Skip to main content

Private pressure: Health ministry says, patients must 'obligatorily' pay hospital fees

Counterview Desk
The civil rights network Jan Swasthya Abhiyan (JSA) has demanded from the Union health ministry that it should ensure there is “no dilution” in patients’ rights, insisting, the ministry should adopt the charter on patients’ rights based on the recommendation to the ministry by the National Human Rights Commission (NHRC) last year.
The demand comes close on the heels of Preeti Sudan, secretary, Union health ministry, sending a fresh instruction to all state chief secretaries, which JSA says is a diluted version of the NHRC charter. In a letter to Sudan, JSA has said, “Only around half of the original patients’ rights are contained in this letter”, and “ten important rights have been dropped, apparently due to resistance from the private medical lobby.”
Sent on July 26, the letter to Sudan says, earlier, in September 2018, the Union Health Ministry displayed a charter of patients’ rights containing 17 rights on its website, based on NHRC recommendations.
JSA says, “Since no progress was made for several months regarding this charter, on February 26, Jan Swasthya Abhiyan, Mahila Pragati Manch, People for Better Treatment, Delhi Network of Positive People, All India Patients’ Rights Group collectively organised a major protest at Jantar Mantar, New Delhi, and subsequently had discussion with concerned officials at Union Ministry of Health and Family Welfare (MoHFW), asking for speedy implementation of the NHRC-based charter.”

Text of the letter:

We the undersigned are health professionals, health activists and social workers from across various states of India, who are associated with Jan Swasthya Abhiyan and various other networks working on health rights and patients’ rights.
We are writing with reference to the letter issued by your office to Chief Secretaries of all states regarding adoption of the Charter of Patients’ rights, dated 2 June 2019. We have compared the list of patients’ rights outlined in your letter, with the Charter of Patients’ Rights which had been originally proposed by NHRC and was displayed on Health Ministry’s website from September 2018 onwards. This issue was discussed in a national workshop on patients’ rights (July 23, 2019) and Jan Swasthya Abhiyan national coordination committee (July 24, 2019) held at Delhi.
Based on this analysis and deliberations, while we welcome the initiative by MoHFW in circulating a letter on Patients’ rights to states, we are also deeply concerned to note that although the NHRC charter contained a comprehensive set of 17 patients’ rights, your letter has significantly diluted and reduced this list, effectively dropping 10 important patients’ rights which were contained in the NHRC charter, these rights deleted by MoHFW are as follows:
  • Right to emergency medical care
  • Right to care according to prescribed rates wherever relevant 
  • Right to safety and quality care according to standards 
  • Right to choose source for obtaining medicines or tests 
  • Right to proper referral and transfer, which is free from perverse commercial influences 
  • Right to protection for patients involved in clinical trials 
  • Right to protection of participants involved in biomedical and health research 
  • Right to take discharge of patient and not be detained in hospital 
  • Right to patient education 
  • Right to be heard and seek redressal 
Each of these rights is not only non-negotiable and absolutely essential for the protection of patients, they are also backed by various legal provisions, judgements and official documents. Given this context, it is surprising that almost half of the rights contained in the original charter displayed on your Ministry’s website have been summarily dropped by your Ministry without any explanation.
Further there is addition of certain patient responsibilities, such as obligation to pay hospital agreed fees on time, which have been added in your letter, which we find problematic due to potential for misuse of this provision by private hospitals.

Given this situation we strongly propose the following:

MoHFW, Govt of India should issue a modified letter to Chief Secretaries of all states, which must include mention of all 17 patients’ rights which were outlined in the NHRC patients’ rights charter without dilution; this should be done as soon as possible.
Recently, a set of draft minimum standards for clinical establishments has been released for comments by MoHFW. We regard this as a positive though extremely delayed step. However, we note that these standards mention a charter for patients’ rights (containing nine rights) as annexures, this charter is an even further truncated version of the 12 patients’ rights mentioned in your own letter dated June 2, 2019.
This situation should be rectified, and besides mentioning all 12 rights of your letter,the entire set of rights contained in NHRC charter (mentioned above) should be included in the patients’ rights charter which would be part of the Central minimum standards for clinical establishments.
Union health ministry has sent fresh instruction to all state chief secretaries, which is a diluted version of the NHRC patients' rights charter
We are aware of the private medical lobby which tends to oppose or demand dilution of such regulations in public interest; your letter dated June 2, 2019 has appropriately mentioned about this lobby.
Further, in case any of the patients’ rights mentioned in the NHRC charter is being contested by certain sections of the private medical sector, then the Health Ministry should overrule such vested commercial interests, holding the interests of the general public as paramount. Nevertheless, if considered necessary MoHFW may organize a multi-stakeholder consultation at the earliest to discuss any such contentious issues so that an appropriate resolution may be found.
JSA and patients’ rights groups would be happy to participate and contribute to such a consultative process in the interests of patients and ordinary people, who are today suffering a wide range of rights violations in commercialized private hospitals, and look upon the Union Health Ministry as their ally and protector of public health in the country.
---
Click HERE for the list of signatories

Comments

TRENDING

Avoidable Narmada floods: Modi birthday fete caused long wait for release of dam waters

Counterview Desk  Top advocacy group, South Asia Network on Dams, Rivers and People (SANDRP), has accused the Sardar Sarovar dam operators for once again acting in an "unaccountable" manner, bringing "avoidable floods in downstream Gujarat."  In a detailed analysis, SANDRP has said that the water level at the Golden Bridge in Bharuch approached the highest flood level on September 17, 2023, but these "could have been significantly lower and much less disastrous" both for the upstream and downstream areas of the dam, if the authorities had taken action earlier based on available actionable information.

Junk food push causing severe public health crisis of obesity, diabetes in India: Report

By Rajiv Shah  A new report , “The Junk Push: Rising Consumption of Ultra-processed foods in India- Policy, Politics and Reality”, public health experts, consumers groups, lawyers, youth and patient groups, has called upon the Government of India to check the soaring consumption of High Fat Sugar or Salt (HFSS) foods or ultra-processed foods (UPF), popularly called junk food.

From 'Naatu-Naatu' to 'Nipah-Nipah': Dancing to the tune of western pipers?

By Dr Amitav Banerjee, MD*  Some critics have commented that the ecstatic response of most Indians to the Oscar for the racy Indian song, “Naatu-Naatu” from the film, “RRR” reeks of sheer racism, insulting visuals and a colonial hangover. It was perhaps these ingredients that impressed the Academy of Motion Picture Arts and Sciences, one critic says.

Astonishing? Violating its own policy, Barclays 'refinanced' Adani Group's $8 billion bonds

By Rajiv Shah  A new report released by two global NGOs, BankTrack and the Toxic Bonds Network, has claimed to have come up with “a disquieting truth”: that Barclays, a financial heavyweight with a “controversial” track record, is deeply entrenched in a “disturbing” alliance with “the Indian conglomerate and coal miner Adani Group.”

Buddhist shrines were 'massively destroyed' by Brahmanical rulers: Historian DN Jha

Nalanda mahavihara By Our Representative Prominent historian DN Jha, an expert in India's ancient and medieval past, in his new book , "Against the Grain: Notes on Identity, Intolerance and History", in a sharp critique of "Hindutva ideologues", who look at the ancient period of Indian history as "a golden age marked by social harmony, devoid of any religious violence", has said, "Demolition and desecration of rival religious establishments, and the appropriation of their idols, was not uncommon in India before the advent of Islam".

Savarkar 'criminally betrayed' Netaji and his INA by siding with the British rulers

By Shamsul Islam* RSS-BJP rulers of India have been trying to show off as great fans of Netaji. But Indians must know what role ideological parents of today's RSS/BJP played against Netaji and Indian National Army (INA). The Hindu Mahasabha and RSS which always had prominent lawyers on their rolls made no attempt to defend the INA accused at Red Fort trials.

A Hindu alternative to Valentine's Day? 'Shiv-Parvati was first love marriage in Universe'

By Rajiv Shah*   The other day, I was searching on Google a quote on Maha Shivratri which I wanted to send to someone, a confirmed Shiv Bhakt, quite close to me -- with an underlying message to act positively instead of being negative. On top of the search, I chanced upon an article in, imagine!, a Nashik Corporation site which offered me something very unusual. 

Asset managers hold '2.8 times more equity' in fossil fuel cos than in green investments

By Deepanwita Gita Niyogi*  The world’s largest asset managers are far off track to meet the  2050 net zero commitments , a new study  released by InfluenceMap , a London-based think tank working on climate change and sustainability, says. Released on August 1, the Asset Managers and Climate Change 2023 report by FinanceMap, a work stream of InfluenceMap, finds that the world’s largest asset managers have not improved on their climate performance in the past two years.

'State-sanctioned terror': Stop drone attack on Adivasis, urge over 80 world academics

Counterview Desk  A joint statement, “Indigenous Peoples’ Un-Freedoms and Our Academic Freedom: A Call for Solidarity”, endorsed by over 80 signatories, including international academics, activists and civil society organizations, as well as diasporic Indian academics and researchers, working with Adivasi (indigenous) communities in India, has made an urgent appeal to prevent future drone bomb attacks by the Indian state on Adivasi villages.

Biden urged to warn Modi: US can declare India as worst religious freedom offender

By Our Representative  During a Congressional Briefing held on Capitol Hill, Washington DC, Nadine Maenza, former Chair of the United States Commission on International Religious Freedom (USCIRF), has wondered why the Biden administration should raise issues of mass anti-minority mob violence  -- particularly in Haryana and Manipur -- with Modi. Modi should be told that if such violence continues, the US will be “compelled by law” to designate India as one of the world’s worst offenders of religious freedom, she urged.