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NATIONAL AFFAIRS


                                                                                    profession. According to the IMA, the
                                                                                    NMC will “cripple” the functioning of
                                                                                    the medical profession by making  it
                                                                                    completely  answerable  to  the
                                 National Medical                                   bureaucracy  and  non-medical
                                                                                    administrators.
                                                                                       Regulators need to have autonomy
                      Commission: An Idea whose                                     and  be  independent  of  the
                                   Time has Come                                    administrators. The National Medical
                                                                                    Commission  will  be  a  regulator
                                                                                    appointed by the administrators under
                                                                                    their direct control. The bill aims to end
                    A major sticking point in the Bill is the prospect of “cross-pathy” — a person  heavy-handed  regulation of  medical
                    trained in one stream of medicine practising another — which is specifically  education institutions and make a shift
                    disallowed under the current rules       —By  Subhashis  Mittra  towards outcome-based monitoring. It
                                                                                    also calls for better coordination with
                    The National Medical Commission Bill  Without qualifying the examination,  AYUSH systems of treatment, which
                    to overhaul the corrupt and inefficient  no  person  will  be  enrolled  in  the  has got contradictory responses from
                    Medical  Council  of  India is  an  idea  National  Medical  register  for  medical fraternity or modern medicine
                    whose time has come.            practitioners and would be entitled to  doctors.
                    HIGH UTILITY BILL               practise and do further post graduate  PROVISIONS OF THE BILL
                    The NMC Bill aims to overhaul medical  courses. “Section 33(1)(d) of the Bill  According to the bill, the Ethics and
                    education  and  replace  the  Medical  stipulates that ‘the commission may  Medical  Registration  (EMR)  Board
                    Council  of  India  which  regulates                            shall  maintain  a  separate  National
                    medical education and practice and has                          Register  including  the  names  of
                    faced allegations of corruption. But the  In Brief              licensed  AYUSH  practitioners.  The
                    moot  question  is  how  far  it  will                          names  of  BAMS  (Bachelor  of
                    succeed. The proposed legislation has   The  Bill  to  overhaul  the  Ayurveda Medicine and Surgery) and
                    already invited the wrath of the medical  corrupt and inefficient MCI is  BHMS  (Bachelor  of  Homeopathic
                    fraternity, prompting the Lok Sabha to  an idea whose time has come.  Medicine and Surgery) graduates are
                    refer the bill to a parliamentary panel   It aims to overhaul medical  already registered with their respective
                    for scrutiny.                        education  and  replace  the  councils.  On  availing  of  a  bridge
                       A  strike  by  doctors  hit  OPD  MCI.                       course, they would be incorporated in
                    services in private hospitals across the   MCI  regulates  medical  a  separate  register  maintained  by
                    country  on  January  2,  forcing  the  education  and  practice  and  medical  commission,  which  would
                    government to announce in Parliament  has  faced  allegations  of  mean that they would be having duel
                    the same afternoon that the measure  corruption.                registrations  with  two  registering
                    had  been  sent to the  Parliamentary   IMA says replacing MCI with  councils,  which  is  neither  open  nor
                    Standing Committee for  Health and                              permissible, as per  Medical  Council
                    Family Welfare for review. This is the  another body may attract new  Act. Further, the disciplinary jurisdiction
                    second time that the Committee will  forms of corruption.       on  such  persons  with  reference  to
                    take  up  a  Bill  to  repeal  the  Indian   The proposed legislation has  breach of ethics is not indicated in the
                    Medical  Council Act, 1956, the  law  already invited the wrath of  proposed  bill  as  they  have  duel
                    under  which the pre- Independence   the medical fraternity.    registrations  to  their  credit,  health
                    Medical Council  of India (MCI) was                             education experts claim.
                    reconstituted.                                                     One of the goals of the proposed
                       The  Indian  Medical  Association  permit  a  medical  professional  to  Commission is to rein in corruption in
                    (IMA), the organisation of “doctors of  perform surgery or practice medicine  the MCI through greater distribution
                    modern scientific system of medicine”,  without  qualifying  the  National  of  powers.  This  is  sought  to  be
                    says replacing MCI with another body  Licentiate  Examination,  in  such  accomplished through an independent
                    may attract new forms of corruption.  circumstances and for such period as  Medical Advisory Council to oversee
                    Section (15) of the NMC Bill makes a  may be specified by regulations’.  the National Medical Commission, the
                    licentiate examination mandatory after  The IMA has strongly opposed the  proposed successor of the MCI. But
                    acquiring MBBS qualification. This will  bill, claiming it will cripple the medical  all members of the NMC are members
                    be the first time such a  provision  is  profession. It has appealed to the prime  of the Council, thereby undermining the
                    being introduced in any field of higher  minister to revise the draft bill in the  latter’s independence. This, and other
                    education in the country.       larger  interest  of  the  medical  concerns, must be addressed. Perhaps

                    26   Competition  Wizard                                                            March 2018
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