Tuesday, 7 October 2014

ETHICAL MEDICAL PRACTICE: THE MISSING LINK


People are meant to be loved and things are meant to be used. Unfortunately, in the present commercial world, it is the other way round, with people being used and things being loved. Thanks to the “market economy”, there is more emphasis on amassing wealth by hook or crook, ignoring the ethics, dodging the rules and regulations, and bypassing the government policies. Today is an era of enterprise society, where profit at any cost has become the ultimate goal. This is leading to a dangerous precedent, taking a heavy toll on human values, virtues and principles.

Man is a social animal. Biological needs like eating and sleeping constitute the innate nature of human beings. In a civilized and modern society, a person’s stature is set by his conduct, ethical standards and moral values. Money and materialism take second place. Among all living organisms, only humans have the discriminatory power, who can judge what is good and what is bad. Society acts as a mould to shape a person’s behavior. It is generally said that a corrupt society breeds corrupt individuals, with honest and dedicated people being an endangered species facing extinction. Such societies need to be overhauled, with radical changes being the need of the hour so that the right individuals have a right place to thrive.

According to the words of Mahatma Gandhi, there is no wrong in earning money, but one must stick to moral and ethical code. Both of these are not contradictory, but, in fact, are complimentary. Even the medical profession is not free from the growing commercialism, pushing the selfless service to the back seat. Doctors were considered next to God, giving the utmost importance to medical profession. But considering the current conditions, the perception seems to be changing. Widespread superstitions, appalling low level of medical awareness, rising medical expenditure, poor functioning of government hospitals and inaccessibility to medical care are driving people especially in rural areas to consult quacks, which are bent on bringing disrepute to the medical profession. Urban areas are no exception. A large number of corporate hospitals, diagnostic centers and pharmaceutical companies are duping susceptible people by ordering unnecessary diagnostic and pathological tests and mounting medical bills, turning the holy profession into an unholy commercial venture.

Doctors getting kickbacks for prescriptions from pharmaceutical companies are a common practice. Institutional changes, transparent policies and greater accountability are the need of the hour to address the current crisis.

Root causes for unethical practice is a social pressure. Parents have a deep sense of urge to get their children educated and, in turn, build a better life than their peers. There is this perception in the society that education is meant just for earning a decent livelihood, and not to make responsible and law abiding citizens. As a result, education has turned into a profitable venture and parents are ready to invest huge amounts and force their wards to study “elite subjects”, like medicine, engineering or charted accountancy in order to get handsome returns. In this process, the opinions of children are often ignored.

With their parents having invested huge amounts on their education, the young graduates are eager to get back the returns, and prepare to disregard and circumvent any rule or regulation that comes in their way. This urge for commercialization breaks the backbone of patients belonging to lower and middle classes. There seems to be more emphasis on mere collection of facts or data in education, ignoring the basic concept that knowledge is obtained only when meaningful data and information is properly organized. It is application of this knowledge that leads to wisdom and clarity of perception. In spite of an increased expenditure on education, quality seems to be appalling. And expecting ethical practice filled with love, passion and compassion from the products of such a system is nothing short of imprudence.

For the past several decades, there have been various governments formulating several policies towards welfare of the state, with their main aim being to address pertinent issues such as poverty, illiteracy, inequality and so on. However, even after several decades of independence, there is a hold-up on various fronts owing to negligence and lack of commitment of bureaucrats and politicians. Many factors play a role while recruiting for government posts, including abuse of money as well as power. Moreover, poor infrastructural facilities and lack of availability of medicines at government setups denies committed individuals an opportunity to serve the public. One cannot expect ethical practice with dedication to profession and service to public from the individuals selected for jobs like such.

There are three key societal members who can make a difference if a country is to be corruption free and become a nation of beautiful minds, the father, the mother and the teacher. All of them play a key role in making ethical practice feasible in the present commercial world.

Not all medical practitioners engage in immoral and unethical practices. There are many selfless doctors who serve with utmost care and responsibility, providing untiring services to the needy, downtrodden and marginalized sections of the society. Ethical practice is feasible in the present commercial world only when high levels of ethical standards and moral values are incorporated in the society, the system is made more transparent and fool proof with greater accountability, provisions are made to implement already existing ethical codes and guidelines, making general population more aware, and inculcating a sense of responsibility and spirit of selfless service, care and compassion among medical graduates. Only then can the medical practitioners hope and dream of getting the appropriate reverence they deserve.

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