Originally posted by: zorrro
That is what I was also saying. If a doctor is passionate about TREATING his patients he would like to have the best possible means for treating them. Why would anyone deliberately choose to work in restricted conditions where the facilities for treatment would be minimal? It is not about measuring satisfaction on material things but on achievements ie treatment results. Just because someone happens to be working in poor conditions does not necessarily make him more passionate about his work.
You make good points. What you are not considering is that in India close to 70% of the population lives in rural areas. And, of the hundred thousand or so government doctors available in India, more than 60% work in urban areas. As you can see, it's a bad distribution. The shortage of qualified doctors is far greater in rural areas compared to urban areas.I don't have the stats on private doctors but I can hazard guess that they too prefer to work in urban areas.
You are right in that treating a patient should provide gratification regardless of where the patient is situated. But the fact that more doctors prefer to stay in the urban areas to practice and more positions sanctioned for medical staff in rural areas are lying vacant, indicates that some thing other than "treating a patient" is swaying the doctors, nurses, midwives, lab technicians, paramedics and their kind to stay put in urban areas. Now, it could be better facilities, quicker access to supplies, more money, some of these or all of these and more. We don't know.
In that sense, we cannot definitively say which is more noble - working in rural areas or working in urban areas. I am not even sure if the word "noble" applies to any profession anymore. As long as they are ethical, I am fine with it.
In a way, this is similar to why some people choose to leave the country and settle abroad. It could be for money, it could be to avail better infrastructure, it could be for higher education, it could be for a better law and order, it could be for a better lifestyle, or it could be for a hundred other reasons. Only those who are leaving would know. But we can't find fault with those leaving; similarly we can't find fault with doctors preferring urban areas.
But we would have some appreciation for those who are capable of leaving the country, deciding to stay back and halting the brain drain. Similarly, I think we would appreciate those who voluntarily serve in rural areas. For the simple reason that the people in rural areas are under-served when it comes to healthcare.
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