{"id":51061,"date":"2019-08-09T19:00:19","date_gmt":"2019-08-09T13:30:19","guid":{"rendered":"https:\/\/blogadmin.forumias.com\/?p=51061"},"modified":"2019-08-09T17:49:32","modified_gmt":"2019-08-09T12:19:32","slug":"7-pm-does-the-medical-commission-bill-encourage-quackery-9th-august-2019","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/7-pm-does-the-medical-commission-bill-encourage-quackery-9th-august-2019\/","title":{"rendered":"7 PM | Does the Medical Commission Bill encourage quackery? | 9th August, 2019"},"content":{"rendered":"\n<p><strong>Context:<\/strong> National Medical Commission Bill, 2019 and the\nreasons of medical fraternity being against the bill.<strong><\/strong><\/p>\n\n\n\n<p><strong>More\nin News:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The\nNational Medical Commission Bill, 2019 was introduced by the Minister of Health\nand Family Welfare, Dr. Harsh Vardhan in Lok Sabha on July 22, 2019.<\/li><li>President&nbsp;Ram Nath Kovind has given his\nassent to the&nbsp;National Medical\nCommission Bill, 2019.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"536\" height=\"63\" src=\"https:\/\/i0.wp.com\/blogadmin.forumias.com\/wp-content\/uploads\/2019\/08\/f-1.jpg?resize=536%2C63&#038;ssl=1\" alt=\"\" class=\"wp-image-51062\"\/><\/figure>\n\n\n\n<p><strong>The&nbsp;National\nMedical Commission Bill, 2019:<\/strong><\/p>\n\n\n\n<p>The Bill seeks to&nbsp;repeal the Indian Medical Council Act,\n1956&nbsp;and&nbsp;provide for a medical education system which ensures: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>availability\nof adequate and high quality medical professionals<\/li><li>adoption of\nthe latest medical research by medical professionals<\/li><li>periodic\nassessment of medical institutions<\/li><li>An\neffective grievance&nbsp;redressal mechanism.<\/li><\/ul>\n\n\n\n<p><strong>&nbsp;Key\nfeatures of the Bill:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Constitution of the National Medical Commission<\/strong>:\u00a0\u00a0<ul><li>The Bill sets up the National Medical Commission (NMC).\u00a0 <\/li><li>The NMC will subsume the MCI and will regulate medical education and practice in India.\u00a0<\/li><li>Within three years of the passage of the Bill,\u00a0state governments will establish State Medical Councils at the state level.\u00a0<\/li><\/ul><\/li><li><strong>Functions of the\u00a0National Medical Commission:\u00a0\u00a0<\/strong> <ul><li>Framing policies for regulating medical institutions and\u00a0medical professionals.<\/li><li>Assessing the requirements of healthcare related human resources and infrastructure.<\/li><li>Ensuring compliance by the State Medical Councils of the regulations made under the Bill.<\/li><li>Framing guidelines for determination of fees for up to 50% of the seats in private medical institutions and deemed universities which are regulated under the Bill.<\/li><\/ul><\/li><li><strong>Medical Advisory Council<\/strong>: \u00a0<ul><li>Under the Bill, the central government will constitute a Medical Advisory Council.\u00a0 <\/li><li>The Council will be the primary platform through which the states\/union territories can put forth their views and concerns before the NMC.\u00a0<\/li><li>The Council will advise the NMC on measures to determine and maintain minimum standards of medical education.<\/li><\/ul><\/li><li><strong>Autonomous boards<\/strong>:\u00a0\u00a0The Bill sets up autonomous boards under the supervision of the NMC.\u00a0\u00a0Each autonomous board will consist of a President and four members, appointed by the central government.\u00a0 These boards are: <ul><li>The Under-Graduate Medical Education Board (UGMEB) and the Post-Graduate Medical Education Board (PGMEB). <\/li><li>The Medical Assessment and Rating Board (MARB). <\/li><li>The Ethics and Medical Registration Board.<\/li><\/ul><\/li><li><strong>Community health providers:<\/strong>\u00a0 Under the Bill, the NMC may grant a limited license to certain mid-level practitioners connected with the modern medical profession to practice medicine. \u00a0These mid-level practitioners may prescribe specified medicines in primary and preventive healthcare.<\/li><li><strong>Entrance examinations<\/strong>:\u00a0 There will be a uniform National Eligibility-cum-Entrance Test for admission to under-graduate and post-graduate super-speciality medical education\u00a0in all medical institutions regulated under the Bill.\u00a0 The NMC\u00a0will specify the manner of conducting common counselling for admission in all such medical institutions.<\/li><li><strong>Exit test: <\/strong>The Bill proposes a common final year undergraduate examination called the National Exit Test for the students graduating from medical institutions to obtain the license for practice.\u00a0 This test will also serve as the basis for admission into post-graduate courses at medical institutions under this Bill.<\/li><\/ul>\n\n\n\n<p><strong>Why is medical fraternity against NMC\nBill?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>No\nsecond chance:<\/strong><ul><li>The\nstanding committee had opposed the National Exit Test (NEXT). According to the\nBill, it would serve three purposes:<\/li><\/ul><\/li><li>Final-year MBBS examination.<\/li><li>A licentiate exam for getting permission\nto practice. <\/li><li>Entrance exam for admissions to PG\ncourses.<ul><li>The\nBill has no scope for improvement if&nbsp;a student fails. Earlier, there\nexisted an improvement exam for those who&nbsp;failed the final-year test.<\/li><\/ul><ul><li>The Federation of Resident Doctors Association (FORDA) and\nthe United-RDA (Resident Doctors Association) in a joint statement&nbsp;said,\n\u2018\u2019The provisions of the said bill are nothing short of draconian and promote\ngross incompetence and mockery of the professionals currently working day and\nnight\u2019\u2019.<\/li><\/ul><\/li><li><strong>Unbridled\nfees<\/strong><\/li><\/ul>\n\n\n\n<p>Another\ncontroversial clause of the Bill is regulation of fee of more than 35,000 seats\nin private medical colleges. The Bill says the proposed NMC can frame\nguidelines on fees determination of only 50 per cent of seats in private\nmedical colleges. The recommendation of the committee was however, that it must\nbe regulated for at least 50 per cent of the seats.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Quack\ndoctors<\/strong><\/li><\/ul>\n\n\n\n<p>According to the Bill, the Community Health Provider may\nprescribe specified medicine independently, only in primary and preventive\nhealthcare, but in cases other than primary and preventive healthcare, he may\nprescribe medicine only under the supervision of medical practitioners\nregistered under sub-section (1) of section 32. The term Community Health\nProvider has been vaguely defined to allow anyone connected with modern\nmedicine to get registered in NMC and be licensed to practice modern medicine.\nThis means persons without medical background are becoming eligible to practice\nmodern medicine and prescribe independently. This law legalizes quackery. This\nprovision and the other controversial provisions can never be accepted by the\nmedical fraternity of the country.<\/p>\n\n\n\n<p><strong>Conclusion:<\/strong> Perceptions\nof patients are changing, preferences are changing, people are not willing to\nsettle even for a nurse. In a State like Kerala, they\u2019re not willing to look at\neven MBBS doctors, they only want specialists. So, these partially trained\npeople may not get preference and may fall by the wayside. A continuous\nredesign, actually having a strong evaluation framework, a strong regulatory\ngovernance framework is extremely important. However,&nbsp;if the experiment\nfails, it should be abandoned before the number of these providers is too high.<\/p>\n\n\n\n<p><strong>Source:<\/strong> <a href=\"https:\/\/www.thehindu.com\/opinion\/op-ed\/does-the-medical-commission-bill-encourage-quackery\/article28917369.ece\">https:\/\/www.thehindu.com\/opinion\/op-ed\/does-the-medical-commission-bill-encourage-quackery\/article28917369.ece<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Context: National Medical Commission Bill, 2019 and the reasons of medical fraternity being against the bill. More in News: The National Medical Commission Bill, 2019 was introduced by the Minister of Health and Family Welfare, Dr. Harsh Vardhan in Lok Sabha on July 22, 2019. President&nbsp;Ram Nath Kovind has given his assent to the&nbsp;National Medical&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/7-pm-does-the-medical-commission-bill-encourage-quackery-9th-august-2019\/\">Continue reading <span class=\"screen-reader-text\">7 PM | Does the Medical Commission Bill encourage quackery? | 9th August, 2019<\/span><\/a><\/p>\n","protected":false},"author":61,"featured_media":49370,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[130,9],"tags":[],"class_list":["post-51061","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-7-pm","category-public","entry"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/forumias.com\/blog\/wp-content\/uploads\/2019\/07\/7-PM.png?fit=1000%2C500&ssl=1","views":{"total":0,"cached_at":"","cached_date":1704762250},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/51061","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/61"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=51061"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/51061\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media\/49370"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=51061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=51061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=51061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}