Saturday, August 8, 2009

To be ill and to be poor.....

'Swine flu' might be the disease of the day, but there are plenty of horrifying diseases, ailments, illnesses and accidents each so horrifying that you won’t wish any of them for even worst of your enemies. Amputations, body burns, trauma patients, patients for kidney transplants, cancers, acid burns, industrial accidents and what not. The good thing between all this misery and suffering is the fact that India is fast emerging as the destination for medical tourism with private hospital chains like max, escorts that offer better than the luxury hotels in services. But poor are not the one welcome here, this luxury of treatment is reserved for lucky few having resources to pay for it. Diseases and Illnesses are not fair, they dont believe in equality, they hurt poor many times more, in ways more than one.

I happened to visit AIIMS Trauma center and Safdarjung Hospital to meet Mr. Sudhir. Mr. Sudhir is an IPS officer who runs NGO Sapna and helps poor patients stationed in govt. hospitals and he explained to me the situation there. Most patients are from poorest of districts, from Bihar, Orissa, Assam , Rajasthan. Diseases and accidents force them to migrate for treatments. Often they sell their fields and lands and have to set up a base around hospitals. Moving to a city is a culture shock and they usually find no work. Illiteracy makes it harder for them to negotiate the system. Their tattered prescription slips is the only guidance they get. The situation becomes worse when the only earning member is ill or the ill person needs constant care from family. With no work and no money they either fall under burden of debt or are dependent entirely on charity. Many times relatives desert their patients and leave them to their fate. It’s a choice between starvation and guilt for their loved one. To use money on a dying family member or so save it for their kids, is not a easy choice to make.

That is one part of the problem. Although the treatment is free in these hospitals, medicines for ailments such as kidney transplant can cost up to three thousand a week. There is absolutely no way for patients to gather such an amount. The other issue is that most of them do not know anyone in the city. It becomes impossible for patients to arrange for blood donations. With so many blood donation myths and apprehensions and often due to superstitions even near and dear ones refuse to donate blood. They often end up with touts who exploit their desperate situation and make blood donors available for as high as fifteen hundred for a unit of blood.

It was a strange sight at hospital, to see all the patients and their relatives weeping and crying in front of Sudhir Sir. They were falling on to his feet asking for medicines, clothes, shelters and units of blood. But even he can offer little and often nothing but sympathy.

One thing NSS has decided to do along with NGO Sapna is to arrange six Blood Donors from IIT Delhi to go to Safdarjung Hospital every saturday to donate blood. NGO Sapna will arrange for transport and ensure that the blood directly reaches the needy patients. I am sure students will come forward for this cause.

To think of it, to extend a helping hand is so much more than a NSS activity. To share pain of others, to help someone in need is important. At one level this is what makes us all human.

- Abhinav

kumarabhinavgupta@gmail.com

13 comments:

  1. Yeah, it's true that we have over-publicized 'swine flu' even though the deaths caused by swine flu are quite less. Even 'normal' flu causes more deaths than swine flu.

    As for relating it to the center point of the post, it's all about realization and more about knowing such things. It's not like people don't wanna come forward but they are less motivated to do something unless propelled b some major external factor....

    And you're doing a great job getting associated with 'Sapna'.... Keep up the good work.....

    Cheers,
    Rohan

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  2. The state of those poor people is really pitiful and to know that facilities for rich getting better while no improvement for poor and destitute is even more regrettable. It makes me very sad seeing the direction our country is going and even worse is the fact that only handful of people like Mr. Sudhir and volunteers of NSS see and understand the problem but such people are also unable to solve the problem because of insufficiency of funds...But hats off to their never-say-die spirit as they keep on trying to make this gutter of selfish rich capitalists a better place to live in

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  3. Its a much deep rooted problem. Unless and untill
    the norms and guidelines, working standards as defined in the indian consitution, are strictly adhered to, conditions are going to prevail like this.We need to educate the poor about his rights to avert his exploitation

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  4. I was not aware about the problems poor face to arrange for blood donors....and so i used to take blood donation lightly

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  5. you are absolutely right Abhinav!, these hospitals provide luxury than a star hotel.. health care is just for people who are with wealth baaki sab ke liye koi raasta nahi hai.. policy level changes in the health field is required to think about poor getting a quota of medical facility whatever they deserve.

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  6. Good work. How come the medicines too aint available at no or subsidized costs to the poor? Is that a policy issue or an implementation hitch?

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  7. You have very nicely thrown light on an issue that was taken very lightly earlier!

    We need to understand the class difference emerging in healthcare facilities. Though, I do not oppose rich going for luxury services but than there should't be any situation where poor do not get adequate facillities.

    Something clicked in my mind like if we can have a system in which these luxurious hospitals have compulsory subsidized services for poor. Their deficit being borne by the rich, who seek and can afford luxury even in healthcare!!

    Lavanya

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  8. hi Lavanya!,
    I think there is an order to all the luxurious hospital where they need to do some fixed amount of OPD's at free of cost / at subsidized rates but I think they would restrict those patients at OPD's and just give prescriptions to them. [I'm not sure though].. it doesn't allow the poor to get the facility what they need to get as a patient.

    Even a middle class (wo)man can't afford to hospitals with brands these days. I went to consult a doctor for my room mate in a not so "big" hospital where we had to first pay the fees standing on a Q for 15 mins even before meeting the doctor... this is how health runs as a business in India these days.

    Government hospitals do have certain facilities with them but the bureaucracy involved is so bad and when the person is in a phase where he needs immediate treatment / health care (s)he doesn't get it :(.....

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  9. @Selva
    U r right. Luxury Hospitals get subsidised land on the precondition that they will provide free beds/ treatments to poor but this is not happening in practise.

    On the other hand even govt. hospital facilities are often misused by powerful and the influential.

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  10. what an insightful article Abhinav...it's really an eye-opener...congratulations for the work you guys are doing at NSS...

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  11. Like they say- "T.B. is a por man's disease." That is why it doesn't figure high on the agends of health policies. Even diseases face class discrimination. These days diseases with their new nomenclatura, seem more like fashion trends than real threats to humanity.

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  12. a real eye-opener... but is the target of 6 IIT students every week for blood donation practical?

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  13. @Kanav

    IIT has 5000 students ..!!!

    Its Going well for every saturday past 3 weeks. You are most welcome on the trip this Saturday.

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