Health Care in India – Ankho Dekhi

Since last week, a restrictive pain developed in my left thumb. Initially, I thought it was probably due to its supporting the smart-phone, and would gradually heal on its own.

Parr, kal laga thodda lafda hai udhar… 🙂 (But yesterday I felt that there is something serious!), as I noticed good snapping /locking in the thumb and a semi-hard ‘nodular’ protrusion at its base! Apprehending that it could be arthritis type, today morning we went to a very reputed hospital near our locality in Bangalore. However, to our surprise they did not have a full fledged Orthopaedic ward. So we had to check at yet another big and well-known hospital which is around 10 k.m. from our place. Amid scorching heat, high pollution, horrible traffic and pathetic road conditions, reaching hospital in time is an achievement in itself!!

The doctor was very cordial and interactive. After a quick inspection, he told that I have got a Trigger Thumb (stenosing tenosynovitis). Probably, this is because of wear and tear which has occurred due to pressure of heavy load on the tendons. Yeah..since last one month, I have been handling four green coconuts (knotted) daily. So may be this is the main reason…

When we asked the doctor about the treatment, he nicely explained us with a diagram giving the following options:

Option-1. Steroids : not recommended for my constitution.

Option-2. Surgery : yes, a simple 10-minutes procedure with local anaesthesia (no admission required) and bio-dissolvable stitches; no antibiotics and a simple pain-killer pill post the procedure.

After hearing that we have insurance coverage, he introduced us to their insurance team. When we talked to the insurance team, they said: “It is a very simple thing…you just call us and get admitted. The estimated cost of the operation is just 95,000 INR” !!!

They also mentioned that though no tests are “actually” required for this, in order to support insurance papers, one ultrasound test will be done on the day of operation; and that as usual, I need to get admitted in the hospital for at least a day !!

We didn’t know whether to cry or laugh 😦  … chupchap udhar hii khana khaake agaye (we just came back home after lunch).

With this kind of experience, finally I had to listen to my father’s advise (he is also a doctor). For the next 5-6 weeks, I’ll try wearing a splint and soaking my thumb in warm water. I will take a call on surgery after that, even whether to do it in Bangalore or some other place !!

Bhai, 10-minutes ki ek simple surgery ke liye 95,000 INR (for a 10-minutes simple surgery they charge 95,000 INR) – FOR WHAT !!!!

I remember that this same reputed hospital had billed me charges like “OT fees” & “Operation Theatre charges” /”Surgeon fees” & “Doctor fees” /”Others” & “Misc. charges” & “Etcetera” in 2011.

This has happened with me, can happen with anyone, any time. And we all suffer today or some other day.  How can common man afford such large, unreasonable sums ? Pathetic ! No control over this kind of loot !! Moreover, what about the ignorant /uneducated people who don’t even understand the details ???

Just wondering why we all are after Mallya only… what are these ? Why is the media silent in this, and no comment from RaGa /AK /Raja ?? Wondering if there will be any debate (in media or Parliament) on the sorry state of our health care system.

The common man is being looted in many ways. Uski awaaz koi sach mein nahi lagata… Kyon, ye “tolerance” levels cross nahi kiya ?!?!? (No one voices the common man’s concerns… Why, has it not crossed his levels of “tolerance”?)

Further note, today :

Time spent with Doctor = 5 minutes
Doctor’s fees = 600 INR
Time spent with Insurance team = 15 minutes
Time spent in Canteen = 40 minutes
Canteen charges – 120 INR
Time spent for Travel = 1 hour 20 minutes
Conveyancing charges = 600 INR

Aamjunta – just think over it…

Advertisements

Should India Accommodate More Refugees: A Common Man’s View

With the stable and able Government in New Delhi, and with India’s rising importance in world affairs, different sections of many neighbouring and other far-away countries are eyeing for taking refuge in India. Well, if India can accommodate others, it is well and good. It is nothing new for India; India has opened its borders for many in the past, since ancient times !

But how long and how many people can India accommodate ? This is definitely a major point of discussion at present, and many like me must be either debating it at heart (inner voices) or would have at least once thought about it.

Briefly, my opinion on incoming of refugees to India :

During the last General Elections, I am aware of a particular section of a refugee community residing in India since the last 4-5 decades that “conscientiously opted out” of voting because they believed that by doing so, their cause (fight for their political goals) would get derailed, and may even be forgotten by their next generations !

Is that right ?

Well, I think such refugees can pursue their cause (though the political scene of their  country of origin may have changed completely over time and got accepted by many including their top leaders in exile), and at the same time, when they are residing in a ‘receiving’ country and utilizing all its resources (equally as its nationals or foreign nationals visiting the ‘receiving’ country), then they should participate in its Elections. Whether this impacts the ‘receiving’ country’s administrative decisions or political strategies or social schemes, there could be many “key” factors or impacts related to it. What may appear trivial now can just blow up in huge proportions down the line.

The major concern in such circumstances is the “availability and distribution” of Land and Resources (by the ‘receiving’ country), absolutely vital to existence !!!! The resources could be natural or artificial. Let’s note that the same concern is put forth in many western countries while making policies or regulations regarding settlement of permanent migrants and even duration of stay of temporary foreign labourers – individuals or with families !!

In India, we are already burdened by our own population and also by our neighbours since years. Our own people are starving in many parts of the country; then there are other parameters of human development. These needy lives – some are known, some still unknown. There’s so much to identify alone !

Therefore, notwithstanding India’s famed history of tolerance and liberalism, at the present, I think it would NOT be a wise decision by any of our Governments to accommodate “all” the refugees in future, if any !! Since we are already over-loaded, why can’t that graceful obligation towards mankind be now shared by the entire globe ?.. A world sub-body (existing or new, under the vigil of U.N.O.)  must chalk out better, clearer rules and strictly monitor its implementation in this regard. After all, it would be in order to save human races and prevent fast exhaustion of resources of Mother Earth and of the ‘receiving’ country i.e. at a “single” location or region, within and up to which the borders of that mere single nation stretch.

Also, in these matters, I wish Land and/or Resources (natural /artificial) could be traded among affected countries in some form (e.g. carbon foot-prints), at least till a “feasible” solution is sought to resolve any refugee crisis, anywhere in the world ! Perhaps somewhere, that may set up the balance that is much required to s-u-s-t-a-i-n all lives. Human crisis is not always an over-night issue to be addressed; it may hold years of unrest, strife and survival !!!

So, while being generous, let’s also be practical with measured estimations of long-term fall outs and the respective check-and-balance approaches ! Let the rest of the secured world too shoulder this utter responsibility.

What do you opine, Aamjunta?

(Note: This post expresses a mere view of a common man in India. It does not include reference of any active laws or national policies or dialogue processes on international issues, human rights, etc.)

Open Letter On Our Primary Education System On The Eve Of Teachers’ Day

Though I am not into professional teaching or an educational analyst or anything of that sort, since some time, I have these concerns regarding a section of latest schooling systems in India.

Just consider schooling during our generation and a little beyond. Whether cities /towns /villages, we went to “ordinary” schools… and those “ordinary” schools had almost everything required for a child to get adequately schooled :

– Safety and Security
– Discipline
– good Teachers
– responsible Support Staff
– thorough Courses
– Labs
– timely Examination schedules and proper Evaluations
– a Playground
– First-Aid facilities and a phone-call-away Doctor
– a Garden
– a School Bus with watchful Attendants
– a Store-room of books, notebooks, pencils and other accessories
– a Library
– Hostels
– an outdoor Stage
– a well-ventilated, well-lighted and sufficiently-equipped Hall where competitions /performances /extra-curricular activities were conducted on a regular basis
– various academic /motivational Presentations by external bodies (govt. or private)
– Office and Notice Boards /Circulations
– Musical Instruments
– observations for 15 Aug. /26th Jan.
– uniform celebrations of all Festivals
– a thorough conduct of Morning Assembly
– periodic teacher-parent Meetings
– easy Interactions with any teacher /principal on any working day
– due Counselling sessions
– due Recognitions /Prizes /Scholarships
– proper maintenance of all Records /Registers
– due Vaccination schedules
– Excursions /Picnics
– active participation in Social Services

Well, I agree some of these facilities like a big infrastructure or an equipped hall or musical instruments were not present in village schools but nevertheless, they were highly accomplished institutions even if one merely counts the minimum factors of good schooling. Haven’t students from these less-equipped schools following “trusted” models of curriculum, excelled later in life – whether at the national or international levels ?!? Or haven’t they excelled in any other sphere but just academics ?… Further, haven’t they been highly sought as teachers by countries where the school education models are so different or talk about some brand ?

Today in India, new type of schools focus so much on “projects” and “activities”. As far as I have observed, these are either wholly done by parents /elders or downloaded from the internet; then it is gathered as print-outs or copy-pasted onto a file (hard-copy /soft-copy) and ‘submitted’ in a day or two. So all these, mostly because of lack of time or in a bid to quickly finish the home-work and move on to the next engagement, whatever be it.

And the next engagement usually is to watch an IPL match or accompany ‘Mom’ to the mall /beauty parlour or go with ‘Dad’ to the nearest KFC outlet or get engrossed in some crap video games !! So ever wondered, how these “projects” and “activities” are really helpful for the child ?

Moreover, nowadays only a few schools (even branded ones) sport a playground – how is that justified when on the other hand, these schools are trying to focus on “projects” and “activities” for better advancement of the child ?? Yes, you got great infrastructure and wash-room facilities but playground – that’s also an inseparable part of a good school !

I find at least in some instances, today’s kids lagging in spheres that they should ideally be leading through. For example – well, its great to be wonderful at singing or swimming but first of all, with one’s usual textual lessons satisfactorily done !! Isn’t that the basic purpose (if not sole) of schooling ?

Though there are few good exceptions, I am afraid many children are moving away from even the basic grasp of subjects. “Projects” and “activities” are supposed to form a mere part of the curriculum and constructively aid in an holistic growth ! These should NOT end up consuming maximum time-energy of young minds, and then leaving them with a tired space, a yawning gape at the end of the day to imbibe the actual academic content or even to play or do physical exercises !!!!

Stress is further enhanced as nowadays our career choices and modern lifestyles have confined us (the youngest generation of parents) in already choked urban areas; and even kids have to start the day at 6 AM or earlier (i.e. board the school bus) and are able to reach back home around 5 PM or later (because of traffic or/and tuitions).

Irrespective of any rule, some schools don’t even conduct at least the basic tests /exams. That makes both the child and parents completely indifferent to academics ! Whether or not they understand the tasks – they are only focussed on finishing the “projects” and “activities” at any cost, by any means and timely ‘submitting’ it at school. That’s what the design of some new type curriculum dictates in many such schools.

Where is the space and time needed to r-e-a-l-l-y grow ? In the hustle-bustle, its also so difficult for parents /guardians /teachers to find a niche to quietly unwind, deeply assess children’s progress and properly interact amongst themselves. I am not hinting at the mechanical routine meetings or discussions but at the r-e-a-l assessment !

And regarding all sorts of fees –  it is needless to mention their inexplicabilities and almost exponential hike-curves ! And on top of that, we also pay a considerable Education Tax !! Why ?

In my opinion, it would do us genuine good if we could go back and stick to the “trusted” version of our schooling that concentrated MOSTLY on the essential features of “academics”, and then wisely balanced the REMAINING portion with extra-curricular “activities” or “projects”. Let’s revive and maintain that old proportion or healthy balance !!!

Of course, I agree – perhaps with the inclusion of some modifications that would best suit India’s budding future (as recommended by educated and experienced Academicians, Social Scientists and Child Psychologists).

But unfortunately, the new models have paced up so drastically that now many of us perhaps don’t have options. Every school in the neighbourhood to the one 15 kms away appears the same. Still, if possible, let’s give a thought and try to revive the “trusted” version of our education system (albeit with approved modifications), starting right with primary-level schools.

While framing policies and making rules per se India, let us keep certain aspects in mind. Here below, I have briefly listed three major ones :

1. Let us ensure a measured degree of uniformity in the country’s education system. Let NOT there be any sort of discrepancy which may cast even the faintest shadows of division across the rungs of our society !! Why thrust the burden of non-uniformities on children and ask them to cope with it ? Let’s be sensible and responsible in the most sincere terms.

2.  Secondly, let NOT educational reforms be mere short-term ones or based on vote-bank politics ! For example, presently the RTE facilitates free education for children up to 14 years and the Government-directed reservations in this category stand at 25 % in each school. But have you ever thought – what is going to happen to these children after 14 years of such schooling ? Ideally, that sums up just the 8th standard. Are there any reservations /provisions for owning up an “extended” support for their “complete” development or is their fate going to confront a full-stop, thereafter ? Then what is the ultimate purpose of such a facility ? A drop-out at that level, particularly from a brand school, is definitely going to struggle more !!… Moreover, it may make matters worse if we suddenly let go their tender hands; a young age as 14 years is too vulnerable to get trapped amidst anti-social elements and get lost into some dangerous anonymity !!!

3. Thirdly, can we possibly weigh options to NATIONALIZE various schools just as we nationalized banks ? It will not only maintain a definite standard (courses, fees, exams, activities, etc.) and uniformity but also build better check-posts of transparency and accountability in every department !

Let’s mind more about exploring the inner sheen than just meeting the expectations of a glamorous exterior !

A Psychiatric Fallout !!

Under the new Budget in India, the price of aerated drinks (water with sugar content) has been hiked up by 5 percent, making soft drinks and sugary juices costlier.

1

Health experts are hopeful that this financial step shall help reduce sugar consumption and thus check obesity, diabetes, cancer, heart diseases and dental decay – a theory many countries have begun to acknowledge but brands still profusely dispute !

Interestingly, last year I had a terrible dream : after the last gluttonous sip of a soft drink, I “saw” myself discovering active maggots at the bottom of the glass – and that was the end of all sugary relishes 🙂 !!!

Next morning, as soon as I woke up, I threw the remaining bottles out of the refrigerator. We do not buy any soft drink or ice-creams unless a guest arrives and indicates a desire for it.

Now howsoever thirsty, we prefer plain water. And since then, if we really need to have a soft drink as an accompaniment, only fresh home-made sugarless nimbu paani zindabaad (hail lemonade) ; thus goes our newly chosen flavour with spicy Biryanis and Pizzas as well 🙂 !

For the same “visual pothers” of my dream 🙂 , we have ditched other sugar-containing items and drastically reduced quantities of sweets or amount of sugar in every possible ‘prepared’ item, howsoever attractive – jalebis, chocolates, pastries, ice-creams, tea, corn flakes, milk shakes, cookies, smoothies, cakes, pan cakes, porridges, etc.

2

4

Luckily, my husband volunteered to “share” the psychiatric fallout of my dream 🙂 ! So that has now led us to limit our daily sugar consumption to even less than six teaspoons as recently set by the World Health Organization. Normally, I take only one teaspoon – in my morning cup of tea which I definitely require to stir up my day.

Well… my father (who is also a Doctor), tried for years to make me get rid of soft drinks; so he has been very thankful to God for blessing me with that thoroughly health-effective dream 🙂 !!… Now his other routine insistences are about regular exercises (particularly Yoga), a 20-minute exposure to the morning rays of the Sun and having maximally green diets along with natural anti-oxidants. My husband has sincerely met almost all these expectations, whether of his father-in-law or his Family Physician 🙂 , and of late, I am trying hard to partner him in it.

I suppose all health advices, increasing prices or taxes and making rules in these dietary matters aren’t going to help for long… So I wish that my folks who sincerely intend to get rid of aerated drinks and non-intrinsic forms of sugar, also “see” such a loathsome dream 😉 !!! Perhaps, there is no other way by which someone like me can be more motivated firstly, to quit all those unhealthy molecules feeding potential cancerous cells and secondly, to maintain sustainability at it 🙂 !

 

‘Blind Men and An Elephant’ vis-a-vis Current Indian Education System

About ten days ago, we had been to the school where our Domestic Help’s daughter sought admission for the very first time. Located in a by-lane, it is not only devoid of a playground, it is also very cramped even for little ones. For most part of the school time, children are seeing playing on the adjacent lanes and no one bothers, probably because that’s how space is managed and/or the administration is indifferent. Some children aged 10-14 years do not follow the classroom decorum !… And a few are admitted into lower classes, long past their suitable ages though they are not that ‘dumb’; reason- apparently commercial, that is, the school intends to make profits from the extra (unnecessary) years a ‘dumb’ student is made to go through !!… Notwithstanding, most parents put their children on the rolls in such schools because it is convenient to drop-and-pick them on their way to work and these schools also happen to be on a reasonable price-list according to their ‘limited’ affordability.

This by-lane school, without a playground and basic necessities, charges 6200 INR for an L.K.G. kid. More than the knowledge likely to be gained in such an environment, parents should be apprehensive of the hygiene, discipline and basic attitudinal orientations a child is going to learn here to imbibe or desert !! But unfortunately there are many such mushrooming schools in cities, towns and villages, and there seems to be no one to advise these parents who are honest and hard-working but owing to various reasons, not educated (not of formal degrees) to make out certain key differences regarding formal upbringing of children !

The family struggles and aspires- the parents are diligent, eagerly bear all financial hardships and dream to one day, see their children well-placed in the society; and the children spending their days in such schools, unknowingly waste most of their formative years that are never to be recovered. This is one of the most vital factors for a society to be good or bad, for children ultimately form the long future of a nation !!!

Our Cook’s eldest son, aged about 15 years, had to change two schools over the last two years; each admission costing 65000 INR on an average; then there are other expenses too ! But however hard his parents and teachers-at-new-schools now try to discipline him, the required changes are just not coming through !! Probably, his very basic formative years were lost in the unknown by-lanes when he ought to have been sitting under the light of knowledge and beside his Guide (Teacher).

It is indeed very difficult to lead or help a budding youth emerge from such troubled waters. To make matters worse, their parents start fearing a fading dream and non-refundable or non- reimbursable schooling expenses met from hard-earned savings !

We also gathered information regarding management and curriculum of ‘established’ schools of our nephew (city-1), our niece (village) and our friends’ kids (town-1 and town-2); we spoke to a few other parents and guardians too; and additionally, we took a brief look at various initiatives by some NGOs, Government schemes, etc.

Considering the entire Education System to be a giant elephant, my husband is right in analysing its overall present scenario in India-


Someone gets hold of the ear of the elephant and says ‘education is like a big jute dust-pan’; someone hangs by the tail and says ‘its like a small, smooth rope’; someone leans on the legs and says ‘its like a tall pillar’; someone grazes at the belly and says ‘its like a huge wall’; someone sits atop the back and says ‘where’s the pain, its an easy ride’; etc.

But usually, no one looks at the elephant or tries to even realize its presence, let alone providing any substantial financial or logistical assistance !!

So the consequence is that everyone, especially children and youth, continue to suffer because we do not take a HOLISTIC approach to address the issues in the entire system; we try to resolve merely by fits and starts, and a bit here and a bit there… Sometimes, for mere sake of promotions, sometimes for only political gains and sometimes, even without understanding an iota of it !!!

Some parents and guardians send their kids to schools without verifying necessary facts or keep changing schools without really monitoring their children’s progress and reasons for their inadequate performances. In most of these cases, parents and guardians remain all occupied at work during the week and therefore, prefer to simply unwind over the weekend along with family; they just admit their children on school rolls because they do not want to miss out on this ‘prime duty’ towards their children. But after that, the required follow-up usually does not happen !

However, a very few people and organizations still continue to render their noble services borne by a zeal, a thorough understanding and truly dedicated efforts towards uplift of the Education System ! We need ample of such folks and teams…


Well, we spend thousands of crores of INR in election campaigns, day-to-day advertisements and mere social events; then why don’t we do it for completely redefining the Education System in the country ? Isn’t that the best gift we can give to our children, to our nation and to the world at large ?

Wonder when shall modern India rebuild or transform itself to once again become the marvellous hub of Education that it was in the ancient days…… Let’s not forget that there was a great time when the whole world was eager and humble to visit the unparalleled chambers of wisdom at Nalanda, Taxila (now in Pakistan), Vikramsila, Varanasi, Udaygiri, Ratnagiri, Pusphagiri, Kanchipuram, Manyakheta, etc.

Name the Subject and Seek the Master- ancient India had it all to its glory !

Elephant

Should we Approve this Space Redefinition ?

Like many of my folks, I would love to live in a villa or mansion with most modern amenities, a sprawling garden, a customized swimming pool and good parking space.

Money matters but it is not the real determinant !

For after the routine confrontation with SPACE and POLLUTION around, I am not in favour of even owning a four-wheeler (in fact, I am still avoiding it !). The Apartment concept is a wiser choice in many aspects and as a family even, we are also comfortable and happy travelling in autos, Volvos and taxicabs.

We are happy because we spare space and prevent pollution – all very little but that is what we still manage to contribute. That gives us some sort of joy within. And of course, we do not have the headache of maintenance, licence renewals or manoeuvring in traffic when we actually look forward to solely enjoying the time.

Three years ago, we planned to get bicycles but there is still no appreciable bicycle lanes across the city. And the metro rail tracks too do not utilize the underground space… Anyway, if ever we much need to own one vehicle, then we shall restrict it to minimum usage to release space-on-roads and prevent air-pollution at least.

Of late, the ‘villa culture’ is the latest style-and-status statement in the city. Millionaire home buyers, particularly in Bangalore are even seeking out helipads and four-car parking areas !!! (This entire article is a must read; every bit of information contained in it sounds so alarming to me that I could not figure out what to highlight and what to ignore !)

Moreover, irrespective of the number and quality of roads, there are huge ads and flashy show-rooms everywhere to promote sale of varieties of fashionable cars and SUVs.

So this is how it goes – we observe Earth Hour, Save Trees, Prevent Pollution, Stop Industrialization, Environment Day, etc. But we go crazy with these $million /$billion investments, mostly to satisfy our ego – why ? Surely we can jolly good afford but are we being honest with ourselves ? Why can’t we start practising some sort of contentment, despite few odds at the beginning ? …It can be done in various ways – big or small, right ?

It troubles my heart more to see how some of my folks who have well-flourished in their career abroad are now heading home not really to bring in brilliant ideas to rebuild or serve their country but to mindlessly secure a high-flown niche in a city that holds promises of multifarious entrepreneurship and where mercury levels are relatively less drastic !

I therefore strongly believe that some of such detrimental features both of the Real Estate and the Motor Vehicles industries should be “absolutely unacceptable” to a society ALREADY DEPRIVED OF CHILDREN’S PLAY AREAS EVEN IN SCHOOLS – everyone is kind of getting choked at the rate things have already deteriorated !!

Otherwise, I am afraid there may come a situation in the near future, when we would not be able to spot space on Earth to even mark our own foot-prints, literally so !!!!

Aamjunta – what do you say ?

Abhishekam and The Hungry Feeds

In olden days, Rajyabhishek used to be performed for royal coronation in some kingdoms.

But Abhishekam or Abhisheka is a custom still practised routinely in some religious institutions around the world, either as a ‘bathing ceremony and anointing of the deity being worshipped’ (sanctification) or as an ‘esoteric transmission’ (empowerment of the disciple).

Depending on the type of Abhishekam, the libations on deities could be holy-water, milk, yoghurt, ghee, panchaamrutam, honey, sesame oil, rosewater, sandalwood-paste, etc. Among all these items, it terribly hurts us to know and to see buckets of milk being poured on the deities. It ultimately goes down the drains, leaving both the calves and the children hungry on the pavements, some right in the temple’s premises !!

Moreover, this milk comes from cows that are considered as the most sacred of animals and even worshipped as ‘divine mothers’ (gow-mataa) as per certain beliefs and customs. By pouring all those milk for Abhishekam and keeping the calves and our children malnourished, aren’t we being dishonest, selfish and treating our gow-mataa disrespectfully ?

Many argue that the milk and other liquids are collected after the Abhishekam. Even if it is somehow done and converted into ‘Prasadam’, hygiene cannot be guaranteed ! And token amounts of such offerings by each one of us shall lead to a huge wasteful quantity at the end !!

Folks- is preserving such rituals meaningful than filling the empty stomachs of the calves and feeding the hungry mouths of teeming millions ?

As the human race holds big conferences to eradicate hunger and poverty from the whole world, why can’t we sensibly contribute by altogether doing away with offerings of milk (and its derivatives) and similar practices ? Like ‘money saved is money earned’, ‘food saved is also food generated’.

And with increasing or unresolved demographic, economic and environmental crisis, that is what Time also now demands of us…

Let us engage ourselves on a little introspection and thoughtfully hear our Conscience……perhaps the Lord’s answer lies within !!!

Aamjunta – what do you say ?

 

%d bloggers like this: