INTRODUCTION:

The first medical bill was passed in 1956 which was named as The Indian Medical Council Act. That Council focuses on approving new medical colleges, framing guidelines for the medical field, giving licence for Doctors after Post-graduation till the formation of the National Medical Commission. Due to the non-performing of the Council in a systematic manner, the Parliamentary system reports and requests to create a new bill regarding the medical field on urgent basis.

In 2017, a bill was introduced named National Medical Commission Bill, 2017 but after dissolution of Lok Sabha, this bill was automatically lapse. But again in 2019, that bill was introduced as The National Medical Commission Bill, 2019. The bill was introduced in Rajya Sabha by the Minister of State for AYUSH, Mr Shripad Yesso Naik, in January 2019. The Rajya Sabha passed the National Medical Commission Bill, 2019 and finally, the bill was enacted. This bill seeks to repeal the old bill to help in providing for a proper medical education system. The population of India is so large which marks the necessity to establish a very good medical infrastructure for the citizens of India. Without any growth in the medical field, a country cannot growth altogether. Education and health care is the basic structure of the development of any country to establish a good infrastructure in the medical field. In this article, the author discusses the said bill in detail and the analysis of it in the author’s opinion.

BASIC FEATURES OF THE NCISM:

1. The objective of the bill stands on the availability of high infrastructural medical professionals, adoption of the new and modern medical research by medical professionals, periodic assessment of medical mechanism and an effective grievance redressal mechanism.
2. The National Medical Commission established the State Medical Council at the state level within three years of the passage of the Bill.
3. Composition of NCISM includes:

• The NMC will consist of 29 members, appointed by the central government.
• A search committee will give names to the central government for the post of Chairperson, part-time members, and presidents of the four autonomous Boards set up under the NCISM.

4. Functions comprise of:

• Making policies for medical institutions.
• Developed better healthcare-related human resources and infrastructure.

5. Members of the NCISM will include:

• The chairperson;
• The president of the board of Ayurveda;
• The president of the board of Unani, Siddha, and Sowa Rigpa;
• The president of the Medical Assessment;
• Advisor or joint Secretary in charge of Ayurveda, Ministry of AYUSH.

6. Tenure of that post has a maximum term of four years. The search committee will consist of seven members including the cabinet Secretary and five experts nominated by the central government (of which 3 will have experience in the medical field).
7. Autonomous Boards

The bill sets up a certain autonomous body under the supervision of NCISM which are mentioned below:

• The board of Ayurveda and the board of Unani, Siddha, and Sowa Rigpa.
• The Medical Assessment and rating board for the Indian system of medicine.
• The ethics and Medical Registration board.

8. The board of Ayurveda, Unani, Siddha, and Sowa Rigpa

These boards will be responsible for formulating standards, making guidelines for medical institutions, and granting recognition to medical qualification at the level of undergraduate and postgraduate. The Medical Assessment and rating Board-It determine the rating of medical institutions. It has power to penalties on an institution which fails to maintain guidelines. It permits for establishing a new medical institution. The ethics and medical Registration board maintain a national register for licensed medical practitioners.

9. Advisory Council

According to the bill, the Central Government will establish an advisory council for medicine. The States/Union Territories can put their views in front of this council. The Council also gives some advice to NCISM for maintaining the standards for medical institutions.

10. Systems of Medicine

The Unani system originated in Greece. It was introduced in India by the Arabas and Persians around the eleventh century. India has the largest number of Unani education. Whereas Ayurveda was derived from two words Ayu and Veda. Ayu means life and Veda means knowledge. Ayurveda means the science of life. It signifies good health through medicines, diet. The Siddha System is specifically found in South India, in the state of Tamil Nadu. It has come from Siddha which means achievement. Siddhars who achieved supreme knowledge in the field of medicine, yoga and meditation. Sowa-Rigpa is a Tibetan system of medicine which was the oldest medical tradition of the world. It has been originated from Tibet. After that, it became famous in India, Nepal, Bhutan, Mongolia and Russia. It was considered somehow similar to Ayurveda. It has the Cosmo physical elements of jung-wa-nga (Prithi, Jal, Agni, Vayu and Akash) and was recognized by  the central government in 2011.

11. Homoeopathy

It is derived from a Greek word called Homois & Pathos which means similar and suffering through respectively. It was introduced in the 18^th century in India.

12. Entrance examinations

There is a Next-Exist test entrance examination in which the final year students of MBBS appear for post-graduation. Without appearing for this exam, they can’t get admission in post-graduation. If any of the students apply from foreign medical college, then they have to appear for a screening test. After that only, they can get a licence for practising. Many students are against for this entrance test, but it is considered necessary for the students. Because many students are getting a licence for practising medicine but they don’t know the basic knowledge of medicine. If any of the institutions fail to follow the guidelines which are provided for every medical institution by NCISM then they are empowered to pay fine 1.5 times of the total annual fees. If the same continues regarding the guidelines then, their license can get cancelled.

Analysis of the bill

The Commission has been structured for functions related to educational institutions pertaining to Indian System of Medicine. The bill focuses on enforcing high ethical standards in all aspects of medical services including medical institutions in Indian System of Medicine.The Medical Council Of India is responsible for medical education and practice.Over the years many issues arises like composition , allegations of corruption ,and lack of accountability.Framing guidelines for determination of fee forr 50% of the seats in the private medical institutions

Conclusion

NCISM has created a good infrastructure for medical institutions. It has developed efficient health care and try to abolish corruption in medical institutions and medical field and also in making a good and well knowledgeable profession.As record January 2018,the doctor to population ration in India was 1:1655 compared to the World Health Organisation standard of 1:1000 .Other countries where medical professionals other than doctors are allowed to prescribed allopathic.

Examples

Nurse practitioners in USA provide a full range of primary,acute  and specialty health care service,including ordering and performing diagnostic tests,and prescribed medications.Object is,Nurse Practitioners must complete a master’s or doctoral degree programe advanced clinic traning and ,obtain a national certification.

Reference

1.https://www.drishtiias.com/daily-updates/daily-news-analysis/national-commission-for-indian-system-of-medicine-bill-2018

2.https://www.insightsonindia.com/2020/01/30/national-commission-for-indian-system-of-medicine-bill-2019-ncim/

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