I read with great interest the article written by Professor
Mishra and congratulate him for raising the issue which was
published it in Indian Heart Journal, otherwise this issue has
almost became propriety of foreign journal. The article has
discussed about the evils of the modern practice and discussed
its definition and details including some legal aspects.1
But at the end, I felt depressed and distressed as no concrete
solution was suggested and felt that the coming generations
were abandoned to their fate. It is unfortunately true that the
health care has become industry therefore we often use terminology
health-care industry. Since the introduction of these
“black sheep” and “traders” the health care system has taken a
turn from moral and ethical practice to health care business of
achieving targets. Our profession is very noble one and related
to human life and their well being, therefore to call it as industry
itself is unethical. Sir, I amwriting from the perspective
of a young clinician and would endeavor to discuss the causes
and the probable solution for the degradation of clinical
practice both in terms of knowledge and morality. These are
the thoughts put into words discussed among the young clinicians
at various forums.
The change in the practice behavior of the physicians
cannot be seen in isolation. The fact of the matter is that the
problem is unfortunately more administrative rather than
clinical and starts before entering medical schools and continues
during the practice. The government as well as medical
council of India is constantly trying their level best in raising
the standards of medical teaching and practice but still there
are problems which are discussed below with some possible
solutions.