Govt plans bonds to stop doctors' brain drain

April 24, 2012

brain

New Delhi, April 24: India has finally decided to cut down on brain drain that is crippling its medical sector.

Now, US-bound doctors for higher medical studies will have to sign a bond with the ministry and honour the document by returning home after finishing their courses.

Union health Ghulam Ghulam Nabi Azad said that the US is insisting on a government No Objection Certificate (NOC) for every student enrolling with an American institute from this academic session.

In the last three years, 3,000 doctors went abroad for studies, and did not return.

"If a student does not come back from the US, he won't be allowed to practice there," Azad said.

Take the example of the premiere All India Institute of Medical Sciences (AIIMS). A first-of-its-kind study by AIIMS' department of hospital administration found that it takes Rs 1.7 crore to produce a single MBBS doctor at AIIMS.

The figure includes both the direct (services of the faculty and stipend) and indirect (services of non-teaching personnel and furniture) costs incurred by the hospital over the course's five-and-a-half-year period.

According to the study, AIIMS spends at least Rs 31.31 lakh on every undergraduate student per year per course as against an annual fee of an MBBS student of Rs 850 per year that includes room and board and tuition fee.

Over 53% of AIIMS students leave India to work abroad. According to the Medical Council of India (MCI), till July 27, 2011, 767 doctors may have left for foreign shores.

These doctors had asked the MCI to issue them Good Standing Certificates (GSC) - a mandatory requirement for doctors seeking work in hospitals abroad. The MCI issued 1,264 GSCs in 2010, 1,386 GSCs in 2009 and 1,002 in 2008.

India has only one doctor for every 1,700 people. In comparison, the doctor-population ratio globally is 1.5:1,000. Somalia has one doctor for 10,000 population. China's doctor population ratio stands at 1:1063, Korea 1:951, Brazil 1:844, Japan 1:606, Thailand 1:500, the UK 1:469, the US 1:350 and Germany 1:296.

A recent Planning Commission report said India is short of six lakh doctors, 10 lakh nurses and two lakh dental surgeons. Indian doctors, however, form 5% of the medical workforce in developed countries. Almost 60,000 Indian physicians are working in countries like the US, the UK, Canada and Australia alone.

Azad said, "No other country except the US is asking for this NoC. Those who apply to go to the US for studies from 2012 will have to give us a bond saying they would come back after finishing the studies. If they don't fulfill the bond obligation, we can write to the US to deny the student permission to practice."

A recent paper in the Lancet said India had eight healthcare workers, 3.8 allopathic doctors and 2.4 nurses per 10,000 population. When compared to other countries, this is about half the WHO benchmark of 25.4 workers per 10,000 people.

According to MCI's Indian Medical Register that was last updated in April, 2011, the nation supposedly boasts of 840,678 registered medical practitioners. However, the data includes names of doctors who were registered way back in 1933. Chances of these doctors being alive is dim, admits MCI.

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Agencies
April 6,2025

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New Delhi, Apr 6: President Droupadi Murmu on Saturday gave her assent to the Waqf (Amendment) Bill, 2025, which was passed by Parliament earlier this week.

Murmu also gave her assent to the Mussalman Wakf (Repeal) Bill, 2025.

"The following Act of Parliament received the assent of the president on April 5, 2025, and is hereby published for general information: The Waqf (Amendment) Act, 2025," the government said in a notification.

Parliament early on Friday approved the Bill after the Rajya Sabha gave its nod to the contentious legislation following an over 13-hour debate.

The discussion witnessed staunch objections from opposition parties, which termed the Bill "anti-Muslim" as well as "unconstitutional", while the government responded that the "historic reform" would benefit the minority community.

The Bill was passed in the Rajya Sabha with 128 members voting in favour and 95 opposing it.

It was passed in the Lok Sabha early on Thursday, with 288 members supporting it and 232 against it.

Parliament had also approved the Mussalman Wakf (Repeal) Bill, with the Rajya Sabha giving its nod. The Lok Sabha had already given its assent to the Bill.

After the president gave her assent, it has also become a law.

Congress MP Mohammad Jawed and All India Majlis-e-Ittehadul Muslimeen (AIMIM) president Asaduddin Owaisi on Friday challenged the validity of the Waqf (Amendment) Bill in the Supreme Court, saying it violated constitutional provisions. 

Jawed's plea alleged the Bill imposed "arbitrary restrictions" on Waqf properties and their management, undermining the religious autonomy of the Muslim community.
The petition, filed through advocate Anas Tanwir, said it discriminated against the Muslim community by "imposing restrictions that are not present in the governance of other religious endowments".

Jawed, the Lok Sabha MP from Kishanganj in Bihar, was a member of the Joint Parliamentary Committee on the Bill and alleged in his plea that it "introduces restrictions on the creation of Waqfs based on the duration of one's religious practice".

In his separate plea, Owaisi said the Bill took away from Waqfs various protections accorded to Waqfs and Hindu, Jain and Sikh religious and charitable endowments alike.

Owaisi's plea, filed by advocate Lzafeer Ahmad, said, "This diminishing of the protection given to Waqfs while retaining them for religious and charitable endowments of other religions constitutes hostile discrimination against Muslims and is violative of articles 14 and 15 of the Constitution, which prohibit discrimination on the grounds of religion."

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