1. AP Medical Practitioners
Registration (Amendment) Bill 2013
Points to ponder

3. When an act is amended….
 Any legislation needs to substantiate the
necessity for an amendment of an existing act
by evidence, wide consultations and state it in
the “Statement of Objects & Reasons”
 You can see how arbitrary the statement says
about the need for the amendment – which
speaks tons about the competencies of those
at helm of affairs – when dealing with such an
important aspect related to people's health.

4. What a statement of
Objects and
Reasons!
Most well drafted
ever...!
Do you agree?

5. Statement of Objects and Reasons
for the amendment
 Current Medical
Education is
significantly URBAN
ORIENTED
 It is based towards a
heavily diagnostic
approach compared
to a clinical
approach
1. Who made medical
education urban oriented?
2. Where are the Rural
Medical Colleges?
3. Why so much apathy
towards recruitment of
remotely placed medical
colleges like Anantapur,
Nizamabad?
4. What about the dwindling
standards of medical
education and ever
increasing vacancies, even
in reputed Govt. Medical
Colleges like Osmania,
Gandhi etc.?
What the bill says? Points to ponder !

6. Problems of people in
rural areas
 People in the rural
area facing many a
problem due to
 Lack of awareness
about diseases and
their prevention
 Lesser access to
medical facilities
 Lack of adequate
number of doctors
1. What happened to the three tier
health care delivery system, which
is based on Primary Health Care
approach, which is supposed to
bring in this awareness, among
other things?
2. What is the Govt commitment in
terms of budgetary allocations,
initative in filling up the vacant
positions in the Govt Medical
Colleges & Hospitals, or upgrading
the facilities for PHCs like physical
infrastructure, uninterrupted supply
of drugs, etc?
3. What about other basic facilities
like roads, schools etc? Doctors are
not trained to lay roads.
What the bill says?
Points to ponder !

7. Social
Responsibility
 It is a social
responsibility on the
part of the medical
profession to
provide the
required medical
facilities to the
people in rural areas
1. Is social responsibility only concern
for doctors and not other
professionals?
2. Are no budgetary allocations done for
other professional fields?
3. How can doctors provide medical
facilities? Providing the medical
facilities is the prerogative of the Govt.
The doctors can only provide medical
services in a setting of systematic
support.
4. Is the selection of medical graduates /
post-graduates based on the
assessment of their motto for service
or socially responsible attitude?
Or is it based on highly competitive
exams where getting maximum marks
counts as merit, if not having
maximum bank balance?
What the bill says?
Points to ponder !

8. Better education
 The clinical
experience &
exposure to a
number of patients
increase the
efficiency of the
doctors
1. Since when regulating medical
education – has become a state
subject, going beyond the purview
of Central Govt. Act of Medical
Council of India Regulations?
2. Better clinical experience and
exposure to greater number of
patients needs to be provided
during the duration of the course
(5 and 1/2 years of MBBS or 3 yrs
of MD / MS or 2 yrs of PG
diploma).
If this is not achieved there is need
for introspection of what is going
wrong and correct the mistakes,
not just increase another year of
scientifically unjustified service
provision?
What the bill says?
Points to ponder !

9. Because others did
it..
 It is considered quite
imperative to
introduce
Compulsory Rural
Service to UG / PG
Medical & Dental
Students, as is
being implemented
in certain states like
Kerala, TN, Gujarat
& Chattisgarh
1. How can it be considered imperative to
implement the same bonded service, if it
is already being implemented in some
other states in India?
2. Is there any evidence that Compulsory
Rural Service is effective in making
health services more accessible to the
rural people?
3. 3. Have the models implemented in the
above states have been scientifically
studied by the authorities before framing
the amendment? Why the said states
proposed Bonded Service? What was
their existing Public Health
infrastructure? What problems arose
after they started implementing the
schemes? How they modified the
policies? Are they really Compulsory
Bonded Service today?
What the bill says?
Points to ponder !

10. Because it is authorized
by Central Government
 As per Govt of India
and Medical Council
of India Regulations
 Accordingly orders
were issued in
GO.Ms.No 165,
Health, Medical &
Family Welfare (E1)
Dept. Dated 20-7-
2010
1. You can fool the members in both the
Houses by passing false statements that
this Compulsory Rural service is as per
GoI and MCI Regulations. But not us,
the doctors.
Where are the recommendations? In
fact the MLAs of Telugu Desham Party
staged a walkout when this amendment
was passed.
2. If whims and fancies of few is
equivalent of GoI and MCI regulations,
then it may be stated that there is no
scope for Medical Fraternity in
scientifically and professionally
regulating their education and work.
Everyone have an opinion and say in
this issue of bonded service, except we
the doctors. Do we, doctors, have a
voice?
What the bill says?
Points to ponder !

11. What do you have to say?
How do we get to be heard?
Think…
You!We need ..