Category: COMMENTS
Practicing medicine in India: some ethical dilemmas
The practice of medicine is an ethical and moral minefield. Certain problems are universal and these have been sought to be resolved by formal ethical codes for medical professionals. However, there are always conditions, which the codes do not cover. Dr. Milind Deogaonkar  tries to focus attenti...
Ethical issues in fellowship training across the global…
For doctors from developing countries, clinical fellowship training in the developed world (ie. 'the West') is considered a golden opportunity, both for their own improvement as well as to help their fellow country people. This article briefly examines the potential downsides of this training fro...
Training abroad
Training abroad, especially in the developed Western hemisphere, is generally seen as a desirable adjunct to qualifications obtained in India. Dr Bernstein, who offers a fellowship in neurosurgery, identifies certain areas of concern. For one, the training may be inappropriate in the country from...
Gender disparity: need to look beyond ‘female foeticide’
The latest census figures have re-focused attention on gender disparity in the population. Changes in the female sex ratio in the 0 to 6 year group are cited to substantiate the theory that female foeticide is an added influence on an already skewed sex ratio. Though sex-selective abortion is an ...
Sex selection and the population policy: the medical…
As a result of sustained agitation by women's groups in the 1980s, a law was enacted banning the use of prenatal diagnostic technology for sex detection enabling sex selective abortion. However, the practice continued despite this law. Recently, health and women's groups went to court to enforce ...
Occupational health physicians: unwilling or unable to practise…
David Kern discovered a cluster of cases of interstitial lung disease among employees of Microfibres Inc. a synthetic textile manufacturing company in Rhode Island. Dr Kern was head of the department of occupational and environmental health at Brown University's school of medicine, Rhode Island, ...
Female foeticide: where do we go?
The publication of the provisional figures from the Census of 2001, highlighting a continuing decline in the sex ratio among the juvenile population in the country, has led to an outpouring of responses, in many cases extremely naïve and unreflective. Many of those vociferously condemning female ...
Sex selection: ethics in the context of development
All too often we reduce 'son preference' to a crude caricature of starving, harassed and tortured girl children. However, the reality is much more complex. In the same society where sex selection is used as a new means to perpetuate an old bias, education levels are rapidly rising, floods of girl...
The whistle-blower: a dialogue
I have been charged with misconduct - for the second time - for criticising the MEC Health of my province, Bevan Goqwana for worsening the health services since he took over. I said if he is running a private ambulance service (evidence is there), ran a private practice when he was Superintendent...
The dangers of managed care
The delivery of medical care in India today leaves a lot to be desired. The government has failed dismally in its goal of providing health care for all. While private medical care can be excellent, not only is it often very expensive, its quality can also vary considerably. Since the healthcare i...
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