We will be a developing country forever

Unless we fix the root cause

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Last week I visited All India Institute of Medical Sciences (AIIMS ), Bhubaneswar taking my mother for a consultation. She has been suffering from ankle pain for quite some time, about which I wrote in this post. The medicines and remedies advised by the doctor in the govt hospital at my native has not helped. So after the medicines were finished, we decided to consult a better doctor and my friend advised to go to AIIMS. Usually I never prefer to go there, knowing that its literally impossible to get a ticket done and consult the doctor but my friend said he will take care of that. So I dropped them at the gate and went to park the car.

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There was no one in the parking area, so it is like you do what you like to do or can do. After roaming few rounds I managed to get a spot and parked the car and went back to the counter.

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Looking at these banners, it felt like there must be an online system to book tickets, but since they were already inside, I had to go and find them.

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The "May I help you" counter at the entry did not look like it could help, reaching there itself was kind of a tedious task. Tried calling my friend and his phone was not reachable. So I tried to find him around and it was literally an impossible task.

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Asked someone standing in the queue how to the ticketing system works and he said go to the person sitting above and get an OTP by showing your Aadhar card and then stand in another very very long queue to get the ticket. The counter closes at 10.30 am so if you are lucky then you may get the ticket else you have to try next day. People come as early as 4 am and wait in the queue. And if you look at these pictures then they are sea of people trying to reserve a spot and in that process they stay there for days till they get the ticket, be it sleeping there or eating whatever they carry. Is it going to change ever ? I guess never, unless we fix the root cause. And what is the root cause ? We are now the largest population of the world and the rate at which we are growing, its impossible to develop and provide better health care facilities for public. AIIMS is mostly a free service with some best treatment quality because the best brains get inside this premier institute. So people from neighboring states ( West Bengal, Bihar) come here and wait to get treated, whatever number of days it may take. After the consultation happens, if the doctor advises any surgery then they have a queue system, considering the urgency though. So one may even die while his turn comes but that is the reality on ground.

The fact that pinches me most of the time is that why does not any government take population as a serious problem ? The resources are not growing but the consumers are. Isn't it the root cause of most of our problems ? But no government wants to take risk because its a sensitive issue, but how long we go like this ? The phone rang at that moment and I went out as it was so loud inside. My friend was searching for me and what he told was a pleasant surprise to me - he booked the ticket in another counter that was inside and left mom near the doctors chamber, so I should come there.

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Going inside and walking the corridor to reach the ward was reminding my thoughts again as you can see. They eat, sit and sleep here only till their treatment is done. And that makes me feel, we will be a developing country forever, unless we all think about the problem and take care.

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Getting to the area where doctor's chambers are present is strictly after getting the ticket done. And mom was given some preference being a senior citizen and happily sitting there, as it was not so crowded with well ventilation.

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Kudos to my friend, who made this possible. Honestly I never can get this done myself. The doctor came after 15 mins and diagnosed the root cause instantly, looking at the same X-ray that was done in our local govt hospital. That is the difference that you see here - the knowledge and expertise they have is unmatched. He said, its a mechanical problem because of the growth in bone and it needs a small surgery, can't be treated by medicine. But before that a MRI needs to be done to confirm the situation. And more ever, given her age, they may decide to do a minimal invasion surgery, that will be less risky.

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When we went to inquire about getting the MRI done inside, they said it will take two months after which our turn will come 😀. It comes at a discounted price though ( almost 50% of what they charge outside). So there was no point to stay there and we decided to come back home. I never imagined, we could consult a doctor in AIIMS and come back within 1-2 hrs, but that was possible only because my friend.

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I turned back to only take these photos to leave a review of this place - this post will be part of that. They seem to have a Dharmasala where people can stay, but I am sure, you won't get a seat unless you book it in advance.

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On our way back to home, there is a famous sweet shop where we stopped and brought a lot of sweets. The snacks we ate was treated as free and he did not charge for them. The quality of his products are much better and cheaper than what we get in the city.

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I am planning to take a second opinion from another famous doctor whom I know, before we decide anything. It's always better to play safe at her age, so more to come on that.....

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That's true sir, although we are enjoying a demographic dividend with more youth, the exploding population without a proportional number of facilities will continue to portray such a chaotic picture be it a health facility or a railway station by and large.

But don't u think sir, that the gap is slowly closing in, even though at a dismal pace, what we were a decade ago and what we are now, I am sure we will have a much better picture by 2047. It has much to do with behavioral things. Also when we are able to stay organized and not tempted to act by expediency then we will see more organized lines, which will come through education and social & cultural conditioning.

Sir, your friend is wearing a sambalpuri shirt, I wish u too wear a sambalpuri shirt.

One thing I would say (based on my experience), the treatment and diagnosis in AIIMS is simply superb, even some of the best private hospitals can not match.

Thank you.

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I am sure we will have a much better picture by 2047.

Question is how ? Are we producing more ? I agree behavioral things would change, but the competition for resources is going to be stiffer and unless we act on the root cause to reduce population, we can never close that gap.

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(Edited)

India needs an overarching policy on population control. We should not also forget that at least 4% of the total population is illegal migrants.

Through policy measures Govt at best can discourage population explosion but can not effectively control it, because that control is ultimately vested in the people. So it eventually needs a bottom-up approach.

Europe welcomes illegal migrants, do u know why? Because Europe wants more "Units of Labour", that's not the case for India.

Moreover, India is such a country where 70% of the produce is consumed domestically. So it's a kind of self-serving economy, that is othrwise a boon during a pandemic like COVID-19.

Are we producing more?

Yes, but at a dismal pace. India has increased the production of foodgrains by 5.6 times, horticultural crops by 10.5 times, fish by 16.8 times, milk by 10.4 times and eggs by 52.9 times since 1950-51 to 2017-18.

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Sir, our fertility rate has come down to 2.1 (births per woman) from 3.35 (birth per woman) in 2 decades which is a massive decline but it won't seem like it because you need a couple of decades to see it full effect.

2.1 is the replacement rate of population. That means the population is going to be stable in the near future and might start to decline if we have lower fertility rate. (takes a long time to notice, but a declining population is much much worse than growing population)

Large Population is not a bad thing unlike most people thinks...ask countries with the brink of population decline, they are going to be facing massive problems. We are at the sweet spot with large young population.

We need a massive infrastructure spending no doubt about it. But it can be done gradually until then we have to face some long queue and waiting lines.

We can close the gap!

(Sorry for jumping in the discussion, I wanted to put my point across, interesting discussion though)

!LUV
!PIZZA

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The situation is similar in every big giverment hospital in India. In chandigarh during a visit the PGI I have same experience. The people comes form nearby started like Punjab, Haryana, Hinachal etc. Getting tickets is first an one of the toughest task. But I was very happy after consulting doctored. Doctor was young only but her took almost 15 minutes to understand the problem. He patiently listened to me and asked the questions. No doubt the treatment is one of the best and the facilities in terms of machinery and medical equipment they have is also very good.
The population is one of the biggest problem which leads to many problems. Basic structure can not be strong or not able to handle such volume.

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This is the case with many developing countries. It is very hard for regular people to see a doctor as they have to wait in line for days. This way, some peoples health conditions could worsen and could even lead to death.

It is really sad to see so many people scurrying for health care and even having to sleep on the floors. But again, this wouldn't be the case if the country had resources equal to the number of citizens.

Population control is very important and I do not now if your government is taking any measures to control it.

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I do not now if your government is taking any measures to control it.

No govt tries to raise it even.

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(Edited)

This is bad to hear but I feel it's the same way in many countries out there. Even mine.

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Thats frustrating to stand in such a long row to get the ticket. This system should be change.

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How is mother's health now brother?

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Doing, good, she needs a surgery but need to think twice.

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There is always a rush in government hospital, earlier I used to think that those hospitals are meant for the poor people, but I proved wrong when once I went there. People are not queing for cheap medical services but they are entrusted to get quality too. Some of the doctors at these government hospitals are much knowledgeable than what we get in private hospitals.....I remember my dad had some nasal muscle issue, while a private doctor suggested for operation a lady doctor at gangaram Delhi, cured him with tablets and a nose drop....

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People are not queing for cheap medical services but they are entrusted to get quality too.

Definitely, because the best brains get into AIIMS, right !! Unfortunately, there is no governance in the private sector, the govt has just set them free to loot us like anything.

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I myself have waited hours to see the doctor. the situation is bad.

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How are you dear friend @sanjeevm good day
It's good that thanks to her friend they were able to get her mother seen quickly and get a diagnosis in less than two hours of waiting.

I think the public health problem is a global problem, in my city of Corrientes, Argentina, the same thing happens

I hope you can get a second opinion about your mother's ailment.

Have a great weekend

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I hope you can get a second opinion about your mother's ailment.

That's the plan.

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The truth is an incredible place and I am very happy that they found the problem in the ankle of your lady Mother. It is also a large number of both vehicles and people there, unfortunately this is how our countries work, if we do not have the help of a friend, it is practically impossible to access that type of wonderful health

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There is always a rush in government hospitals, and the same thing always happens to me in my country. Any time I have an appointment with my doctor. I used to spend a whole day before I could finally see him and this process often used to exhaust me. I hope in the future, we can have a better medical systems.

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Unless we fix the root cause, this will be always the case. We can go to private hospitals, but now a days, they loot us like anything.

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I also agree with you. Our resources are not increases as our population is increasing day by day. Majority of the peoples are living below the line of poverty. We all needs better health care facilities but government sector didn't pay any attention to it. But now, in some cities I have to say better government hospitals has built that provides best doctors and treatment.

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AIIMS is known as the biggest medical institute in India but sadly there is a lot of mismanagement. I have never been to any of these but I got to hear some bad experiences. After reading your post, I can understand how difficult it is for the common man to get the services. We as a country are driving digital India initiative but all I can is that there is a lot to be done and instead of doing fake marketing the govt need to put some serious efforts.

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I heard they have some online registration, need to figure out though.

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The long line to buy tickets at the hospital are really sad. I too was standing in a long line at a medical university last few weeks to see a doctor for my mother. So I also feel that there should be an online system for this.

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bureaucracy is deeply rooted in countries like ours, where if we don't have a friend with some power to help us in those moments where it is needed, we are completely helpless

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Oh man, that sounds like a horrible experience. People sleeping on the floor, waiting to book a doctor appointment, that really sounds like a developing country story, I´m sorry about that :( You know, China was the most populous nation in the world for decades, they faced the same problems like you. We all know how they resolved the issue but it´s hard to say if it would work for your country too...

@tipu curate

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if it would work for your country too.

never, don't even expect in next century :)

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I see. Then you will probably be up for more difficulties in the years and decades to come :/

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Even in my country, public hospitals always have long lines of patients. One time, I even passed by and saw pregnant women, there standing in line. And that is a sad truth.
It makes me think, why government imposes appointment system too online ? And so the waiting time would be reduce?

Glad you Mom was able to consult and doctor!

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I think the population is also affecting the country to an extent

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My experience in the government hospitals is very bad. Hopefully, this caretaker government will implement better policies.

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wow, I'm glad your mom got helped. That's a LOT of ppl..

I recently went to get my state I.D. and there was maybe 50 ppl at the DMV also. I was impressed with the efficiency of the system. (given a # right away and then sit and wait to be 'called') It took a bit of time, but was pretty painless.

u need personal GPS to find anyone there! :P yea, population control is something that NEEDS to be addressed..

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u need personal GPS to find anyone there!

they will sell that and go home :) instead of consulting the doctor.

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The way we see that India is developing very much and we are very happy about it and we want Pakistan to work hard and develop in the same way because the government hospitals here. Their condition is very bad, neither medicine is available there nor doctors speak properly, our government should take action against them.

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Yes, I think, you need to have a stable government who can think and act on public issues.

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It's the lack of intentions and because of that people suffer. I think government wants to keep things like this else doing the automation is not a big thing now. India needs more such institutions but before that the existing infrastructure must be improved

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I think it's better there than it is in my country.

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I remember an experience in a government hospital. The staff aren't the kindest people.

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(Edited)

The root cause isn't population in my opinion. If it is then China would have the same problem but they don't. I have been to China and India many times and I have many friends from both communities comprising of speakers of many dialects in their respective countries.

The root problem is attitude. For example, I would say about half the people who go to AIIMS would be ready to spend money on a movie to watch their favorite hero or heroine but would not spent the same amount for medical treatment in a private clinic. They would rather go to free government hospitals.

Another problem is the widespread corruption in India at every level. Corruption is a way of life in India so much that it has become a second nature for Indians to pay money even for services that should be offered by government servants free. Indians vote for corrupt politicians freely just for a small bribe the politicians pay. The Tamil Nadu state government is known to be extremely corrupt but they could still get enough votes to form a state government. Many of these corrupt state governments actually are proxies for foreign enemies of India. Yet Indians cannot see through them. This is just an example.

I stumbled upon a beautiful kirtan on YouTube yesterday by Radhika Das. The event was held in London and the audience paid 10 pounds to attend the Kirtan. And then Youtube recommended me another beautiful Kirtan from Russia also attended by huge number of paying participants.

I don't think Indians in India would pay even 200 Rupees to attend a Kirtan. They want everything free even when they can afford it. I will be happy if you can give me your cogent counter arguments to prove me wrong.

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(Edited)

Yes agreed. Indian bureaucracy, corruption and their affirmative action policies are the main culprit.

For example, for a population of 1.4 billion people and with so many cities and tourist spots, India has ONLY 18 million tourist visiting India pre-Covid. That is a miserable figure. Malaysia, with only 30+ million people and fewer cities and tourist spots used to get about 25million visitors per year during pre-covid era. At one time Malaysia used to get almost as many tourists as its own population. Even Vietnam is catching up and was already doing 18 million during the pre-covid era. Imagine how much India's untapped tourism potential can contribute to its GDP. The Indian Ministry of Tourism is comparatively useless compared to that of Malaysia or Vietnam.

Corruption is a norm in India. Nobody even talks about it as if it is a given. That is probably because everybody at some point has either given or taken bribe.

Affirmative action policies favoring the scheduled castes, Muslims and Christians have driven away the best brains to foreign countries and they are making these countries richer. It is obvious to everyone but I don't see Indians having a national debate on how to reduce or stop the brain drain. All I see them do is gloating over the success of overseas Indians in comments sections of social medias. I have never seen such misplaced priorities.

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Bull's eye, @devann.

I wonder how India can ever reach a developed country status without addressing the corruption level in the country.

Indians are quick to point their finger at someone else instead of looking at their own conduct. Sad.

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It's sad that health services are still not good everywhere.

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Well... it is a complicated situation I feel that there are so many factors that affect it and at the same time so many solutions I feel that the problem is sometimes that we are all and at the same time there are few who can change this situation, from the government to the people in the street.

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