Mumbai: Indian Medical Association today
opposed the Clinical Establishment Bill claiming it would
unleash a licence raj and affect family physicians the most.
IMA demanded freeze on its implementation and initiate a
nationwide debate. It also demanded exemption of healthcare
institutions run by individual doctors from this Act.
The Clinical Establishment Bill was passed by the Lok
The proposed Act would unleash a license raj and
eliminate family physicians who provide low-cost healthcare,
the IMA Mumbai chapter president Shivkumar Utture said.
IMA secretary Rajendra Trivedi said that anyway many
young medical graduates tend to shun family practice and
prefer to be employed in speciality hospitals. "Regulations
and license raj will further this tendency," he added.
The Act calls for setting up of a National Council which
will classify, determine and develop standards of clinical
establishments and also develop standards. Besides, with
registration of clinical establishments to be made mandatory,
the Council will also compile and publish a national register.
The proposed law makes it obligatory for clinical
establishments to provide treatment and stabilise anyone who
comes in an "emergency medical condition".
The Act would apply to all clinical establishments
belonging to any recognised systems of medicine as well as
single doctor establishments with or without beds.
IMA has also opposed the proposed bills on Bachelor of
Rural Healthcare and a three year course for Rural youth.
Utture said through the new rules, the government has
sought to extend healthcare to the rural poor by `unqualified
"In a democracy, every citizen , rural or urban has the
right to be treated by a qualified doctor and not half-baked
doctors who will be doing rural medicine in three years."
IMA also opposed the dissolution of Medical Council of
India, and said independence of this prestigious body is
essential and it should not be allowed to be dominated by