Friday, October 8, 2021

BETWEEN A ROCK AND A HARD PLACE

"Lack of Professionals, Social Stigma: India Has Miles to Go in Establishing Mental Health Infrastructure" https://www9%2Fwww.news18.com%2Fnews%2Flifestyle%2Flack-of-professionals-social-stigma-india-has-miles-to-go-in-establishing-mental-health-infrastructure-4283723.html

The average Indian still thinks of MOdern Evidence based medicine as "Allopathy"- a harsh, mysterious, drastic, dangerous form of treatment with massive side effects and given by callous commercial doctors. They still prefer quacks, charlatans and traditional approaches which have no concept of mental health, let alone an approach to its treatment. This enhances stigma. A complete cure 'from the root' of it, without absolutely any side effects and in total harmony with your religious/ magical/ superstitious beliefs is the promise they fall for. This is the present nature of stigma. It is not about deriding the condition of mental illness, it is come to derision and suspicion of any sane conversation that is scientifically informed. 
A person who seeks help has to therefore do it in secret- for an army of 'well wishers' is waiting among relatives, friends and so-called loved ones to dissuade. From taking poison. From getting 'F*****d' up by the Psychiatrist. From drugging your child. telling you instead to use hemp oil.
Welcome to the new age stigma of 'Mental health is important' but 'beware of proper treatment'.
The other alternative; 'THerapy' is very expensive and not freely available due to shortage of trained therapists.
SO an average Indian person is now caught between a rock and a very hard place.

Wednesday, October 6, 2021

Of one- sided ethics

 https://timesofindia.indiatimes.com/city/mumbai/mumbai-pharma-co-allowed-cost-of-france-workshop-for-docs-as-tax-deduction/articleshow/86739550.cms

"Mumbai Pharma Co allowed cost of France workshop for docs as tax deduction"

further ITAT tribunal has commented that the ethical guideline issued by Medical Council of India forbidding financial arrangements with pharma companies applies SOLELY to doctors and not to Pharma companies.

Now the ball is in the regulatory body's court- should they pull up the doctor's for accepting this junket? Or stay silent so the epidemic swells....Also is there no such thing as 'abetment of malpractice' ? and no reasonable mandate for its prevention.

As one wise person said "In today's healthcare índustry' pharma, corporates and tech are the big fish. Doctors and patients are bit players. So it will be that doctors and patients interests will be compromised to uphold the so-called larger interest of industry and progress" Hence what is completely unethical for doctors and detrimental to patients is absolutely allowed and encouraged for Pharma companies- as in above example.



suicide reporting

"Mumbai woman feeds sleeping pills to kids, kills herself | Mumbai news - Hindustan Times" https://www.hindustantimes.com/cities/mumbai-news/mumbai-woman-feeds-sleeping-pills-to-kids-kills-self-101631024874519-amp.html


After reading the above two articles, I am wondering if journalists or newspaper editors are aware of reporting guidelines? Or they purposely choose to ignore them?

Ideally and according to guidelines, suicides should be reported in a matter-of-fact tone without mentioning details of the process. Sensationalizing, interpreting the cause and detailed explanation of process give ideas to vulnerable persons and result in more successful attempts.

I would say journalists need education; or failing that regulation and punishment for such transgressions.