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Delhi government to study ‘cross-subsidy’ model of Ganga Ram Hospital

Sunday, January 19, 2014

New Delhi: Delhi government will study the ‘cross-subsidy’ model of Sir Ganga Ram Hospital, in which rich pays for the treatment of poor, and then implement it in other hospitals, according to Health Minister Satyendra Kumar Jain.

Satyendra Kumar Jain

Satyendra Kumar Jain

Speaking at the 108th birth anniversary of Dharma Vira, the first chairperson of the Sir Ganga Ram Hospital Trust, here on Sunday, the health minister said, “Medical cost of treatment is today very high and difficult to afford by a common man. We have to think about ways and means to make it affordable.”

“I am impressed by the ‘cross-subsidy’ model of Sir Ganga Ram Hospital in which rich pays for the treatment of poor. This model will be studied by Delhi Government and then implemented in other hospitals,” he said.

“Our agenda is to improve healthcare facilities in government hospitals. I have visited 21 hospitals till now. One of the areas of our immediate focus will be cleanliness. We will reform the healthcare system of Delhi in the same existing budget. But let me tell you that we will not take any hasty decisions,” said Jain.

The health minister further said, “Today, healthcare system is concentrating on Disease and not on Health. Only when a person falls ill, we pay attention. We should focus on prevention and for this I would recommend three Mantras given to me by Dr Abdul Kalam whom I met yesterday. These three mantras are high fibre diet, one-hour daily walk and ten minutes of meditation. I would request the doctors to prescribe these to all their patients.”

Dr D S Rana, chairman, board of management, Sir Ganga Ram Hospital (SGRH), said, “Dharam Vira Ji had a dream and vision to build a hospital that should be affordable to all sections of the society. We are trying to fulfil his dream by providing quality healthcare to all sections of our society.”

Ashok Chandra, chairman, board of trustees, SGRH, said, “It was the thoughts of Shri Dharam Vira Ji to involve doctors in the day to day running of the hospital. Today it is paying rich dividends to the growth of the hospital.”

The health minister added, “Sir Ganga Ram Hospital has given so many things to the city of Delhi, most important of which is the quality and affordable healthcare.”

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3 Comments »

Comment by Prof. Manoj Sharma
2014-02-05 18:52:38

Very Few know that there is one thing called MAYO CLINIC Concept . I have written on this banner several times about it.
I am reminded of an article that I translated in English from HIndi, an interview given by Mother of Oncological Sciences and EC of Centre of Excellence at Chennai.
I wish India Medical Times publishes the full article as translated by me to inspire many.

Please read the second question also that was asked before the para below:

Q: in one of your interviews you have mentioned about the Mayo Clinic concept. What exactly is Mayo Clinic concept in reality?

Dr. V. Shanta Ans: In USA the Mayo couple has proven the truth of this concept. The financially well off and affluent people used to bear the expenses of poor people’s treatment in an indirect manner through the charity to the Mayo Foundation.
Both the mayo couple( Husband and wife) were doctors an they established the Mayo Foundation or Mayo fund with the help of lifetime earnings of their own medical practice. Today when a patient comes to hospital run under this fund/ foundation then without taking into consideration his or her financial status , his treatment is started at once. At the end of his treatment, the patient is given the bill of the expenditure incurred on his treatment. Out of this almost 40 percent of the patients are covered by the insurance security systems. Remaining 30 percent patients apply for the facility of payment in installments and the remaining patients are able to pay only apart of their dues. Like this what ever deficit is there in the payments of the hospital bills , the Mayo Foundation compensates by paying for the deficits.
I always think that if I could also do something similar to this in my hospital but keeping in view, the societal attitude , the fulfillment of such a dream does not seem to be a possibility.
Q:As you have started in this field- the continuing research is absolutely essential in addition to the therapeutic endeavors and therefore for the comprehensive cancer treatment and research a large amount of monetary investment is required. Then in such a situation how did you compromise and adjust between equality and equanimity in the treatment for all the classes of patients and cancer research that are two diagonally opposite expectation in all practicality?

Dr. V. Shanta Ans: from the very beginning the Institute has its main aim and objective and that is equal opportunity of treatment for all – whether poor or rich. Even today , out of approximately one lac patients that are treated in the Institute , almost 60 percent of them get benefited and get their treatment in the ranges of totally free treatment to the eligibility to pay as per their financial capacity or capability.
Institute feels that the patients that are financially capable and well off should pay as is expected from them for the expenditure on their treatment so that a subsidizes or free treatment can be provided for those who are poor or incapable of making payments.
It is really painful to see that sometime in order to escape the desired payment, even the well to do people pretend as if they are poor. This indeed hurts us and is shameful.
As a matter of fact the very cost of the modern equipment and gadgetry for the sophisticated treatment is in crores of rupees and to acquire them large amount of finance is required. The collections made by the institution are highly inadequate. I have no hesitation in stating that our Institute got more of help and recognition from the international agencies and institution rather than from our own national support. And because of this international support only that we have been able to do a lot.

I would reiterate that in comparison to many other countries of the world , we in India are quite behind in the field of medical treatment and the main cause behind this is the resource crunch.

The true and basic foundation of medical treatment is research. Today’s “research” is the “Proper treatment” of tomorrow and this very “treatment” becomes “the basis of tomorrow’s research”. This is an inevitable resultant ongoing activity. The meritorious researchers of the country helplessly migrate aboard to propagate their academic pursuits due to this inadequacy of research facility.
Today for want of finances the Institute is struggling hard to acquire the technical gadgetry and equipment for the research. Each and every specialized equipment or gadget costs crores of rupees . We are not able to pay desired remuneration to our doctors and other staff. At the same time the changes that have happened in present day social customs and life styles is also creating problems and difficulties in maintaining and holding these intelligentsias (talent) it the institute without remunerating them adequately.
The glitter of the slogan of “social service” is somewhere totally lost in the present context of pure materialism. Under such circumstances I pray God that this knowledge information about the institute, when published in your magazine may help collect the fund of few crores of rupees for the Institute and will make me feel happy.

 
Comment by Prof. Manoj Sharma
2014-02-05 19:05:54

The issue still remains:
who will decide as to who is rich and who is poor.
The whole man power and experts are required to evaluate the exact socio economic status. Mear monthly income or outward appearance cannot decide who is rich who is poor.

There are cases when rich people could get medicines locally purchased by the hospital while they could afford it.

Mayo Clinic Concept needs a separate department.
Mayo Clinic Concept can only be introduced if Govt hospitals create a work culture that will create confidence reliability and accountability so that rich get attracted towards Govt hospitals and then only you can milk them to feed poor.

I would also like Honourable Minister to review blood availability in these hospital. Patients are decline blood transfusion for want of donor. The blood bank decline life saving blood to poor who cannot bring donor.

Cross Subsidy is not so simple as honourable Minister thinks.Someone put it very rightly for my hospital….a hospital for beggars and destitutes . who have nowhere else to go. So we serve them with all the resilience, dedication humanity .

 
Comment by dr.anil kumar patra.MS.DH&HM.FAIS,ICHA-83, MAHA-186
2014-02-08 18:02:27

three mantras of good health by dr. kalam is realy helpful today.
cross subsidy model of gangaram hospital is useful in our country if implemented truely.

 
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