First of all I want to make it clear that the caption for
this article is MISNOMER, before I explain a reason for this let me ask you for something;
To err is human,
forgiveness is divine.As I have made lots of mistakes as for as language is
concerned, so you have great chances of becoming divine till the end.
knowledge is for all so please keep sharing. Any factual correction would be most welcome.
Now as for as MISNOMER thing is concerned, first of all I
want to explain the purpose, the motive and motivational factors for writing
this. No part of this article is based
on assumptions and whole content is supported by facts attached along with.
A couple of days ago, I was reading an editorial by hon’ble
shri Shanta Kumar ji (hon’ble M.P. from
Palampur H.P.) in which he claimed;
1)
There are generic drugs available in market
which are safe alternative for branded medicines.
2)
Generic drugs are extremely cheap whereas their
counterparts have extremely higher rates.
3)
Doctors take expensive gifts , free trips ,
lucerative offers from pharma companies in order to prescribe these expensive
ones.
4)
He said that he is/was a member of committee on
drug pricing when he came to know about this loot.
5)
He will meet dr Harshvardhan hon’ble health
minister to Govt of India to make a law so that only generic medicines could be
prescribed by doctors.
So hon’ble shri Shanta Kumar ji, I felt extremely glad after
reading your article. Being a doctor , first time in my life (after choosing
MBBS) I felt like sitting on a gold mine. So in order to dig this gold mine I
just filed an R.T.I. to deptt of health and family welfare on following
questions;
1)
What are generic medicines?
2)
What are non generic medicines?
3)
Name of all generic medicines present in market
along with their trade name (my keys to goldmine…feeling excited)
4)
Which authority decides a drug to be generic or
non generic?
5)
What are those salts which are exclusively non
generic and their counterpart generic are not available in market?
They say all men are **** . I must
say there must be another anology like ALL DOCTORS ARE SHEEP. First they are
blind followers of idiotic policy makers. Secondly whatever you write about
them , whatever policy you make for them,you abuse them you curse them or even
just beat them , they just don’t react at all. Undergraduates and graduates are
busy in their PGMEE, PGs are busy in attempt to finish their thing off
at earliest and start living life once again afterwards, teachers are busy in
cursing students and telling them they don’t know anything, others are busy in
in some 4-09-14 thing, some others busy in shoe licking of politicians, some
more glamour obsessed are busy in sitting with Amir khan in some shows and
taking money from him to give loose statements about doctors, and rest are busy
in social networking . Sorry, I forget to introduce some indian cockroach type of doctors which are in plenty also.
They listen up all things but even then keep
their eyes closed, mouth shut and ears plugged (a sheep in deed).
But my questions to DHFW came like a beamer
from such soft species of sheep. DHFW after making silly excuses (like contents
of information doesn’t come in RTI, Not on proper format , not signed etc. finally CONFESSED..”NO SUCH INFORMATION IS
AVAILABLE WITH DEPTT OFFICIALY”. Finally
to lighten their ignorance they even send some piece of bullshit from internet
about generic medicines which had same baseless unofficial claims like made by
Amir khan in his show satyamev jayte
(the truth(satya) being only advertisements in this show).
there is an old saying -only the bearer knows where the shoe pinches. but after watching his show i must say above saying should have a bottom line- above applies to all except issues related to health. without any subject specialist he was questioning the nature of treatment given.
So hon’ble shri Shanta Kumar ji :
1)
Is it possible to make a law for hypothetical
things which don’t even exist officially.
2)
If you have any such list kindly make it to public
so that public welfare could be met.
So now the real question is
hon’ble shri Shanta Kumar ji how and why a wisdom figure like you and many
others in this country are mis informed??
Ans. Actually we Indian are
suffering from STOKHOLMES syndrome. We have hired wicked media, so called
intellectuals to do the thinking for us. There is a conspiracy behind all this
propagenda in order to shift right of choosing drug from doctor to a chemist.
Now I want to put some light on
generic medicines which is official and true.
WHAT ARE
GENERIC MEDICINES? (acc.to Katzung books of pharmacology )
The term generic medicine is
derived from word genus of biology. E.g mangifera genus of mangoes which have
thousand types of species under it.
For drugs there are numerous genus
like cholinergic drugs, adrenergic drugs, aminoglycosides, beta lactams are
hudereds of more. Each genus contain apprx. 20-30 drugs under it (different
salts). So is it possible to prescribe drug like this.
e.g. there are villages , towns ,
cities , metros in our country. They all can be compared to word genus. Can you
say like this ,ï am going to village or I am going to a metro. You need to
specify name of that village or that metro city to make it logical and
sensible. Same is true for the term generic.
Now I want to tell you why this
caption is misnomer. Let me tell you a story. After this story the letter
would be ending for hon’ble shri Shanta Kumar ji and will be open only for some
of those who will read this story well
and answer correctly. Please study it carefully and answer the questions given
after reading this. (please answer according to situation given and don’t add
your self made assumptions ifs and whats,
even we make decisions on such limited information)
Situation 1: There are two shopkeepers A and B. BOTH are
selling milkcakes.
. A sells milkcake @ 250 rs./kg
. B sells milkcake @300 rs./ kg
Audience poll ; which one you
want to buy?
Situation 2: both A and B don’t make milkcake on it own . A purchase it from some, not well recognized sweet maker and B purchase it from a well
recognized and famous sweetmaker
Audience poll ; which one you
want to buy?
Situation 3; A purchase it from a sweetmaker @125 rs/kg and sells
it @ 250 rs/kg. B purchase it from
its sweetmaker @ 250 rs/kg and sells it
@ 300 rs/kg .
Audience poll ; which one you
want to buy?
Situation 4: A goes to some news agency and tell them that B is selling it at higher prices. And
he himself is selling the SAME MILKCAKE at Rs. 50 less than that of A.
Audience poll ; which One will be projected culprit by
media with this limited piece of information. A or B ??
Situation 5: if doctors would have been prescribing milkcake and
you would have been doctor , which milkcake you would be prescribing to the
public?
Audience poll ; which one you
want to be prescribed A OR B?
Situation 6: Now A goes to Amir khan, a man who has never
seen milkcake in whole of his life, never heard a thing about milkcake . A
tells Amir khan that doctors are not prescribing his milkcake even he is
providing this at a cheaper rate then B.
Amir khan makes a show on this.
Audience poll ; which should be projected culprit in show : A) doctors B) either of A OR B whose so ever is.
Now out of 6 above mentioned
situations , only if you have =5 or >5+
answers as a choice B only then continue to read this article otherwise this article is neither for you nor for hon’ble shri shanta kumar ji.
There is exactly same situation
for generic and branded medicines. A can be compared with generic and B can be can be compared as BRANDED MEDICINE.
Now lets see what is the real
issue behind this.
Drugs can be classified into
(arbitrary)
1)
Branded
drugs: are the ones which are made by reputed giants in pharma industry,
have higher price, low margin money to retailer(medical store holder) maximum
amount of drug come into market following codal formalities, advertised by
medical representatives hence they keep a check on sale as they(M.R.) get
salary and incentives from employers accordingly.
2)
Non
Branded drugs: are mostly made by unfamiliar names in pharma industry,
have somewhat ?lower price, provide huge margin money to retailer, maximum
amount of drug come into market through back door entry(without proper bills
and without paying various direct and indirect taxes). A large proportion of
drugs which you read in newspaper” Failed drug sample” is produced by these.THESE
ARE DRUGS CALLED AS GENERIC DRUGS NOTIONALY. But it is off patent drugs which
are TRUE GENERICS. As you will go on
reading this article you will come to know that only very few drugs are true
generic in nature (anti cancer, anti AIDS, immunosupressent and
immunomodulents). These drugs(true patent) constitute only 20% of total drugs
on the planet. So when they talk about generic drugs they ignorantely talking
about non branded medicines, which are among rest 80% of drugs
Hence if anyone prescribes you so called
generic drug and you purchase it , it would be NON BRANDED drug in real sense
and would be like purchasing milkcake from shopkeeper A.(until unless you are
suffering from AIDS, CANCER , RENAL TRANSPLANT OR RHEUMATOID ARTHARITIS which
are true generics)
Coming out of these technical terms lets
see an example
Name of item
|
MRP
|
Kissan tomato sauce
|
160 Rs
|
Parley tomato sauce
|
152 Rs
|
Mintoo tomato sauce
|
090 Rs
|
Which one would you like to purchase??
Q. what are patent
drugs?
Whenever a new drug is discovered/ INVENTED
the manufacturer get a patent for a period of 20 years to produce this . No
other drug manufacturer can produce this drug during this period. Only that
manufacturers reserves the right to control
the price of this drug. Obviously this would be a branded drug. When after
20 years this drug become off patent they are called GENERIC DRUGS (not all that
crap which is shown by media). But unfortunately new drug discovery/invention
is confined to only drugs of anti cancer, anti AIDS, immunosupressent and
immunomodulents (genreralised for
practical purposes). All other drugs which you see or are in use presently
for other diseases are old salts or old salt with some modifications. Hence
generic version of drugs should be only for anti cancer, anti AIDS,
immunosupressent and immunomodulents. Remaining 80% of drugs are generic by law
already and which are further classified into branded and non branded drugs.
Q. how much stupid rule is patent law in India.
On a true new innovation you get a patent
for your product for 20 years. For 20 years they run on track alone to come
first. Now hats off to policy makers of india . what they did is they modified
this patent RULE. Firstly the patent which is used to be of 5 years they now
extended it to 20 years. Secondly you modify a drug a bit (change its physical
property, change its bioavailbility, change of its optical properties etc, changes which might be of least benefit to
patients)you get a patent for 20 years again. Now these changes are
advertised by manufacturers as of great
benefit over previous product. Irony is that there is no official agency or
source to tell doctors about authenticity of such claims.
e.g. there is practically no drug which is
found to enhance memory or to CURE osteoporosis. Now there are crore of
patients suffering from this in india. Now a medical representative come to
doctor with a new product with claims for marginary benefit for either of this condition. Now there is no
source to come to know about the authenticity of such claim. Even if you don’t
prescribe it even then it might be prescribed by some other doctor or in INDIA
even by some quack or medical store pharmacist.
FOR PRACTICAL PURPOSES ONLY ANTICANCER ,
ANTI AIDS AND IMMUNOSUPRESSENTS ARE ONLY TRUE NEW INNOVATIONS (we are unable to
invent new drugs in other conditions or diseases despite our best efforts).
HENCE TRUE PATENTS ON OTHERS ARE
ONLY BY A WAY OF FABRICATION. They are nearly same product in a new packing.
Q. How people are
mislead by quoting the example of glivac?
You might have listened a famous example of
glivac(imatinib). By quoting example of this drug, people of india are mislead.
Imatinib is a patent product of Novartis. It means that drug of this kind was
new and said company filed its patent. Now for twenty years it has sole right
of manufacturing this drug as well as regulate its price. After twenty years
when it got off patent RECENTLY, then it was manufactured by many
pharmaceutical companies, so obviously price came down for sake of competition.
Now if you start saying that why doctors kept on prescribing glivac for 20
years, then who should be blamed? Doctor
is not in process of deciding or regulating that drug would be costly or cheap?
Even doctors were waiting for its generic version to come. SO GLIVAC
IMATINIB(ANTICANCER) IS TRUE OFF PATENT
AND HENCE TRUE GENERIC IN DEED. Apprx. All doctors started prescribing its generic
version as soon as it become off patent.
But now if any unacknowledged company start making it and quality of which is
in question, you cant force doctors to prescribe it just because of its price.
All versions of imatinib which will come in market now will be generic by law.
Now there will be branded imatinib or non branded imatinib. But so called intellectuals quote the example
of true generic drug and relate it to non branded drug.
Drug
pricing is subject of manufacturer and only if imatinib is declared as essential drug only then
its price would be regulated by govt (with most stupid policy ofcourse)
So you can make a policy to prescribe
generic version of imatinib, but can you apply same rule to ceftriaxone (an
antibiotic)because ceftriaxone is off patent many years ago. Prescribing its non
branded version is like prescribing milkcake, the example quoted above. They
say you should keep only criteria of price while prescribing these drugs.
Q. anlalogy of
allopathy.
Allopathy is like a train routed between
diseased Delhi to Healthy Mumbai claimed to running at speed of 600 km/hr ,
actually running at 400 km/hr in a world where other trains have a speed of 10
km/hr, and our jumbo train is running but IN OPPOSITE DIRECTION. So all seek it
fascinated by its speed. Doctors are its drivers who only after sitting in it
come to know about its reality and worst part is that that don’t have any
control over it.
In 1928 Alexende rFlaming discovered
penicillin. The discovery was so great at that time, it was BEING compared with
discovery of SANJEEVANI of that time. Truely it has saved millions of life
since then. If I say that modern acceptability of Allopathy can be contributed
to this drug only.
But now and then doctors are coming to know
about directions we are heading,pharmaceutical companies are coming to know
about this, so a sense of insequrity has started growing. So a trend from noble
profession has started shifting from money making.
That’s why in last 15 odd years there is
hardly a discovery of any revolutionary drug. All pharma companies want to make
money , all doctors want to make money. Now both parties have same motive. So
they are joining hands. Now when our health minister is making announcement
that we will control TB by 2020. How is that possible . first line of drugs are
not working, second line of drug has low cure rate. Research for new drugs is
totally dependent on multinational pharma companies which are more concerned in
money making, research in govt sector is negligible(min govt max governance)
Q. are doctors
innocent and honest?
Black sheep are everywhere, so are in this
profession.
Q. there is how
much percentage of such corrupt doctors?
Exactly same percentage as are the corrupt
politicians in BJP.
Q.. how and how
much doctors are paid.?
If you travel in a bus then it consumes
approximately same amount of fuel whether its full filled or half filled. They
have to pay same wages to driver and co driver for both the conditions.
Pharmaceuticals companies think exactly the same. M.R.’s come to doctor they
put a bait of some drug samples or few items. You might be thinking there is
usually exchange of boxes.
There is
a great psychology behind these gifts;
Firstly, they symbolize you take care of us
we will take care of you.
Secondly, if you are prescribing some other
product without taking any favor , we request you to do same
with our favour.
The packing of gift is exactly same as that
of potato chips. After seeing you are going to get excited first, but after opening
you always get frustrated with the content. This way they cultivate first seed
of greediness.
The items are usually such that either it
is of your daily use or remain in front of your eyes (e.g. pen, paper weight,
flower pot for your table, tea cup, shaving kit, face wash etc)
The items are usually luxury items, which you
might not be using before that.
Now if u start prescribing their brand they track your daily prescription slip. Now
as alleged we are not getting margin money or benefit for every prescription.
Now comes the role of bus analogy. If you are interested they give a specific
target for a month or a week which is
usually quiet large . you can achieve it only by prescribing it to those who
don’t even need that. If you are prescribing it genuinely nobody is going to
gift you or favor you anything.
Q. Is there any pressure over
doctors for prescribing any specific brand.
Can’t say about private practitioners but doctors working in
govt sector certainly have. Feathers of a bird flock together. Some chemists
and representatives have deep connection with corrupt politicians. If you take
a stand on something wrong, they harass you with irrational transfers,
deputations etc.
Q. how doctors prescribe then?
Even in branded drugs there are many
falsies .E.g. in anti cough syrup pharma companies cannt add two anti
histaminics simultaneously or anti histaminic with central cough supressent(banned
combination). But most pharma companies violate this rule. Presently in market
Ascoryl brand of glenmark and 2-3 more cough syrup has ideal constitution. It
doesn’t mean if doctors are prescribing these, they are doing it for money.
There are hundreds of such useless formulations.
Q. lets see reality of non branded and
branded drugs and you decide which drug you want to be prescribed?,
NAME OF
DRUG
|
Branded or
non branded
|
Price to
retailer (end point medical store price)
|
Price paid
by patient (MRP)
|
%Margin
money
|
Clavcare (amoxyclav)
|
Ozone
pharma
|
71.00
|
90.00
|
26%
|
DFO gel (diclofenac)
|
-do-
|
75.00
|
60.00
|
24%
|
Direct tab
|
-do-
|
70.00
|
56.00
|
23%
|
Piriton cs(cough syp)
|
Gskteam
|
58.00
|
47.00
|
23%
|
Zeet expt
|
Alembic
|
54.00
|
43.00
|
26%
|
Ascoril (cough syp)
|
Glenmark
|
68.00
|
53.00
|
28%
|
Ascoril (exp)
|
-do-
|
66.00
|
52.00
|
27%
|
Acera d(rabeprazole and domperidone)
|
Ipca
|
70.00
|
54.00
|
30%
|
Zifi syp(cefixime)
|
Fdc vista
|
60.00
|
45.00
|
33%
|
|
|
|
|
|
Azebact 250
|
Ipca
|
79.00
|
60.00
|
31%
|
Zanthrin 500 (azithromycin)
|
Fdc
|
66.00
|
51.00
|
29%
|
Zerodol sp(aceclofenac serratiopeptidase)
|
Ipca
|
64.00
|
50.00
|
28%
|
Poly b (vit B)
|
Lark
pharma
|
09.64
|
08.10
|
18%
|
Zifi az(cefixime and azithrimycin)
|
Fdc
|
169.00
|
129.00
|
31%
|
Solvin cold (for cold)
|
Ipca
|
41.00
|
31.57
|
32%
|
Zanthrin ru 100
|
Fdc lum
|
24.40
|
19.22
|
26%
|
Zifi cv(cefixime +clauvlenic acid)
|
Fdc vis
|
110.00
|
83.00
|
32%
|
Perinorm syp
|
Ipca la
|
14.85
|
12.27
|
21%
|
Col 3 (vit d3)
|
Lark
|
21.00
|
16.31
|
31%
|
Canditral
|
Glenmark
|
208.00
|
160.15
|
30%
|
Cream candid
|
-do-
|
60.00
|
45.71
|
32%
|
Cap OSIL
|
Ozone
pharma
|
130.00
|
99.05
|
31%
|
BTR D (diclofenac+enzymes)
|
Overseas
pharma
|
160.00
|
122.57
|
31%
|
DVN plus( drotaverine + mefnemic acid)
|
-do-
|
82.00
|
63.00
|
30%
|
Fexid xt (iron)
|
-do-
|
78.00
|
60.00
|
30%
|
Name of
drug
|
Mfg by
|
MRP
|
Price to
retailer
|
Margin
money
|
Saracef (cefixime)200
|
Sara remedy
|
115.00
|
50.00
|
130%
|
Yax cv (amoxyclav)
|
-do-
|
141.00
|
55.00
|
156%
|
Labdic relif
|
Laborate
|
25.00
|
06.00
|
316%
|
More loric
|
Morpen
|
27.60
|
08.60
|
237%
|
Sothrex br(cough syrup)
|
G pil
|
20.06
|
58.00
|
190%
|
MM cal d3
|
MM
healthcare
|
24.00
|
62.00
|
158%
|
Jaspan dsr(rabeprazole and
domperidone
|
-do-
|
19.50
|
72.00
|
260%
|
Mmflox oz tab(ofloxacin + ornidazole
|
-do-
|
25.00
|
70.00
|
180%
|
Penpsara(PPI)
|
Sara
medical
|
55.00
|
09.00
|
511%
|
Calciquine(calcium)
|
--
|
40.00
|
12.50
|
224%
|
Opti l syp
|
Lupan p
|
75.00
|
26.00
|
192%
|
Novaclav6 25
|
Cipla
|
141.50
|
60.00
|
135%
|
Omni gel (diclofenac)
|
-do-
|
67.00
|
22.00
|
204%
|
L hist(levocetrizine+monteleukast
|
Aerogen
|
148.00
|
45.00
|
228%
|
zenegra(sildenafil)
|
Alkem
|
125.00
|
40.00
|
213%
|
The drugs shown in red colour are BRANDED drugs whereas in
blue colour are non branded drugs (so called generic drugs). The list is huge
but I am quoting only those, claims of which are supported by proper bill.
WHICH SET OF DRUGS YOU WANT YOURSELF TO BE PRESCRIBED OR IF
YOU WOULD HAVE BEEN A DOCTOR WHICH SET OF DRUGS YOU WANT TO PRESCRIBE? You
might have been seen chemist not giving you what is written rather than doing
replacement. When doctor insist him to dispense what is written, he misguide
you with loose statements like Amir khan. In actual, chemist have tandency to
give replacements which have maximum profit.
Now below are the items which are hardly prescribed by their
trade name and brands of which are dispensed only on choice of chemist. Will
you target again doctors for loot shown below?
Name of
item
|
Mfg. by
|
MRP
|
Price to
retailer
|
Margin
money
|
Pregnancy
strip
|
--
|
48.00
|
7.80
|
500 %
|
Folio
catheter
|
Noulakha
|
87.00
|
40.50
|
117%
|
Urobag
|
Romson
|
70.00
|
35.00
|
100%
|
Syringe
|
Nirlife
|
9.00
|
1.85rs
|
350%
|
THERE ARE THOUSANDS OF DRUG MAKER AND DRUG PRODUCTS (not
salts). BUT I HAVE QUOTED ONLY THOSE, OF WHICH I COULD FIND A PROOF (i.e.
proper bill) WITH MY LIMITED SOURCES.
Q. is there any policy for
regulating price of drugs in India?
Obviously it is there but I don’t know why they regulate
only a few drugs. Hon’ble Shri Shanta Kumar ji was saying in a news paper that
he was also a part of that committee only then he come to know about loot in
form of non generic drugs. For which he projected doctors as the culprits.
Hon’ble Shri Shanta Kumar ji, now I want to bring you in
light about this policy. These policy makers have certainly misinformed you as
they mostly do.
They put one hand in fire and other in freezer and say they
are feeling comfortable, this is how statisticians work. With due respect Sir I
want to inform you that our drug price policy is even worse than that. Lets say
a drug is manufactured by 7 different drug makers and they price it as;
Drug
manufacturer
|
MRP
decided by manufacturer
|
A
|
76.00
|
B
|
70.00
|
C
|
68.00
|
D
|
60.00
|
E
|
50.00
|
F
|
40.00
|
G
|
30.00
|
Our drug policy takes three
topmost rates and will make an average.
In this case, price that would be
decided by committee will be (76+70+68)/3= 71.33 Rs. Such crap is the drug
policy of india.
Hon’ble Shri Shanta Kumar ji , even if you think that this
policy is good then the same policy must be adopted by calculating MSP for
various crops to the farmers. Price of Top three branded wheat flour should be
taken and average of this is to be declared as MSP of that crop.
Q. how much big is the
pharmaceutical industry in india?
It is apprx. 100,000 crore per year in India (It is official
figure). This means that drugs of said amount are manufactured and sold in
india. I am not adding amount of those drugs which are produced and sold non
officially either to save tax or a substandard drug.
Q.how much
is the margin money?
As I have already explained drug pricing policy, to take
very conservative figure it is apprx. 50% ( considering margin varying from 10%
in branded drugs to 500% in generic items, so I think it is justified)
So IF GOVT OF INDIA WOULD HAVE BEEN MAKING ALL THESE DRUGS
THEN IT WOULD HAVE EARNED A PROFIT OF 50000 CRORE/YEAR IN INDIA THIS IS APPRX.
SAME AMOUNT WHICH IS NEEDED TO RUN BULLET TRAIN BETWEEN AHAMDABAD AND MUMBAI.
Q. what govt of india has done?
When india got freedom, it got multiple golden egg laying
hen like agriculture, Transport, railways, pharmaceuticals, banking ,telecom
etc. Indian govt didn’t kill them instead they done a step ahead. First they
cut each egg. Nearly Half of it they kept it for themselves and remaining for
distributed for free. Then they employed a mismatched guy as its caretaker. The
guy and govt starved the hen collectively. When hen got sick, it stop laying
golden eggs. Then a apparently educated policymaker who has never seen a hen in
his whole life came, declared the hen
redundant and useless. He suggested to sell it. So govt sold it and new owner
treated and nourished the hen so that it started again yielding egg that too
double. Now govt is purchasing egg from new owner at double rate of market
price.
Indian drug pharmaceuticals limited(IDPL), a govt body which
used to manufacture quality drugs at reasonable price is mismanaged to an
extent that in present scenario you hardly see a drug parenting its origin from
the institute. Insult to injury has been done on name of globalisation which
has paralysed the domestic manufacturing.
Q. who the hell is responsible for
situation?
Even you might have studied law , humanities whole of your
life, in our country these things don’t bar you from the the post at health
ministry. You might not be knowing even H of Health you can be policy maker of
health. And you might have in profession of drama making whole of your life you
can give your free useless commentary on the issues of health. And last but not
the least our sheep doctors.
Q. please share such useless
incident/law
Govt says if you have to purchase tea first you call
quotations from interested parties. They can quote any amount e.g from rs.
1/cup to rs. 20/cup. Now pick out the lowest rates and purchase from lowest
bidder for one year. Now lowest bidder is for money making in market. So what
taste you expect from him? Same stupid policy is for purchasing drugs in govt
sector. The result of same you recently saw in chattisgarh. Drugs for family
planning purchased via quotations. For sake of cheapest drug we lost priceless
lives. Hats off to govt of chattisgarh who took no time to arrest doctor for
sin committed by drug manufacturers.
Let me give you an example of such purchase . attached
herewith is letter by a govt official for calling back all the distributed
stock after the sample of dextrose was found substandard .dextrose is a
combination of water and sugar like substance (enantiomer to be precise). Now even
such a simple product was found to substandard, but can you expect for
manufacturing of complex drugs.
Q. if you don’t have the solution,
are you the problem?
As for as drug quality is concerned there should be a
hallmark for sake of it. Otherwise what could be worse than the situation that
we can purchase TV, RADIO, REFRIGERATOR
AND GOLD with standardised ISI OR BIS hallmark but as for as drugs are
concerned they is no guarantee for safety.
IDPL should be reformed so that it can provide quality drugs
at genuine rate.
Products of Maximum profit and zero technology such as
surgical gloves, needles, diagnostic kits and other surgical items can be made
by govt itself.
Drug pricing can be done by simple formula- 4>< (total
cost of production and distribution). Hence 2 parts can be used on drug
research and 1 part on other development plans of country. Even with this
formula drug prices would come down to great extent than that of present.
Indian patent act and drug pricing rule should be reframed.
Let the drivers drive the car. Similarly let the doctors
deal with health. If you engage any person from any educational background to
deal with issues of health, he will get
misinformed himself and misinform others also. E.g. You can fool
agriculture minister but not the farmer as former is amateur while later is
not.
Govt has made administrators,MLAs, pradhans,PRIs as head/members of governing bodies of govt
hospitals. When they raise an issue, believe me they sense same in meetings as
Jeetan Ram Manjhi and Rakhi Sawant in public.
And lastly Shanta kumar ji , not even a single penny is
taken by me in order to prescribe any drug or brand preferentially .
below are the copies of bills in support of claims made;
