Sunday, November 29, 2009

No Comment

Published in TOI today.
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Bar on docs from accepting freebies soon

TIMES NEWS NETWORK

Kolkata: The Centre will soon ban doctors from accepting gifts and other freebies, including foreign trips, from pharmaceutical companies, by amending the Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002, Union health minister Ghulam Nabi Azad said on Sunday. He was speaking at the West Bengal Medical Convention organized by the Nationalistic Doctors’ Forum.
“Pharmaceutical companies send doctors on foreign trips and load them with gifts. So, instead of giving normal free medicines and some that are cheaper, the doctors prescribe medicines to please
these companies whose hospitality and patronage they enjoy. This is not a healthy practice. However, there is no law at the moment to prohibit the pharmaceutical companies and the doctors. We are going to ban this soon,” Azad said.
Only a couple of days ago, the Medical Council of India had written to the Union health and family welfare ministry seeking an amendment to the IMC Regulations to prohibit doctors from accepting gifts from pharmaceutical or allied healthcare firms.

Thursday, November 5, 2009

Begging

The following article published in TOI today needs attention. The other day another article came where a 'beggar' family owning a two storied house in Bhubaneshwar earns greater than Rs.25000 p.m. by beggging - the male member complaining that his wife has became lazy, else they could have earned more. They also lend money to traders. I also heard that there are begging syndicates which auction train, foot path etc. and other beggars are not allowed there. Today's article also says "begging is a punishable offence." Are we serious? Also, how to seek help when somebody is in distress and considers begging as the only option? Can the local youth organizations create a helpdesk and look at the merit of each case and act as a facilitator? They may approach local councillor, block development officer etc. - act as an interface between the needy and the Government. How to put a system in place?
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Nanny sedates baby, rents out to beggars in B’lore
TIMES NEWS NETWORK Bangalore: This would beggar belief. As soon as the parents would kiss their little one goodbye, the nanny would feed him and get him ready for the day — not one full of fun and frolic, but for begging on the streets of Bangalore. Instead of giving milk to the baby, she would feed him sedatives; instead of nice warm clothes his parents had picked, she would dress him up in rags. That’s not all. She would hand the baby to beggars for Rs 100 a day and stay back at her employers’ home, watch soaps and feed herself to her heart’s content. This is the chilling tale of a seven-month-old baby of a working couple, who — relying on their ayah recruited from an employment agency (hence considered safe) — found their child was being abused. The horrifying tale surfaced when the nanny was caught by the child’s mother — she works in an MNC — who returned home early one day. She saw the ayah sitting in front of TV, but the baby was missing. Taken aback, she confronted her, who confessed to renting the child for begging for the past three weeks. The parents realized why their baby was drowsy and inactive in the evenings — he was being sedated every day but for weekends when the couple would be home. Strangely, they have not lodged a police complaint. “The parents want to remain anonymous and don’t want to even talk about it,” a source said. They are reportedly planning to move abroad. It isn’t clear if the incident has forced them to take the step. According to State Children Commission officials, a suo motu case will be filed against the nanny. “We are trying to track the family and get more details of the crime. As begging is a punishable offence, stringent action will be taken against the culprit. The panel will meet on Friday to decide on the course of action.

Friday, October 23, 2009

Talent

Hat's off! Short, sweet, sharp. Chetan Bhagat at it again. Let us all look at ourselves at individual and organizational level as mentioned towards the end of the article. It may take time to change at organizational level. Can we make a start at the individual level? Once it becomes a way of life for many of us, it would be easier to change at orgn. level. Hope, nobody puts up a chicken-egg issue here, who would blink first. If this is something good, let me go for it.
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From today's Times of India

Where’s My Nobel Prize?
We in India have to acknowledge talent as a source of inspiration, not resentment
Chetan Bhagat
The recent news of a person of Indian origin winning the Nobel prize while based abroad sparked off a series of discussions at home. “Why don’t we win Nobel prizes here?” became the question of the week. The standard points were raised: we don’t have the facilities, too much government interference, the selection process is rigged, the prize committee is racist and, finally, who cares about the Nobel anyway (of course we do, that’s why we discuss it). Like all media stories, this one too will die soon. However, maybe it is time to look at the core issue: why India doesn’t excel on the world stage on a fairly consistent basis. We don’t win a significant number of Olympic medals, we don’t create global brands, our IT industry is essentially a job transfer model but we haven’t created even one Google, Facebook or Twitter. (Of course, there is plenty for Indians to be proud of otherwise, so please don’t jump on me because of my observations.) The real issue comes down to the treatment of talent in our country. So, what is talent? Talent refers to a special ability and aptitude that give people an edge in a particular field. In sport, science, films, business or the arts, people who dominate the world stage all have a gift that makes it easier for them to excel. Of course, along with talent there is preparation, hard work and a certain amount of luck required to achieve success. However, talent is usually a necessary ingredient. Talent is rare, and randomly distributed across the human population, irrespective of pedigree, connections or wealth. Some may call talent an unfair gift. However, it is talent that allows ordinary people to come up in life. Otherwise, rich people would stay rich and poor people poor. Thus, this unfair talent actually makes the world fairer. However, we don’t put talent on the highest pedestal in our country. Talent’s stature is below that of someone with connections, hereditary entitlement, pedigree or even experience. If i were to tell you that an unknown boy from Agra will become the next superstar, versus a star’s son becoming the next star, the latter story is much easier to digest. Even in an IIT, a truly gifted young faculty cannot jump ranks and scales set by the system. And the people designing the system never took talent into account. Even when talent is identified, we are unable to train it, and find it difficult to reward it. It is difficult to say why we have this attitude, but there are many possible reasons. One, talent conflicts with the traditional Indian caste system. Two, Indian cultural values revere the older generation and its experience, and talent zooms past it. Finally, the ‘tall poppies syndrome’, an already existing term used in Australia and UK to “describe a societal phenomenon in which people of genuine merit are criticised or resented because their talents or achievements elevate them above or distinguish them from their peers”. Ask yourself, have you seen some of this in India? Maybe because so many dreams have been crushed in India, someone else’s success reminds us of our own pain. The US (only as a contrasting example, not recommending we become like them) has an opposite value system. Talent is respected, seen as something to be emulated. That is why they have teenage boy bands and college dropouts who open dotcoms as national icons. We don’t. There are grave negative repercussions for a community that doesn’t respect talent. It leads to a society where connected people do better than people with ability. It leads to a lot of talent being unused, a tremendous waste of a national resource. It causes frustration in the entire new generation as they see people with less capability doing better than them. It also reinforces the old Indian values of fatalism and the helpless-common-man theory. And it means India’s excellent people may not excel worldwide to the extent possible. So what can be done? Well, we definitely can do something – both at the macro organisational level and a micro individual level. At the organisational level, we have to let go of corporate hierarchies and the lifelong promotion ladders of government, particularly in talent-dependent organisations like R&D, companies requiring high innovation or sport. We have to make incentives in line with what attracts talent, as there is a global battle for it. Exceptional talent demands exceptional reward. We have to take away the moral judgement associated with rewarding talent. Just as it is morally okay for a rich man’s son to be rich, a person with talent also deserves to do really well. Change needs to happen amongst us, at the individual level as well. We have to acknowledge that talent exists, and we need to respect it. Frankly, isn’t it better a talented person gets rewarded than a minister’s son? Talent shouldn’t cause resentment, it should become an inspiration. I think the young generation is already on board with that. It needs the older generation’s support to make this change in values. It may be difficult, but it is worth it. Because if we do become a talent-driven country, we will become a more progressive nation, utilise the new generation’s skills properly, become a fairer society and, along the way, win a few Nobel prizes too.

Tax Us

When are we going to see this in India? From today's edition of Times of India ...
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Tax us to fight economic crisis: Rich Germans
Berlin: Some rich Germans have launched a petition to call for the resumption of a wealth tax to help the country bounce back from an economic crisis, because, as one said, he had “a lot of money I do not need”. The text, posted on the internet at www.appell-vermoegensabgabe.de, has been signed by more than 40 people who want to convince the government of newly reelected Chancellor Angela Merkel to raise their taxes. For retired doctor Dieter Kelmkuhl, 66, it is time the wealthy came to the aid of their country. He reckons that if the 2.2 million Germans who have personal fortunes of more than $750,000 paid a tax of five percent this year and next, it would provide the state with 100 billion euros. Kelmkuhl got the idea when Berlin stumped up billions of euros to save banks and give the recession-hit economy a boost. “It made me mad to think that we suddenly found all this money for the banks, money that we did not have before for urgent programmes like education and the environment,” the left-of-centre weekly Die Zeit quoted him as saying. The former doctor would like Germany to have its own version of the the US group United for a Fair Economy (UFA), which includes around 700 wealthy US residents, according to the left-of-centre daily Tagesspiegel.

Sunday, October 18, 2009

Humanity Hospital

No more excuse, please! I heard this before in one of the guest lecture at IITkgp. The lady, the central character sells vegetables in Sealdah, Kolkata market. Had temendous will and perseverence and of course purity of thought, life. That helped her to collect one rupee a day from other sellers of the market for the dream hospital. The following is from page 2 of Kolkata edition of Times of India.
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MOTHER COURAGE
She sold vegetables and her son grew up at a home for destitute children. But Subhashini Mistry still went on to set up a hospital that treats thousands of patients for free. They just call her Ma — a woman with a mighty heart. Prithvijit Mitra reports
Subhashini Mistry treads gently on the lawn, searching for weeds and undergrowth that she deftly plucks out from under the cycas trees. Bending low, she caresses the petals and waters the potted plants. But every once in a while, she instinctively turns around to take a proud look at a three-storey building overlooking a little patch of green that’s come up in the middle of nowhere. That building is, first, a miracle. A testimony to the 72-year-old widow’s grit, determination and impossible altruism; it’s also a hospital. The name, Humanity Hospital, couldn’t have been more apt. Because healthcare is for free here, along with lots of love and affection. The hospital at Hanspukur, on the southern fringes of Kolkata, was set up 13 years ago by Subhashini and her doctor son Ajoy to ensure that no one in their largely impoverished village went unattended or uncared for. They have found 20 doctors who work for free. “If you hear her story, you too won’t have the heart to ask for pay for work done at the hospital,’’ said a doctor. “This is service like I have never seen before.’’ Subhashini’s story is a staggering account of what human will can achieve, of indomitable spirit, of a rise, phoenix like. It was in 1971, after her husband died — poor, ill, and without any money for treatment — that she vowed no one in her village would end up that way. But the dream was easier dreamt than brought to fruition. “The eldest of my children was seven and the youngest just a year-and-a-half when my husband died,’’ Subhashini said. “We didn’t have money for the doctor’s fees and he died without treatment. That day, I pledged no other woman in my village would go through what I did.” But the journey she embarked on was riddled with hardships and obstacles. She started by collecting vegetables from neighbours and selling them at a local market for a small margin. She saved from whatever little she earned. Her neighbours laughed at her and relatives felt she was out of her mind. “Two of my sons worked in a tea stall. We survived on boiled rice for years. I couldn’t even send them to school,” Subhashini recalled. “I knew my children had to go to school and at least one had to be a doctor, or else my dream would never come true. So, I decided to turn into a proper vegetable vendor, without depending on my neighbours.” Ajoy, the third son, looked the most likely candidate to help fulfil her dream. He was a brilliant student even as he grew up in a children’s home. “My mother could not afford to send me to school. But she wanted us to study seriously, which we did. I was initially not keen on taking up medicine. In fact, I studied chemistry because I felt that was my subject,” said Ajoy, now 47. It left Subhashini disheartened, but she willed herself to fight on — even without a doctor in the family. By then, though, both mother and son had saved up enough to buy a piece of land at Hanspukur. Slowly, neighbours, now beginning to admire her tenacity, contributed generously. “The land for Humanity Hospital was purchased in 1992, and construction began three years later. When the hospital was inaugurated in 1996, it was just a single-storey structure, barely 3,000 sq ft in area. But it came as a ray of hope for people in the Hanspukur-Bankrahat area,” Ajoy said. Ajoy changed track, too, and in 1990, after clearing the joint entrance examination, enrolled at Calcutta Medical College Hospital. He graduated a year before the foundation stone for Humanity Hospital was laid. With 35 beds and 13 departments — including general medicine, gynaecology, paediatrics, eye, surgery, immunology and cardiology — the hospital stands as the lone symbol of optimism in a neglected terrain where treatment was considered a luxury. It caters to more than 10,000 people, and patients travel from farflung villages like Shakharipota, Mahishgot, Kalmikhali, Kakdweep, Kalagacchia, Diamond Harbour, parts of East Midnapore and even Bangladesh. Nobody is refused treatment. And no money is ever asked for. Subhashini and Ajoy spend more than 16 hours at the hospital every day. She struts about the hospital like a protective mother hen, visiting each bed, holding hands and talking to patients. “For us, this is our world. The patients are like my own children,” Subhashini said. Ajoy, on his part, never regrets having chosen to dedicate his life for the cause of the poor. “I don’t know when I started sharing my mother’s vision. But it was pretty early in life,” he said. But there is no end in sight to the struggle that started in 1971. It’s a daily battle to keep the hospital running. Donors and sponsors have lent a helping hand. LIC Golden Jubilee Foundation, for instance, funded the construction of the second floor recently, but it’s never enough. Ajoy said, “At present, we need Rs 64,000 a month to run the hospital. If we have to augment the facilities, we would require Rs 3 lakh. We need more donors and perhaps some patients who can afford to pay basic charges.” On his mother’s suggestion, Ajoy helped 100 villagers get medical insurance, but this number is just a drop in the ocean. “We need more such schemes to make Humanity a bigger institution. But it will always cater to the poor and the neglected. Whatever the cost.’’ No one will doubt Subhashini or her son on this.

Friday, October 16, 2009

Musing 2

In today's Times of India, the interview brings out more of 'Venki' Ramakrishnan. Let's try to understand what he wants to say and imbibe the spirit.
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‘A little less nationalistic hero worship please’
— Venki Ramakrishnan
Iam distressed by the reaction to my comment about being deluged by emails from India, and realize I have inadvertently hurt people, for which I apologize. I hope people realize that I have no personal secretary and use my email mainly for work, so finding important communications became very difficult. I want to make it clear that I was delighted to hear from scientific colleagues and students whom I had met personally over the years in India and elsewhere, as well as close friends with whom I had lost touch. Unlike real celebrities like movie stars or people in sports, we scientists generally lead a quiet life, and are not psychologically equipped to handle publicity. So, I found the barrage of emails from people whom I didn’t know or whom I only knew slightly almost 40 years ago (nearly all from Indians) difficult to deal with. People have also taken offence at my comment about nationality being an accident of birth. However, they don’t seem to notice the first part of the sentence: We are all human beings. Accident or not, I remain grateful to all the dedicated teachers I had throughout my years. Others have said I have disowned my roots. Since 2002, I have come almost every year to India. In these visits, I have spent time on institute campuses giving lectures or talking to colleagues and students about their work, and stayed in the campus guest house. I have not spent my time staying in fancy hotels and going sightseeing without them. The people I visited, eg at the ICGEB in Delhi, CCMB in Hyderabad, the University of Madras or the IISc in Bangalore can vouch for this. Finally, at a personal level, although I am westernized, many aspects of culture like a love for classical Indian music or South Indian or Gujarati food are simply a part of me. The best way to take pleasure in someone’s achievement is to take an interest in their work and feel motivated to learn more about science. I remember reading about Gellman’s work as an undergraduate in Baroda, and, when he won the Nobel prize, rushing upstairs to tell my parents. It did not matter to me whether he was Indian or not. In my case, I am lucky to have had a combination of education, opportunities and a great team of co-workers to have made a contribution to an important problem. I am not personally that important. If I hadn’t existed, this work would still have been done. It is the work that is important, and that should be what excites people. Finally, there are many excellent scientists in India and elsewhere who will never win a Nobel prize. But their work is no less interesting and people should find out about what they do. My visits to India confirm that it has great potential and bright young students. A little less nationalistic hero worship will go a long way to fulfil that potential.

Musing

Excerpts of an interview of Nobel prize winner 'Venki' Ramakrishnan that has some important messages for all Indian and more specifically for those who are Indian S & T sphere. It appeared in today's edition of The Telegraph.
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Ramakrishnan understands why Indians the world over are bathing in his reflected glory but he is keen to use the occasion of an interview with The Telegraph to urge them not to get too jingoistic.
“I don’t think they should make too much of it,” he says. “Fundamentally, it is not important that it was an Indian who did this.”
Now 57, he left India at 19 and lived in the US ....
He focuses on his science but he does have a life outside the lab. “I have lots of personal interests. I love music, I love bicycling and hiking and my wife and I went on a cycling trip in Norfolk last month. ”
He is vegetarian and tries out Gujarati and South Indian dishes when he has friends to dinner. “I like cooking occasionally.”
Will Ramakrishnan’s life now change beyond recognition? “I hope not. I wrote to a Swedish friend of mine, a major figure in the field of science, (and joked) ‘What have you guys done to me?’ and he said, ‘Don’t worry, you will be bothered for a little while and then life will be back to normal’.”
His computer has been clogged by unsolicited emails from Indians.
“I sometimes get the feeling that people in India think of it as some kind of sporting event that their man won but science isn’t like that,” he smiles.
He doesn’t want the Nobel to be seen in narrow, nationalistic terms. “It’s very bad. Science is done for the pursuit of knowledge. It is not done to represent your national team. It has no national boundaries whatsoever. This is the thing that people need to realise.”
He gives the example of his own lab in Cambridge, where he is the 29th Nobel Prize winner in an elite list that includes Crick & Watson, the pair that unlocked the double helix of the DNA. “My own lab has two Chinese, a Malaysian, a Canadian, an American, a German, it has had all sorts of people. And it’s actually fun because people from different countries come together, they have cultural exchanges, they learn more about each others’ countries and way of life. Science is a great international mixer, so the idea that it is a sort of cricket match where our team won — that simply is a wrong way of looking at scientific discovery.”
To be sure, he hopes the cause of science has received a boost. “It’s an absolutely good thing. I can think of one even better thing for young people, especially in India. It shows them you can study in India, get your basic education in India and you can (then) do whatever you want after that. That’s a very important message.”
He says: “Indians tend to be a little insecure and they should stop being insecure — I have visited India many times and I can tell you questions I get after my talks are as perceptive as anywhere else in the world, including places like Harvard or MIT. It’s perfectly fine to take pride that someone from their region has used their background and succeeded. That gives them a positive message that they can do anything that they want.”
He argues that “if India had 50 Nobel Prizes, they wouldn’t bother. For instance, in the US I was interviewed on the day of the Nobel Prize, it went into the major papers, news media and then they said, ‘Fine, another year when a few Americans have won Nobel prizes’, that was it. They did not have this almost exaggerated reaction. That comes from a sort of feeling of insecurity about their (India’s) standing in the world. But India is not the same as it was 50 years ago.”
He stresses: “Now many excellent scientists in India are doing really first rate work and it should not matter when the next Indian Nobel Prize is because they are doing very good work — that is what matters and the more you have this infrastructure, with good scientists within India, eventually someone will get a Nobel Prize for work done within India.”
He gives examples. “There are already people who are world class in India, for example C.N.R. Rao (who has worked mainly in solid-state and structural chemistry). He is an example of how you can do first rate international work within India. So I would say to Indians — you have it within you to do this (in India).”