Broken Healthcare System In India | Nitish Rajput - YouTube

The only difference between a middle-class man and a poor man is the hospital bill.

If someone in the house of a middle-class man getting a major illness

So he falls below the poverty line.

See, there is no need to do MBBS for Common Sense.

But whom you trust as God.

That doctor prescribes you medicines of that company from which he gets the money.

Doctor get their percentage

If you find out in the market, Then you gotta know that a 30% to 40% rate is going on for doctors.

And outside trips are sponsored separately.

India is the largest country in the world in exporting generic medicines

We provide generic medicines at the cheapest price all over the world.

And you are not getting generic medicines in India

There can be no greater joke than this.

After opening a pathological clinic,

you have to meet the doctor there and set rates with them.

Then people will come to you. Doctors have proper sales targets in private hospitals.

Sales review meetings are held, The budget for every month is fixed.

There are targets setting from admitting the patient to getting a surgery

Whenever a new disease comes into the world.

And it takes a lot of money, research, and time to make medicine for that disease.

2.6 billion rupees are spent when medicine is found for some disease.

And after spending so much money and time,

it is not confirmed that the medicine will be made.

All the money gets wasted due to a small adverse effect.

So whenever a company makes a medicine

So a patent is granted for that.

And for the coming 20 years, the same innovator company can sell that medicine.

At the rate fixed by them.

If any other company wants, it cannot manufacture and sell that medicine.

For these 20 years, the innovator company has recovered its cost.

And this medicine is called branded medicine.

And all this is done so that

So that the innovator company can get rewarded.

of their hard work and they can earn the money that they have invested.

And as soon as 20 years are over.

So any company can manufacture and sell that medicine.

And when the company manufactures it and sells it to the market. Then it is called generic medicine.

A generic medicine is much cheaper than a branded medicine.

Because all the companies are manufacturing it

so the competition increases

And all these companies would not have spent on research and development.

So they can earn profit even at low rates.

According to the FDA, generic medicine is 80-85% cheaper

Comparatively to a branded medicine even though generic medicine is cheaper than branded medicine.

But there is no difference between the two.

Chemical composition of medicines

Salt, strength, everything is the same.

Even if both the medicines are dissolved in any solvent there is not even a 1-second difference.

But, the drug company does not like generic medicines at all.

Because the profit that is made in branded medicines

competitively generic medicine doesn't make that much profit.

This is the golden time of 20 years in which there is no competition.

Decide the rate you want, and people have a compulsion to take medicine from you.

This is very much liked by the drug companies. Drug company means

Pharma companies that manufacture medicines.

So what do companies do when their patent is over?

Medicines are sold at cheap prices in the market

So, they make a new version of the same medicine.

Slightly changing the original compound and patenting a new name

Sell ​​it in the market at new prices without any competition.

Paracetamol is a generic medicine by making slight changes in paracetamol

Medicines are sold to you under different company names.

If you look carefully, the salt which is written in it is the same.

In some cases, they make a new combination by mixing paracetamol and cetirizine.

Medicine is launched in the name of a new company at high prices.

If you take 600 MG of paracetamol from any company, it will work the same.

There is no difference between a generic medicine and branded medicine.

Now the thing is, why would you take such a big risk and start taking generic medicines?

My educational background is an engineering

I do not have a medical background, See MBBS is not required to use Common Sense.

Whatever I have just told you, I am not saying it baselessly.

The same thing has been said by the Prime Minister of our country

Said it on multiple platforms: Take generic medicines only.

There is no difference between branded and generic medications.

There is no difference between Generic and branded medicine

Before we go any further.

The Knowledge partner of this video is Navi health Insurance.

Co-founded by Sachin Bansal. Ex co-founder of Flipkart

How he has handled the problem of the health industry from a different perspective

I will tell you at the end of the video. So coming back to the topic.

The medical council of India has issued an advisory to the doctor don't know how many times

Prescribe only generic medicines to the patients.

To explain this, the Government of India has established Jan Aushadhi Centres

Where only generic medicines are available.

In fact, in 2017 it was stated that if the doctors are not prescribing generic medicines.

So by passing a bill a law will be made for generic medicines.

Every doctor has to follow

WHO has said on record that by using generic medicines,

People will be able to get treatment for very little money.

Even after what I have told you, after confirming it with your most trusted doctor.

Only then you believe it.

If something is worth ₹ 1, it cannot be sold for ₹ 20 in the market.

There is only one condition, it can be sold if the doctor tells you.

Otherwise, no one in the world gives extra money for the same thing.

When you go to a medical store and ask for medicine.

And they ask you to give the same medicine from the other company?

So you flatly refuse. You have this level of trust in the doctor

But whom you trust so much as God.

That doctor prescribes you medicines from the company from which he received money

The pharma company has hijacked the health care system of India.

These companies have the advantage of selling branded drugs

That's why pharma companies give money to doctors to sell branded drugs to the patient.

Doctor get their percentage

If you find out in the market, then a 30% to 40% rate is going on for doctors.

And the foreign trips regularly are sponsored separately.

This is the reason why doctors prescribe branded medicines instead of generic medicines.

And if any doctor wants to work honestly.

So they have sent money to the medical stores as well.

Suppose a doctor prescribes generic medicine.

So you will keep walking around with the prescription

and you will not get generic medicines at any medical store.

Pharma companies have used such marketing strategies.

The entire medical store is full of branded medicines.

And I'm not talking about every doctor.

I am talking about only those doctors who have sold their conscience.

The pharma company has injected this thing very well into the market.

That generic medicine is less effective, branded and expensive medicines can cure well.

Any medicine whether it is branded or generic comes in the market only

After the approval of the FDA, If generic medicine was less effective then

it doesn't even enter the market.

Generic or branded both pass from the same set of testing

After that, they come to the market. Along with that, the pharmaceutical companies

In India, they are manufacturing medicines in their name.

and selling medicines by deducting GST in their name, distribution is being done in their name.

If any company is caught making duplicate medicines,

then they are punished with life imprisonment.

No one will die from that medicine but the effect will not be that good as branded medicines.

You must know that if a company makes such medicine which is less effective

Which is even 1 second late to dissolve from the given standard.

So there is a punishment of 2 years in the law. No man will take such a big risk by opening a company

Suppose your business is making duplicate or fake medicines.

So you will be duplicating branded medicines and not generic medicines.

Generic medicines cost 50 paise to 70 paise.

But expensive medicines are branded medicines.

The real profit that will be made in duplicate will be from branded medicines.

She is Sujatha Rao who was the Union Secretary in the Ministry of Health and Family till 2010.

She said in her tenor that all the government doctors

It will be mandatory for them to prescribe only generic medicines.

Sujatha Rao said on record that the seniors forbade her for this

And the pressure has also come from the Member of Parliament to stop it

From this, you can understand how far the pharma company has set foot in it.

The government has issued multiple advisory

And clearly said that the doctor has to prescribe generic medicines only.

Even after that, the doctors do not follow the guidelines.

There was so much pressure on me

From the member of parliament and senior officers

Why are we getting crap drugs?

Why are we getting generic drugs, we want branded drugs

Only generic medicines are available in government pharmacies.

A man goes to a government hospital and tells his illness to the doctor

then wait in line for 6 to 7 hours at the government pharmacy and

But at his turn, it is told that the prescription that you have

branded medicine is mentioned in it, here only generic medicines are available

So get a generic medicine prescription from the doctor.

The doctor knows that only generic medicines are available in government hospitals.

After that branded medicines are written, So he buys medicines of that company

If the government also makes it mandatory

The doctor has to prescribe only generic medicines so the pharma company

will create a shortage of medicines in the market

There is a risk of breaking the entire health system.

The Jan Aushadhi centers have been opened by the Government.

There are also limited generic medicines available.

India is the largest country in the world in exporting generic medicines.

We provide generic medicines at the cheapest price all over the world and

you are not getting generic medicines in India.

There can be no greater joke than this.

How will you identify which medicine is generic and which medicine is branded?

First thing, generic medicines are cheap and

generic medicines are sold by the name of their salt.

But it is not easy for everyone to understand directly

You go to www.janaushadhi.gov.in

go to the Product Portfolio section and enter the medicine code or name of the medicine

You will get a list of generic medicines and you can also compare rates in it.

I will give you the link in the description. Medicines are distributed in two categories

Essential medicines and non-essential medicines.

Essential means necessary and non-essential means unnecessary

Understandable from the name itself.

There are 348 essential drugs in India. once the Government of India add a medicine

in the National list of essential medicine

After that, the price of the medicine is controlled by government authorities.

And the pharma company lost control. That's why the pharma company earns from non-essential drugs.

By paying money, they get medicines recommended from the medical store and the doctor

doctors who are money-minded who had taken the money.

Along with 1-2 essential medicines

They prescribe 5 to 9 essential medicines

And the poor patient keeps looking for the medicine written by that doctor.

There can be no greater betrayal than this. Non-essential drugs as mentioned in the name.

Unnecessary, these are the new versions of these 300 essential drugs

There are 348 Essential Drugs in India.

And non-essential drugs are more than 14,000

By Patient the same salt with different tricks Sells ​​at high prices.

If you want to open a pathology lab no matter how good you open a good lab.

Not a single man will come.

After opening a pathology lab

You have to go and meet the doctor in that area

Have to fix the rates with them

Then people will come to you.

This is the reason why doctors prescribe you 50 tests even for small things.

In the pursuit of making high margins some pathology labs do the sink test.

sink means they will drain your sample in the sink and will give you a fake report.

Doctors have proper sales targets in private hospitals.

Sales review meetings are held and the budget for every month is fixed.

There are targets from admitting the patient to the surgery,

there is a Pune Best NGO named Sathi.

Its coordinator Abhay Shukla surveyed and according to their report Elective surgery is the

first choice of doctors and hospitals.

Elective surgery is surgery, where surgery is not required

But even after that, the doctor performs surgery. In some cases senior citizens

who need to undergo surgery after a few years.

They also do their surgery first to complete their target.

In February, Sathi released a report in which it was mentioned that a doctor was fired because

Because he made only 10% conversion only of the surgery

If the surgery is of 2 lakhs, then 25,000 of it will go to the doctor.

And the rest will be kept in the hospital.

That's why it is very important to consult with your trusted doctor for a second opinion.

44% of people who took the 2nd opinion didn't even require surgery.

Wherever you go for any treatment

You get a discharge summary.

In it, it is shown step by step what was the problem and why the surgery was performed

You will see that maximum hospitals do not even give discharge summaries.

Two-thirds of the population are struggling with poverty.

They are not getting even food

If you force him to take branded medicine, then he will die.

1 day earning is ₹ 100, if half of that money will go to medicine

Then how will the country be free from this poverty?

Every doctor knows that the real earnings are in the cities so no doctor wants to go to the village.

There is a shortage of doctors in rural areas. In rural areas, 57% of the doctors who

call themselves doctors they don't even have a medical degree.

31% of them are doctors who are12th passed

Means in the rural area 57% of them are Munna Bhai (Referring to an illiterate doctor from Bollywood Movie)

To date, not a single government has been able to form regulations.

You are reminded that the leader of which caste is standing in your area in the election

But there is one little thing that every citizen of the country should know.

The difference between generic and branded medicine is

since the country became independent to date, not a single government has come

who can explain this to everyone

because if you understand this, you people will not consider temple and mosque in the manifesto.

You will ask for the hospital. There is only one hospital bill difference

There is only one hospital bill difference, If someone in the house of a middle-class man

getting a major illness then he falls below the poverty line

The nexus running between the Doctors, Pharma companies, medical stores and lab

Out of this, only 20% of the people can afford the medicines.

And 40% of the people are such that if they get to fall under in some major disease

So they have to borrow money.

Now in this current situation now what is the solution to all these things

to the middle-class man?

See its solution is health insurance.

Now how do you know which category you fall in?

And is health insurance necessary for you or not?

You have to ask yourself this question if someone in your house gets a major illness.

and you have to go to the hospital Do you have seven-eight lakh rupees?

No hospital leaves for less than this if you have a serious disease

Is your financial condition is such that without borrowing, without getting yourself into trouble

can give this amount of money

If the answer is no,

So you need health insurance.

In today's date, most people understand that health insurance is a very important thing.

But still, many people think it is a wastage of money.

Still, people have ignorance about this

At the same time, the other challenge that the common man faces

The insurance company makes very big claims

but is unable to deliver.

There are many cases of cheating.

In which claims are rejected by giving any reason

Or for the claim, people have to continuously visit the company.

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