Wednesday, May 4, 2011

2010 Games: Crores wasted on medical equipment, guess who's paying

For Delhi, which is reminded frequently by politicians of the privileges of hosting the 2010 Games, the hope is that the price tag of 30,000 crores will at least deliver world-class infrastructure - better roads, flyovers, stadia.

That Promised Land doesn't appear any nearer at least during this monsoon, with the rain bringing down the roof quite literally at different venues. If you're the sort of person who can see a stadium flooded with water and look at it as half-empty rather than half-full, this investigation could test even your patience.

The different venues which will host an estimated 10,000 players and officials are each meant to have basic medical facilities and equipment - stretchers, ultrasound therapy machines and wheelchairs. So in March, the Delhi Health Department asked for tenders for 34 of these items. The Delhi government rejected bids from various reputed international firms, arguing that they were technically below-the-mark. Credible protests followed and that led to a call for a fresh round of bids in May.

The details of who won the tenders or contracts were carefully-guarded. The winning price was never declared - standard practice.

The need for secrecy is obvious. The government is buying products at seven times their normal price.

124 trolley beds have cost the government - and remember, this is your tax money - nearly 1.5 crores. The beds are being bought from a company named Surgicoin. When NDTV contacted the same company, we received a quote of about 1.5 lakhs per bed. But the government is paying 2.75 lakhs per bed. A middleman - a company named Lord Krishna which is selling those beds to the government - therefore benefits big time.

The government is being fleeced across the board. For ultrasound therapy machines, the government is paying the same Lord Krishna Company 3.5 lakhs per machine - against the actual price of Rs. 77,000 that the manufacturer quoted to us. Multiply that by the 41 machine the government has bought, and the loss is more than a crore just for this item.

Muscle and tissue injuries are also more expensive during the Games than at other times, apparently. Shortwave Diathermy machines - used to treat these injuries - are priced at 4.9 lakhs against the manufacturer's usual price of Rs. 77,000. Across the 20 machines that have been bought, that's a loss of 83 lakhs.

The math across different categories adds up to a loss of 3.5 crores for the purchases of the Delhi Health Department. "Well I have no idea as I am not directly related to such purchases, however if you have made such a comment, then I will definitely inquire into it"." Said Dr Kiran Walkia, the city's Health Minister.

The daylight robbery will extend well beyond the Games. The tenders or bids that were awarded are valid till June, 20100 - that means government hospitals that want to buy any of this equipment are obliged to use the same companies and rates.

If you're feeling a bit sore about this, this could add to the burn. It turns out that several prominent clinics in Delhi had volunteered their services for the Commonwealth Games, but their offers of setting up free lab facilities were rejected. Dr Navin Dang, OF South Delhi's famous Dang's Clinic, wrote a year ago to several government officials offering his services at no cost. He says nobody responded.

It's easy to imagine who benefits from these heavily-padded prices. And it leaves the city convinced that the Games offer all pinch and no pleasure.

Thursday, March 10, 2011

Medical Equipment


Everything about medical equipment leasing

Health care practitioners and administrators have benefited from leasing medical equipment rather than purchasing.

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Medical equipment such as laboratory equipment, X-rays, monitors, ultrasound instrumentation is expensive to finance and a vital to the daily operations of a doctor's office.

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Physicians, starting their own practices have several choices, they can send their patience to hospitals for lab work and test, or the physician can send their lab test to a reference labs, or they can run the required test in their office.

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Having their patience go to a hospital for routine testing is a great inconvenience for the patience. Sending routine lab work to reference labs may or may not be covered by health insurance, and performing the test in the office means the physician has to invest in expensive equipment.

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Leasing is another option, which allows the physician to pay for the instruments in monthly installments instead of all at once.

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Many times, lease agreements include routine maintenance preformed by the manufacture and at the end of the lease, the physician may have the opportunity to purchase the equipment or upgrade to a newer model.

A large percentage of doctors' offices lease medical equipment. Established hospitals, reference labs, blood banks, physician offices, and clinics lease a majority of their equipment because of the flexible plans offered.

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Many pharmaceutical companies offer inexpensive lease programs on medical equipment if the hospital or laboratory agrees to purchase reagents for a certain amount of time from that particular pharmaceutical company.

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Physicians see leasing medical equipment programs as a way to help their practice grow.

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Having the ability to perform simple testing, such as bone density, urinalysis, EKG, and simple lab work greatly assist the physicians in their diagnosis of their patience.

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