The Supreme Court on Tuesday asked state governments to bring in a policy to prevent overcharging of drugs and medical devices at private hospitals. Bench of Justices Surya Kant and N Kotiswar Singh passed the order.

Madhya Pradesh government had constituted a three-member IAS committee to check hospital bills and medication prices in 2021. The then Bhopal collector Avinash Lawania had initiated a large-scale crackdown on private hospitals.

The SC has urged the states to implement a policy so that hospitals do not force patients to purchase necessary medical items from in-house pharmacies at higher prices, compared to notified market prices.

SC was hearing a public interest litigation highlighting issues regarding patients being compelled to buy medicines, implants, and medical devices at very high costs from hospital-affiliated pharmacies.

Although noting the issue, the court raised doubts regarding how effectively the practice could be regulated and enforced without adverse consequences. According to the petitioner, this practice constitutes blackmailing the patient and depriving him of the right to fair price.

In their PIL, the petitioners requested a direction that private hospitals must not force patients to buy medicines, devices, implants from the hospital pharmacies alone, where they are said to charge exorbitantly.

The union government replied by saying mechanisms such as Amrit and Jan Aushadhi shops sell cheap medicines at government hospitals. The Centre added that there was no compulsion for patients to purchase medicines and other things from hospitals or pharmacy chains associated with them.

In the past

During May 2021, teams of Bhopal district administration approached a private hospital in Neelbad where Rs 3 lakh was billed to a patient who was admitted for 14 days. It was discovered during inspection that an additional Rs 40,000 was billed to the patient and had to be recovered by the hospital.

A hospital in Entkhedi was compelled to refund Rs 1.4 lakh to relatives of a patient, sources said. A hospital in Kohe-Fiza was compelled to refund Rs 50,000 to relatives of a patient and Rs 15,000 to relatives of another patient. Likewise, Gautam Nagar based private hospital had refunded Rs 6 lakh in 2021.

India has also become a world-class destination for medical tourism over the years because the advanced health care system in the country matches the best available in the world. India is now a wellness and yoga capital of the world, providing conventional therapies based on the AYUSH system (Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy). Blending old wisdom with complete healing, India remains a top destination for people seeking wellness worldwide.

India today interviewed Chief Wellness Officer, Kshemavana, SDM Institute of Naturopathy and Yogic Sciences Dr Narendra Shetty to learn more.

GOVERNMENT PROGRAMMES AND REGULATIONS

 The Ministry of Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy (AYUSH) is instrumental in promoting and regulating these age-old practices. It offers detailed guidelines for education and certification of naturopathy practitioners along with increasing public awareness about the benefits of naturopathy. National Policy on Health and Wellness: This policy is a foundation for the development of wellness tourism. It promotes the development of wellness centers and naturopathy clinics, thus drawing both local and foreign tourists. Medical Visa Facilities: The Indian government has introduced medical visa facilities allowing international tourists to enter India to receive health and wellness treatments.

GROWING GLOBAL INTEREST IN ALTERNATIVE THERAPIES

Greater Sensitization of Integrated Health: The growing international interest in natural and non-surgical forms of therapy has added to the popularity of India's expertise in naturopathy and allied therapies. This trend has picked up pace because of a greater focus on preventive medicine, particularly in the post-COVID-19 pandemic period.

Cultural Relevance: The emphasis of naturopathy on balancing the mind, body, and soul is culturally relevant to the global movement towards body and mind well-being, making India a preferred destination for well-being seekers with different cultural backgrounds.

OPPORTUNITIES FOR NATUROPATHY PROFESSIONALS

Against the backdrop of current events, there are numerous opportunities for naturopathy practitioners in India:

Specialized Wellness Centre Jobs: The expansion in the creation of wellness centers to meet escalating demand has bred the need for well-trained naturopathic practitioners. Consultancy Opportunities: Naturopathy specialists would be suitable to work as consultants for health resorts, hotels, and spas, where they would offer specialized advice and treatment recommendations. Business Entrepreneurship: Effective practitioners would find it opportune to own clinics, perform workshops, or introduce online well-being programs.

Hospital and Healthcare Provider Collaboration: Blending naturopathy with mainstream medicine in hospitals can add value to services and bring in a wider patient base.

A 3-day International Diabetes Summit to address Diabetes and find practical means to address the increasing threat of Diabetes and its complications will be organized in Pune from 7th to 9th March.

The event, organized by the Chellaram Diabetes Institute, will feature over 2000 delegates from various institutions. Notable speakers from the US, UK, Sweden, Australia, and Hong Kong will address the summit. Over 75 young researchers will compete for the Chellaram Foundation Diabetes Research Awards. The summit will also feature workshops on strength training with diabetes, diabetes during pregnancy, and practical insulin.

Notable international speakers from Mayo Clinic in USA, Imperial College, University of Leicester, University of Cardiff, University of Edingburh, University of Glasgow and University of London in UK, Karolinska Institutet in Sweden, Monash University in Australia and Gleneagles Hospital in Hongkong and more than 70 of the noted Indian faculty members to address the summit. The summit is annually conducted by Chellaram Diabetes Institute.

More than 75 young researchers will deliver free papers to compete for the Chellaram Foundation Diabetes Research Awards.

Approximately 500 participants such as children and teenagers with Type 1 Diabetes will run at 'Run for Diabetes' on Sunday 09th March. Dr Unnikrishnan AG, C.E.O. Chellaram Diabetes Institute, states, "The 9th International Diabetes Summit 2025 is a special event where global experts share their expertise on diabetology thus making a contribution to better diabetes control in rural and urban India. The summit will include lectures on controlling complications of diabetes, economical diabetes care, novel developments, and technology utilization in diabetes management.". The conference will also include workshops in strength training with diabetes, diabetes during pregnancy and on practical insulin

Applying to Harvard Medical School (HMS) is on many aspiring doctors' wish lists, but the process of gaining a place is every bit as demanding as it is fulfilling. With thousands of hopefuls competing for just a few places, meticulous preparation is essential, not only academically but mentally and emotionally as well.

The challenges of medical school admissions in the USA

Entry into any medical school in the United States is a serious challenge. Admissions committees seek applicants who show promise of succeeding in challenging programs and ultimately becoming well-adjusted, caring physicians. The statistics dramatize this competitiveness. Most schools have thousands of applicants competing for 100–200 positions per class. This works out to an acceptance rate hovering in the single digits for elite schools like HMS.

Adding to the challenge is the high academic bar. While some schools do not explicitly state a minimum GPA requirement, applicants are typically expected to have a GPA above 3.5, with successful matriculants averaging a GPA of 3.75 in the 2022–2023 application cycle. In addition, competitive MCAT scores are essential, although there is no official minimum threshold. A robust academic record and standardized test performance signal your readiness for the intellectual demands of medical school.

The academic and financial investment

A medical education in the U.S. is not just competitive but also a substantial financial investment. The cost of tuition, fees, and living expenses for one year at HMS can be more than $100,000. Scholarships, grants, and financial aid are provided, but students need to be ready for the possibility of long-term debt.

The academic requirement is just as rigorous. U.S. medical schools, including HMS, require candidates to have achieved high school education with a solid science background in sciences like biology, chemistry, and physics. Yet, excelling in medical school requires more than science expertise; it takes honing critical thinking, effective communication, and human behavior understanding.

Academic requirements for Harvard Medical School

HMS has rigorous course requirements and recommendations for admissions, although accommodation is made for creative or interdepartmental undergraduate backgrounds. Such prerequisites guarantee students the basic foundations of knowledge they need to study the demanding curriculum in medicine.

Biology

HMS necessitates one year of laboratory biology course work. Courses need to stress cellular and molecular biology because these disciplines are vital in learning about medical sciences. AP credit is not eligible for the satisfaction of this requirement, though advanced courses in biology may be substituted for initial courses when AP credit has been acquired.

Chemistry and Biochemistry

Two years of chemistry are required, with courses in inorganic chemistry, organic chemistry, and biochemistry. Lab experience is also a prerequisite, as it lays the groundwork for practical skills that will become imperative during medical education. AP credit can satisfy a portion of the inorganic chemistry prerequisite if it results in more advanced coursework in the course.

Physics

One year of physics, preferably calculus-based, is needed, with special focus on calculus-based physics for those applying to HMS's Health Sciences and Technology (HST) program. Laboratory experience is not required but is recommended, as it gives exposure to hands-on experience with the concepts essential for grasping the physical underpinnings of biological systems.

Mathematics

The Pathways program advises one year of mathematics courses, including calculus and statistics, with a preference for biostatistics. For HST candidates, advanced mathematics such as linear algebra or differential equations is highly recommended. These courses build quantitative reasoning and analytical skills important for biomedical research and clinical practice.

Writing and Humanities

One year of writing-intensive studies is necessary. This can be met through social science or humanities courses that feature extensive expository writing. Communication that is clear and effective is a foundation of medicine, and this part of preparation is just as important as science courses.

Behavioral Sciences

HMS suggests that students consider taking courses in behavioral sciences like psychology or sociology. These classes give one insight into human and social behavior, which is very important to knowing about patient care and public health.

Beyond the classroom: What HMS Looks For

Although academic prowess is the pillar of a competitive application, HMS also considers students on the basis of non-academic qualities. The admissions committee looks for integrity, maturity, leadership potential, and a strong concern for other people. The essays, letters of evaluation, and extracurricular activity are used to assess these.

Experience in the medical field, either through clinical shadowing, research, or community service, is especially useful. These experiences show a candidate's dedication to medicine and give a hands-on understanding of the profession.

The Medical Counselling Committee (MCC) has lowered the minimum qualifying percentile of NEET PG 2024 once again to the 5th percentile for all categories.

The MCC stated that, as per the directions of the Ministry of Health & Family Welfare, the qualifying percentile of NEET PG 2024 has been changed to the 5th percentile for General/EWS, UR-PwBD, and SC/ST/OBC candidates (including PwBD of SC/ST/OBC). The rank and percentile scores released on August 23, 2024, however, are not changed.

The qualifying percentile was formerly reduced to 10 for SC, ST, OBC, and PwD candidates and 15 for General and EWS applicants.  The cut-off was initially set at the 40th percentile for reserved categories, the 45th percentile for PwD, and the 50th percentile for unreserved categories.

There have been previous instances of NEET PG cut-offs being lowered.  In 2023, the qualifying percentile was reduced to zero for each category.  PwD and reserved category applicants saw a decline to the 20th percentile in 2022, while the general category cut-off was lowered from the 50th percentile to the 35th.

IMPACT ON ADMISSIONS AND COUNSELLING

More applicants will be eligible for counseling now that the qualifying percentile is at its lowest point.  Competition for postgraduate medical places may increase as a result, particularly at prestigious universities.

The counseling process on the MCC website is open to qualified applicants who meet the updated cutoff.  We anticipate hearing more shortly regarding counseling schedules and seat assignments.

AIIMS physicians successfully carried out a procedure to disconnect a 'parasitic twin' weighing 15 kg from a 17-year-old boy who belonged to UP's Unnao district. Conjoined twins have a remarkable occurrence, and the frequency varies from 1 in 50,000 to 100,000 births. In some cases, incomplete growth causes asymmetrical or 'parasitic twins' in which one twin (autosite) completes development but the other (parasite) is still dependent. Such instances are very rare, with only 40 reported cases in global medical literature. Dr Asuri Krishna, an additional professor in the surgery department, said that when the boy came to AIIMS OPD on Jan 28, they first thought his wrapped abdomen was a carried child. Instead, they found two fully formed lower limbs with external genitalia on his abdomen.

From birth, the boy coexisted with a double set of limbs from his underdeveloped twin brother. The parasitic appendage and undeveloped male genitalia developed proportionately with him. The boy was sensitive to touch, pain and temperature of the parasitic limb. Without considerable abdominal pain, he preserved normal body functions free from significant complications of health.

His situation caused extensive social withdrawal and emotional struggles through childhood. Locals physicians counseled against extractions, warning of probable death due to mutual cardiac relationships. These situations prompted him to halt education at the age of 8 years. His physical limitation involved an inability to sleep on his abdomen.

The parasitic formation was getting nutrition via blood supply from the host twin. Doctors pointed out that with age, the like parasitic growths can lead to cardiovascular and neurological complications and even life-threatening ones. At the behest of a relative, he tried AIIMS as a last resort. He was assessed on arrival by a multidisciplinary team composed of surgeons, radiologists and anaesthesiologists.

AIIMS experts added that although prenatal screening is capable of identifying this condition, socio-economic status of the patient hindered early detection.CT angiography showed the blood supply to the parasitic limb came from an internal mammary artery branch. The scan also diagnosed a large abdominal cystic mass. After proper preparation, the surgery was planned on February 8, 2025.

The complicated operation was a two-step process: dissecting and ligating the parasitic limb out and then excising the abdominal cystic mass.Surgeons found and excised underdeveloped testes from the attachment site tissue. In the second phase, surgeons had to separately dissect the cystic mass from adjoining organs with care. They observed an unusually extended bladder, and this had to be carefully managed by surgery. Post-surgery drainage and suturing were done to finish the procedure. The procedure took 2 to 2.5 hours.

Physicians reported the patient to be free of any other health complications. Recovery was rapid, and successful oral feeding was resumed on the following day. The medical team removed the drain on the third day and cleared the patient for discharge home on the fourth day.

Physical and emotional 17 years of struggles came to an end after the successful operation. The patient initially suffered phantom sensations but could now look forward to a normal lifestyle.

The success was the outcome of joint efforts of several experts such as Dr Asuri Krishna, Dr VK Bansal, Dr Sushant Soren, Dr Brijesh Kumar Singh, Dr Abhinav Kumar, Dr Jaymeen Makwana from Surgical Specialties, Dr Manish Singhal and Dr Sashank from plastic surgery, Dr Ganga Prasad and Dr Rakesh from anaesthesia, and Dr Atin and Dr Ankita from radiology.

To resolve the shortage of faculty and depressed student intake of non-clinical medical programs, the government of India is contemplating a gamut of incentives to make such subjects more lucrative. Through increased student interest in topics including anatomy, physiology, biochemistry, pharmacology, forensics, microbiology, and pathology, the exercise seeks to revitalize medical education.

Concerns about the declining number of faculty members in non-clinical fields—which are thought to be crucial for medical research and studies—have grown. Ministry of Health officials have underlined the significance of interdisciplinary education in that they believe non-clinical subjects form a cornerstone for the development of medical sciences.

The government is looking at several incentives to encourage teachers and students to pursue non-clinical topics, such as:

  • Scholarships and Stipends: Financial aid will be provided to students enrolled in non-clinical medical courses, increasing the accessibility and affordability of the programs.
  • Research Grants: To support academic research and scientific advancements, research grants can be given to instructors and students in various fields to encourage excellence and creativity.
  • Relaxed Faculty Eligibility Requirements: The National Medical Commission (NMC) is considering easing the requirements for hiring faculty. Allowing non-medical professionals with Ph.D.s in the relevant fields to be appointed as instructors, can expand the pool of qualified educators.

This move is likely to rekindle interest in non-clinical subjects, which tend to be overshadowed by clinical and surgical disciplines. By filling the faculty gap and offering financial assistance, the government hopes to see that these topics get the importance they should in medical colleges throughout the nation.

Experts opine that the suggested steps can bring long-term benefits to medical research and education. With more investment in non-clinical courses, medical schools will be able to generate well-rounded professionals who serve both healthcare and scientific progress.

As the debate goes on, the healthcare industry is keeping a close eye on how these incentives are going to be put into action and whether they will be able to give a new lease of life to non-clinical medical education in India.

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