Category: Research Articles
The ethics of age discrimination and cost-benefit accounting
The Ministry of Health wishes to implement a new health care programme, but money is scarce. In contention for funding are a programme for the early detection and treatment of Alzheimer disease and a programme for suicide prevention in children and young adults. The government elects to implement...
Self-financing medical education in Nepal
The improvement in a society's health is attributed in part to modern medicine. However, such medicine tends to be expensive. All over the world, the availability of modern health services depends on the amount allocated for them out of a country's disposable income. The proportion of a country's...
Model protocol for autopsies in custodial deaths

In custodial deaths, the inquest should be done by Revenue Divisional Officer, Sub-Collector or Deputy Collector, also known as Additional District Magistrates. 

Private intensive care units in Mumbai
The plight of patients in private ICU-ICCU hospitals in the city of Mumbai is pathetic. This fact provided reason enough to study the subject. An examination of the conditions of these specialist units demonstrates that they violate the most fundamental human right — the right to life — and the d...
Economics of health care : the role of…

Economics may be a mysterious subject to many of us. Still, Amartya Sen's thesis of poverty and hunger is like one's grandmother's logic presented with mathematical precision and scientific rigour. 

Brain death, vegetative state and the RUB
It is common in contemporary clinical practice to be able to keep a person's body alive after the functions of the brain which animate and give character to that life have been irreversibly destroyed. In many countries there are brain stem death tests which allow us to come to a reliable clinical...
Orthopaedics in an unjust world. Whither Indian orthopaedics?
I would like to use this opportunity to talk about the values which Prof. Mukhopadhaya has been trying to instill in us and which, I believe, need to be reiterated if we want to practice our specialty to serve the masses of our vast country with its glaring contrasts between the rich and the poor
Unmet needs : Sex workers and health care
Sex workers share with other members of the urban poor, a deep distrust of the medical profession. Interviews with women in prostitution in three cities — Bombay, Calcutta and Delhi — and parts of Maharashtra — Kohlapur, Ahmednagar and Yavatmal simultaneously bring out aspects of what are uniquel...
The ethics of evidence-based therapy
We swear by 'science', though the very word begs for a precise definition. Allopathy (read 'modern medicine') dominates the therapeutic scene because of its ostensible scientific approach. Its hegemony may be gleaned from the fact that the leading text, Clinical Pharmacology, asserts non...
Custody, ownership and confidentiality
Technology and research using human tissues raise many legal and ethical problems. Who really owns the "bits and pieces", or body tissues supplied to laboratories? What is their responsibility and to whom? Who owns the report and with what rights? What about confidentiality?
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