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Editorial (Dr SS Agarwal, Dr K K Aggarwal)
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27th December 2016
Government of Karnataka, to regulate/prescribe the rates chargeable by private medical establishments (and professionals) for services and procedures performed by them?
The Government of Karnataka is planning to introduce a Bill (January 2017?) for price control in the private healthcare sector. Prices will be fixed for all medical procedures including that for the patientsin the private wards.
The government is unable to provide care to the citizens through its networks and it is the private healthcare providers, who are providing safe and quality healthcare to around 70 percent of the citizens. If this happens it will destroy the healthcare delivery system and the citizens of our state will have no access to the state of the art technology. If the GoK succeeds, other states will follow suit.
Current Position
Clinical Establishment Act: rule 9 (2) The clinical establishment shall charge the rates for each type of procedure and services within the range of rated determined and issued by the central government from time to time in consultation with the state government
Recommendations of inter-ministerial committee
The committee recommends that the position of the rule 9 (2) of the CE rules can be considered to be changed to the extent that central government should specify the list of procedures and costing templates while actual determination of the range of rates could be left to the state governments who can take into consideration the relevant facts while deciding upon the range of rates for their respective states in consultation with relevant states holders including the Indian Medical Association.
IMA Position
1.    Challenge the rule 9 as ultra vires as there is no provision of this in the parent act.
2.    No rates can be decided without involvement of Indian Medical Association.
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Flu in children
With the onset of winter, children become increasingly prone to influenza infections highlighting the importance of preventive measures and good hygiene practices.

New Delhi, Dec 26, 2016: Influenza is a viral illness and it often manifests in a mild form in children. Influenza infections are most frequent in winter and children are especially susceptible to infection due to weaker immune system.

The classical features of uncomplicated flu in children include abrupt onset of fever, headache, muscle pain and malaise affected by manifestation of respiratory tract illness - sore throat, sough and nasal discharge.
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