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Patients pay a heavy price as India’s doctors continue with the corrupt ‘cut practice’

Patients pay a heavy price as India’s doctors continue with the corrupt ‘cut practice’

Patients pay a heavy price as India’s doctors continue with the corrupt ‘cut practice’

Psychiatrist Dr. Shyam Shastri (name changed) regularly visits clinicians almost in southern Mumbai to deliver cash envelopes. Shastri, who has struggled to establish his medical practice for three years, finally decided to offer “discounts” to his honorary colleagues that patients pay him.

By sending these envelopes in cash, Shastri has made sure that doctors refer and recommend their services to their patients.

The current rate of these commissions, according to Shastri, is between 40% and 60%, which means that if a patient paid Rs 1000 to Shastri, he will have to pay between 400 Rs and Rs 600 for the referring doctor.

“I never thought about enjoying an unethical practice,” Shastri said. “This practice cuts like the way someone pays premiums to politicians by eliminating a project.”

He hopes to be able to stop paying commissions once he has enough patients and a fairly solid practice to pay his bills.

Senior colleagues Shastri also said they had to offer incentives to other doctors, especially physicians, at least once during their practice years. An older doctor working with a well-known hospital in Mumbai said at a time he paid at least 10 doctors to refer patients to him.

“I had decided not to go back into guilty practice,” he said. “But my practice was so bad that my family asked me to do it.”

Finally, it was established enough to stop cutting cuts.

A decade ago, when Tamara Zweck, a sports and orthopedic physiotherapist, moved her practice to Mumbai, Australia, her loved ones and her patients have been told to “connect with doctors” to improve their practice.

“In my opinion, the patient comes first and I decided to rely on word of mouth instead of offering or making cuts,” Zweck said. He added that fitness instructors, yoga teachers also accept the cuts to refer patients to doctors.

Cardiac surgeon Dr. Ramakant Panda of Mumbai, has launched a campaign with several doctors to end the practice of cutting. Panda regularly meets patients who advise angioplasty – a procedure in which catheters are guided by constricting arteries to expand or remove plaque – when they do not really need it. It is estimated that 30% of the angioplasties performed are unnecessary. “[Doctors] advise to get the procedure because they get cuts,” he said.

Many doctors hire PR officers to work as agents. “These agents are for general practitioners who have the doctor they work for and offer incentives to send patients,” said Dr. Jeevan Rajput, Aurangabad neurosurgery.

When Rajput began his private practice in Aurangabad there four years, other doctors suggested hiring a public relations agent and offering reimbursements in exchange for referrals from patients. “I wanted to start my own hospital and it was difficult at first because I do not even belong to a family of doctors,” he said.

Rajput decided to personally visit the doctors and ask them to refer patients for their abilities. Some were forced, some not. “Instead of offering rebates, I have offered discounts to patients and have never insisted on a deposit that has worked for me.” Some clinics require patients to pay a certain amount on deposit prior to treatment or hospitalization.

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Elephant in the room? India absent at Belt and Road Forum but its presence felt at China’s mega show

Elephant in the room? India absent at Belt and Road Forum but its presence felt at China’s mega show

India is often represented as an elephant in the Chinese media and cartoons.

On Sunday, the elephant appeared to have surpassed the pages and entered the Forum of the Belt and Road (BRF), China’s largest trade fair for economic strength and growing strategic weight, and became a strong presence that nobody wanted to talk about but Everyone knew.

India, the developing economy that is experiencing the fastest growth with a growing middle class of $ 300 million, cheap labor, a command of the English and the young population, was the most notable shortage on BRF Sunday.

Western powers have not sent either heads of state, but were represented by high-level delegations.

The United States, South Korea and Japan – unhappy unknown by ties with China – delegations have also sent; Even an exclusive North Korean government sent two representatives although they remain adequately discreet the first day of the two-day forum. India made the decision not to deploy even its China-based diplomats to the forum because of its concerns and objections to the China-Pakistan Economic Corridor (CPEC) through Kashmir to Pakistan-occupied (POK).

China, as we learned, was aware that India’s concerns in CPEC had hampered the participation of its leaders in the forum. But it is expected that Beijing that Prime Minister Narendra Modi sends a certain level of representation in the forum.

For example, although India was invited by China to send a contingent of troops to participate in the Second World War remembrance parade in Beijing in September 2015, it rejected the invitation, but sent the Minister of State for Foreign Affairs VK Singh for Attend the military parade.

It is likely that China has provided a similar response. But that did not happen.

A senior politician from the South Asian neighborhood with old ties to India, but increasingly close relations with China took two steps back and wondered about the absence of India.

“This is the case of India,” he said with an uncomfortable smile.

Some other diplomats who did not wish to be identified said that it was India’s decision not to attend the forum and that they had no comment to offer.

There would have been little mention of India during the academic sessions and the discussion that followed the inauguration of the BRF by President Xi Jinping.

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Best smartphone under 10000 in India

Best smartphone under 10000 in India

 

There are just a bunch of phones around Rs 10,000, so it’s no less a daunting task to choose the best one.

We have compiled a list of 10 best smartphones less than 10,000 brands for this month so that your homework becomes easier. These include only the 4G models, as it is not logical to get a single 3G phone. To make matters clear, hybrid phones with SIM slot allow you to place a second SIM card or microSD card, but not both at once. So this can be considered as an inconvenience.

 

 

Not to be confused with camera specifications from the above list, we have made a list of specifications such as (megapixel) and (open), generally a larger aperture, better camera. This means a smaller number in the denominator, the smaller the aperture is large. For example, f / 1.9 is a larger f / 2,0 aperture. A larger aperture camera works much better in low-light situations and produces sharper images. It also produces better rest.

 

These are the 10 best 4G mobile phones under 10 years in India (2017):

 

1.       Xiaomi redmi Note 4: 1080p 2 GB / 3 GB RAM 16 GB / 32 GB ROM 13 MP Android 6.0
2.       Lenovo K6 Power: 1080p 3GB RAM 32GB ROM 13MP Android 6.0
3.       Panasonic Eluga Note: 1080p 3GB RAM 32GB ROM 16MP Android 6.0
4.       Lenovo Vibe K5 Plus: 1080p 3GB RAM 32GB ROM 13MP Android 5.1
5.       Acer Z630S: 720p 3GB RAM 32GB ROM 8MP Android 5.1
6.       Panasonic Eluga Mark 2: 720p 3GB RAM 32GB ROM 13MP Android 6.0
7.       Xiaomi Redmi 3S Prime: 720p 3GB RAM 32GB ROM 13MP Android 6.0
8.       Panasonic Eluga X Ray: 720p 3GB RAM 32GB ROM 13MP Android 6.0
9.       Moto E3 Power: 720 2GB RAM 16GB ROM 8MP Android 6.0
10.   Moto G4 game: 720 2GB RAM 16GB ROM 8MP Android 6.0

 

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I Followed Fundamental Rules Of Cracking Any Exam, i.e. Focussed And Balanced Approach With Proper Time Management

Management

—Shitanshu Chaurasiya, IAS Topper2013 (58th Position)


 

 

SUMMARY OF MY INTERVIEW

Finally, that day arrived where I met ■ other aspirants full of either nervousness or excitement. I was engaging myself with other aspirants and also enjoying the absorbing environment at the UPSC.

I was the fourth person on the list and entered that room with a broad smile. I adapt myself to situation very quickly, so I was very comfortable. They asked me questions from all aspects of my life, ranging from hobbies, IFS, International Relations, past job profile, past company, corruption, technology, Electrical Engineering and finally my hometown.

I used to add a pinch of humour to my answers, especially when they asked about folk dances of different States. Thus, mood of the room was lively and cordial. During the interview itself, they appreciated the fact that I am very focussed on my goal since my interest (travelling), hobbies (photography and trekking) and aspiration (Indian Foreign Service) were in coherence.

Then, they asked me about Electrical Engineering and importance of technology to combat corruption, crime and improvement of farmers. One member asked me to give only innovative ideas on how one can improve the life of farmers which I was anticipating. Thus, I took a pause after seeking the Board’s approval and gave a very structured answer. The Interview lasted for 30 odd minutes and I enjoyed every moment of it. It was indeed a very good discussion with five top-class bureaucrats. The end result was that I managed to get healthy 225/300 marks in the Interview. Also, after one month, I had another UPSC interview for Indian Engineering Services and I got 134/200 and rank of AIR 2 in the IES 2012.

DETAILED INTERVIEW

There were five Board Members, including the Chairman who was sitting in the middle.

I asked for their permission to sit down and the Chairman told me to sit


ShiUmshu Chaurasiya
IAS Topper 2013
(58th Position)

and be comfortable.

Chairman: So Mr. Shitanshu, is your hobby, i.e. travelling and first preference for the IFS interrelated?

Chaurasia: Yes, it is one of the reasons of opting for the IFS.

Chairman: What are others?

Chaurasia: My work experience gave me immense international exposure that motivated me to join the IFS which will be a step ahead as I will get a chance to represent my country.

Chairman: List the places which you have travelled.

Chaurasia: In India, I have travelled to many States from Jammu & Kashmir to Tamil Nadu and Rajasthan to West Bengal. Outside India, I have travelled to South Korea, Hong Kong and Nepal.

Chairman: (With a smile) Tell me one of the best things about South Korea.

Chaurasia: In my opinion, Koreans have preserved their culture and traditions along with development, which is quite commendable.

Chairman: Tell me a bad thing about Nepal.

Chaurasia: As a tourist, I observed that there is a serious lack of infrastructure and there corruption is also rampant.

Chairman: Why did you leave your job?

Second Member:               Electrical

Engineering or Geography, which subject do you like more?

Chaurasia: Electrical Engineering.

Second Member: Why?

Chaurasia: Electrical Engineering is more than a subject to me. I have invested eight years of my life in this field. It was the most integral phase of my life in which I had learnt various aspects of life.

Second Member: Like?

Chaurasia: It helped me to be a more analytical and innovative person.

Second Member: (With a sarcastic smile) OK fine, how can technology help farmers ? Give us innovative ideas only.

Chaurasia: Sir, I need some time to think over it.

Second Member: Sure, take your time.

(I thought to give ideas which may not be technologically feasible at present but could be possible in near future.) After few seconds,

Chaurasia: Financial Inclusion can be achieved by connecting villages with communication links to give direct benefit to farmers without leakages. For that, business correspondence will collect savings of farmers by using a hand-held digital machine to ensure proper collection with bar-code receipts. Solar-powered portable ATM machines shall be placed in central premises of the village under cooperative security. The introduction of big screen in the choupal area which will broadcast update on minimum support prices, open market prices, prices of fertilisers, pesticides and important Government schemes.

Second Member: Tell me more ideas?

(With a faint smile)

Chaurasia: Use of GPS-enabled soil health card with a sensor which will sense soil and will give details of necessary deficient minerals and micronutrients of Soil, their required quantities and also suggest suitable fertilisers. It will update central soil database so that Government can formulate proactive regional policy of fertilisers and pesticides pricing along with Integrated Nutrient Management.

(Suddenly Chairman gave a nod and ashed me further)

Chairman: How technology can address health issues of villagers?

Chaurasia: Telemedicine can be……..

(Chairman stopped me after hearing telemedicine and I noticed very big smile on the

I used to read interviews of successful candidates from CSR which helped me to develop a technique of putting the best foot forward during my Interview.

—Shitanshu Chaurasiya, IAS Topper 2013 (58th Position)

faces of Board Members. Then the Third Member took charge of a next question.)

Third Member: You referred to corruption in Nepal. Tell me the main reason of corruption in India.

Chaurasia: It is difficult to trace history of corruption in India, but in my opinion, it got triggered during licence raj period when our economy was mostly closed and there was a lot of discretionary power given to authorities for awarding contracts and licences. Thus, there was a severe lack of transparency and accountability in governance, hence more corruption. Soon, giving bribes became common practice to get our things done easily and quickly.

(Again the Chairman came in to ask me the next question.)

Chairman: Do you think that by removing discretionary power, we can remove corruption too?

Chaurasia: Corruption is the end result of many factors and discretionary power is one of them. In some cases, discretionary powers are required for quick and effective governance. But we can minimise it by making laws and proper procedural guidelines.

Third Member: What are the difficulties in controlling corruption? How to overcome them?

Chaurasia: First of all, there is large inertia of corrupt practices which has been followed for many years. Thus, it will take time to settle down only after enforcing better transparent practices. Secondly, common man has lost faith in governance and police. Thus, confidence-building measures shall be taken to make people more comfortable dealing with police and other public departments.

Third Member: As a technical person, tell me how will you combat corruption, if you become a DM?

Chaurasia: I will make redressal mechanism more effective, using mediums like the Internet and mobile phones and will also make a scrutinising committee under me which will seriously look into all the complaints. Also, we can have a digital complaint box placed in the premises of important departments which will record audio and visuals of complainant. Thus, by these measures, we can get close to public and their problems and rectify them timely.

Third Member: Do you think these measures are sufficient in combating corruption?

Chaurasia: These are only few initiatives which can be used in combating this menace which are ineffective without public support.

(Chairman asked the Fourth Member to ask questions)

Fourth Member: Other than the Tajmahal, what is the most important thing about Agra?

Chaurasia: Agra is one of the few places in the world like Jerusalem where two faiths were born, i.e. Din-e-Ilahi and Radhaswami faiths.

(I saw curiosity in Chairman’s yes and she asked me the next question.)

Chairman: Tell us more about Agra?

Chaurasia: Apart from many cultural sites, Agra has the Central Institute of Hindi i.e. only dedicated institute for research and teaching of Hindi as a foreign and second language. Also, Agra has many colleges and universities of early 19th and 20th centuries like SN Medical College, Agra College and Dayalbagh Institute.

Fourth Member:1JHow did Agra get’ its name?

Chaurasia: I don’t know exactly when Agra got its name, but I know it is based on the tribe Agaria which used to live in a place called Agrevana mentioned in Mahabharata, which coincides with current location of Agra.

(Chairman interrupted)

Chairman: Thank you Mr. Shitanshu, good to see your focus.

Chaurasia: (With broadest smile) Thank you very much, Ma’am.

Hence, abruptly my Interview got over and I was a little sceptical about my answers, especially to innovative questions on corruption and farmers. But getting a compliment in the end was a good sign and finally it got reflected in my marks, as I got healthy 225/300 marks in the Personality Test.