talk with reema nagrajan &ehics in vaccination

[Guest guest]

DEAR ALL,

jai HO!

I have been reading your logical comments on issue of ethics in

vaccination.I had chance of talking to that reporter on monday for over 45 min.

i have appraised her of the the fact & damage her article has done to commen

pediatrician & GP.She has told me that two senior pediatrician from AIIMS have

briefed her this fact & she is open to correct it.

I told her that a private doctor has following cost to bear

-cost of clinic/rent

-commercial rates of electricity & water

-property, convertion & parking tax9delhi)

-cost of staff/nursing/paramedical

- storage /cold chain

- wastage & pilferage

-records, resusitation kit/drugs & legal liabilities

if someone has small clinic he can only get cost. Benefit isto the bulk

purchaser who is not the doctor normally.If the same vaccine is bought in govt

than it is costlier than pvt because Govt has system-

-tender & purchase officer

-store keeper

-nurse & parmedical

-qualified doctor

-piferage & theft

-local Record keeping & central MRD

-establishment cost

In Govt it is tax payer money & that is why per bed expenditure is more in Govt

due to coruption/inefficiency & in accountability.

We have to educate our own fratinity before we take up press.I agree with her

on one point ie issue of need of some vaccination & unethical advertisment

which is only possible in india.Money is nithing to do with ethics but undue

promotion is.

jai hind

AJAY GAMBHIR

member ethics committe

Delhi medical council

DR AJAY GAMBHIR

9811557085