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Journal of Medicine Vol 4 - Amrita Institute of Medical Sciences and ...

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<strong>Amrita</strong> <strong>Journal</strong> <strong>of</strong> <strong>Medicine</strong><br />

EDITORIAL<br />

Editorial Board<br />

Patrons<br />

Swami <strong>Amrita</strong> Swaroopan<strong>and</strong>a Puri<br />

Dr. Prem Nair<br />

Mr. Ron Gottsegen<br />

Dr. D.M. Vasudevan<br />

Chief Editor<br />

Dr. Harish Kumar<br />

Associate Editors<br />

Dr. An<strong>and</strong> Kumar<br />

Dr. Sudhindran<br />

Editorial Assistance<br />

Dr. V.P. Praveen<br />

Dr. P. Gowri<br />

Editorial Board Members<br />

Dr. V. Balakrishnan<br />

Mr. Sudhakar Jayaram<br />

. Dr. Dilip Panikar<br />

Dr. Prakash Kamath<br />

Dr. S.K. Nair<br />

Dr. Vaidyanathan<br />

Dr. M.G.K. Pillai<br />

Dr. Subramanian<br />

Dr. Kanthaswami<br />

Dr. Abraham Kuriakose<br />

Publications Officer<br />

Mrs. Jaya Sudhir Maharshi<br />

Visualiser<br />

Mr. Biju Chembalayat<br />

Cover Illustrations<br />

Mr. Biju Chembalayat<br />

Mrs. Rajalakshmi Remesh<br />

Dept.<strong>of</strong> Graphics, AIMS<br />

Commercialization <strong>of</strong><br />

<strong>Medicine</strong><br />

Harish Kumar<br />

People come to see a doctor when they are feeling ill,<br />

either physically or mentally. The duty <strong>of</strong> a physician is<br />

to then prescribe the necessary remedies to restore the<br />

equilibrium <strong>and</strong> make the person feel better. It is a sacred<br />

duty – the aim <strong>of</strong> which is to take an individual<br />

from a state <strong>of</strong> “ashanti” to “shanti”. Once he is healed<br />

or better the patient will gratefully compensate the physician<br />

in cash or kind, as per his means. The physician<br />

gains not only monetarily, but also is enriched by the<br />

gratefulness <strong>and</strong> good wishes <strong>of</strong> the diseased person <strong>and</strong><br />

the family <strong>of</strong> those whom he has healed. The whole focus<br />

<strong>of</strong> the patient-physician interaction is that the patient<br />

must feel better, <strong>and</strong> there is an attitude <strong>of</strong> surrender <strong>and</strong><br />

trust on the part <strong>of</strong> the patient.<br />

But in today’s world, medicine has become commercialized.<br />

Pharmaceutical <strong>and</strong> other commercial companies<br />

are interested only in pr<strong>of</strong>its <strong>and</strong> they can generate, <strong>and</strong><br />

sustain these pr<strong>of</strong>its only with the active support <strong>of</strong> the<br />

doctor community. It is a well known, but not <strong>of</strong>ten admitted,<br />

reality that commercial interests frequently<br />

dominate prescription patterns not only in India, but also<br />

all over the world. This has caused a subtle shift in the<br />

attitude <strong>of</strong> many doctors whose primary focus is now on<br />

the commercial gains from the pr<strong>of</strong>ession <strong>and</strong> the service<br />

provided to the patient has become secondary. The main<br />

casualty in this new commercial scenario is the doctorpatient<br />

trust. Patients are increasingly suspicious <strong>of</strong> the<br />

intentions <strong>of</strong> doctors <strong>and</strong> ever-increasing medico-legal<br />

litigations are the outward symptom <strong>of</strong> this malaise. The<br />

‘trust’ <strong>and</strong> ‘surrender’ have been replaced by a business<br />

like transaction, which takes away the sacredness <strong>of</strong> healing.<br />

The other side <strong>of</strong> the coin is the benefit that has<br />

accrued to the science <strong>of</strong> medicine due to this commercialization.<br />

Enormous sums <strong>of</strong> money are being pumped<br />

into research in various areas <strong>of</strong> medicine by commercial<br />

organizations <strong>and</strong> our treatment <strong>and</strong> investigation modalities<br />

are improving at an ever-increasing pace.<br />

The majority <strong>of</strong> physicians are not commercial <strong>and</strong><br />

there is still hope if efforts are made to better physicianpatient<br />

bonding. But unfortunately, today the success <strong>of</strong><br />

a doctor is measured by the amount <strong>of</strong> material wealth<br />

he has accumulated from the practice <strong>of</strong> his pr<strong>of</strong>ession.<br />

If this trend continues then doctors <strong>and</strong> commercial organizations<br />

doing business in the medical field may<br />

become richer but the pr<strong>of</strong>ession <strong>and</strong> its public image<br />

are becoming poorer by the day.<br />

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