There are few ways. Let me Explain One by one

( I) Teach the People that their expectation is unrealistic and can never be met and that if their unrealistic and impractical expectations are not met, it does not become negligence

I will explain this first

99.99 % of Our People who criticize Doctors want

1. 1. All diseases cured in one day
2. 2. by the treatment of their choice (if they want surgery, we have to operate : If they don’t want surgery, we have to resect meningioma with tablets) [Meningioma : A Tumour inside Skull]
3. 3. Free of Cost
4. 4. In the Hospital of their choice (Treatment of Myalgia in neurosurgery OP, Cardiac Bye Pass in Banavaram PHC) [Myalgia : Muscle Pain, usually due to work]
5. 5. At the time they like (They will want admission of OA Knee at 11 PM) [OA Knee : Knee pain]
6. 6. All diseases to be diagnosed at once
7. 7. With the modality of their choice. If they want MRI Brain, we have to take it even when patient is fully conscious following fall from bicycle. If they don’t want, we shouldn’t get CT Brain done even if there is anisocoria
8. 8. And doctors say what they like. You should always say that the disease does not need hospitalization if they are not ready for hospitalization. You should always not suggest surgery if they are not ready for surgery.

-oOo-

If any one of these conditions are not met , they will say that

1. 1. Doctors are Negligent
2. 2. Doctors are money minded
3. 3. Doctors are not duty conscious
4. 4. Doctors do not have accountability
5. 5. Doctors did not tell me anything
6. 6. Doctors did not explain treatment plan

eg :

If they want the diease to be cured in one day, but it takes 5 days, and even though the doctor has explained everything, they will still say that doctor did not explain me treatment plan / doctor did not tell me anything

eg
When they are told that Open Heart Surgery cannot be done at Banavaram PHC, they will say that Doctors are money minded (they do open heart surgery in their private clinic but not in PHC), Doctors are not duty conscious, Doctors do not have accountability

-oOo-

In this case, They wanted Neurosurgery in the hospital they first come

When it is not there
They consider that the doctor is negligent
and try to kill him

-oOo-

The issues are two fold

• 1. Lack of resources
• 2. Over expectation of people

The second is the main issue nowadays . . and when the people are at fault, they have to be blamed
-oOo-

99.99 % of Our Public distrust is because of their wrong, illogical, impractical expectation

The mistake has to be identified and solved

They need to be educated about reality

-oOo-

You please ask 1000 non medical people to list what they consider as 10 problems in health care

You will have a list of 10000 problems

9999 will come under the eight categories mentioned above

Tell straight on the face of the patients that what they expect is unrealistic and that they have to accept the reality

-oOo-

(II) Exclude Health Care from Consumer Courts

Health care is not consumerism
The Customer is King approach does not work here
Health care is NOT Patient vs Doctor issue
It is doctor + patient on one side and Disease on other side

Patients do have a lot of role to play in evolving a good health care system and if the system is in disarray they do have lot of blame to shoulder

Bringing health care under consumer courts is the single most anti people act in the history of health care

Wherever and whenever there is a blame from patient side, blame it is on patient side
Do not blame the doctor even when the patient is at fault

-oOo-

(III) A strict law absolving a doctor / group of doctors or healthcare professionals,, from any legal implications for any act of self defense while on duty

This is also needed (Suggestion by Mix Doc)

-oOo-

(IV) Increase Severity and Certainty of Punishment

Certainty of punishment is more important and helpful than severity of punishment in preventing a crime. This is what Australia Government has done

(V) Stop Defending the Criminal

Few Men rape

• They do because of perversion and also because they consider the girl or woman as soft target.
• They are emboldened because they know that there are people who will blame the girls dress as cause of rape
• It is perversion to find reasons from the girls side in a rape
• It is stupidity to suggest that there won’t be rapes if all women wear burqa
• Rape can never be prevented by changing the dress of woman
• The man is at fault

He needs to be changed.

-oOo-

Few people attack hospitals and health care professionals

• They do because of perversion and also because they consider the hospital or health care worker as soft target.
• They are emboldened because they know that there are people who will blame the hospital bill or overcrowding as cause of attack
• It is perversion to find reasons from the hospital side in a rape
• It is stupidity to suggest that there won’t be attacks on hospitals if all govt hospitals give Apollo services or if all private hospitals treat free
• Hospital attacks can never be prevented by changing the hospital bill
• The attacker is at fault
• He needs to be changed.

-oOo-

Imagine two scenarios

Scenario 1 :

A pervert finds a girl child alone on the street and thinks of molesting her.

He has read in the news paper about a hundred similar incidents in past few weeks following which the criminal was given bail immediately and no conviction at all. In addition to the criminal being let free by the legal establishment, he has also seen fools / stupids / perverts wearing mask of intellectuals had discussed the various causes like Dress of the Victim, Victim coming alone, the emotion of the criminal etc as reasons and were talking against punishing the previous criminal and suggested that changes should start from victim’s dress and victims behaviour

He gets emboldened that even if he commits the crime,

• 1. he will come out in bail in one day,
• 2. he won’t be convicted
• 3. there will be enough fools / stupids / perverts wearing mask of intellectuals who will support him directly and indirectly

Scenario 2 :

A pervert finds a girl child alone on the street and thinks of molesting her.

He has read in the news paper about a similar incidents following which all the criminals were convicted and are in jail and every one was unanimous is giving 14 years imprisonment to the criminal

He will just back off if that news comes to his mind

-oOo-

Reason for increase in Sexual Violence against women

• 1. Perverts
• 2. Low Conviction Rate
• 3. Fools / stupids / perverts wearing mask of intellectuals who blame the Victim’s dress, victim’s behaviour and suggest that victim should change

Reason for increase in Hospital Attacks and Assaults on health care worker

• 1. Perverts in Public
• 2. Zero Conviction Rate
• 3. Fools / stupids / perverts wearing mask of intellectuals who blame the Hospital Bill or Hospital Waiting Time

-oOo-

Solution for Reducing Attack on Hospital

Legislature

• 1. Increasing Punishment to 14 years
• 2. Making Hospital Attacks as Non Bailable Offence

Executive

• 3. Time Bound Legal Procedure. 7 days for Filing Charge Sheet

Judiciary

• 4. Trial within 1 month

Civil Society aka Fools / stupids / perverts wearing mask of intellectuals

• 5. Stop Justifying the attacks
• 6. Stop Blaming the Victim
• 7. Stop Finding Imaginary Reasons

(VI) Include the details of these attackers in their Aadhar Card and form a PIBIL

Soon EMR (Electronic Medical Records) will be linked to Aadhar card. Just like CIBIL ( CREDIT INFORMATION BUREAU (INDIA) LIMITED), We need to have a PIBIL (Patient Information Bureau India Limited) linked with Aadhar Number and Entries made in the Aadhar Database of All the patients and attackers who cause trouble in hospital

So that

Other hospitals can use that to anticipate trouble and be prepared

• First Attack : The Individual Should be banned from entering any health care facility all over India (Govt or Private) for a period of six months
• Second Attack : The Individual Should be permanently banned from entering any health care facility, even for emergencies

Is this Ethical ?

Yes.
Hippocrates Oath becomes null and void for those who endanger the life of  Other patients in the hospital as well as  Health Care Providers