Category: Research Articles
The great divide: ‘Private’ versus ‘general’ patients
Working in a hospital where patients are dichotomised into "general" or non-paying and "private" or paying patients brings up some interesting questions and has stimulated my thoughts on this issue. Most hospitals in India belong exclusively to either the private or public sector. Such a stark co...
Managed care: the takeover of medicine by commercial…
The economic basis of health care is undergoing revolutionary change. The US is progressively converting from a system based on fee for service to a system based on so-called managed care. As is often true, changes in basic economic approaches usually result in changes in medical practice as well...
Medical ethics: relationships between doctors
Over the four-and-a- half-year span of medical training, students are extensively grilled on how to diagnose diseases and treat patients. The rules of conduct, which should guide his behaviour when interacting with his own professional colleagues, is hardly ever touched upon in the medical curric...
Biotechnology and medicine: ethical concerns
In 1903 the Wright brothers flew for the first time in a machine heavier than air. They soared 30 metres above land for 12 seconds. No one would have imagined that this technology would one day lead to the manufacture of aircraft which would cross the sound barrier and transport hundreds of peopl...
Fraud in medical research
With fraud and sleaze so visible all over the world in politics, finance and public life, finding that these also exist in medical research should come as no surprise. Yet it does, and medical scientists still react as if a case were unique. And they manage it so badly, with the whistleblower oft...
Surrogacy from a feminist perspective
As commonly understood, a surrogate mother is one who is hired to bear a child that she turns over at birth to her employer. The word 'surrogate' means 'substitute'. Nelson and Nelson point out that 'mother' is the person who gives birth to a child.
Surrogacy and human reproductive biology
Recently, the headline 'Rent a womb' highlighted the plea of a woman from Chandigarh to legitimise her surrogacy for a woman who could not conceive. The couple was so anxious to have a child that they were ready to adopt one. Nirmala Devi, who worked for them as a maid, decided to offer her womb ...
HIV and women – some thoughts
AIDS no longer is an affliction of any particular group. Estimates reveal that women are being increasingly affected, and the infection rate among women is equal to that among men.
Sponsorships for medical specialists
"While returning from my morning walk, I saw a bird in a cage. It reminded me of people imprisoned in prejudices. Prejudices are also cages, very subtle and self created. First we create them, then becoming imprisoned in them, we lose all capacity to fly in the open sky of truth. And just now I s...
‘Evidence’ based medicine: the need for a close…
Ad-hocism is rife in the medical profession in India. We seem to keep abreast of current medical knowledge from the information received from medical representatives and from industry-sponsored conferences. There is no programme for continuing medical education worth its name. Very few doctors ta...
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