way.