Subsidised medical diagnostic centres

By Alfa Ahmed, Dhaka
16 July 2004, 18:00 PM
Quite a number of modern medical diagnostic centers have come up in the country in the private sector, and these are doing roaring business. Two of the reasons are: a class of patients can afford the high charges (those who marginally cannot afford to go abroad for treatment for the 'modern' diseases); and, (many suspect) too many extra and superfluous tests are included by the doctors who get commission for sending cases. I am myself a victim of non-essential tests costing about Tk 10,000, most of which were negative (patient OK). Luckily the cost of medicines manufactured in Bangladesh is low comparatively.

While it is agreed that the setting up of testing labs incurs heavy capital cost in installing expensive modern equipment (which has to be recovered), the point is that the vast majority of the homes including the middle class and the fixed income groups cannot afford such tests too many times in a year in a large family.

Therefore the government has to make provision for subsidised medical centres to spread in 64 districts. Some exist, but the demand is much greater. Initially donor funding may be required (capital costs), but the operation and maintenance costs should be within control. Medical centres in the private sector are sprouting rapidly (like coaching and educational centers), but the regulatory and QC factors come in, as usual. Unless the government tightens up the regulatory role, people will suffer from sub-standard practices in all sectors, as it is happening now.

Wanted: medical treatment at popular prices; as there is too much gap between the rich and the common people. But in the public sector, the management and operation are unsatisfactory due to low efficiency and absence of dedication (add corrupt practices). The basics have to be set right become a regime can gain popularity. There is too much publicity on the visible decorative and cosmetic effects (stock phrases like "roads, bridges and culverts"!).