I am a Doctor by profession and presently working in a Government Hospital in India. Since it is a Govt
hospital and treatment is provided free of cost, the usual patients mostly
belong to the poor class who cannot really afford to pay medical bills. Most
are daily wage workers and barely earn
enough to get by with their day to day lives..therefore proper premium
treatment for their illnesses is a luxury they cannot afford. Therefore,
pressed on by their financial burdens, they come to Govt Hospitals where
they hope they can get the treatment
they need and gain their health back.
Medicine is such
that the full spectrum of a persons treatment is never really carried out in
one place all the time. Sometimes there can be referrals eg.to other super
speciality hospitals or the patient has
to be sent out for diagnostic tests to other
centres. Sometimes he might have to run for speciality blood tests not done
where he is admitted or just run around to
get blood of a particular group to get the transfusion he needs. Now,
all this costs money. The hospital where is is admitted might well be free of
cost..but referrals, tests, etc outside the hospital are not. The patient ‘will’
have to spend money. An example of this I
came across was when a patient suffering from haemolytic anemia was admitted
to our hospital. We did all we could to provide him with the best treatment free of cost, but
ultimately a bone marrow biopsy was needed for which he was referred out to a
diagnostic centre. The biopsy would cost him over a thousand rupees. On being
told about this, he asked whether it was possible to perform the test in the
hospital as he was low on finances. On being told no, there was a clear
take-over of despair on his face..wondering
as to from where would he arrange a thousand rupees for a test so necessary to
his well-being.
The Hospital in
these cases is thought to be at fault but it is not the case. These hospitals,
the treatment in them being free, have a tremendous amount of patient influx.
The medicine wards, surgery and gynaecology wards are sights to see. Patients
even lie down on the floor when beds are not available. In these circumstances, maintaining a
continuous supply of medical drugs and equipments are not possible. The sheer
flow of patients completely overwhelms the supply of medical items in the
hospitals. It is a common sight to see supplies running out as newer patients
keep getting admitted. In these circumstances, the patient has to spend money
in buying supplies that would have otherwise been available free of cost.
Therefore, we
see that even free healthcare is not truly free when we look at the big
picture. So who is to blame here? The people? The hospital? None. It is
poverty. Until poverty is not done away
with, until the financial state of people does not improve – even healthcare
– being such an essential element of life that should be provided to anyone and
everyone free of cost – will only remain a dream come true for people who can afford
it.




















