Doctors are always blamed that they do not go to rural areas

Doctors are alwaysblamed that they do not go to rural areas

I have the following points to make:

• Open medical college/s, only in rural areas so that a budding doctor does his internship and three years PG in the same area. we should at least open such colleges at district hospitals of more than 300 beds and the selection of the students be made from the region on priority.
• It is high time to start Nurse Practitioners course in the state. It is proposed to be of five years and the candidates be selected from grade I nursing staff
• Many young doctors go to Saudi Arabia, Gulf Countries, US, UK to earn a tax-free income so that they can start their own clinic or medical set  up. These doctors can be convinced to work in rural areas, if they are given income tax-free salary for serving in rural areas for two years as financial incentives. Some of the non financial incentives can also be provisoned like subsidised loan to open hospitals or clinics in the rural areas.
• All doctors who document 10% of free service should be given incentives that are normally given to any trust or society, which includes income tax rebate, non-commercial rates for house tax, electricity and water etc.
• Retired Government Doctors who are interested in rendering services be given extension before they leave system and join private hospitals at high honorarium.
• Every citizen of the State should be insured. When driving without insurance is an offence then how come the costliest machinery in the world human body is allowed to walk out of the house without insurance. Government should make insurance compulsory and those who cannot afford, the government should pay for their insurance( It was tried in the state few years back under one W B assisted project). Once everybody is insured, hospitals across the country will be automatically established in rural areas.
• It is still to be decided that the age of superannuation for doctor and other Government staff should be the same? In my opinion No.
• We should not much stress upon the PPP modalities. These experiments have hardly worked in the health sector. 
• We should develop group housing facility with all modern facilities at least at each district head quarter so that the kins and kids of all doctors and paramedical staff live together with the modern facilities of education,sports, community hall, shopping malls like that  available in metro cities.

Dr. P.C.Ranka, Jaipur, Rajasthan, India