The National Medical Commission (NMC) Act 2019 has been passed by both Houses of Parliament. The bill leads to the establishment of the National Medical Commission will replace the Medical Council of India (MCI), which faced many allegations and controversies recently. This new body expects to overhaul the system, which faces many issues like favouritism, corruption and other ethical issues.
MCI had been facing many issues regarding its composition, allegations of corruption, lack of accountability and regulatory role. Seeing this, the government appointed the Yashpal Committee and the Committee gave its recommendation.
- Seperation of the regulation of medical practice and medical education.
- Domination of doctors in Medical Council of India (MCI) and less representation of other stakeholders like health economists, public health experts and social scientists
- Allegation of corruption because as per Medical Council of India (MCI) guideline a college is required to be inspected twenty five (25) times to get final recognition. This establishes an Inspector Raj.
- MCI was facing an allegation of conflict of interest because MCI is an elected body and its members are elected by medical practitioners themselves,
India has a doctor-population ratio of 1:1456 as compared to WHO standards of 1:1000. There is also a huge gap in the distribution of doctors working in the Rural and Urban areas with the rural to urban doctor density ratio being 1:3.8. India has suffered from the problem of inappropriately skilled and trained doctors of varying quality for a very long time. The Mudaliar Committee Report (1959) stated that doctors had neither the knowledge nor skills to tackle primary care and infectious diseases that were a high priority concern at the time. At present, the excessive reliance on a multiple diagnostic tests is reflection of weak knowledge and commercial considerations. While NMC can support in improving medical education and practice in India, the government must entirely focus on addressing much bigger issues like Antibiotic resistance, crunch in public expenditure in health, and so on.