1. Keep Giving, Carry On Living
On Organ Donation Day today, a TOI reality
check underlines the need for govt to equip
states with infra and funds for the
country's transplant programme to be
accessible to all
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3. Contd..
• However, even if there was a donor available for every patient who
needed an organ, gaps in the system starting from infrastructure
required to harvest the organ and transporting it, to the prohibitive
cost of the surgery would make transplant an inaccessible option
for bulk of these patients.
• Unlike many developed countries where the government or
insurance companies fund transplant surgeries, in India, most
patients have no help in financing the cost of the transplant. There
are very few transplant centres in the government sector which
could do it free or even at highly subsidised costs. Even if the
transplant itself is done free of cost the immunosuppresants that
the patient has to take for the rest of her life cost anything between
Rs 8,000 and 12,000 per month -not an expense that a large section
of the population would find affordable.
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4. Contd..
• According to Dr Anil Prasad Bhatt, senior consultant
nephrologist and transplant surgeon in Holy Family Hospital
in Delhi, compatible blood group kidney transplant can cost
anything between Rs 3.5 lakh and Rs 5.5 lakh which
includes the cost of preoperation patient evaluation.
“Today it is possible to do even incompatible blood group
kidney transplant.But it could cost as much as Rs 8-Rs 15
lakh.
• In the months following the transplant,
immunosuppressants alone could cost Rs 15,000 to 20,000
per month.At the end of one year the cost goes down to Rs
8,000 to 10,000 per month, which is roughly what the
patient has to spend for the rest of his or her life on
immunosuppressants,“ explained Dr Bhatt.
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5. Contd..
• In a government hospital for poor patients, such as AIIMS, the entire transplant
and accompanying costs like pre-transplant evaluation of a patient, dialysis and so
on are done free of cost. For Below Poverty Line (BPL) patients there is a National
Illness Assistance Fund which provides for the cost of one year of
immunosuppression. But after that the patient still has to be able to afford roughly
Rs 8,000 per month for immunosuppressants. AIIMS does roughly 150-200 kidney
transplants in a year and the waiting list is very long. A few other government
hospitals have a transplant programme but they have not picked up speed due to
various reasons such as shortage of trained surgeons, required infrastructure and
so on.
• When it comes to liver transplant, the cost is even more prohibitive. In the private
sector, the cost of the transplant package could vary from Rs 18 lakh to 26 lakh
depending on the centre. These packages cover only the transplant surgery , 13-18
days of hospitalisation and charges for a few postoperative consultations with the
doctor. It does not cover pre-operative tests which could cost Rs 1.5 lakh to Rs 2
lakh or the post-operative tests which could cost another Rs 1 lakh to 1.25 lakh.
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6. Contd..
• “Even after the transplant there are enormous costs in the first few
months such as tests to be done and immunosuppressants which
alone could cost about Rs 20,000 per month. After a year the cost
per month could drop to about Rs 10,000 a month,“ said the
brother of a liver transplant patient.
• In Delhi, there is just one hospital in the public sec tor doing quite a
few liver transplants, the Institute of Liver and Biliary Sciences
funded by the Delhi government. However, even here liver
transplant package could cost Rs 14 lakh without including preand
post-operative costs. AIIMS has only a cadaveric liver transplant
programme and does barely two or three in a year.
• Similarly, heart transplant costs at least Rs 16 lakh in the private
sector and, as with other organ transplants, patients have to take
immunosuppressants for the rest of their lives. With the public
sector offering no real alternative, most patients are forced to
access the private sector for transplants.
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7. Contd..
• “I got a kidney transplant two years back in a private hospital which
cost me Rs 5.76 lakh. As a transplant recipient, you have several
expenses such as the regular blood tests that have to be done every
two months other than the supplements and immunosuppressants
to be taken every day . Poor people cannot afford either the surgery
or the recurring cost every month and so they probably have to
decide against getting the transplant,“ asked Kirti Pareek who spoke
of meeting families who had sold their land to get their family
member treated.
• If no system is put in place by the government to help fund the cost
of transplants, India's organ transplant programme would become
one accessible only for a small section of those rich enough to
afford the surgery and treatment costs.
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8. This platform has been started by Parveen
Kumar Chadha with the vision that nobody
should suffer the way he has suffered
because of lack and improper healthcare
facilities in India. We need lots of funds
manpower etc. to make this vision a reality
please contact us. Join us as a member for a
noble cause.
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9. Our views have increased
the mark of the 1,81,500
 Thank you viewers
 Looking forward for franchise,
collaboration, partners.
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10. Contact us:- 011-25464531, 9818569476
E-mail:- nursingcrusade@gmail.com
We are also available on
Justdial New Delhi.
Nursing Crusade Earlier Known as
Nursing Hi Nursing
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