Tuesday, February 14, 2017

Generic medicines India

Of late we are reading in news papers about establishment of generic stores all over the country. In this respect I had written letters to the editor of Deccan Chronicle a couple of times. As there was not any reaction from the paper I had written to the Health Minister of country and Health Minister of AP. Even after that I had read that efforts are on to establish generic medicine stores all over. Since there appears to be no use in sending this to the papers or authorities I am sending it as blog. At least some people who read such blogs can take up the case with the concerned people and see that govt money is not wasted. Following is my letter to the editor of DC and similar letters were sent to union health minister and state health minister.

Dear editor, This is regarding the news item published in today’s newspaper on the topic ‘AP to establish 1000 generic medical stores’ . This may not fit your letters column. If possible I request you to publish it as a separate article.  
I am regular user of generic medicines since a generic medicine shop was opened in Nellore city of A.P. some three or four years back. I want to express my views on the above subject as follows:
 
Some time back Health Minister Kamineni Srinivas said that efforts were on to make generic medicines available even at the remotest villages across the State”. This was reported in Hindu, Andhra Pradesh on 13 sept. The problem with generic medicines is not with their availability. Only problem with generic medicines is lack of cooperation from doctors as Uday Bhaskar explained.  Many doctors have their own medical stores in their compounds and they never write any generic medicines. When I told a doctor that I am using a particular generic medicine in liu of the medicine prescribed by him, he heckled me and told me that I use that medicine at my own risk.  The doctors get lots of expensive gifts from the medical representatives of big companies and they write only those medicines whether they benefit a patient or not. Even if you go to a doctor for a small ailment he writes a list of costly medicines which are available only in his medical store. These medicines will not be available in any other shop where equivalent medicines are available at much lower rates as prescribed by the doctor. The sale of generic medicines had become a big racket in the hands of big pharmaceutical companies as well as some corporate hospitals as explained below.  
Another reason is that there is no where any label on the cartons or strips of medicine that a particular brand of medicine is GENERIC. Many shops and even some pharmacies attached to big corporate hospitals sell these medicines at exorbitant rates. There are many examples where the generic medicine MRPs are printed at three times their cost by the marketing agencies. These marketing agencies are big names like cadila, Ranbaxy, Cipla , Leeford etc. they are manufactured by unknown companies but marketed by famous companies. They mark the rates as high as three to four times their actual value. Therefore it is not required that generic medical shops need to be established everywhere but only the concerned companies should be made to mark correct MRPs on the medicines. I don’t understand how the drug control organization has over looked this aspect for so many years. Probably they were influenced by the big  drug marketing companies. To Illustrate my point I will give just two examples. One is I purchase a drug called Pregebalin marketed by leeford, from a generic medical shop  at Rs. 40/- per a strip of 10 caps. The MRP marked is Rs 130/- another ex. is  OMEE, the price marked on the strip is more than three times the actual price.  Thus I can give examples of a number of medicines whose MRPs are three to four times of their actual price. Therefore my point is that there is no need for establishing generic medicine shops across the state or country but only print the actual consumer price on the medicines concerned.  I hope you will publish this somewhere in your esteemed paper to bring it to the notice of general public as well as the concerned authorizes as an individual cannot do anything about the injustice being done to the general public by big marketing companies with the connivance of the doctors and concerned authorities. I can write more on this but my age does not permit me to type more than this at one time . My only request is that govt. money is not wasted on establishing new shops for generic medicines but to educate people on the unethical practices followed by doctors and big Pharmacutical companies.
General public believe that if the medicine by a doctor is not used his illness will not be cured and hence are prepared to spend lot of money on medicines. The general saying  from the patient’s near and dear is ‘is money more important than the health and life of the patient?’


Monday, December 27, 2010

politocracy a new form of democracy

It appears that my earlier post on the above title was not properly posted. I want to repeat it again:

POLITOCRACY A NEW FORM OF DEMOCRACY
As all of us know that there is a large list of government types. Some of them are:
• Anarchy
• Aristocracy
• Communist state
• Confederation
• Corporatism
• Corporatocracy
• Consociationalism
• Demarchy
• Democracy

Under democracy itself there are some important types namely

• Direct
• Representative
• Consensus


Democracy is a political form of government in which governing power is derived from the people, either by direct referendum (Direct) or by means of elected representatives of the people (Representative). The term comes from the Greek δημοκρατία – (dēmokratía) "rule of the people", which was coined from δῆμος (dêmos) "people" and κράτος (Kratos) "power", in the middle of the 5th-4th century BC to denote the political systems then existing in some Greek city-states, notably Athens, following a popular uprising in 508 B.C. Even though there is no specific, universally accepted definition of 'democracy'. Equality and freedom have been identified as important characteristics of democracy since ancient times. These principles are reflected in all citizens being equal before the law and having equal access to power. For example, in a representative democracy, every vote has equal weight, no restrictions can apply to anyone wanting to become a representative, and the freedom of its citizens is secured by legitimized rights and liberties which are generally protected by a constitution.
U.S. president Abraham Lincoln (1809-1865) defined democracy as:
«Government of the people, by the people, for the people»
Democracy is by far the most challenging form of government - both for politicians and for the people.
However we have to go to Politocracy, which has not been defined earlier. This Word ‘Politocracy’…
I first thought of this word 2-3 years ago when I was thinking about our own democracy. I knew someone else would have thought of it too so I googled it immediately. It came back with some hits but in different contexts with different meanings. They were using it anyway. However when I googled it again two days back it asked me back Did you mean to search for: plutocracy and gave lots of references. I had to go to advanced search and after trying a number of times could get lot many references. I have to again ask google why it did not go to POLITOCRACY INSTEAD OF PLUTOCRACY IN THE FIRST ISNTANCE.
The suffix -cracy can be used in two ways to mean either a class of people or a system of government…
1. -cracy a (specified) type of government; rule by autocracy, theocracy
2. The suffix has in modern times acquired the sense of ‘ruling body or class’
Aristocracy normally means the class of people and democracy normally means the system of government. However both can also be used in the other sense too.
An article in The Spectator in 1997 talks of the politocracy as “a new social class which puts conviviality above confrontation, sociability before socialism”. Alice Miles here was talking of Labour and Conservative activists who basically shared the same interests and thus were able to socialise together despite being in opposing camps.
An article in Praxis International (a Marxist humanist journal) in 1989 by Bogdan Denitch (an expert in the political sociology of the former Yugoslavia) says, “I think the best way to describe these systems is as politocracies, that is systems in which the political elites, ruling through the single communist party, control the state and the economy and through those the society.”
My definition written a few weeks ago is government of the politician by the politician and for the politician
A POLITOCRACY is a political form of government that emerges in multi-party systems where the politicians work for themselves, neither for the party, nor the electorate. The raison d’etre of such a system is to get the individual elected through some party by using whatever methods possible, to win elections. Hence with little difference in policy between the main parties, the political class become self-serving thus divorced from objective of governance.
Interesting to note that I use it where convergence has taken place in a multi-party system where the main political parties are very similar policy wise. Hence the multi-party system has become a single party one in effect.
I popped down the library to consult the Oxford English Dictionary to see if the word has been officially recognised, it hasn’t. I can cite any number of examples for the democracy which we are enjoying for the last 63 years, to justify my above definition, but the readers of this blog may know better than me, and hence leaving it just here due to fear of occupying large space.
References:
1. Wikipedia
2. Politocracy. A political blog focusing on issues that usually fly under the radar, and foreign policy.

politocracy

I want to continue on what I had written earlier. some of the examples of politocracy are given below:
a. The recent telecom scam
b. The Telangana agitation
c. The river water disputes
d. The recent change of government in Andhra pradesh

There can be any number of such examples of Politocracy especially in India and a detalied view on each will be posted in due course.