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Monday 29 October 2012

Do not step for privatization of health care in West Bengal provinces of India. Health care is the responsibility of a state government. It must be free and must not afford profit at expense of poor’s health


Professor Pranab Kr Bhattacharya MD(Path) Cal, FIC Path (Ind.),  Professor and Head, Dept. of Pathology, School of Tropical Medicine Kolkata[ course Coordinator of Diploma of clinical pathology(DCP) of West Bengal University of Health sciences(WBUHS) Kolkata, Member Board of Studies of WBUHS, In-charge of Diploma of laboratory technology]  108, CR Avenue, Kolkata-700073
 Email= profpkb@yahoo.co.in phone no- 91- 9231510435       2)Miss Upasana Bhattacharya, student & Daughter of Prof.P.K.  Bhattacharya  3)Mr. Rupak Bhattacharya Bsc(Cal),Msc( JU)   4) Mr. Ritwik Bhattacharya Bcom (Cal),  5) Miss Rupsa Bhattacharya Resident of 7/51 Purbapalli, Po= Sodepur Dist=24 parganas ( West Bengal)Pin 743178. India.
6) Mrs. Dalihia Mukherjee BA (Hons).Cal. university,7) Mr.Debasis Mukherjee Bsc(cal) both resident of Swamiji Nagar; south Habra 24 parganas(north) West Bengal’ India
 8)  Dr. Jayanta Dasgupta  MD(cal), DM(Gastro) Professor,  Dept. Of Gastroenterology,
Institute of Post Graduate Medical Education& Research (IPGME&R)244A AJC Bose Road, Kolkata-700020, West Bengal , India

 All Correspondances must be  to first Author= Professor. Pranab Kr. Bhattacharya
Corresponding Address= Professor & Head  Dept. Of pathology, 2nd floor, Room No10C,
School of Tropical Medicine,  Kolkata,  108, Chitta Ranjan Avenue Kolkata-700073; West Bengal, India Email= profpkb@yahoo.co.in phone no- 91- 9231510435








In 2000 the United Nations set out eight development goals to improve the lives of the world’s disadvantaged &poor populations. The goals seek reductions in poverty, illiteracy, sex inequality, malnutrition, child deaths, maternal mortality, and major infections as well creation of job , environmental stability and a global partnership for development. One problem of this itemization of goals was that it separated environmental considerations from health considerations. Poverty still could not be eliminated while political motivations & environmental degradation exacerbated  malnutrition, disease, and injury. Food production & food supplies needed better cultivation system,  more cultivator, more cultivation land &fertile soil   continuing soil fertility, climatic stability, freshwater supplies, and ecological support (such as pollination). Infectious diseases cannot be  also stabilized in circumstances of climatic instability, refugee flows, and impoverishment.
The Economic growth of a state or of a country is usually measured by economists in increase of GDP and GDP per capita. GDP per capita per year is also a very important key point of human development index used by UNDP. Health care expenditure of a country is also measured by percentage of GDP spent for it & GDP spent by Indian government for health care is<3% ,despite gross domestic product growth rate of India is 9% in2007-09. But a very big question often strikes me does GDP per capita in a real sense reflects the poverty status of any state or of any country? It appears before me to imagine or to calculate a decline in poverty unaccompanied by a simultaneous improvement in aggregate economic performance- my 83 years old father Mr. Bholanath Bhattacharya commented me few  years back.  The determinant of economic growth of a state, we people use the denominators like Life expectation at birth, Infant mortality rate [57 per1000 live birth in India in2007], Crude birth rate, Crude death rate, Maternal mortality rate [301 per 1 lack live births in India in2007] etc does really reflect the economic progress of poverty laden families of the state or of a country? I myself don’t belief that now. I see daily so large rushes in public tertiary medical colleges hospitals [in the year-2006 Total OPD 1,42,51,407 cases, Total indoor admissions 1,88,8121 cases Total1,61,39,528 of 8.5 cores population (19.69%) of the state]  & most of them belongs to so poor and bellow poverty line families. But our government still says economic growth of India is 9%. Rather state level growth of real Net state Domestic product (NSDP) may be a good determinant factor. In west Bengal, PCNSDP in 2000-2001 is Rs9778/= per year, per person which means per person capacity to purchase essential goods or calorie for living is Rs 814/= only at poverty level when central govt. definition bellow poverty line is Rs1500/= and people still at BPL level in West Bengal is 27.09% & when poverty line considered Rs 1500/=Pm per person. If PCNSDP criteria is considered to define poverty line then people at poverty level in 2008, at West Bengal will be more then 62%.Over last 3-4 decades , there had been tremendous out break of unemployment in West Bengal  amongst the educated younger generation of age range 21-45 yrs the productive age group. This picture of unemployment is not only in West Bengal but through out India. The number of registered unemployed in India through employment exchange is about 8 cores, whereas in West Bengal the figure is about 1.5 core.  Though LEB during the period of 1970s to 2008 period raised from 49.7 to 61.7 years  & Bihar state which is one of the lowest NSDP  of Rs 4123/= is in better position then MP,UP as per these conventional health indicators. But the fact also says that LEB Per capita GDP & per capita expenditure for health shows better growth. In India Poverty line is decreasing & so in West Bengal!
 Then what should be the denominators of an economic growth of a family of a state of a local society of a country?—can this be an issue of a discussion?
 Growth of physical labor! Stock of physical capacity! Technological labor class advancement! Quality and quantity [skilled and unskilled ratio] of human resources and human capital! Their living standard, their nutrition, their education and their mental health- physical labors are related to economic growth of a province or of a country. As for example, physical labors are related to production in any industry, or in paddy fields, or in agriculture or in roads or other civil sectors, in construction works or in surface, Rails, in water transport works, in home guards industries and in electricity sectors.  The development of a state, in a country is thus dependent on mostly on” lower socioeconomic class and poor class people “my old father replied me. My father through out his life led his life in extreme poverty and was a Marxist by his heart and action. He worked directly in fields for economic uplift & fought for settlement of refugees of Bangladesh war-1970s settled at a colony areas of my native village sodepur, 24 parganas(north) W.B, India. How much was he true? If his views are correct then two elements come in questions in my mind. 1) the economic growth of a family and thus of a state in larger sense depends on 1) that how much labor forces are present in a family and how much they are educated at high school level or at university level 2) the health of these labor class forces as a big capital- Both these elementary determinant level has been neglected since freedom, in West Bengal provinces of India. The role of human health in influencing the economic outcome of a state is well understood at macroeconomic level. But health deals with microeconomics at the same time._ healthier workers are likely to able to work for longer period, becomes more productive then their relatively less healthy counterparts and are able to work for longer periods, able to secure higher earnings then the later. Illness and diseases shorter the working level of people. Health has thus a positive significance effect on the rate of growth of GDP per capita. Higher income permits individuals to achieve better nutrition and better health care improvement of them results probably improvement of net domestic products(NSDP) of state , thus increase of national income and can thus decline poverty level. So it is very important to give priority that towards which the health care should be directed! Rich or poor?
 In Indian open health market, in health tourism market, in West Bengal provinces improvement of health care delivery is mainly directed towards whom? Obviously not a pro poor health care delivery system it is now in 2K! –existed in 1970s! What should be focus in health care in 21st century? It must be patients cure and care both. Every patients must have sufficient accesses to safest and highest quality of health care regardless how much they earn, where they live and how seek they are!- A patient, a citizen must be the first priority and not the health industry and profitable health financing. Then why to step for privatization of health in west Bengal? Why opening accesses for so many & mushrooming Private health care institutions including private Medical colleges?
 Improvement of health care through public health care delivery when directed at poor, it contributes more directly to poverty reduction and serve as pro-poor growth strategy. In west Bengal Provinces of India out of 8.5 cores population 27.09% population is bellow poverty line( Rs 1500/= pm I.e. < $1-1.5 per day per person) and 62% population is at poverty line (Rs 1500/=)even after 61 years of Independence! . In India, tuberculosis kills 364,000 people and diarrheal disease and other infections kills 3 million people every years .700-800 million people in India lives with daily income<us$1-1.5. These poor bears disproportionate burdens of illness, psychiatric illness, Suicides and various under nourishments, infectious diseases including T. B, HIV,  sanitation & sewage disposal problems, water borne infections, mosquito borne diseases then upper middle class, middle class and rich people[300 millions in India]. The poor suffers from ill heath due to mainly of causes of poor nutrition that reduces their ability to perform works due to weakness, due to threaten Tuberculosis, their defective immunity and resistance for diseases, frequent treatment expenditure, frequent doctors fee, nursing home charges and loss of economic forces. Poor families thus exhaust their earnings, their savings, their assets and take re curse of borrowing leading to more poverty, poor health status & drop in school & colleges.
There always remained inequalities between rich and poor population within a state within a country or between rich and poor countries.  In case of state of West Bengal, in India, the same is also true. No doubt there happened a systemic (in hands of few percentage -<20% population) economic growth and number of middle class economic families or people increased in the state. In India, now< 300 millions people may be classed in middle class economy. Their physical or labor contribution for economic growth of the state is negligible and their life style is really most unhealthy one, that they are eating too much of fat, eggs, milk products, cheese, packed dry foods, meat, consume much  cooking oil & carbohydrates, drinks alcohol, consume cigarette and tobacco products, but they are reluctant to burn their calorie by physical labor. They lost all their physical activities including daily one hour walking. City middle class and upper middle class population mostly drive their cars every where they go. As a result, I think, they suffer from obesity, high BMI, metabolic syndrome, diabetes mellitus type-2, high blood pressure, renal failure, atherosclerosis and cardiovascular diseases. As a teacher doctor’s   state government salary in a reputed public post graduate teaching hospital of kolkata, my unit family belongs now in upper middle class family and possesses all these ill effects.  Are not these people themselves responsible for their diseases and early death if occurs? Why the state health services policies pays priority for these people’s illness, opening marketing  accesses for business houses like mushrooming private  health institutions/hospitals[ never show any human face] in healthcare system, neglecting the real needs of poor?. we need a renaissaue in health care driving force towards an effective and strong primary health care in state of west Bengal particularly targeting poor people in regard immunization, proper food care, nutrition, safe water, sanitation, maternal and child care, prevention and quality treatment of local diseases, provision of essential drugs, laboratories diagnostic facilities extending from secondary health care tire to primary health center level. In 1983 the India’s national health policy adopted the alma- atta definition of primary health care to mean the provision of curative, preventive and rehabilitative health services and accesses of health services to rural areas. A large three tire health care system developed in all provinces including in state west Bengal. Primary health centers are units that provide integrated health care in rural villages [30,000 populations] and provide referral to secondary and tertiary care in an almost non effective referral system. But problem of PHCs remained, are unavailability of human resources [doctors, nurses], essential medicines,gazates and forcing poor people to get treatment in private chambers and often before quack doctors, on whom villagers depends on much
  The fact is that for last 2, decades, in the state, there was dominance of profit making health insurances industries, a new wave of investor-owned specialty or super specialty hospitals, and profit-maximizing behavior in west Bengal provinces including in India .The involvement of private companies any where always generates some controversy. Some health policy maker people believe that only commercial interests can bring health innovation and efficiency and can modernize the health system. –the idea is not a default . I rather assume that the profit motive is incompatible with the pursuit of excellence in health care system. The government of west Bengal so planned to  establishing at least 60 primary health centers, diagnostic laboratories services in secondary and tertiary level health care including in medical colleges of the state  to be run by private companies in the name of public Private Partnership in Health care system. Health care is the responsibility of a state government. It must be free and must not afford profit at expense of poor and what I feel

  Copy Right-  This article is the Intellectual Property of Authors and Copy Right of this letter belongs to Professor Pranab kumar Bhattacharya and his first degree relatives only as per copy right act & rules of Intellectual Property Right Rules 3D/107/1201a,b/ RDF Copy Right rules/ SPARC copy Right rules-2006/ and Protect intellectual Property Right(PIP) copy right rules of USA-2012. No Person, No NGos, No Researchers , No Health planner who ever he/she may be from India or  Provinces like West Bengal provinces, except the first degree relatives of Prof PKB & authors, is entitled to implement any things any syllable even any Idea out of contents  present in this article. Please do not Infringe, restrict yourself  and be enough carefull for your own safety if you are not direct Blood relation to prof Pranab Kumar Bhattacharya
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Thursday 11 October 2012

Prediction for 2012 Nobel prize in Medicine, Physics & chemistry, Literature, Peace " of Professor Pranab Kumar Bhattacharya

Please Read the prediction, Nomination and comments of Professor Pranab Kumar Bhattacharya in the Nobel Prize.org Face Book and in science Insider published as his comments on Medicine, Physics Chemistry, Literature & peace Prize. Please register and Log on if you like to comment on his comment

  For Chemistry prize
 Congratulation to Robert J Lef Kowtiz of Howard Huges Medical Institute Duke university Medical center Durham NC USA for G protein Receptor though my strong prediction this time was for DNA microarray

 For Physics Prize _:
  •  I expect Quantum Teleportation and for it Coles H Binnet of IBM fellow , Thomas J Watson Research center IBM corporation York town Heights NY USA is preferred candidate .Peter Higgs particle not yet discovered in LHC. to be mass less it mast be without any spin. My other expectation is Mr. Rupak Bhattacharya of residence 7/51 Purbapalli Po Sodepur Kolkata-110 for his zero mass particle sub 2 quark particle concept in quantum chromodynamics . May be CERN as organization to receive the prize
    Tuesday at 3:16pm · Edited · Like · 1
    After the prize was declared
  • ProfPranab Kr Bhattacharya   My expectation is half correct as Nobel prize for physics-2012 has awarded for ground-breaking experimental methods that enable measuring and manipulation of individual quantum systems" for super fast next generation quantum computerhttp://www.nobelprize.org/nobel_prizes/physics/laureates/2012/press.html Though my guess of Persons to win the Nobel prize has not been correct

  •  For Medicine prize
    After the prize was declared
    1) ProfPranab Kr Bhattacharya  My prediction in Medicine Prize is Ok. the prize has been awarded" The Nobel Prize in Physiology or Medicine 2012 was awarded jointly to John B. Gurdon and Shinya Yamanaka "for the discovery that mature cells can be reprogrammed to become pluripotent" Ie IPS Stem cells prof Shinya Yamanaka Japan’s Kyoto University and the Gladstone Institute of Cardiovascular Disease in San Francisco is one of probable candidate this year also I Told. I predicted and Nominated him in 2009 also. Thanks to Nobel assembly

    Thanks to Nobel Assembly for your selection . I Predicted IPS Stem cells to win Nobel Prize and Professor Shianya Yamanka of Japan's Kyoto University for this year Nobel prize several times. I Predicted him in 2010 also. Many Many thanks to members of Nobel Assembly and congratulations to Professor Shianya Yamanka at the same timehttp://www.nobelprize.org/nobel_prizes/medicine/laureates/2012/press.html

    The 2012 Nobel Prize in Physiology or Medicine - Press Release
    www.nobelprize.org
    Nobelprize.org, The Official Web Site of the Nobel Prize

    For Peace Prize
    ProfPranab Kr Bhattacharya For Peace Prize my strong Expectation is Gene Sharp
     But the Prize was awarded to EU
    comment of Prof Pranab Kumar Bhattacharya at Face book of Nobel prize.org


    ProfPranab Kr Bhattacharya Really Disgracefully decision.The Norwegian Nobel Committee favour in Open Market economy Two of the original core objectives of the European Economic Community were the development of a common market, subsequently renamed the single market, and a customs union between its member states. The single market involves the free circulation of goods, capital, people and services within the EU, and the customs union involves the application of a common external tariff on all goods entering the market. Once goods have been admitted into the market they cannot be subjected to customs duties, discriminatory taxes or import quotas, as they travel internally. The non-EU member states of Iceland, Norway, Liechtenstein and Switzerland participate in the single market but not in the customs union. Half the trade in the EU is covered by legislation harmonised by the EU.
    Free movement of capital is intended to permit movement of investments such as property purchases and buying of shares between countries. Until the drive towards economic and monetary union the development of the capital provisions had been slow. Post-Maastricht there has been a rapidly developing corpus of ECJ judgements regarding this initially neglected freedom. The free movement of capital is unique insofar as it is granted equally to non-member states.
    The free movement of persons means that EU citizens can move freely between member states to live, work, study or retire in another country. This required the lowering of administrative formalities and recognition of professional qualifications of other states.
    The free movement of services and of establishment allows self-employed persons to move between member states to provide services on a temporary or permanent basis. While services account for 60–70% of GDP, legislation in the area is not as developed as in other areas. This lacuna has been addressed by the recently passed Directive on services in the internal market which aims to liberalise the cross border provision of services.[ According to the Treaty the provision of services is a residual freedom that only applies if no other freedom is being exercised.Although the EU has no major competences in the field of health care, Article 35 of the Charter of Fundamental Rights of the European Union affirms that "A high level of human health protection shall be ensured in the definition and implementation of all Union policies and activities". All the member states have either publicly sponsored and regulated universal health care or publicly provided universal health care. The European Commission's Directorate-General for Health and Consumers seeks to align national laws on the protection of people's health, on the consumers' rights, on the safety of food and other products.
    Health care in the EU is provided through a wide range of different systems run at the national level. The systems are primarily publicly funded through taxation (universal health care). Private funding for health care may represent personal contributions towards meeting the non-taxpayer refunded portion of health care or may reflect totally private (non-subsidised) health care either paid out of pocket or met by some form of personal or employer funded insurance.
    All EU and many other European countries offer their citizens a free European Health Insurance Card which, on a reciprocal basis, provides insurance for emergency medical treatment insurance when visiting other participating European countries. A directive on cross-border healthcare aims at promoting cooperation on health care between member states and facilitating access to safe and high-quality cross-border healthcare for European patientshttp://en.wikipedia.org/wiki/European_Union
    19 hours ago · Edited · 1
    For Literature Prize
    ProfPranab Kr Bhattacharya   I Expect Milan Kundera will win Literature prize in 2012

    ProfPranab Kr Bhattacharya Guan Moae is his original name. He was brought up from a extremly poor firmer family whose father could not afford money for his school and he used to do work as firmer with cows and then a as a factory worker. He joined later in people liberation army in 1976 .I read his only one book translated in English Big breasts and wide hips" but I did not expect he will win Nobel Prize. I expected rather Milan Kundera for his book "Immortality" that impressed me a lot and worthy for Nobel Prize in literature in my opinion. However Congratulation Mr Guan Moae for being NL in literature . What about Lu Xiabo? the NL of Peace prize-2010. Is he still in prison of China?. I know about his protest in china about chin's single child poilc


     on 2nd octoeber 2012 posted at Nobel prize.org Face book.

    ProfPranab Kr Bhattacharya I think and will nominate that QUANTUM TELEPORTATION is the justified candidate for 2012 Nobel prize in Physics and for it COles H. Bennett the IBM Fellow, Thomas J. Watson Research Center, IBM Corporation, Yorktown Heights, NY USA and Mr Rupak Bhattacharya Bsc(cal) Msc(JU) of Residence -: 7/51 Purbapalli; PO-sodepur; Dist 24 Parganas, West Benga,l for a zero mass sub quark 2 particle in Tev is probably the best candidates to win 2012 Nobel prize in Physics according to myself . Milan Kundera is the my choice for his book "the Immotality" for the Literature prize in 2012. I am long predicting him since 2010 . I also predicted Nobel Prize for Medicine[2000] will be awrded for the IPS Stem cell [ induced pluripotent stem cells or iPS cells from ordinary skin cells] and prof Shinya Yamanaka Japan’s Kyoto University and the Gladstone Institute of Cardiovascular Disease in San Francisco is one of probable candidate this year also , I also predicted in 2008 that discoverer of Imatininib should be also a good Candidate and today also I hope for Tyrosine kinase inhibitor drug for Nobel prize in Medicine 2012. Imatinib was developed in the late 1990s by biochemist Nicholas Lydon, a former researcher for Novartis, and oncologist Brian Druker of Oregon Health & Science University (OHSUCarlo Gambacorti-Passerini, a physician scientist and hematologist at University of Milano Bicocca, Italy,should also be included who led the clinical trials of Imatinib confirming its efficacy in CML. and for chemistry prize I predict Patrick Brown of Stanford University School of Medicine in California, who invented DNA microarray. For the peace Nobel prize 2012 my chioce is Dr. Gene Sharp and Mr Rupak Bhattacharya of 7/51 purbapalli Po-sodepur Dist 24 pargnas (north) Kolkata west Bengal is the right candidate ttp://news.sciencemag.org/scienceinsider/2011/09/2011-nobel-prize-predictions.html#disqus_thread
http://www.facebook.com/Nobelprize.org
http://news.sciencemag.org/scienceinsider/2011/09/2011-nobel-prize-predictions.html#comment-667396290
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