Sunday, 15 April 2018

Sunday Snippets#3 The Doctor’s dilemma - excerpts from the book ‘The Second Chance’.


One day, a medical representative came to Shekhar’s clinic and gave him a dozen bottles each, of the three syrups that had been made by their company for common ailments like fever, cold and cough. He briefed him on all the positives of those medicines and made him an offer. He said, “Doctor, we have a tie-up with all the medical stores in this locality. Whenever you prescribe this medicine to any of your patients, we shall give you a 10% commission.”

Shekhar said quickly, “No … I don’t need any commission from you. I only prescribe those medicines, which help my patients to recover faster…”

“Agreed sir, but we are giving this commission out of our gratitude. Please accept it…”

Shekhar could not decide at the spur of the moment, whether it was ethically correct to accept such commission for prescribing a specific medicine. He decided to think about it later, and did not commit anything to the medical representative.

After a few days, a marketing representative of a pathological laboratory in Vasant Vihar approached him. In a professional manner, he explained about the various diagnostic facilities available in their laboratory and requested him to avail their services. Shekhar was happy to note about a wide range of testing facilities available under one roof near his clinic.

After a strategic pause during the discussions, the marketing representative said, “Doctor, we shall pay you a commission of 40% on all the tests recommended by you to your patients.”

Again, Shekhar was surprised at this offer. He said sheepishly, “No, I do not require any such commission … I recommend only those tests to my patients, which help me to diagnose their ailments better. That’s all …”

“Yes Doctor, we agree with you. However, this is our gratitude towards you, for directing your patients to our laboratory …”

Once again, Shekhar got lost in deep thoughts. He was not sure, about the ethical aspect of that deal. Like the previous offer, he decided to think about the new one too later.

In just a few months, many more medical representatives belonging to different pharmaceutical companies visited him and offered him certain percentage as commission. Similarly, many more marketing representatives of the pathological laboratories located in the immediate vicinity also visited him and offered different percentages as commission for recommending tests to their patients.

He soon noticed a world of difference in his attitude. After diagnosing a patient, whenever he held the pen against the prescription pad, he would be more inclined to prescribe those medicines, which offered him higher percentages as commission. Sometimes, he prescribed those tablets, which were not required by the patient, but offered him good percentage as commission. Of course, such tablets acted merely as vitamin supplements and had no side effects on the patients.

Earlier, whenever patients had some ailments, Shekhar would prescribe them the routine tests such as blood test, urine test, X-ray etc. He would ask them to do advanced tests, only when it was required for a more accurate diagnosis of some serious ailment. However, he realized that there too, his thinking was now biased towards recommending those tests, which fetched him more commission. His choice of diagnostic centers was also being influenced by the commission offered to him instead of their accuracy and reliability of reports.

‘The Second Chance’ releases in June 2018.

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