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Message: <blockquote data-quote="ibnanv" data-source="post: 19100831" data-attributes="member: 218596">[FONT=&quot]10 ways how doctors in India cheat patients [/FONT][FONT=&quot]A  renowned physician Dr B M Hegde Former Vice Chancellor of the Manipal  University – has shown how a large number of doctors working in  five-star hospitals shortchange patients in order to keep their  management happy and enrich their own pockets.“I recently had a chat  with some doctors, surgeons and owners of nursing homes about the  tricks of their trade. Here is what they said.” [/FONT][FONT=&quot][FONT=&quot]1) 40-60% kickbacks for lab tests.[/FONT][FONT=&quot]When  a doctor (whether family doctor / general physician, consultant or  surgeon) prescribes tests – pathology, radiology, X-rays, MRIs etc. –  the laboratory conducting those tests gives commissions. In South and  Central Mumbai — 40%. In the suburbs north of Bandra — a whopping 60 per  cent! He probably earns a lot more in this way than the consulting fees  that you pay. [/FONT][/FONT][FONT=&quot]2) 30-40% for referring to consultants, specialists surgeons.[/FONT][FONT=&quot]When your friendly GP refers you to a specialist or surgeon, he gets 30-40%.[/FONT] [FONT=&quot]3) 30-40% of total hospital charges.[/FONT][FONT=&quot]If  the GP or consultant recommends hospitalization, he will receive  kickback from the private nursing home as a percentage of all charges  including ICU, bed, nursing care, surgery.[/FONT] [FONT=&quot]4) Sink tests.[/FONT][FONT=&quot]Some  tests prescribed by doctors are not needed. They are there to inflate  bills and commissions. The pathology lab understands what is  unnecessary. These are called “sink tests”; blood, urine, stool samples  collected will be thrown.[/FONT] [FONT=&quot]5) Admitting the patient to “keep him under observation”.[/FONT][FONT=&quot]People  go to cardiologists feeling unwell and anxious. Most of them aren’t  really having a heart attack, and cardiologists and family doctors are  well aware of this. They admit such safe patients, put them on a saline  drip with mild sedation, and send them home after 3-4 days after  charging them a fat amount for ICU, bed charges, visiting doctors fees.[/FONT] [FONT=&quot]6) ICU minus intensive care.[/FONT][FONT=&quot]Nursing  homes all over the suburbs are run by doctor couples or as  one-man-shows. In such places, nurses and ward boys are 10th cl-ass  drop-outs in ill-fitting uniforms and bare feet. These “nurses” sit at  the reception counter, give injections and saline drips, perform ECGs,  apply dressings and change bandages, and assist in the operation  theatre. At night, they even sit outside the Intensive Care Units; there  is no resident doctor. In case of a crisis, the doctor — who usually  lives in the same building — will turn up after 20 minutes, after this  nurse calls him. Such ICUs admit safe patients to fill up beds. Genuine  patients who require emergency care are sent elsewhere to hospitals  having a Resident Medical Officer (RMO) round-the-clock.[/FONT] [FONT=&quot]7) Unnecessary caesarean surgeries and hysterectomies.[/FONT][FONT=&quot]Many  surgical procedures are done to keep the cash register ringing.  Caesarean deliveries and hysterectomy (removal of uterus) are high on  the list. While the woman with labour -pains is screaming and panicking,  the obstetrician who gently suggests that caesarean is best seems like  an angel sent by God! Menopausal women experience bodily changes that  make them nervous and gullible. They can be frightened by words like ”  and “fibroids” that are in almost every normal woman’s radiology  reports. When a gynaecologist gently suggests womb removal “as a  precaution”, most women and their husbands agree without a second’s  thought.[/FONT] [FONT=&quot]8) Cosmetic surgery advertized through newspapers.[/FONT][FONT=&quot]Liposuction  and plastic surgery are not minor procedures. Some are  life-threateningly major. But advertisements make them appear as easy as  facials and waxing. The Indian medical council has strict rules against  such misrepresentation. But nobody is interested in taking action.[/FONT] [FONT=&quot]9) Indirect kickbacks from doctors to prestigious hospitals.[/FONT][FONT=&quot]To  be on the panel of a prestigious hospital, there is give-and-take  involved. The hospital expects the doctor to refer many patients for  hospital admission. If he fails to send a certain number of patients, he  is quietly dumped. And so he likes to admit patients even when there is  no need.[/FONT] [FONT=&quot]10) “Emergency surgery” on dead body.[/FONT][FONT=&quot]If  a surgeon hurriedly wheels your patient from the Intensive Care Unit to  the operation theatre, refuses to let you go inside and see him, and  wants your signature on the consent form for “an emergency operation to  save his life”, it is likely that your patient is already dead. The  “emergency operation” is for inflating the bill; if you agree for it,  the surgeon will come out 15 minutes later and report that your patient  died on the operation table. And then, when you take delivery of the  dead body, you will pay OT charges, anaesthesiologist’s charges,  blah-blah-Doctors are humans too. You can’t trust them blindly. Please  understand the difference.Young surgeons and old ones.The young  ones who are setting up nursing home etc. have heavy loans to settle. To  pay back the loan, they have to perform as many operations as possible.  Also, to build a reputation, they have to perform a large number of  operations and develop their skills. So, at first, every case seems fit  for cutting. But with age, experience and prosperity, many surgeons lose  their taste for cutting, and stop recommending operations.Physicians and surgeons.To  a man with a hammer, every problem looks like a nail. Surgeons like to  solve medical problems by cutting, just as physicians first seek  solutions with drugs. So, if you take your medical problem to a surgeon  first, the chances are that you will unnecessarily end up on the  operation table.[/FONT][FONT=&quot][/FONT][FONT=&quot]<a href="http://imap://nuzrathanver%40gmx%2Ecom@imap.gmx.com:993/fetch%3EUID%3E/INBOX%3E1517" target="_blank">http://www.indiatvnews.com/news/india/-ways-how-doctors-in-india-loot-patients-17628.html</a> [/FONT][FONT=&quot] Johnson & Johnson has agreed to pay over $2.2 billion[/FONT] [FONT=&quot]Pharma  company Johnson & Johnson has agreed to pay over $2.2 billion to  resolve criminal and civil allegations in the US that it promoted  powerful psychiatric drugs for unapproved uses in children, seniors and  disabled patients. The allegations include paying kickbacks to doctors  and pharmacies to recommend and prescribe Risperdal and Invega, both  anti-psychotic drugs, and Natrecor, which is used to treat heart  failure.[/FONT][FONT=&quot][/FONT][FONT=&quot]Drug company to pay $2.2 billion settlement[/FONT][FONT=&quot]Pharma  company Johnson & Johnson has agreed to pay over $2.2 billion to  resolve criminal and civil allegations in the US that it promoted  powerful psychiatric drugs for unapproved uses in children, seniors and  disabled patients. The allegations include paying kickbacks to doctors  and pharmacies to recommend and prescribe Risperdal and Invega, both  anti-psychotic drugs, and Natrecor, which is used to treat heart  failure.[/FONT][FONT=&quot][/FONT]</blockquote>

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