Details Of National Medical Commission Bill 2019
Post on 10,August 2019   10:00 AM
By - Miss. Vibha Yadav
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The National Medical Commission Bill seeks to improve the medical education system in the country by ensuring availability of adequate and high-quality medical professionals, periodic assessment of medical institutions, adoption of the latest medical research by medical professionals and an effective grievance redressal mechanism. This bill has passed by both houses of parliament.
Challenges faced by medical profession: India has a doctor-population ratio of 1:1456 as compared with the WHO standards of 1:1000.The availability of doctors in remote area is one of the biggest challenge because new medical graduate is more attracted towards metro cities not rural areas. Consequently, most of our rural and poor population is denied good quality care leaving them in the clutches of quacks.  the issue of standardization and high quality with uniformity across the country is another important issue.
Features of Bill
  • Setting up a medical commission both at central and state levels.
  • Provision of setting up medical advisory council by centre which will act as channel between states/UTs and NMC.
  •  conducting a uniform National Eligibility-cum-Entrance Test (NEET) for admission to under-graduate medical education in all medical institutions regulated under the Bill.
  • The Bill proposes to hold the National Exit Test for the students graduating from medical institutions to obtain the licence for the practice and also for taking admission in post graduation courses.
  •  NMC will have the authority to grant a limited licence to certain mid-level practitioners connected with the modern medical profession to practice medicine.
Why Indian medical association( IMA ) is opposing it?
  • Section 32 of the bill authorises the government to allow non-medical degree holders to practice medicine as community health providers.
  • This will allow anyone with limited exposure to modern medical system to recommend medicines.
  • Only 20% members of NMC will be elected members which will undermine the independence of whole system.
  • Now Indian medical council (IMC)'s decisions were not binding on state medical councils,  the NMC Bill allows the commission’s ethics board to exercise jurisdiction over state medical councils on compliance related to ethical issues.
  • NMC chairman or any member can be removed by central government while in IMC, any action against president can be taken only on court orders.
  • For NEXT, they are arguing that  a single exam is being accorded too much weightage, and it can have an adverse impact on the career of medical aspirants.
  • The commission will frame guidelines regarding fees and other charges for 50% seats in privates institutions while currently state governments have authority to decide the same provisions on 85% seats. this will increase discretion of private institutions to decide fees on more seats.
Positive aspect of bill Unlike MCI, the members of NMC will have to declare their assets at the time of assuming office and when they leave. They will also have to submit a conflict of interest declaration.
Way forward: In order to improve whole system of medicine, government must focus on existing paramedics.  Nurses and midwives are trained for administering injections and similar functions and the government should try to tap this trained manpower. Primary problems should take care by these paramedics and only complex cases should transfer to specialist doctors. this model can be one possible solution.

 


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