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Milan Sharma 25 July 2019
The government is trying to bring in the new National Medical Commission (NMC) Bill, 2019, in Parliament. But, there is another predicament which can lead to stormy discussions and protest from the doctor fraternity.
India Today has discovered that the controversial bridge course, that was met by wide spread protests from the doctor community in the country has been replaced by the "limited license to practice modern medicine" clause.
Under section 32 of the NMC Act 2019, states, "The commission may grant limited license to practice medicine at mid-level as a community health provider to such person connected with modern scientific medical profession who qualify such criteria as specified by the regulations: provided that the limited license to be granted under this sub-section shall not exceed more than one-third of the total number of licensed medical practitioners registered under sub-section (1) of section 31." Section 31 of the Act pertains to maintain a national register of all the recognised medical practitioners to be maintained by the Ethics and Medical Registration Board.
In the previous version of the NMC Bill 2018, doctors and health practitioners had opposed the proposed bridge course which allowed practitioners of alternative medicines such as homoeopathy and ayurveda to practice allopathy. After many protests and meetings with the then Union Health Minister JP Nadda, the Bill was sent to the parliamentary panel and was recommended that the provision should not be made a mandatory one. The committee also suggested penal provisions for those practicing medicine without required qualification.
Doctors questioned the context of the phrase "person connected with modern scientific medical profession". Dr RV Asokan, general secretary, Indian Medical Association (IMA) said that the new section 32 has been added where community health providers like compounders, pathologist, lab technicians, radiologists, blood sample collectors, etc. might get a licensed to practice medicine without the supervision of a qualified doctor. If the government wants to operate their wellness centres, for lack of man-power, the provisions already exist under the Drugs and Cosmetics Act. There is no need for provisions of separate licensing for nearly 3.5 lakh people without having a sound medical background. This is a misfortune on the health of the nation.
Dr Ravindra Wankhedkar, former national president, IMA, said that they have removed bridge course, but added section 32. As a result, even if someone is vaguely connected with modern medicine, be it a lab technician, and then they can directly practice modern medicine. This means creating 3.5 lakh, legally, registered quacks in India.
As per the figures, there are 11 lakh registered allopaths in India and nearly 3.5 lakh AYUSH practitioners will be licensed to provide primary level health care to patients. Doctors on their part persisting to oppose the bill and are planning to stage widespread protests to burn the NMC Bill at IMA headquarters at many places on Thursday. Doctors said that the protests against the Bill would continue till the debatable clause is removed.
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