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National medical commission EDITORIAL DECODE 4 JAN, 2018

National medical commission EDITORIAL DECODE 4 JAN, 2018

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National Medical Commission Bill



  • G.S. Paper 2
  • About National Medical Commission Bill
  • Changes proposed and doctor’s opposition


  • The Government has decidecd to do away with the Medical Council of India (MCI), the apex medical education regulator which has been accused of minting money by threatening to derecognise medical colleges and manipulating admissions, will be no more.

Why government wants to alter the administration of the health sector in India?

  • last year, a parliamentary standing committee on health and family welfare tabled a report which exposed the scam-infested Medical Council of India, the country’s sole medical regulatory body.
  • As per the report alleged, the MCI had become a “club” of influential doctors who perform their roles as regulators (approving the setting up of medical colleges and monitoring conduct of doctors) with little care for the basic norms of governance or fear of regulation.

What are the proposed changes to be introduced as per National medical commission?

  • The government, under the National Medical Commission (NMC), can dictate guidelines for fees up to 40% of seats in private medical colleges. This is aimed at giving students relief from the exorbitant fees charged by these colleges and is a standout feature of the bill.
  • The bill also has a provision for a common entrance exam and licentiate (exit) exam that medical graduates have to pass before practising or pursuing PG courses. For MBBS, students have to clear NEET, and before they step into practice, they must pass the exit exam.
  • Recognised medical institutions don’t need the regulator’s permission to add more seats or start PG course. This mechanism to reduce the discretionary powers of the regulator.
  • Fewer elected members to the new commission.
  • Earlier, medical colleges required the MCI’s approval for establishment, recognition, renewal of the yearly permission or recognition of degrees, and even increase the number of students they admitted. Under the new bill, the powers of the regulator are reduced to establishment and recognition. This means less red tape, but also less scrutiny of medical colleges.

Why are the doctors are opposing the National Medical commission?

  • The doctors, say that the Bill promotes crosspathy (those who have studied alternate medicine can practice allopathy), eases procedures for private medical colleges and will be dominated by the government.
  • The IMA has labelled the Bill as anti-poor and anti-people, and said it makes the system prone to corruption.
  • The Bill seeks to replace the Medical Council of India (MCI), the apex body for the medical fraternity since 1934, and form a new National Medical Council.
  • Among other provisions, the Bill has done away with permissions needed to start a medical college, and allows private medical colleges to increase undergraduate and postgraduate seats on their own.
  • It doesn’t provide for inspections and cancellation or suspension of licenses if discrepancies are found in the functioning or infrastructure of colleges.
  • Instead, colleges will have to pay a massive fine, that could be anything between ₹ 5 crore and ₹100 crore.
  • The Bill also allows private medical colleges to decide the fee for 60% of their seats, which will increase the cost of medical education.”
  • Doctors are also opposed to a bridge course proposed in the Bill, which would enable alternative medicine practitioners to practise allopathy, and lack of representation from medical universities.




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