{"page":"\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/resources-572d6a42.css\" /\u003e\n\u003clink rel=\"stylesheet\" href=\"https://lessonplanet.com/assets/packs/css/lp_boclips_stylesheets-f4d0de30.css\" media=\"all\" /\u003e\n\u003cdiv data-title='India\u0026#39;s government run hospitals accused of corruption' data-url='/boclips/videos/5c54be1fd8eafeecae1393b6' data-video-url='/boclips/videos/5c54be1fd8eafeecae1393b6' id='bo_player_modal'\u003e\n\u003cdiv class='boclips-resource-page modal-dialog panel-container'\u003e\n\u003cdiv class='react-notifications-root'\u003e\u003c/div\u003e\n\u003cdiv class='rp-header'\u003e\n\u003cdiv class='rp-type'\u003e\n\u003ci aria-hidden='true' class='fai fa-regular fa-circle-play'\u003e\u003c/i\u003e\nVideo\n\u003c/div\u003e\n\u003ch1 class='rp-title' id='video-title'\u003e\nIndia\u0026#39;s government run hospitals accused of corruption\n\u003c/h1\u003e\n\u003cdiv class='rp-actions'\u003e\n\u003cdiv class='mr-1'\u003e\n\u003ca class=\"btn btn-success\" data-posthog-event=\"Signup: LP Signup Activity\" data-posthog-location=\"body_link_boclips\" data-remote=\"true\" href=\"/subscription/new\"\u003e\u003cspan\u003e\u003cspan\u003eGet Free Access\u003c/span\u003e\u003cspan class=\"\"\u003e for 10 Days\u003c/span\u003e\u003cspan\u003e!\u003c/span\u003e\u003c/span\u003e\u003c/a\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-body'\u003e\n\u003cdiv class='rp-info'\u003e\n\u003cdiv aria-label='Hide resource details' class='rp-hide-info' role='button' tabindex='0'\u003e\u0026times;\u003c/div\u003e\n\u003ci aria-label='Expand resource details' class='rp-expand-info fai fa-solid fa-up-right-and-down-left-from-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003ci aria-label='Compress resource details' class='rp-compress-info fai fa-solid fa-down-left-and-up-right-to-center' role='button' tabindex='0'\u003e\u003c/i\u003e\n\u003cdiv class='rp-rating'\u003e\n\u003cspan class='resource-pool'\u003e\n\u003cspan class='pool-label'\u003ePublisher:\u003c/span\u003e\n\u003cspan class='pool-name'\u003e\n\u003cspan class='text'\u003e\u003ca data-publisher-id=\"30356011\" href=\"/search?publisher_ids%5B%5D=30356011\"\u003eCurated Video\u003c/a\u003e\u003c/span\u003e\n\u003c/span\u003e\n\u003c/span\u003e\n\u003c/div\u003e\n\u003cdiv class='rp-description'\u003e\n\u003cspan class='short-description'\u003eDoctors and medical practicioners working for India's government run hospitals are being accused of endemic corruption. It's claimed some are carrying out unnecessary tests to receive financial kickbacks. One group of doctors is now...\u003c/span\u003e\n\u003cspan class='full-description hide'\u003eDoctors and medical practicioners working for India's government run hospitals are being accused of endemic corruption. \u003cbr/\u003eIt's claimed some are carrying out unnecessary tests to receive financial kickbacks. \u003cbr/\u003eOne group of doctors is now calling for the system to be cleaned-up, forming the \"Society for Less Investigative Medicine\".\u003cbr/\u003eDigamber Rawat rarely emerges from the tiny windowless room he shares with his parents because an illness has wasted away the strength in his legs.\u003cbr/\u003eHis family can't afford private health care, but they must pay for it anyway, even when they go to free government hospitals for help.\u003cbr/\u003e21 year old Rawat says when he visited a government hospital in central Delhi, a doctor ordered private X-rays and scans that could have been performed in-house.\u003cbr/\u003e\"When we go to the hospital lab for tests, they give us the name of a private clinic and say 'Go get it done there and then we will look at it.' (Bhavna Devi interrupts saying 'They make us go away') When we get it done from where they tell us and bring the reports back to the hospital to show them, they say 'Why did you get it done from there, why not from here?',\" he says. \u003cbr/\u003eHis mother Bhavna continues: \"We are made to stand in queues all day without food or water. We come back home from the hospital at 8 pm, but our work doesn't get doneï¿½the hospital authorities say the doctor hasn't come etcï¿½\"\u003cbr/\u003eTests at the hospital lab would have been 1,500 rupees (USD $25). At a private clinic, they cost more than $130.\u003cbr/\u003eRawat's story is played out across India where hundreds of millions of poor people, without any kind of health insurance, are forced to seek medical treatment at private clinics because of poor services and corruption at government hospitals. \u003cbr/\u003eThose clinics are widely accused of ordering unnecessary tests to run up costs.\u003cbr/\u003eHealth care costs push some 39 million people into poverty every year in India, according to a 2011 study in the Lancet medical journal.\u003cbr/\u003eDr. K Srinath Reddy is the president of the Public Health Foundation of India, a non governmental organisation. He says too many doctors order unnecessary tests. \u003cbr/\u003e\"It has become an ingrained practice to overinvestigate and spare less time for clinical history taking or a proper clinical examination, which will give you a lot of valuable information. And I think, therefore, its partly poor training, partly poor attitude towards the patient investigation and evaluation, and of course, there is a perverse financial incentive of doing more tests, which will earn more money, either for the institution that employs them (doctors) or gives individuals kickbacks,\" he says.\u003cbr/\u003eThe practice is so common that in July, doctors at India's best-known teaching hospital, the All India Institute of Medical Sciences in New Delhi, formed a group to counter it - the Society for Less Investigative Medicine.\u003cbr/\u003eDr. Balram Bhargava is a cardiologist and the founder of the Society for Less Investigative Medicine (SLIM).\u003cbr/\u003e\"I feel that only relevant tests should be done, it'll cut down the costs, one. Two, if the relevant tests are done we get the correct treatmentï¿½we are ableï¿½we will get the correct diagnosis, and therefore give the correct treatment, and three, it is important that the patient doctor trust be started before any tests are done\", he says. \u003cbr/\u003eOfficials say cleaning up the Indian health service is a priority. \u003cbr/\u003eBut no plans to curb corruption in private hospitals have been outlined yet. \u003cbr/\u003eAccording to the World Bank, India currently spends less than 1.3 percent of its gross domestic product on health, among the lowest in the world.\u003cbr/\u003eIndia's economic boom has seen the proliferation of hundreds of shiny new private hospitals, mostly in urban areas, but less than 20 percent of Indians can afford to use them.\u003cbr/\u003eAccording to government figures, around 40 percent of doctors at government-run health clinics are absent on any given day. \u003cbr/\u003eWith low pay and poor facilities, some are accused of moonlighting at private hospitals for higher salaries. \u003cbr/\u003eDoctors say the seeds of corruption in the profession are sown early.\u003cbr/\u003e\"Part of the corruption also stems from the fact that you have a large number of private medical colleges which are charging a huge amount of capitation fee, and a person who graduates from that college, is in a hurry to recover the money he or she has spent on the education. So there is a whole connection there,\" says Reddy.\u003cbr/\u003eRam Prasad Singh suffers from a kidney ailment, and has to undergo dialysis at least 2-3 times a week.\u003cbr/\u003eHis 17 year old daughter, Manisha Rani says her father has had to seek treatment at a private hospital. \u003cbr/\u003e\"Government hospitals are very careless, they don't look after patients properly, which actually worsens the patients condition. They don't treat the patient until the illness becomes too serious. They have a callous attitude, that's why my father had to go to private hospital,\" she says.\u003cbr/\u003eAny faith that Rawat and his family once had in the state-run health system was shattered long ago.\u003cbr/\u003eRawat has suffered from his leg ailment for 14 years, but doctors have been unable to diagnose it.\u003cbr/\u003eHe dropped out of school years ago and has been unable to work.\u003cbr/\u003eAP Television\u003cbr/\u003eNew Delhi, India - July 25, 2014\u003cbr/\u003e1. Pan over interior of home of Digamber Rawat and his mother Bhavna Devi\u003cbr/\u003e2. Various of Rawat and Devi looking through bills and medical reports\u003cbr/\u003e3. SOUNDBITE: (Hindi) Digamber Rawat, patient:\u003cbr/\u003e\"When we go to the hospital lab for tests, they give us the name of a private clinic and say 'Go get it done there and then we will look at it.' (Bhavna Devi interrupts saying 'They make us go away') When we get it done from where they tell us and bring the reports back to the hospital to show them, they say 'Why did you get it done from there, why not from here?'\"\u003cbr/\u003eSOUNDBITE: (Hindi): Bhavna Devi, Digamber Rawat's mother: \"We are made to stand in queues all day without food or water. We come back home from the hospital at 8 pm, but our work doesn't get doneï¿½the hospital authorities say the doctor hasn't come etcï¿½\"\u003cbr/\u003eAP Television\u003cbr/\u003eNew Delhi, India - September 3, 2014\u003cbr/\u003e4. Various of exterior of government hospital\u003cbr/\u003e5. Low angle shot of people walking\u003cbr/\u003eAP Television File \u003cbr/\u003eNew Delhi, India - July 23, 2013 \u003cbr/\u003e6. Various of interior of crowded hospital ward\u003cbr/\u003eAP Television\u003cbr/\u003eNew Delhi, India - September 3, 2014 \u003cbr/\u003e7. Various of exterior of diagnostic centres\u003cbr/\u003eAP Television File\u003cbr/\u003eMumbai, India - February 10, 2012 \u003cbr/\u003e8. Various of interior drug manufacturing unit\u003cbr/\u003eAP Television\u003cbr/\u003eNew Delhi, India - September 3, 2014\u003cbr/\u003e9. Various of K Srinath Reddy, president of non governmental organization Public Health Foundation of India working at his desk\u003cbr/\u003e10. SOUNDBITE: (English) K Srinath Reddy, President, Public Health Foundation of India: \u003cbr/\u003e\"It has become an ingrained practice to overinvestigate and spare less time for clinical history taking or a proper clinical examination, which will give you a lot of valuable information. And I think, therefore, its partly poor training, partly poor attitude towards the patient investigation and evaluation, and of course, there is a perverse financial incentive of doing more tests, which will earn more money, either for the institution that employs them (doctors) or gives individuals kickbacks.\"\u003cbr/\u003e11. Various of exterior of All Indian Institute of Medical Sciences (AIIMS)\u003cbr/\u003eAP Television\u003cbr/\u003eNew Delhi, India - September 23, 2014\u003cbr/\u003e12. SOUNDBITE: (English) Balram Bhargava, cardiologist, and founder of Society for Less Investigative Medicine (SLIM):\u003cbr/\u003e\"I feel that only relevant tests should be done, it'll cut down the costs, one. Two, if the relevant tests are done we get the correct treatmentï¿½we are ableï¿½we will get the correct diagnosis, and therefore give the correct treatment, and three, it is important that the patient doctor trust be started before any tests are done.\"\u003cbr/\u003eAP Television \u003cbr/\u003eNew Delhi, India - September 3, 2014\u003cbr/\u003e13. Ambulance inside hospital premises\u003cbr/\u003e14. Sign reading OPD\u003cbr/\u003e15. Various of clusters of chemist shops\u003cbr/\u003e16. SOUNDBITE: (English) K Srinath Reddy, President, Public Health Foundation of India:\u003cbr/\u003e\"Part of the corruption also stems from the fact that you have a large number of private medical colleges which are charging a huge amount of capitation fee, and a person who graduates from that college, is in a hurry to recover the money he or she has spent on the education. So there is a whole connection there.\"\u003cbr/\u003eAP Television \u003cbr/\u003eNew Delhi, India - July 28, 2014\u003cbr/\u003e17. Wide of family sitting inside their home\u003cbr/\u003e18. Ram Prasad Singh (left) sitting holding child\u003cbr/\u003e19. Singh's wife\u003cbr/\u003e20. Posters of Indian goddess on wall\u003cbr/\u003e21. SOUNDBITE: (Hindi) Manisha Rani, Ram Singh Prasad's daughter:\u003cbr/\u003e\"Government hospitals are very careless, they don't look after patients properly, which actually worsens the patients condition. They don't treat the patient until the illness becomes too serious. They have a callous attitude, that's why my father had to go to private hospital.\"\u003cbr/\u003eAP Television\u003cbr/\u003eNew Delhi, India - July 25, 2014\u003cbr/\u003e22. 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