Are doctors really protected

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Are doctors really protected

  1. 1. ARE DOCTORS REALLY PROTECTED? DR. AVINASH BHONDWE PRESIDENT, IMA, PUNE
  2. 2. PROTECTION
  3. 3. ARE DOCTORS REALLY PROTECTED? PUNCHING BAG
  4. 4. ARE DOCTORS REALLY PROTECTED? <ul><li>POLITICIANS </li></ul><ul><li>HOOLIGANS </li></ul><ul><li>LAW </li></ul><ul><li>MEDIA </li></ul><ul><li>SO CALLED SOCIALISTS </li></ul><ul><li>DOCTORS’ COMMUNITY </li></ul><ul><li>PATIENTS </li></ul>
  5. 5. POLITICAL ATTACKS <ul><li>1. A WELL KNOWN POLITICIAN TREATED & DIED IN A BIG HOSPITAL </li></ul>
  6. 6. ATTACKS ON DOCOTRS & HOSPITALS <ul><li>ON August 26, POLITICAL PARTY activists reduced to rubble the 200-bed Sunitidevi Singhania Hospital in Thane </li></ul><ul><li>A POPULAR LEADER Mr. Anand Dighe, </li></ul><ul><li>treated for a fractured leg, died. </li></ul>
  7. 7. ATTACKS ON DOCOTRS & HOSPITALS <ul><li>In three hours of mayhem, they torched the building and smashed ambulances, medical equipments and everything in sight. Patients, doctors and nurses were sent scurrying for cover. </li></ul><ul><li>A six-month-old child with a respiratory problem and a 65-year-old man suffering from a kidney ailment died after their life-support machines were wrecked. </li></ul>
  8. 8. HOOLIGANS ATTACKS
  9. 9. HOOLIGANS ATTACKS <ul><li>IN PUNE’S CANTONMENT HOSPITAL, </li></ul><ul><li>POONA HOSPITAL, SAHYADRI </li></ul><ul><li>HOSPITAL, SURYA HOSPITALS </li></ul><ul><li>HOOLIGANS ATTACKED AFTER </li></ul><ul><li>DEATH OF A PATIENT </li></ul><ul><li>DOCTORS WERE MANHANDLED & ABUSED </li></ul><ul><li>EXTERIORS & OTHER THINGS DESTROYED </li></ul>
  10. 10. ARE DOCTORS REALLY PROTECTED? <ul><li>WHATEVER IS HAPPENNING IN PUNE IS OCCURING EVERYWHERE IN MAHARASHTRA </li></ul><ul><li>MUMBAI- ANDHERI,MALAD </li></ul><ul><li>NASIK, AURANGABAD, NAGPUR,KOLHAPUR </li></ul><ul><li>JUNNAR,TALEGAON,REMOTE PLACES </li></ul>
  11. 11. LAW:- AGAINST DOCTORS <ul><li>CPC </li></ul><ul><li>CIVIL CASE </li></ul><ul><li>MEDICAL COUNCIL OF INDIA </li></ul><ul><li>CONSUMER PROTECTION ACT </li></ul><ul><li>PNDT </li></ul><ul><li>CLINICAL ESTABLISHMENT ACT </li></ul>
  12. 12. LAW ENFORCEMENT <ul><li>Should IPC Section 304A be applicable to doctors? </li></ul><ul><li>Whoever causes the death of any person by doing any rash or negligent act not amounting to culpable homicide, shall be punished with imprisonment of either description for a term which may extend to two years, or with fine, or with both. </li></ul>
  13. 13. On August 05,2005 a Three Judge Bench of Supreme Court of India of Chief Justice R.C.Lahoti, Justice G.P.Mathur and Justice P.K.Balasubramanyam by order quashed prosecution of a medical professional under Section 304-A / 34 IPC and disposed of all the interlocutory applications that doctors should not be held criminally responsible unless there is a prima-facie evidence before the Court in the form of a credible opinion from another competent doctor, preferably a Government doctor in the same field of medicine supporting the charges of rash and negligent act.
  14. 14. LAW ENFORCEMENT <ul><li>Should IPC Section 304A be applicable to doctors? </li></ul><ul><li>304A is a cognizable offence, which means that the police can act without a warrant for arrest. </li></ul><ul><li>Therefore, it is proposed that the Indian Penal Code be amended in such manner that for cases involving complaint with respect to medical negligence, a warrant for arrest from a magistrate would be required before the practitioner could be arrested. </li></ul>
  15. 15. LAW ENFORCEMENT <ul><li>1.Concept of negligence is different in civil and </li></ul><ul><li>criminal law. </li></ul><ul><li>2. Doctors and medical practice have to be treated </li></ul><ul><li>differently. </li></ul><ul><li>3. The alleged negligence should be of gross nature to </li></ul><ul><li>attract criminal liability. </li></ul><ul><li>4. Many a complaint prefer recourse to criminal </li></ul><ul><li>process as a tool for pressuring doctor for extracting </li></ul><ul><li>unjust compensation </li></ul>
  16. 16. LAW ENFORCEMENT <ul><li>5. A private complaint may not be entertained </li></ul><ul><li>unless the complainant produces prima facie </li></ul><ul><li>evidence. </li></ul><ul><li>6. The service done by doctor is the noblest of </li></ul><ul><li>all.They have to be protected. </li></ul><ul><li>7. The loss of reputation suffered by a doctor </li></ul><ul><li>cannot be compensated by any standards. </li></ul>
  17. 17. LAW ENFORCEMENT <ul><li>8. A doctor should not be arrested in a routine </li></ul><ul><li>manner. </li></ul><ul><li>9. Guidelines have been prescribed by apex </li></ul><ul><li>court. </li></ul><ul><li>10. Statutory rules need to be framed by the </li></ul><ul><li>Government of India and State Govts. in </li></ul><ul><li>consultation with Medical Council of India. </li></ul>
  18. 18. 3.MEDIA <ul><li>Summary of the current situation </li></ul><ul><li>Use brief bullets, discuss details verbally </li></ul>
  19. 19. DOCTORS COMMUNITY <ul><li>DOCTORS DO NOT SUPPORT THEIR COLLEAGUES IN CRISIS </li></ul><ul><li>DOCTORS CRITISIZE EACH OTHER </li></ul><ul><li>MANY A TIMES MAIN VINDICTIVE REASONS ARE GIVEN BY OUR COLLEAGUES </li></ul><ul><li>WE ARE NOT UNITED </li></ul>
  20. 20. US & THEM
  21. 21. PATIENTS <ul><li>LOOK UPON DOCTORS GET EASY MONEY </li></ul><ul><li>FIRMLY BELIEVE THAT WE LOOT THEM </li></ul><ul><li>LESS MONEY – MORE SERVICE IS EXPECTED </li></ul><ul><li>WHEN SOMETHING GOES WRONG ALWAYS BELIEVE THAT WRONG TREATMENT IS GIVEN </li></ul><ul><li>NO MORE CONSIDERS DOCTORS AS DEMI GODS </li></ul>
  22. 22. DOCTOR PATIENT RELATIONSHIP <ul><li>BASED ON MERELY A BUSINESS RELATION- BOTH SIDES </li></ul><ul><li>DOCTORS STILL RECOGNISE A PATIENT BY A DISEASE- NOT BY NAME </li></ul><ul><li>THE MORALITY & ETHICAL BELIEFS OF THE SOCIETY IS CHANGING </li></ul><ul><li>FAMILY- FROM UNITED FAMILY TO NUCLEAR </li></ul>
  23. 23. DOCOTRS’ PROTECTION ACT HISTORY-ANDHRA <ul><li>Thousands of Doctors continued their strike in Government Hospitals across Andhra Pradesh, from </li></ul><ul><li>2 December to 18 December 2007. </li></ul><ul><li>OPD services were hit as doctors went on strike after a legislator of the MiM party allegedly manhandled medical staff at Hyderabad's Niloufer children's hospital. </li></ul><ul><li>Doctors demanded that a non-bailable case be registered against the MIM MLA Afsar Khan </li></ul><ul><li>Doctors wanted the Government to pass an ordinance to ensure security at Government Hospitals. </li></ul>
  24. 24. DOCOTRS’ PROTECTION ACT HISTORY-ANDHRA <ul><li>(a) Registered Medical Practitioners, working in Medicare Institutions </li></ul><ul><li>(including those having provisional Registration; </li></ul><ul><li>(b) Registered nurse; </li></ul><ul><li>(c) Medical students; </li></ul><ul><li>(d) Nursing students; </li></ul><ul><li>(e) Practical workers employed and working in Medicare Service Institutions. </li></ul>
  25. 25. DOCOTRS’ PROTECTION ACT HISTORY-ANDHRA <ul><li>Any act of violence against Medicare service person or damage to property in a Medicare service Institution is prohibited. </li></ul><ul><li>Any Offender who commits any act in contravention, shall be punished with imprisonment for a period of Three years and with fine, which may extend to </li></ul><ul><li>fifty thousand rupees. </li></ul><ul><li>Any offence committed under Section , shall be cognizable and non cognizance of Bailable. O ffence </li></ul>
  26. 26. DOCOTRS’ PROTECTION ACT HISTORY-ANDHRA <ul><li>In addition to the punishment specified in section the offender recovery of loss for the damage Caused to the property shall be liable to a penalty of twice the amount of purchase price of medical equipment damaged and loss caused to the property as determined by the Court trying the offender. </li></ul>
  27. 27. DOCOTRS’ PROTECTION ACT HISTORY-ANDHRA <ul><li>If the offender has not paid the penal amount under sub-section (1),the said sum shall be recovered under the provisions of the Andhra </li></ul><ul><li>Pradesh Recovery Act, 1864 as if it were an arrears of land revenue due from him. </li></ul><ul><li>The provisions of this Ordinance shall be in addition to and not in Ordinance not derogation of the provisions of any other law, for the time begin in force. </li></ul>
  28. 28. DOCOTRS’ PROTECTION ACT HISTORY-MAHARASHTRA <ul><li>In December 2007 IMA Maharashtra demanded similar act in Maharashtra </li></ul><ul><li>The then Deputy Chief & Home Minister Mr. R.R. Patil assured the better law in six months </li></ul><ul><li>In June 2008- IMA Pune, demanded the quicker decision about the Law </li></ul><ul><li>On 10 th Oct. 2008, IMA, Mah. Organised a State wide Token Strike- 100% successful </li></ul>
  29. 29. DOCOTRS’ PROTECTION ACT HISTORY-MAHARASHTRA CURRENT POSITION <ul><li>The draft given by IMA accepted by State Cabinet meeting </li></ul><ul><li>The Bill is still pending in Legislative Assembly for discussion- even after 2 sessions </li></ul><ul><li>There seems to be some hindrance from Political Parties </li></ul>
  30. 30. <ul><li>DOCTORS’ LOBBYING </li></ul>
  31. 31. THANK YOU
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