In the last article I had written all the reasons that make doctor’s unity impossible, and had also pointed out the fallacies of some medical professionals. Accepting that yes, some doctors are wrong sometimes, let me go to the next part: our society.
1 The Absent Scientific Mindset:
2 We have a biased society beyond reconciliation. People have made up their minds about negative image of medical profession just like they make up their minds about the good or bad of any religion, army, country or even their concepts of self-intellect. One cannot expect a predominantly illiterate, superstitious, accusative, emotionally biased and financially deprived population to understand the principles and practice of a complicated science. They will advise others even if they are failures themselves. People think that information on the internet makes their knowledge automatically scientific.
3 ‘Trust Me, But I Won’t Trust You.’
4 You see, I am the patient. The best of the patients who have near complete faith in a doctor also have trust issues hidden deep within, and these are unmasked often under the headings of “second opinion”, “it was insisted by someone that we consult another doctor”, etc. While it is patient’s right to get a second opinion, it is a doctor’s right to ignore false claims of complete trust, so often essential to concrete the relationship. Most affluent, intelligent and literate patients openly question everything out of mistrust, research (both their rights), and when they find that everything was correct, or when the patient actually improves, they still want the doctor to have complete trust in them, and treat them just as good as family. Trust building takes time, and the concept that trust is bilateral is conveniently forgotten! © Dr. Rajas Deshpande.
5 ‘Some doctors are bad, so everyone should treat me free.’
6 This is the conclusion drawn by even the best brains in most fields. These people have a funny logic: Allopathy is a fake branch, all doctors are corrupt, all pharmas are selling useless drugs at a very high price, all hospitals are made for looting people, but when I am sick, I will search for the best and most experienced Allopath, in the most advanced costly hospital, ask them to do all the tests to tell me I am safe, give me the best medicine out there, because if it’s my life I don’t care about money. Then when I get better, I will take a screenshot of the huge bill and write a frigging crying worldwide post about how they looted me. No one asks them why in the first place they did not go to a cheap / free government hospital or other pathies which they can afford?
7 ‘Complete Health and 100 years life is everyone’s birthright, and it is every doctor’s inherent duty to serve me free or cheap as I have paid taxes for their education.’
8 Even in government colleges, every medical student pays huge tuition fees every year, and postgraduate doctors are made to work like slaves for many years under inhuman conditions. Then they serve an unfair bond. There is no direct expenditure for a student, whatever the government invests is for the healthcare set-up to treat millions of poor patients, and the budding doctors are USED for this task, to mask thousands of unfilled doctor’s posts.
9 ‘I am not scared of death”.
10 I will drink, smoke, eat tobacco or roadside / unclean food, won’t exercise, take as many fake medicines as I can from internet, skip masks and hand washing or social distancing. I will take risks and participate in adventures, ride bikes without helmet, drink and drive, sleep with multiple partners…. until I fall sick. Once I am sick, not only am I scared of death, but everything bad that happens to me is the doctor’s fault. Till the time I am well, I am a hero on my own. The day I fall sick, I am the victim of some medical conspiracy to earn money. © Dr. Rajas Deshpande .
11 Social media is my power:
12 Most people with a cellphone and internet think they can defame anyone now, no one will bother to confirm the truth and doctors don’t have time to argue. Be it about pseudo feminism, alleged nepotism, BLM agitation or religious discussion, one has to be extremely careful now, not to step on the innocent toes of hidden snakes. They will blatantly twist facts, lie, cry, allege, accuse and tarnish the image of someone who invites their displeasure, denies them the facility of exploitation. Open threats to doctors and hospitals to defame them on medical websites, apps and social media have become an ugly reality: Deny someone free treatment, false certificates, billing concessions, and they don’t hesitate to screw the hard earned reputation of a doctor. This endless and faceless blackmail is the widest point of the valley between doctors and patients today.
13 I will talk incessantly furnishing useless, unrelated details, but you must be calm, sweet, nice and listen without interruption- because no one in my family listens to me. Even if other patients are waiting outside, I will repeat and repeat, just because I have PAID YOUR FEES. Some patients treat a consultation as a melodramatic, monologue opportunity in which a doctor is expected to shower compassion and sympathy, time immaterial. I have always envied the patience of my psychiatry and psychology colleagues.
14 I can be lousy, incorrect, disorganised and human by committing mistakes, but You cannot! I can forget, you cannot. I can skip medicine for days, but if a nurse misses a single dose, be prepared for a ruckus, a financial / legal suit, a long facebook post. I can be late, I can skip appointment, but you cannot. I must get rest, food, sleep, family time as it is human right, but you cannot, because you have chosen this career.
15 Complete ignorance of achievements of Indian doctors.
16 Indian doctors are undisputed champions in their fields, standing equal to the best in the medical world, in the most advanced countries. Many of them have left: not to be caught in the BS created by a large population that serves only a selfish purpose of exploitation. Rich doctors are not made to feel guilty in any other country except India. Indian doctors work longer hours, more years, in worse conditions, earning far less, still our country treats them in an extremely disrespectful manner.
17 The faulty concept of “Service”:
18 If you think that healthcare should be free, advanced, cheap, available as per your wish, we agree. Do tell the government. They should make great hospitals, pay to hire highly qualified doctors, and treat millions free. But if you think that every doctor is your ‘cheap servant at wish’ we disagree. If the society expects that doctors, teachers, police and army should feed themselves only with songs and compliments, they are wrong. Why should a hard working and brilliant doctor not earn well? We want to give the best possible life to ourselves and our families too.
19 The ultimate hypocrisy:
20 If you can all advise doctors about humanity and compassion, why can’t you do it yourself? Or is compassion reserved for doctors only? We recently had a migrant crisis. Millions of poor people left because they had no homes, food or money. Why didn’t our media and politicians appeal the society to accommodate these migrants wherever they were?
21 Our society conveniently forgets that complicated medicines, high end surgeries, procedures, equipments and technical expertise needs high-end money too, and its pricing is not the choice of the doctor. Just because something is costly, the society (and often the politicos and media) automatically presume that the doctor has a share in it. Some doctors indeed may misuse this as mentioned in the last article, but to avail of a known costly resource and then to suspect the very person who saves your life to be corrupt is ridiculous.
22 Mannerless misuse of courtesy is a tragic Indian disease affecting all fields. Phone calls, messages, allegations, false alarms of emergency, begging for concessions in spite of an ability to pay, all are considered normal. More you tolerate, more you are exploited.
23 I will not explain this, but by and large most of the society is jealous of the respect and affluence a doctors gets. Most cannot grasp the concept of an intellectual income. Be it illiterate stars criticising superspecialist doctors on national TV, or be it reporters of evil news, the ability to speak has become a weapon to unleash their hidden envy for everyone who achieves something. Doctors become their natural targets.
24 Last, but very important: there indeed are very trusting, good patients who think of their doctors as equal to Gods, and every doctor’s heart goes all out for such patients. Anywhere in the world, a doctor will happily empty his/ her pockets and break all barriers for such a patient.
I now have come to a conclusion that this will never change, as change is a BILATERAL phenomenon, and our society is beyond that capacity as of now.
Do we take advice from those who haven’t been able to run their own healthcare set-ups well for decades? Do we listen to the ignorants who do not have the simple courtesy to wear masks during pandemics? Do we learn from a media that converts some celebrity’s tragic suicide into an opportunity to earn? It is a choice.
Will our society change? “How far should the doctor allow exploitation?”.
The Answer My Friend, Is Blowin’ In The Wind!
© Dr. Rajas Deshpande
This is the second article of the series, to be read only with other articles. The last two articles will propose the solutions.
Please share unedited.