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Private Hospitals Dodge `Poor' Clause, Doors Still Shut To Underprivileged


By akansha, Section Doctors & Vets
Posted on Mon Feb 08, 2010 at 02:09:02 AM EST

In 2007, the Delhi High Court had directe that private hospitals, which had been given land at a concession in Delhi, must not bill patients from families earning less than Rs 2,000 a month. The hospitals were also asked to give them free medicines

For the last three months, not a single patient from below poverty line (BPL) has been treated at the Rockland Hospital.

When the special committee appointed by the High Court visited the hospital last month, only one out of the 11 beds available for BPL patients was occupied in the Pushpawati Singhania Hospital.

Noting that there is a `calculated, systematic nexus among government and private hospitals to successfully frustrate the court and cheat poor patients', the committee has recommended penalising medical superintendents of government hospitals if they do not refer patients to private centres.

In Delhi, 40 private hospitals allotted cheap or free land by government agencies are required to set aside a tenth of their beds for the poor even if they had not given any such commitment at the time of allotment. The High Court committee has come to the conclusion that over 90 per cent of these free beds remain unoccupied.

"Close to 1,000 beds in private hospitals are supposed to be used to unburden government hospitals and provide quality care to underprivileged patients," said Ashok Agarwal, a lawyer associated with Social Jurist, an NGO. "It is bizarre that some hospitals have not treated a BPL patient for as long as three months. Part of the blame is with the government, which does not pressure the private hospitals.
We're going to ask for a highlevel inquiry in this matter."

Source: The Indian Express By Vidya Krishnan  Private hospitals dodge `poor' clause, doors still shut to underprivileged

Click On "Full Story" For More....

The High Court special committee comprises Maninder Acharya, senior advocate, Medical Superintendent of RML Hospital Dr N K Chaturvedi and Dr Ashok Rana CMO, (Nursing Home Cell).

"Secondly, there is a complete lack of awareness among the patients from weaker sections. They do not know that they can walk into the nearest private hospital and demand treatment.
There is an urgent need to make such patients aware of their rights," said Dr Chaturvedi, who is also the Director of the Post-graduate Institute of Medical Education and Research.

Newsline visited prominent private hospitals in the Capital to find that none of them complied with the lease agreement. At Max Hospitals, only two of the 18 beds kept for economically deprived patients were occupied. At GM Modi Hospital, 5 out 10 beds were occupied.

Despite High Court orders directing hospitals to make their bed occupancy public, Fortis Hospitals refused to reveal the number of beds available for BPL patients and stated that they were, `complying with all High Court orders'.

According to the High Court notification, hospitals are supposed to put up boards in Hindi clearly advertising the services available to BPL patients. The board -which lists the number of free beds, occupancy and availability, should be displayed at the Hospital's reception and outside the building.

Indraprastha Apollo Hospital -- set up as a joint venture in which the city government holds 26 per cent stake -- is supposed to provide 200 free beds for poor patients in Delhi.

On Sunday, only 80 beds were occupied. "Besides free beds, the courts have also told hospitals to provide medicines to poor patients. A few hospitals have challenged the order. But most are not complying with the lease agreement. We need more frequent inspections to ensure hospitals are keeping their end of the bargain," said J P Singh, Health Secretary, Delhi government.

On March 23, 2007, the Delhi High Court had directed private hospitals to offer free treatment to poor patients at the rate of 10 per cent in the Indoor Patient Department (IPD) and 25 per cent in the Outdoor Patient Department (OPD) of their total respective treatment capacities. The court ruled that private hospitals, which had been given land at a concession in Delhi, must not bill patients from families earning less than Rs 2,000 a month.

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