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Fundamentally this seems to be the major problem with the draft National Medical Commission Bill that the Niti Aayog has prepared, which, if approved, will set up a new body that will replace the Medical Council of India (MCI). It is true that the MCI is “ (1) and opaque”. It has failed to provide a leadership role in educating a cadre of medical professionals that is trained and willing to deal with the medical problems of the people of India, and, sadly, it has become associated with large-scale corruption in (2) approvals for establishing medical colleges.
While creating a new structure to replace the MCI, it would be visionary to utilise the opportunity to create a new framework to train a cadre of medical professionals (3) to deal with the needs of the people.
Another major recommendation of the committee is to permit “for profit” entities to establish medical colleges. The (4) given is that (a) micromanagement as practised today in the approval of new medical colleges by the MCI encourages rent-seeking behaviour, (b) a cap on fees in private colleges discourages their entry and thereby (5) the objective of a rapid expansion of medical education, and (c) enforcing regulation on fees is difficult.
Apart from the extremely disturbing indirect admission that the government is unable to enforce the rule of law, and that (6) financial dealings are commonplace in higher education with the government being a helpless spectator, this recommendation to permit “for profit” colleges will (7) damage the stated objective of providing a cadre of medical professionals able and willing to work in small towns and villages.
Realising this objective is best served by making it clear that the career path for most doctors will have to be as primary care physicians, not just in cities but also in small towns and villages. Efforts must be made to make the career of a primary care physician (8). In most urban areas of India, we have too many specialists who are dependent for their income on a small pool of paying patients. It has led to many (9) practices, the most common being of doctors collecting a kickback for referring a patient, and for investigations. Private colleges which charge huge amounts for medical education exacerbate this unhappy situation by producing a group of doctors who begin their careers under pressure to earn very high incomes so that they can recover the cost of expensive medical education. The overall (10) effect on society is incalculable. The present system also formalises a system of medical education in which there are two distinct layers of students, divided by privilege. This is undesirable in any field, but more so in medicine, where empathy, altruism and high ideals are greatly prized by the general public and should be encouraged.
- 1) involved
2) quantified
3) ossified
4) stoic
5) erraticAnswer – 3)
Explanation : ossified - 1) granting
2) confronting
3) denying
4) alluring
5) criticisingAnswer – 1)
Explanation : granting - 1) provoked
2) equipped
3) eligible
4) privilege
5) prestigiousAnswer – 2)
Explanation : equipped - 1) rigid
2) tacit
3) abstract
4) rationale
5) abysmalAnswer – 4)
Explanation : rationale - 1) signifies
2) arrives
3) carries
4) determines
5) underminesAnswer – 5)
Explanation : undermines - 1) consubstantial
2) consonant
3) underground
4) aboveground
5) groundAnswer – 3)
Explanation : underground - 1) casualty
2) occasionally
3) generally
4) severely
5) similarlyAnswer – 4)
Explanation : severely - 1) attractive
2) repellent
3) opaque
4) vogas
5) repulsiveAnswer – 1)
Explanation : attractive - 1) up to right
2) privilege
3) moral
4) unethical
5) honestAnswer – 4)
Explanation : unethical - 1) deleterious
2) aiding
3) assisting
4) helpful
5) criterionAnswer – 1)
Explanation : deleterious
