00:00Sir, just think that when a doctor gives you a prescription for a diagnostic centre,
00:07he gives you 9000 rupees to charge the MRI,
00:11he gives you a 3,000 rupees to a doctor's chair in the hospital,
00:16for not treating you but referring you.
00:20Sir, I'm talking about referral incentive and cut money arrangements,
00:23which is some doctors and some diagnostic centre in the hospital.
00:26This is an informal arrangement.
00:29For not treating you, it's only 3,000 rupees.
00:34It's a set commission rate, a dedicated agent, a parallel incentive economy.
00:39Sir, in the speech, the doctor's referral commission
00:44and the diagnostic centre's offices are written as a marketing expense.
00:48This commission is usually a percentage of the procedure cost to charge.
00:52And now, the diagnostic centre also sends the doctor to foreign trips.
00:56In 2002, MCI's Code of Ethics Regulation 6.4
01:00has banned this practice.
01:02It says that it's a fee splitting.
01:04In 2023, the National Medical Commission has registered medical practitioner regulation.
01:10In 2023, it has specifically banned it.
01:12Referral commission says it.
01:14And it's a 1-3 months of suspension.
01:16And in gross violation, the cheating, conspiracy, and consumer protection
01:20can also be available.
01:22Sir, the cost of burden is the diagnostic centre.
01:26It doesn't work in the patient's office.
01:28Invoice, it's a bill.
01:30The Indian Journal of Medical Ethics tells the medical bill,
01:34which is a treatment bill,
01:35which is 15-20% of the patient's,
01:36it will never increase.
01:38Sir, the infected bill is not a problem.
01:39The problem is that it is unnecessary medical tests
01:42and over-reference
01:43that a practice is starting somewhere.
01:45Sir, I ask that this is not for the doctors.
01:48This is only a cut-money referral system.
01:51Our country's doctors
01:52who are the other person.
01:55When we say the doctor,
02:00the doctor, the doctor,
02:02the doctor, the doctor,
02:02the doctor,
02:02the doctor,
02:03the doctor,
02:03the doctor,
02:06some doctors,
02:07are the reference system.
02:09So,
02:09I would like to say that
02:11the patients are red flags.
02:13When someone is a doctor,
02:14when someone is a specific diagnostic centre,
02:17then understand.
02:18If they are irritated or unhappy,
02:20you have equally accredited
02:22any other facility,
02:23diagnostic centre,
02:24or pathlop,
02:26and get sick,
02:27then you treat them as a red flag.
02:30Or a marketing executive
02:31or a promotional material
02:33diagnostic centre
02:34if you look at the doctor's clinic,
02:36then keep it very closely.
02:38Sir,
02:39this is a very important topic.
02:41Especially in tier 2,
02:43tier 3
02:44in the region,
02:45the referral commission
02:46which is
02:47in the doctors and diagnostic centre,
02:49which is an informal economy
02:51that can be made.
02:52this is an informal economy
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