law and medical practice does it prevent us from serving

narendra malhotraM.D., F.I.C.O.G., F.I.C.M.C.H.,F.R.C.O.G.(hon causa)F.I.C.S.

• Prof.Dubrovnik International univ• FOGSI rep to FIGO• Member FIGO good practise guidelines committee• President FOGSI (2008)• Dean of I.C.M.U. (2008)• Director Ian Donald School of Ultrasound• National Tech. Advisor for FOGSI-G.O.I.—Mc Arthur Foundation EOC Course• Practicing Obstetrician Gynecologist at Agra. Special Interest in High Risk Obs., Ultrasound, Laparoscopy

and Infertility, ART & Genetics• Member and Fellow of many Indian and international organisations• FOGSI Imaging Science Chairman (1996-2000)• Awarded best paper and best poster at FOGSI : 5 times, Ethicon fellowship, AOFOG young gyn. award,

Corion award, Man of the year award, Best Citizens of India award• Over 30 published and 100 presented papers• Over 50 guest lectures given in India & Abroad.Presented 10 orations.• Organised many workshops, training programmes, travel seminars and conferences• Editor 8 books, many chapters, on editorial board of many journals• Editor of series of STEP by STEP books• Revising editor for Jeatcoate’s Textbook of Gynaecology (2007)(2014)• Very active Sports man, Rotarian and Social worker

MNMH,AGRA GLOBAL RAINBOW HEALTH CARE,AGRARAINBOW [email protected]

http://www.rainbowhospitals.org/

Does law actually prevent us to serve ?

Narendra MalhotraR N Goel

Jaideep [email protected]

yes

no

We need to understand what is LAW ?

Why are LAWS made and for whom ?

PMT COMPTETIONlaw of reservations !

Do we need this and is this preventing good students to NOT opt for MEDICINE as a career !

PG ENTERANCE COMPETITION

START MATERNITY AND NURSING HOMES

To START SERVE WOMEN

That is the AIM of most of the DOCTORS or MEDICAL students

ON SERVICES TO WOMEN

ON HUMANITARIAN GROUND GOVERNMENT AND PUBLIC

ALLEXPECTS CHARITY FROM DOCTORSWE ALL WANT TO SERVE WOMEN

HEALTHSAFE PREGNANCY

SAFE DELIVERYFAMILY PLANNING

CANCER SCREENING

SO WE ALL WANT RELAXED LAWS?DOCTORS WANT LAWS TO BE RELAXED SPECIALLY FOR THEM ?

WHY ?BECOS WE WANT TO SERVE ?

SO LETS FIRST PONDER WHY LAWS ARE BEING MADE ?

LAWS ARE MADE BECAUSE WE /SOME OF US PRACTISE BEYOND THE LINES OF ETHICS

SO WE DO NEED SOME LAWS TO REGULATE PRACTISE

SO THAT THERE IS NO MALPRACTISE AND ABUSE

LAW NO 1.Maternity & Nursing Home are

commercial activity as per Government.

For start of many commercial activity many facility like relaxation of taxes etc for first few years. (specially for export/import etc)

But for starting of Maternity & Nursing home no relaxation of any type.

This hampers our desire to serve women…….and we would definitely like this type of LAW to be simplified….

YES THIS LAW DOES ACTUALLY PREVENT US TO SERVE WOMEN !

MANY OTHER COMMERCIAL TAXES

• Commercial water and electricity taxes• Nagar nigam taxes:capital cost/house tax• Clinical establishment act• Nursing homes and hospitals not allowed in the residential areas• Annual registration with the CMO• Pollution and generators• Sales tax if the sale of medicines is over 3 lacs• Labour deptt• Fire deptt• Biomedical waste

MANY SUCH LAWS WHICH ARE GOOD LAWS BUT THE IMPLIMENTATION AND THE ADMINISTRRATIVE HURDLE IS SO MUCH AND THE “BABU” CORRUPTION IS SO MUCH THAT THIS PREVENTS US DOCTORS TO DO ALL THE SERVICE WHICH WE WANT TO DO.

LAW 2. MCI Registration

Registration under MCI ActGraduation RegistrationP G Registration

REGISTRATION SHOULD BE SIMPLIFIED ALL OF US HAVE TO GO PHYSICALLY TO GET THESE REGISTRATION AND WE HAVE

TO GO PHYSICALLY EVEN TO GET A ‘GOOD STANDING’ CERTIFICATE OR FOR JUST CHANGING OUR CITY AND GETTING REGISTRATION IN AND OF ALL THE STATES…this is very cumbursome,time consuming and actually just not required

SOLUTION: ONE SINGLE REGISTRATION IN M.C.I. REGISTER SHOULD LET YOU PRACTISE AND SERVE WOMEN ANYWHERE IN INDIA

MCI Registration I.M.RProcedure for Getting IMR CertificateThe following are requirements for obtaining IMR Certificate

1. A hand written/typed application addressed to the Secretary, Medical Council of India, New Delhi, requesting for getting IMR Certificate.2. An attested Xerox copy of registration with Medical Council of India or with any State Medical Council3. A demand draft of Rs.100/- in favour of Secretary, Medical Council of India payable at New Delhi at any Bank.

LAW NO 3.Sale Tax/Vat Registration for Medicine shop

ITS NOW MANDATORY TO HAVE MEDICINE OUTLETS IN YOUR NURSING HOME

• If your annual sale of medicine is above 5 lacIf owner of medical shop is other than doctor and/or dispensing medicine on prescription of other doctor than they have to take DRUG LICENSE. Both process are with sales tax offices and a lot of corrupt lower staff is a big problem every year.

LAW NO.4Registration under BMW

GOOD LAWSBUT CORRUPTION AND NON UNIFORM IMPLIMENTATION

• Registration under BMW act by Pollution Control Board

• Registration with CBWTF (Common Bio Waste Treatment Facility)

SCHEDULE III(see Rule 6)

LABEL FOR BIO-MEDICAL WASTE CONTAINERS/BAGS

BIOHAZARD CYTOTOXIC

Important PrecautionsNever transfer sharps directly from person to person

Never recap the needles

Never overload bins used for storing Bio Medical WasteDo not inhale chemicals directly. Use always mask.

Keep away sharps medicines from children

Never transfer sharp directly Always incinerate human anatomical waste.

General waste to be put in black container.

Display the Bio-Hazardous Symbol and the types of waste to be put in each container as per Schedule-II

LAW NO 5.Registration for Water & Air

Pollution

Disposal of Radioactive substances

LAW NO.6.Noise Pollution

Canopy for Generator

LAW N0.7LABOUR ACT

• Minimum Wedges act is applicable for staff of hospital

LAW NO.8ESI ACT

• Nursing Home employee are entitled under ESI act.

LAW NO 9.Provident Fund Act

• If employee are more than 7 than they are covered as per Provident Fund

LAW no 10.Fire Department

Clinic and single story nursing homes requirement are:1. Emergency Exit2. Fire Extuingsher

Multy story Hospital with/without basement has to have 1. Emergency Exit2. NOC as per act

LAW no 11Nagar Nigam Ceiling

Nursing Homes are not allowed in Residential areas.

on the other hand nursing homes services are needed in the vicinity of residential areas only

If a lady have labor pain than she will go to maternity home near to her residence. If she has to go to maternity home in commercial area than who will be responsible for delivery on the way.

LAW no 12Commercial PROPERTY TAX

Doctors chambers, Day care center and small nursing homes has to pay Commercial Property Tax nearly equal to Hotels.

Why the Government and public expect charity from doctors………

Prevents us to serve women >>>>YES

LAW no 13 Commercial Water

Water supplied to health care centers are charge on commercial rates

ALL ADDING TO THE INCREASE IN COSTS OF SERVICE PROVIDED TO THE PATIENTS, MAKING TREATMENT MORE AND MORE EXPENSIVE

LAW NO 14 Commercial Electricity

As per Power Department there are follwing category:

LMV I ResidentialLMV II CommercialLMV IVb Nursing homes are kept in this category whose rates are more than LMV II

LAW NO .15Consumer Protection Act

Due to high tech investment cost of treatment has increased very high. Due to un affordability they can not go to higher center, but expect same result of higher center at low cost treatment facility.Cases are increasing day by day and very high compensation judgments are coming.

DEFINITION OF NEGLIGENCE AND MISTAKES AND KNOWN TREATMENT COMPLICATIONS ARE MIXED UP AND LAWYERS ARE HAVING A GREAT DAY

LAW NO .16LOCAL REGISTRATION

Local Registration1. CMO registration in UP/Registration

under Nursing Home Act2. Nursing Home Registration as per CEA

HI-TECH Investment

in this era new technology are coming everyday, so doctors has to invest a lot. Treatment than become costly, which is not acceptable, so there is dissatisfaction increasing.

NO EASY LOANS FOR MEDICAL EQUIPMENTSINTREST RATES ON EQUIPMENT LOANS

NEARING 13-14 %....MAKES IT VERY COSTLY

LET’S NOW COME TO SPECIFIC LAWS FOR WOMEN CARE

SPECIFIC TO THE TREATMENT AND SERVICE WHICH WE PROVIDE

INDIA HAS THE MOST LIBERAL MTP LAW BUT A VERY DIFFICULT LAW TO

REGISTER CENTRES AND DOCTORS

CENTRES SHOULD BE IN PLACES WHERE THERE IS REAL NEED (VILLAGES & REMOTE AREAS)

BECAUSE OF THE STRICT LAW NO RECOGNISED CENTRES AT VILLAGE LEVEL

HENCE ILLEGAL ABORTIONS STILL RAMPANT ??SOLUTION: LIBERALISE REGISTRATION AND LET PROFFESSIONAL

BODIES DECIDE…FOGSI

JUST LIKE RCOG AND RCPI SHOULD RUN AND CONTROL HOW PRACTISE SHOULD BE DONE

Indication for MTP

(a) Danger to life of the pregnant woman.(b) Grave injury to the physical & mental health of

the pregnant woman.(c) Pregnancy caused by rape.(d) Substantial risk that if the child was born, it would suffer from such physical or mental abnormalities as to be seriously handicapped.(e) Failure of any contraceptive device or method.

Registration under MTP Act

Registration of Place

Registration of Doctors

Registration of Place

(a) A hospital established or maintained by Government,

or(b) A private set up

Private set up

A place for the time being approved for the purpose of this Act by Government or a District Level Committee constituted by that Government with the Chief Medical Officer or District Health Officer as the Chairperson of the said Committee:

Provided that the District Level Committee shall consist of not less than three and not more than five members including the Chairperson, as the Government may specify from time to time.

Composition and tenure of District level Committee

(1) Chief Medical Officer…Chairman(2) Gynaecologist/ Surgeon/ Anaesthetist (3) Member of local medical profession, (4) Non-governmental organization, (5) and Panchayati Raj Institution of the District.

Provided that one of the members of the Committee shall be a woman.

Tenure of the Committee shall be for two calendar years and the tenure of the non-government members shall not be more than two terms.

Requirement for Registration of Doctors

(c) MTP Training: if he has assisted a registered medical practitioner in the performance of twenty-five cases of medical termination of pregnancy of which at least five have been performed independently, in a hospital established or maintained or a training institute approved for this purpose by the government.

(i) This training would enable the Registered Medical Practitioner (RMP) to do only 1st Trimester terminations (up to 12 weeks of gestation).

(ii) For terminations up to twenty weeks the experience or training as prescribed under sub rules (a), (b) and (d) shall apply . (d) In case of a medical practitioner who has been registered in a State Medical Register and who holds a post-graduate degree or diploma in gynaecology and obstetrics, the experience or training gained during the course of such degree or diploma.

Consent Form for MTP by MMA

Consent Form for MTP by MMAI have been explained about the process of medical method of abortion, which is a method to

terminate a pregnancy using a combination of two medicines. I understand that I will be required to take the prescribed doses of mifepristone on Day 1, followed by misoprostol on Day 3. I also understand that I will be required to come to the clinic for a follow-up visit on Day 15 to confirm the completion of procedure.

I understand that many women experience some side effects with medical method of abortion such as nausea, vomiting, diarrhea, abdominal pain, cramping and bleeding. The bleeding may be heavier than I usually experience during my menstruation.

My doctor/counselor has also explained that there are chances that the method may fail to terminate the pregnancy. In such a situation, it will be necessary for me to undergo a surgical abortion to complete the process. If I experience any symptoms identified by my doctor as danger signs, or if I have any concerns about the procedure during the course of the 15 days, I may call my doctor.

I _____________ daughter/wife of _____________ aged about __________ years, residing at _______________________________________________________________________

do hereby give my consent to the termination of my pregnancy at_______________________________________________________________________________________________________

Place : Date :

Signature

I________________ son/daughter/wife of ________________ aged about __________ years, residing at__________________________________________________________________________ do hereby give my consent to the termination of the pregnancy of my ward_____ __________ who is a minor/lunatic at ______________________________

Place : Date : Signature

GOVT WANTS TO OVER LIBERALISE MTP

• NON MBBS DOCTORS• ALTERNATE MEDICINE SPECIALISTS• NURSES• MIDWIVES

FIRSTLY SHOULD WE ALLOWS THIS AND IF WE ALLOW

BEFORE WE ALLOW ALL THIS TO HAPPEN THE TRAINING AND ACCREDITATION AND PROPER MONITORING SYSTEM SHOULD BE IN PLACE WHICH IS NOT CORRUPT.WE CANNOT LET THE LIVES OF WOMEN BE IN THE HANDS OF UNTRAINED PERSONNELS WHO WILL CAUSE MORE DAMAGE .PUT THE RIGHT PEOPLE IN THE RIGHT PLACEPUT DOCTORS (SENIOR) IN VILLAGES FOR A YEAR BEFORE THEIR PROMOTIONS…………THINGS WILL CHANGE AND LESSER WOMEN WILL DIEPUTTING FRESH INTERNS WITHOUT SENIOR SUPERVISION IS A DISASTOR

Tubal Ligation

Tubal Ligation

Empanelment of doctor/health center is now compulsory.The FP indeminity scheme is applicable only if doctor/health center is empanelled (Registration with appropriate authority).

Eligibility criteria for performing sterilizations

Qualification requirements for service providers

Female sterilization by minilap tubectomy should be performed by

a trained MBBS/post graduate doctor.


Laparoscopic sterilization for females should be performed by a gynaecologist with DGO/MD/MS qualification a surgeon with an MS degree;

(these doctors should be trained in laparoscopic sterilization.)


The male sterilization procedures, both conventional vasectomy and no-scalpel vasectomy (NSV), should be performed by a trained MBBS doctor/a post graduate doctor.


Empanelment of doctors for performing sterilizationApproved panel of doctors: Each state will prepare a district-wise list of doctors(from both government and accredited private centres/NGOs) who are qualified toperform sterilization operations as per the prescribed eligibility criteria.


Only those doctors whose names appear on the panel will be entitled to carry outsterilization procedures in the government and/or government-accredited institutionsand will be covered under indemnity insurance. The panel will be updated quarterly.

The Application for the Approval of Private Medical Practitioner / Clinic/Nursing Home / Maternity Homes for Carrying out Tubal ligation

1. Name of Applicant Doctor :2. Qualification :3. Registration No. :4. Experience in the performance of Tubectomy Operation5. Address in full6. Whether has Clinic/Nursing Home/Maternity Hospital7. State, if the following facilities are available with him/her :(i) Beds for Gynaecological Cases No.(ii) Operation Table(iii) Shadow less Lamp(iv) Oxygen Cylinder(v) Apparatus for Resuscitation(vi) Suction Apparatus(vii) Instrument sets for carrying out tubectomies.

[Give Name of Instruments & Quantity](viii) Autoclave with drums :(ix) Sterilizer for Instruments :(x) Necessary equipments & Instruments for instilling anesthesia :(xi) Separate Operation Room :(xii) Availability of Drugs for Pre & Post Operative Medication as well as for Emergencies :Place...........................Date............................. Signature of Applicant

FOR DOING THE SIMPLEST OPERATION WE HAVE TO GO THROUGH THE MOST COMPLEX

REGISTRATION PROCESSFOR DOING LAPAROSCOPIC HYSTRECTOMY YOU ARE QUALIFIED WITH AN M.D.DEGREE AND MCI REGISTRATION BUT FOR T.L. YOU

NEED REGISTRATION SPECIAL

PREVENTS THE FAMILY WELFARE AND PLANNING OF INDIA

PREVENTS US FROM SERVING BETTER

PC PNDT ACTtoday the most talked,discussed and objected to LAW and ACT

almost a draconian LAW

WHY this Act "An Act to provide for the prohibition of sex selection, before or after conception,

and for regulation of pre-natal diagnostic techniques for the purposes of detecting genetic abnormalities or metabolic disorders or chromosomal abnormalities or certain congenital malformations or sex-linked disorders

and for the prevention of their misuse for sex determination leading to female feticide and for matters connected therewith or incidental thereto.”.

THE PRE-NATAL DIAGNOSTIC TECHNIQUES

REGULATION (PNDT) AND PREVENTION OF MISUSE)

RULES, was formed in 1994

In 1996, It was called asPCPNDT

THE PRE-CONCEPTION & PRE-

NATAL DIAGNOSTIC TECHNIQUES (TPROHIBITION

OF SEX SELECTION) RULES, 1996

Pre-natal diagnostic techniques

Pre-natal diagnostic techniques include

(A) Pre-natal diagnostic procedures and

(B) Pre-natal diagnostic tests

(A) Pre-natal diagnostic procedures

(A) Pre-natal diagnostic procedures means All gynecological or obstetrical or medical procedures such as:

* Ultrasonography* Foetoscopy* Taking or removing samples of

-amniotic fluid, -chorionic villi-blood, -any tissue, -fluid

of a man or a woman before or after conception

(B) Pre-natal diagnostic tests (B) Pre-natal diagnostic tests means

* Ultrasonography* Foetoscopy* Test or analysis of

-amniotic fluid, -chorionic villi-blood, -any tissue, -fluid

of any pregnant woman or conceptus conduced to detect:-genetic disorder, -metabolic disorder, -chromosomal abnormalities, -congenital anomalies, -haemoglobinopathies, - sex-linked diseases

( C) Sex selection( C) Sex selection includes:

* Technique* Procedure* Test* Administration* Prescription* Provision

of anything for the purpose of ensuring or increasing the probability that an embryo will be of a perticular sex.

Under this Act there is provision of Registration in 3 category as under:

1. Genetic Counselling Centre GCC2. Genetic Laboratory GL3. Genetic Clinic / Ultrasound

Clinic / Imaging Centre

Genetic Counselling Centre

means• An institute• Hospital• Nursing home• Any place

by whatever name called which provides genetic counseling to patients.

Genetic Laboratory

means• a laboratory; and• includes a place

where facilities are provided for conducting analysis or tests of samples received from

Genetic Clinic for pre-natal diagnostic test.

Genetic Clinic means

• A clinic• Institute• Hospital• Nursing home• Any place

by whatever name called which is used for conducting pre-natal diagnostic procedures.

DUTIES OF REGISTERED CENTRE

1 Should not involve in fetal sex detection

2. Should keep copy of Bare act of PC-PNDT

3. Should display Board in local language also

4. Copy of Form D/E/F / Summary of these Formsmust be submitted by 5th of every month in the office of appropriate authority.

17.Public Information.-

(1 ) Every Genetic Counselling Centre, Genetic Laboratory and Genetic Clinic shall prominently display on its premises a notice in English and in the local language or languages for the information of the public, to effect that disclosure of the sex of the foetus is prohibited under law.


(2) At least one copy each of the bare Act and these rules shall be available on the premises of every Genetic Counselling Centre, Genetic Laboratory and Genetic Clinic, and shall be made available to the clientele on demand for perusal.


• (3) The Appropriate Authority, the Central Government, the State Government, and the Government/Administration of the Union Territory may publish periodically lists of registered Genetic Counselling Centres, Genetic Laboratories and Genetic Clinics and findings from the reports and other information in their possession, for the information of the public and for use by the experts in the field.

18 Code of Conduct

*Wear NAME TAG yourself and every employee working at the US Clinic. Write full name and designation under signatures.

(Rule18-viii & ix)*Should not indulge in SEX DETERMINATION & FEMALE FETICIDE and do not commit any other act of professional misconduct.

(Rule18-x & xi

19 Appeal

Appeal against charge sheet can be filed to DAC / SAC within 30 days and decision has to be taken within 90 days

(Rule19-1-3).

9 Maintenance and preservation of records.-after amendment on 14.2.2003

(1) Every Genetic Counseling Centre, Genetic Laboratory, Genetic Clinic, Ultrasound Clinic and Imaging Centers shall maintain a register showing, in serial order, the names and addresses of the men or women given genetic counseling, subjected to pre-natal diagnostic procedures or pre-natal diagnostic tests, the names of their spouse or father and the date on which they first reported for such counseling, procedure or test.

(2) The record to be maintained by every Genetic Counseling Centre, in respect of each woman counseled shall be as specified in Form D.

3) The record to be maintained by every Genetic Laboratory, in respect of each woman subjected to any pre-natal diagnostic test, shall be as specified in Form E.

9 Maintenance and preservation of records.----------continue

(4) The record to be maintained by every Genetic Clinic, in respect of each man or woman subjected to any pre-natal diagnostic procedure/technique/test, shall be as specified in Form F.

(5) The Appropriate Authority shall maintain a permanent record of applications for grant or renewal of certificate of registration as specified in Form H. Letters of intimation of every change of employee, place, address and equipment installed shall also be preserved as permanent records.


(6) All case related records, forms of consent, laboratory results, microscopic pictures, sonographic plates or slides, recommendations and letters shall be preserved by the Genetic Counselling Centre, Genetic Laboratory or Genetic Clinic for a period of two years from the date of completion of counseling, pre-natal diagnostic procedure or pre-natal diagnostic test, as the case may be. In the event of any legal proceedings, the records shall be preserved till the final disposal of legal proceedings, or till the expiry of the said period of two years, whichever is later.

(7) In case the Genetic Counselling Centre or Genetic Laboratory or Genetic Clinic maintains records on computer or other electronic equipment, a printed copy of the record shall be taken and preserved after authentication by a person responsible for such record.


"(8) Every Genetic Counseling Centre, Genetic Laboratory, Genetic Clinic, Ultrasound Clinic and Imaging Centres shall send a complete report in respect of all pre-conception or pregnancy related procedures/ techniques/tests conducted by them in respect of each month by 5th day of the following month to the concerned Appropriate Authority."

Offences and penalties.- (1) Any medical geneticist, gynaecologist, registered medical practitioner or any person who owns a Genetic Counselling Centre, a Genetic Laboratory or a Genetic Clinic or is employed in such a Centre, Laboratory or Clinic and renders his professional or technical services to or at such a Centre, Laboratory or Clinic, whether on an honorary basis or otherwise, and who contravenes any of the provisions of this Act or rules made there under shall be punishable with imprisonment for a term which may extend to three years and with fine which may extend to ten thousand rupees and on any subsequent conviction, with imprisonment which may extend to five years and with fine which may extend to fifty thousand rupees.

Offences and penalties.-

• 2) The name of the registered medical practitioner shall be reported by the Appropriate Authority to the State Medical Council concerned for taking necessary action including suspension of the registration if the charges are framed by the court and till the case is disposed of and on conviction for removal of his name from the register of the Council for a period of five years for the first offence and permanently for the subsequent offence.

PCPNDT LAW HAS FAILED

• BECAUSE OF MANY MANY REASONS• THE ETHOS WAS TO STOP SEX SELECTION AND

TERMINATION• WHAT HAPPENED WAS SEALING BY “BABUS”

AND ADMINISTRATIVE STAFF ON a –b –c –d OF THE LAW….SO CONVICTIONS ARE OCCURING ON BASIS OF small silly reasons ..like name plates, like not having thee book, like not signing properly etc etc………

SEALING AND CONVICTIONS WILL NEVER STOP THE EVIL OF SEX

DETERMINATION AND SELECTIVE TERMINATION

THIS WILL ONLY STOP THE HONEST GOOD PRACTISIONERS TO GIVE UP THIS

WONDERFUL MACHINE AND HENCE THE SERVICE TO WOMEN WILL BE WORST HIT

WE ALL URGENTLY NEED TO ASK THE GOVT TO REVIEW THIS LAW

GOOD NEWS IS REVIEW COMMITTEE HAS BEEN SET UP 2 WEEKS BACK AND TO GIVE REPORT

IN 6 WEEKS….SO LETS WAIT FOR 4 MORE WEEKSOUR PRESIDENT AND THE PRESIDENTS BEFORE HAVE ALL PUSHED VERY

STRONGLY ON THIS LAWWE NEED TO TARGET THE PARLIAMENT ON THIS

SOME THING GOOD SHOULD COME OUT I AM HOPEFUL

ART and the Law

• India initially was not anywhere on the reproductive tourism list.

• But of late more and more couples are seeking fertility services in various parts of India.

• We have tried to understand its impact on the country, fertility practice, on the patients and general population

ART has raised many questions?• Are we happy with the situation of ART in our country ?

What changes would you like to see in the ART management in our country?

Mushrooming of IVF centres all over the country,least we can do is set some basic guidelines and licensing.

The ART regulation bill has been put on the web site for your comments

AGAIN A LAW WHICH WAS PROPOSED TO REGULATE THE ART PRACTISE IN INDIA IS FORMULATED IN SUCH A WAY AS IF THE ART SPECIALIST IS A CRIMINAL

ALSO EACH AND EVERY GYNAEC DOING SIMPLE IUI HAS COME UNDER THIS LAWMORE EXPENSE ON REGISTRATION

MORE HARRESMENT BY UNTRAINED BABUS AND INSPECTORSMORE USELESS PAPER WORK

AND MORE DOCTORS WILL GO TO JAIL JUST FOR NOT FILLING PROPER FORMS

A RIDICULOUS FORMULATED LAWWE STONGLY OBJECT TO THIS AND I PERSONALLY

REQUEST ALL OF YOU TO SIGN THE PETITION ON THE IMA WEB SITE SAYING YOU DO NOT AGREE WITH THE

PROPOSED ART BILL

Across the border laws

Laws all over the world are different, even different states in US have different laws,.Difficult to keep trackTill the demand is there, providers are availableLets not forget the safe waters for abortions and cloning

MANY MANY MORE LAWS WILL COME LADIES AND GENTLEMENWAKE UP AND OBJECT ASK YOUR M.P FROM YOUR CITY TO

RAISE YOUR VOICE IN THE PARLIAMENT!

ONCE A LAW IS PASSED IN PARLIAMENT AND GAZETTED THEN WE HAVE NO CHOICE BUT TO FOLLOW

SO TILL WE CAN FORCE AND URGE THE PARILAMENT OR THE SUPREME COURT TO CHANGE THESE LAWS WE NEED TO FOLLOW

THEM BECOS THE PUNISHMENT IS HARSH THIS IS UNFAIR AND HAS LED TO MANYOF US GIVING UP LIFE

SAVING PRACTISE OF ULTRASOUND ,MTP,OPENING SMALL HOSPITALS ETC ETC

THIS ALL PREVENTS US TO SERVE

LAWS ARE MADE BY LAW MAKERS

• LAWS ARE MADE TO CHECK EXPLOITATION• CHECK ABUSE• CHECK COSTS• CHECK UNETHICAL WORKS• PUT CHECKS ON WRONG DOINGS• WHENEVER LAWS ARE MADE PUNISHMENTS

ARE ADDED TO DETER PEOPLE FROM BREAKING THE LAW

IF LAWS ARE NOT THERE

• TOTAL CHAOS• EVERY ONE WILL DO WHAT THEY FEEL LIKE• THERE WILL BE COSTS,EXPLOITATION,WRONG

DOINGS ETC ETC

LAWS ARE NEEDED

• BUT IT SHOULD BE UNDERSTOOD THAT DOCTORS ARE HEALING SPECIALISTS

• NEED TO ACT FAST SOMETIMES• NEED TO DO LIFE SAVING PROCEDURES SOMETIMES

WITHOUT CONSENTS ETC• IF THE LAW FINDS DOCTORS GUILTY FOR SMALL

PROCEDURAL LACUNAE AND PAPER WORK THEN DEFINITELY YES LAW WILL PREVENT US FROM SERVING THE WOMEN….AS IT IS HAPPENING IN MANY SITUATIONS TODAY

CONGRATULATE FOGSI FOR ORGANISING THIS BOLD EVENT TO

DISCUSS ISSUES WHICH AFFECT OUR PRACTISE TODAY

THANK YOU FOR ASKING ME TO PRESENT SOME OF MY VIEWS

S

13 – 17 Jan 2016

Kalakriti Grounds, VIP Road

law and medical practice does it prevent us from serving

Health & Medicine