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…

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Death Penalty in India – should it stay or go ?

The Law Commission of India has recently recommended abolition of the death penalty except in terrorism-related offenses and waging war against the country.

There are dissent notes within the Law Commission itself…

Nevertheless, let me say that if I were to debate as a common man, then these points would be my fundamental questions to the Commission :

(1) To what extent do you define ‘terror’ ? Or is it only limited to ‘waging war against the nation’ ?

To cite some scenarios :

(a) “Terrified” by the frequent incidents of rapes and assaults on women (including acid-attacks), many women are unwilling or scared to travel alone !!!

(b) Senior citizens living alone are “terrified” to open their doors to domestic-services staff or friends or relatives because of incidents of murders or attempts to murder, for pecuniary greed by persons even very well-known to them !!!

(c) Parents in villages are “terrified” to send their female children to schools because of instances of luring by powerful men along the routes for their sexual gratifications !!!

(2) What about the rights and justice for the victims and their families ???

(3) When certain serious crimes (numbers or types) have increased, as against yet lagging Police and Judicial reforms, then should it not be the other way, i.e., to try continuing implementation of death penalty as a deterrent ??

It may not work for all cases but definitely, it deters many potential perpetrators !!

In this regard, I favor certain aspects of the Sharia Law like it happens in Saudi Arabia. We actually need those kind of justice system in some cases !!!!

(4) By abolishing death penalty in all other cases except “terror” ones, the maximum punishment then would be only life imprisonment : that means, we are rather going to feed, entertain and provide security to the criminals at taxpayer’s expenses !!!!!

And this term ‘life imprisonment’ (though the SC has said it means for the entire life) is still handled unclear, with regard to certain provisions of bail and constitutional powers of states !

(5) And in any case, if the imprisonment is merely limited by certain number of years, then you know what – anything can just go fatally wrong again, revenge or whatsoever !!!!!!!!

Wouldn’t this worsen matters, along with an increase in the number of litigation (which could be avoided) ??

(6) How do we then differentiate severity of various crimes and the appropriate punishments ? So, even the “rarest of rare” or “brutal” crimes like Nirbhaya’s case, would not be punished with death penalty ?? Is a rape-victim not “terrorized” in any way ????

Another heinous and rarest-of-rare example is the Nithari killings, where 19+ innocent children were killed and then raped.

(7) Our scriptures speak about punishing the evil… Particularly, then considering the numerous and ages-old preaching /illustrations /’gyaan‘ from the Vedas, Upanishads and Bhagvad Gita – all of them are utterly wrong ????

Forgive all criminals even if they have terminated lives and tormented souls forever !?!

Would then such a recommendation be apt ?

Eagerly waiting to hear the Hon’ble SC on this matter……………

 

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.)

Messengers of the Fourth Estate

During my teens, wish I for once at least, did the job of newspapers “supply-boy” (whom I respectfully address here as ‘messengers of the fourth estate’)… It must be so thrilling and reposeful too !!!

Whether spring or winter, summer or rains, I have always remembered their faces as jolly and spirits as active.

Being the first to know among civilians, what happened somewhere at night or at the break of dawn; keeping a tab on people who move in or out of the town (and perhaps why); gathering information on all the progress in the town; breathing the fresh air; experiencing the refreshing May-showers; cycling along green alleys to cheer a good health; sipping a free cuppa-tea through the departing mist; beholding the beauty of blooming gardens and early birds; learning the untold stories of the elderly and aggrieved folks; hearing the first temple bells amidst hypnotic chants; observing the innocent smiles and pranks of school-kids in the queues;…………

Know what- such a small stint even would make a truly whole good book of the times ! 🙂  … And I am sure, some of the messengers must have sailed beyond this part-time job (meaning, a temporary one and not that it is any low in terms of dignity of labour) with grit and patience, and excelled in other spheres as their lives gradually unfolded before them.

Coming back to the topic… Well, nowadays we are used to reading online news and watching streaming digital information on television sets. Today’s youth and children may not realize the charm of the print version of the newspapers or the services of these messengers. But the habitual readers of yesteryears still remember, reflect and therefore, continue to look for both- the very important thing every morning, along with or just after collecting milk.

While chatting over this with an old friend of mine, he pointed at some hardships and disadvantages in this service and remarked that all that looks so fantastic from afar is actually not easy and rewarding. His reasons- these messengers have to wake up early during chill mornings when the rest of the world is all cuddled beneath warm blankets, drench in heavy rains, some newspapers may not sell due to discontinued business, other uncertainties, etc.

To that, I stood with immediate defence- “then you must agree that it is also not easy to speak about the all-restful or all-classy or all-bright looking IT folks, home-makers, early morning joggers, farmers, sadhus, musicians on early morning rewaaz (practice), doctors and nurses on-duty for days together, soldiers, etc. !!” 🙂 … My friend of course agreed to the fact that despite problems, life has to be sought and cherished in its all beautiful shades. Therein lies our thorough engagement with the drama scripted by the Lord.

I do not know if these dutiful messengers have been ever honoured anywhere as an important part of the fourth estate. But I believe they truly deserve a certain recognition. I wish, as an aware and caring society, we appreciate their services and good cheer at least in our own individual capacities, like enabling them in their struggle for education or facilitating their pursuit of finding better jobs later. It may not mean a financial assistance always; the recognition can be rendered in various manners to bring out the best out of life for these wonderful messengers of the fourth estate.

Aamjunta– what do you say?

9s

As India Votes – Good Luck to Us

With the world’s largest democracy going to one of its most crucial national elections from tomorrow, here’s how we can perhaps best eliminate our dilemma –

First, let us set up our priorities and then map it on to the parties and the netas (leaders) – the mapping that draws the highest number of lines should be our obvious choice.

Alternatively, we may also label marks (party /neta rows vs. priority columns) and finally add up the total of each row to find the highest score.

Priorities: nationalistic fervour, foreign policy, internal security, defence, anti-corruption, economic reforms, social welfare schemes, education system, health care, media regulations, NO caste-community-religion bias or undue reservations (economic or financial reservations to a certain extent is acceptable as a short-term measure, as long as it actually fulfils the uplift criteria of the society concerned), cultural heritage, sports, etc.

This shall lead to a practical decision and not an emotional one. Moreover, if such a chosen party and neta are elected to power, then we can better relate to and evaluate their performances in the long-run too.

Let us together decide a bold, progressive, stable and transparent government at the Centre and the respective States !

Wise and Happy Voting !

UTTISHTHA BHARAT (Arise India).

General Elections 2014: a Game Theoretic Analysis

With less than 20 days left for the first phase of elections, each party has almost finalized the list of candidates; giving a final touch (Congress has already declared) to their manifestos, busy in bridging the gaps between like (?) minded parties for opportunistic alliances, and making advertisements in the print and electronic media. Campaigning is becoming crucial for all political parties.

One strong trend which is emerging clear from the campaigning- candidate selections and the alliance formations – winning the election by hook or by crook –  that’s the ‘Game‘;  a zero-sum or/and a non-zero-sum game but mostly with opportunistic coalitions. The outcome of this game is the real face of our democratic form of government, in which some times the major national party sits in the opposition and a the leader of a small party with 20 odd members can become the Prime Minister of this country. (Please do watch the above video link to see a beautiful illustration of Indian democracy by (Late) Shri Pramod Mahajan.)

And the saying “every thing is fair in love and war” is becoming a reality for this election game-war. It is a game in which political Parties, Media, Election Commission, Police and the Voters are the major players with many strategies for a goal – ‘Rule’ – with and without coalition in which Nash-Equilibrium may not be guaranteed !!

Like every other game, here too, the strategies are very important not only to form a government but also to form a stable and sensible government at the centre and in the states. Strategies are mostly formed by the active players – Political Parties, many in number and extremely divergent in characteristics; propagated by the passive players – Media; judged by the unique players of the world’s largest democracy – the Voters.

Lets analyse few of the common strategies –

Candidate Selection: It is indisputable to say that candidate selection depends majorly on the polarization factor – caste, religion, outsider vs. insider, etc. More than qualities like honesty, capability, loyalty and integrity, importance is being given whether the candidate is from Urban or Rural area, a Hindu or a Muslim, a Brahmin or a Yadav or a Kurmi or a Dalit, a Lingayat or a Vokkaliga or a Kurba, a Jat or a Thakur, an Iyer or a Mudaliyar, son/daughter of some “big” man or an aamjunta, and many more. Change of parties to earn a party ticket are common; for many candidates getting a ticket is more important than the ideology of the party. If the political parties are to be blamed for this kind of polarization and division of the society, then the media is also equally responsible for generating their masala-news and live analysis.

So far as the voters are concerned – we too are biased for our caste and religion sentiments. Remember- neither making a holy dip in Varanasi will make some one a Hindu-sympathizer nor wearing a skull-cap will make some one close to the hearts of Muslims.

Are we going forward to bridge the gap or going back to the era of un-touchability ? The choice is ours !!

Hate/Love Speeches: Making a hate speech is very easy these days. Reason – the conviction rate is very low and the convictions are not exemplary ! Hate speeches targeting religion, caste, community, migrants, etc. are threatening the peace and sovereignty of the country. The words or phrases used by the politicians are sometimes derogatory and flaring. Moreover, these days personalized comments are pathetic and in utterly bad tastes, mostly used to polarize voters and to stop some one from even doing good at any cost. What surprises me more is the negative publicity – parties are busy in finding out others’ faults, not in publicizing their own good governance. Criticizing others for their failures is not bad but laying the foundation of good future is more important. This is not only happening in party manifestos but also in reality. We fail to observe any party or leader sincerely or humbly accepting their mistakes and offering to find remedies for it; rather it appears from their statements that doing wrong things are their deliberate actions and their birth-rights.

If hate speeches are bad, then what about love speeches ? Saying “I love to be in the midst of tribal people” and doing nothing for them; or saying “I will go from home to home and sleep in villages” who had once mocked other leaders for eating and sleeping in Dalit homes. All for the benefit of TV cameras – these are merely romanticizing the election bids !

Freebies: We all love freebies and indisputably this becomes a major strategy during elections. The ‘one-kilogram per rupee’ Rice concept, re-adjustments in the number of of Cooking-gas cylinders, free Ration, Laptops, TVs, Cycles, Washing Machines, even free Electricity, free Water, loan-Waivers and many similar things are common these days. Irrespective of the class and affordability of the people, the freebies are very popular these days. Its as if these are all literally raining from the heavens. Political rallies, party manifestos and advertisements are saturated with freebies – “If you vote for me, I will give you this” ! … Are you really giving from your pocket ? NO !! Then who allowed you to do so ? … Let us understand that freebies are making us nikarma (indolent) and are being distributed from the tax-payers’ money which was meant for the development of the country. If any political party wants to give any substantial gifts to the society by making election-oriented promises, then let them promise us good governance – not generate or do nothing about tackling policy paralysis and corruption; let them create for us a system of quality education,  quality jobs, sustained opportunities to earn our livelihood at our native places (no migrant-labour), good roads, green environment, continuous supply of clean water, electricity, necessary and regulated material resources at reasonable prices, transparent accounting system, ample safety and security for all its citizens, and so on and so forth. Not freebies… Freebies will not eradicate poverty; rather it will keep re-orienting using foolish methods and then reinforce the downward-spiralling of poverty.

A true leader must have the vision to empower its nation by building on every available resource and not callously aim at the gaddi (seat of power) !!!

Alliance: Both pre-poll and post-poll alliances are becoming crucial these days. The pre-poll alliances we see these days are actually not based on a common agenda; rather these are based on political compulsions for a post-poll government formation. Moreover, no one (political parties as well as their leaders) is untouchable. On a critical analysis, we can see that most of the pre-poll alliances are actually converting a zero-sum game to a non-zero-sum game. Here are a few instances – LJP-BJP in Bihar, Shiv Shena-BJP-MNS (?) in Maharashtra, BJD-JMM in Odisha, RJD-Congress in Bihar, TDP-BJP in some parts of Andhra Pradesh, flip-flops of TRS-Congress in Telangana, DMDK-PMK-MDMK-BJP in Tamil Nadu, AIDMK-Congress, DMK-Congress in Tamil Nadu, BJP-BJD in Odisha.

Parties with a strong vote base sometimes do not form pre-poll alliances, so that they can get maximum window while forming the post-poll alliances. Examples – BJD in Odisha, AIDMK in Tamil Nadu, TMC in West Bengal, etc.

Alliances are good if they are formed to truly serve the nation or the state. But bad if these are formed to stop a party or a group to form the government, may be in the name of secularism, corruption /anti-corruption, language, regionalism, etc.

Contrary to pre-poll alliances, post-poll alliances are formed mostly with a compulsion (with political excuses) and with invisible agendas – which are selfish in nature. The compulsions of post-poll alliances will rise with the increase in small and regional parties, and the undesired effect (w.r.t. voters) will be echoed as in 1989, 1990, 1996, 1998, 2004, 2009,… and the recent post-poll alliance of Congress and AAP in Delhi which only lasted for 49 days !!

For an ideal case, alliances should not be dictated for egoistic and selfish reasons but should be committed only and only for the benefit of the people !!

Reservations based on Caste and Religion: This is another big strategy the political parties play, both before and after the elections. To gain vote shares, parties promise reservation for particular castes and religions which needs to condemned right away. Though the concept of reservations was decided and rightly offered for creating a short-term balance in the society, now it has become a major political sword for winning elections after elections, without actually balancing the caste and religion differences in a society particularly like India.

Division of States or Special Status Category: Recently, the bifurcation of Andhra Pradesh, and the demands for ‘special status category’ to Bihar and Odisha have fuelled this strategy of forming a coalition (pre or post) and winning sympathy-votes based on “step-motherly” treatment by the Centre. If such divisions and categorizations are not justifiably carried out by the Centre (but only for coalition parties to gain sympathy-votes), then we will soon see further territorial divisions and non-beneficial alignments.

Bribing: Bribing voters and candidates are not new. Wine, Women and Wealth play important roles in bribing the voters and political rallies. Critics and analysts say that any thing in the range of Rs. 700/- to Rs. 10,000/- is being spent per vote by many of the candidates. On an average, some of the candidates are reportedly spending more than Rs. 30 to Rs. 50 crores per constituency. I still remember the punch line “Give me 10 votes and take a new bike” – very commonly seen and heard during the Local Bodies Elections-2012 in Maharashtra.

As mentioned before, the political parties are playing the election Game with their positive and negative strategies, and the media (paid or fair) is a party to it in propagating the political agendas in various forms. Both positive journalism as well as negative journalism are part and parcel of the game.

But the outcome of the Game depends on our ultimate decision- whether to fall for the cheap and divisive politics or rise and stand-up for a self-reliant, stronger India which can give corruption-free governance and sustained employment ! If our votes are sold to these corrupt leaders for a selfish and baseless favour or meagre cash or a bottle of wine or freebies,  or a reservation based on caste /community /religion, or a loan-waiver… then whom should we blame but ourselves ? And therefore, it also lies in our hands – what ways we pave for our children – the future of our society !! In this regard, we must appreciate the efforts of countries like Japan and China which have been utterly careful and diligent to correct wrong practices and sustain good ones.

This is the right time or opportunity to show our strength, to redress defects in the system and make it clean and strong. Its our time to play our own Game; let’s cast our precious vote not under the influence of “MCR” – Money, Caste and Religion but on our own conviction – a conviction that is largely based on morals and right knowledge. We need to do something substantial, which will make our life rewarding and us worthy aamjunta; not an useless and corrupt aamjunta. Let us prevent corruption, bring in good governance and create sustained jobs for a better life. Let’s respect our dignity, our state and our country. The choice is definitely ours !!! It is not that far… just couple of weeks more!!

Aamjunta – what do you say?

Jai Hind!

Voting Dilemma- Reinforced Not Resolved !!

The world is about to witness one of the most decisive events of this decade- the curious game of numbers played at by the electorate in the largest democratic system in its upcoming General Elections between April-May, 2014. Regarding various scenarios, I had written an article early this year, titled Aamjunta’s Dilemma – whom to Vote in 2014 ?

Let’s quickly take a look at how things have changed since then behind the curtains…At the moment this is what an aamjunta in India still largely perceives of the stage being thus set for the big play.

Congress – Its status remains quite unchanged. The party now and then harps on various vote-bank tactics and has started fielding hugely tainted candidates just to retain constituencies based on caste-based votes or the like. So the aamjunta and their concerns are all still ignored !

BJP – There is no remarkable improvement in its lack-of-leadership /vision status. Moreover, of late it has started absorbing back big corrupt ex-members despite ‘stiff’ opposition from its senior leaders and this may awfully erode its image !

Another word of caution for BJP- the mesmerizing ‘Modi chant’ may not work everywhere as is also evident from some opinion poll trends after the party’s Prime Ministerial candidate’s recent visit to Odisha. The state’s Chief Minister Naveen Patnaik who has performed enormously, still continues to reign supremacy. Hearing some lines of Mr. Modi’s speeches during this visit, I personally was rather de-motivated let alone being impressed !!

AAP– It entered the scene with lot of promises and hopes but unfortunately, lost a golden chance at performing in Delhi alone. After forming government there, it started indulging in unweighed decision-making and administratively erroneous methods which are definitely not to be sympathized with lack of time in gaining political maturity. With a good intention, at the beginning it rightly raised several issues against corruption but failed to duly pursue or act upon them and impressively conclude a single big task in that regard. Then recorded in public memory are its usual fruitless efforts of conducting dharnas, andolans, etc. and throwing brickbats at the Delhi Police. As a consequence of its inabilities in governance, now it seems to completely lack any definite set of ideologies for the benefit of the nation as a whole and the temperament to accomplish the expectations of the ‘aam aadmi’. It now merely keeps visiting different states to only criticize respective state governments and generate some easy vote-bank tactics for its ‘aam aadmi’ like riding an auto-rickshaw or a local train.

Wish it got back to its original form and then acted thoroughly on core issues !!

Others – Busy calculating or forming alliances and contemplating creation of a Third-Front which can prove more ruinous !

So for many, the dilemma- ‘whom to vote in 2014 ?’ continues…

Aamjunta – what do you say?

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