National Medical Commission Bill
Recently introduced National Medical Commission (NMC) Bill is important in
the respect that it try to make improvement in medical education system in
India. Currently medical colleges in India, on one hand are not sufficient and
on the other hand are suffering from rampant corruption. The Government
recognize that the problem lies in the malfunctioning of the highest body, that
is, Medical Council of India (MCI).
Tackle the problem of insufficient Medical colleges
- The Medical colleges in India are not adequate in providing sufficient
doctors that our country needed. India has only one doctor for 1700 people.
It is a matter of grave concern as World Health Organization (WHO) set the
ratio of 1: 1000 for doctor and population. The diagram shows the glimmering
picture of shortage of medical practitioners in India.
The new NMC bill tries to solve this problem by easing the norms of opening
private colleges in India.
Fight with corruption--
The problem of Politicization and partisanship in MCI is the biggest hurdle
in reforming healthcare system in India. Ketan Desai case shocked the whole
nation and the need for reform felt in every nook and corner. The NMC bill tries
to solve this issue by removing the absolute powered body. It distributes power
among four autonomous bodies—those for
- Undergraduate education like MBBS
- Post graduate education like MD
- Medical education and colleges assessment and rating
- Ethics and registration
The new commission will also take care of patient rights by including patient
rights advocates and ethicists. This new setup is line with global best
practices like the medical regulators in UK, Australia and Canada.
- The bill, no doubt, is a good step in right direction. However, there
remains certain major problems on which it is silent.
- First of all, the bill does not specifically talk about rural healthcare
needs. As our country is already facing the problem of less number of
medical practitioners, the rural urban divide in healthcare facilities make
the situation even worse. Most of the Indian doctors are in Urban India,
while nearly 70% population of India live in rural areas. Therefore, easing
the opening of private medical colleges in India is a half work done.
- Secondly, the selection process of members in the new committee is still
not clear. Arvind Pangaria sir of NITI Ayog has rejected the idea of
including election for the selection as it enhances the politicization.
Therefore, the new and innovative way of selecting the members in regulator
is the need of hour.
The following things need to be done specifically in this regard--
- The pragmatic idea of including the quacks by giving them short term
basic medical trainings should be explored. These quacks can solve the
problems of healthcare inclusion in rural and marginal areas of India. This
idea has already been tried and tested in many sub-Saharan countries.
- International organizations like Medecins Sans Frantiers and Red
cross have also endorsed training programs for these non-doctors to carry
out urgent and critical surgical procedures like caesarian.
- The selection of members in the regulator should be done by elections
but with limited terms of office. NMC should work like an independent body
like Election Commission and UPSC.
Q. Recently Government introduced the National Medical Commission (NMC)
Bill. Which of the following are true about this bill--
i. This bill seeks to centralize the medical sector in India by taking all
the powers from the states as there would be no state councils.
ii. The NMC will have 20 members including chairperson.
(a) Only i is true
(b) Only ii is true
(c) Both i and ii are true
Answer-- None. As there would be state council three years after the
commencement of the bill. And the NMC will have 25 members. (No problem in
tackling this Mcq if follow the hindu regularly. If not then please refer
PRSindia website for bills.)
Q. Indian healthcare sector is facing the double challenge in providing
both quantity and quality of healthcare services. The newly introduced National
Medical Commission bill is capable in tackling these challanges. Elaborate.
(Write by yourself)-- Few things need to be consider while writing
Introduction-- The answer can be started by putting some facts like
doctor-patient ratio, IMR, MMR in India. These facts help you to convince the
examiners that you know the grim situation of health in India.
Or, if you do not remember the exact data, you can simply play with words and
show that India is a tropical country so it is a home of many deadly tropical
diseases like Malaria or something like that. Then talk about Sustainable
Development goals where healthcare services along with education is being given
Or, you may think innovatively by yourself. Just take care of that you should
convince the examiner by your intro. that you understand the question.
Body-- In body, talk about the old body MCI that is mandated to regualate the
colleges and entrance examination. However, with the passage of time, this body
become obsolete and issues like politicization, partisanship emerged. The nation
can not bear the burden of bad functioning of highest healthcare body. Therefore
NMC bill is being introduced.
Now show some points over which the bill talks about as I have already
mentioned in my article. Try to limit yourself in two or three points.
Conclusion-- Now, End with the conclusion same as I do in my article.