2013年2月20日星期三

Unneeded surgeries for women expose nationwide corruption

As the state government in India, district magistrates and local hospitals probe an overwhelming number of possible insurance medical fraud cases, women victims on the receiving end of medical procedures are suffering with lives that will never be the same again.

What has been described as ‘unwarranted surgical procedures; are now causing a crisis for women throughout India.

In what may include manipulation of locally administered welfare programs, including false claims made by processing offices, clinic teams as well as doctors, have been placed under investigative scrutiny by local magistrates.

But exactly what are those who are accused of the crimes accused of doing? Across the Chhattisgarh District of Raipur, 3,500 separate cases of women living in 90 separate villages,Add depth and style to your home with these large format streetlight. many of them younger than 30, have undergone what a majority of them now feel were completely unnecessary surgeries.

In a region known before 2008 for its lower than average rates of hysterectomy surgeries, the State of Chhattisgarh in India is now the opposite.

According to an exclusive poll taken by Reuters Trustlaw last July, India is currently the ‘worst place to be a women’ compared to all other world nations who are part of the G20. The poll indicates that India ranks especially low on issues that cover violence, exploitation, safety, gender equality and access to decent healthcare.

“Officials estimate more than 2,000 women were talked into having their wombs removed in the last six months,” said the BBC news in a report on Chhattisgarh made in July 2012.Save up to 80% off Ceramic Tile and molds. Current legal accusations in what may be exposed as a criminal medical negligence include 34 medical centers who are currently being investigated for insurance fraud after opportunistic doctors ordered unneeded hysterectomies for their women patients.

The problems are not an ‘India only’ problem. Unwanted hysterectomies have also been an going issue inside the United States.

“Each year 750,000 hysterectomies are performed and 2,500 women die during the operation. These are not sick women, but healthy women who go into the hospital and do not come out,” says Dr. Herbert Goldfarb, a gynecologist and assistant clinical professor at New York University School of Medicine in his book “No Hysterectomy Option: Your Body–Your Choice.”

The widespread use of cashless healthcare smart cards in India initiated RSBY – Rashtriya Swasthya Bima Yojana smart card healthcare program in 2008, may also be part of the problem. Providing government monies and an easy-to-use credit card that has worked to bring healthcare to millions of people in India, regardless of their poverty level,Beautiful fridgemagnet in a wide range of colors & sold at factory direct prices. the Indian government began distributing the cards in 2008 to enable families from all levels of Indian society to have access to better high quality medical care.

The smart cards allow payment of healthcare to be immediate, with coverage of up to 30,000 Rs ($555 USD). It may seem like a good deal, but this amount is shared among all the members in one family per year. There is no doubt the smart cards have allowed many patients to receive life-saving medical procedures, but they have also encouraged some medical doctors to prescribe hysterectomies that have not been needed.

Each smart card includes 11 types of software that provides a patient’s information, medical history and medical expenditures. The program seems amazing where a patient can choose from almost 1,000 private or government hospitals throughout India.

“The general ward of Beena Prakash hospital – situated in the small, breezy town of Bijnore in western Uttar Pradesh – has been bustling for the past few months. Locals claim that this heightened buzz of patients is ‘unprecedented’,” said OneWorld South Asia in 2009 after smart cards were distributed to many districts in India. The 2009 story may show how the cards have improved healthcare in India, but in 2013 the increase in medical procedures is showing a trend toward misuse of government funds.

While the smart cards seek to provide assurance that the correct person is receiving the right medical treatment, along with monitoring and limiting double charges for the same service, the cards do not protect a patient from going ahead with a surgery based on manipulative and inaccurate advice from a doctor.

Actions of physicians who have been accused of taking advantage of India’s healthcare system have caused numerous human rights activists to question the impunity of a medical doctor who delivers misaligned advice as a ‘medical expert’ and feels they cannot be questioned or challenged by a patient.

“The pervasive spread of corruption is not limited to the public sector. The private sector is also working under low thresholds
of integrity. Patients are exploited by being made to undergo unnecessary tests only for making money,” outlined the WHO – World Health Organization.

Unnecessary treatments and prescriptions by medical providers are considered to be a key ingredient in contributing to corruption within government sponsored healthcare programs, said Oxford Journal Health Policy and Planning in a 2008 release.

All the women in the Sahu family, in India’s mostly rural State of Chhattisgarh, have undergone what they now claim are unneeded medical procedures under hysterectomy procedures. These procedures, which doctors advised were necessary, continue to be questioned.

Without realizing the great impact the decision to remove their uterus would have on their lives, the decision to allow their surgeries to go ahead as advised is now being seen as a ‘grave mistake’ by the women of the Sahu family. Included in the family is Ms. Pancho Bai, along with her sister-in-law Ms. Budhiyari Bai, as well as two daughters-in-law Nadani and Kesar. All are different ages. All were told that removal of their uterus was their only option to rid them of problems that, in the end, may prove otherwise.

In 2008, when Nadani complained of back pain she made an appointment with a woman doctor who worked in Chhattisgarh’s capital city of Rapipur, which numbers over one million people. After performing a diagnostic ultrasound, the physician told Nadani that she had a severe internal infection. She also told her that the infection had spread to the uterus which would have to be surgically removed immediately to save Nadani’s life.

As the youngest woman in her family, Nadani underwent her uterine surgery when she was only 24 years old. Because of what has been described by her as “an unnecessary procedure” she is now frustrated, depressed and unable to have children.

“Our profession is entrenched in terms of doing hysterectomies,” said U.S. based Ernst Bartsich, M.D., a gynecological surgeon and professor of medicine at Weill Cornell Medical College in New York, outlined CNN in 2007. “I’m not proud of that. It may be an acceptable procedure, but it isn’t necessary in so many cases,”continued Dr. Bartich.

“In fact, he [Dr. Bartshich] adds, of the 617,000 hysterectomies performed annually, ‘from 76 to 85 percent’ may be unnecessary,” continued CNN.Panasonic solarlantern fans are energy efficient and whisper quiet.

At the time when Nadani was told by the doctor about her condition she was worried,High quality chinamosaic tiles. but did assume the doctor’s assessment must be correct and true. To make sure her patient would go through with the surgical procedure, Nadani’s doctor asked her to sign a ‘contract’ that also outlined the price due for the procedure.

“The doctor took [had me sign] a ‘contract’ for Rs 9,000 ($180 USD) for the operation,” outlined Nadani. This service also required specific medicines to be purchased from the doctor.

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