Page 63 - EW July 2022
P. 63

Special Report


             didn’t make much headway. In 2005,                         Dismal data
             the bureau filed a closure report in the
             case stating that the Rs.65 lakh taken            No. of medical    Doctor-population   Public health
             by Desai was “goodwill” money. Four                    colleges    ratio (per 10,000)    expenditure (% GDP)
             years later in 2009, Desai who had   India           596            7.35              0.99
             packed the MCI board with cronies   China           420            22.27               3.0
             and was driving the council from the   USA          193             26.1              8.52
             back seat, was re-elected president   Germany        42            44.35              9.09
             of MCI. But a reported fall-out with   Ukraine       23            29.92              3.18
             his protectors (i.e, politicians and bu-  Russia     82            38.19              3.45
             reaucrats) in the Central government   Philippines   40             7.73              1.66
             resulted in his being re-arrested a year   Malaysia  32            22.86               2.0
             later (2010) and charged with cor-  Canada           17            24.43              7.61
             ruption. In May 2010, the newly re-  France          31            32.74              8.33
             elected Congress-led UPA-II govern-  UK              34            30.04              8.07
             ment dissolved MCI and constituted
             a Board of Governors (BoG) to run it   Source: EW compilation
             for a year pending the enactment of a
                                                                                 Self-evidently,  against the  back-
             new law to replace the council.                                   drop of a widening demand-supply
             B        UT THAT LAW WAS NOT                                      gap in medical education, this populist
                                                                               proclamation was ill-advised because
                      drafted until 2019 when
                      the BJP/NDA 2.0 gov-
                      ernment was returned to                                  it will discourage private investment
                                                                               in medical education. The infrastruc-
             power at the Centre. Soon after, the                              ture norms prescribed by NMC for
             BJP government dissolved MCI and                                  greenfield medical colleges are formi-
             a year later on September 25, 2020,                               dable and capital intensive. Neither
             both  houses  of  Parliament  passed                              domestic nor foreign edupreneurs are
             the National Medical Commission                                   likely to be enthused by the prospect
             Bill, 2020. Welcoming the National                                of admitting half their students at ar-
             Medical Commission (NMC), prime                                   tificially lowered government college
             minister  Narendra  Modi  said:  “We                              fees.
             are transforming the entire medical                                 “NMC promises radical change and
             education and healthcare sector. The                              transformation in medical education.
             National Medical Commission will   Sambit Dash: same nuts & bolts  But although medical education has a
             bring great transparency and also ra-                             new structure, the nuts and bolts are
             tionalise norms to set up new medical   tighter regulation of private medical   the same. Its positive initiatives are the
             colleges. It will also improve the quali-  colleges and private deemed univer-  establishment of autonomous boards
             ty and availability of human resources   sities providing medical education.   to draw up contemporary competen-
             in this sector.” Subsequently, he also   On February 3, NMC directed all   cy-based undergraduate and postgrad
             announced the promotion of 15 new   private medical colleges and deemed   curriculums and an assessment and
             AIIMS (All India Institutes of Medical   universities to charge 50 percent of   ratings board. Yet on the larger issues
             Sciences) at a cost of Rs.2,000 crore   their students the (highly subsidised)   of liberalising rules and regulations
             each.                            tuition  fees  levied  by  government   for promoting new colleges, increasing
                Since then three years on, NMC   medical colleges from the academic   student intake and most important,
             is yet to announce any radical initia-  year 2022-23 onward. A month later   addressing the problem of severe fac-
             tives to address the root problems of   (March 7), prime minister Modi justi-  ulty shortages, it needs to do more. Its
             inadequate  capacity,  discretionary   fied this populist NMC proclamation.   regulation capping fees for 50 percent
             licensing, red tape and inspector raj.   “A few days back, the government has   of seats in private colleges and deemed
             Instead, its two major announcements   taken another big decision which will   universities is a disincentive which
             have been introduction of NEXT (Na-  benefit the poor and middle-class chil-  several private colleges have already
             tional Exit Test) — a licentiate exam   dren. We have decided that half the   challenged in the courts. If NMC truly
             which all medical graduates from   seats in private medical colleges will   wants to transform medical education,
             India and abroad are obliged to clear   be charged at par with government   it must focus on easing the strangle-
             to practice medicine in India — and   medical colleges,” he tweeted.  hold of age-old regulations and give

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