Aapka ₹9,000 Ka MRI Test, Doctor Ki Jeb Mein ₹3,000 — Yeh Sach Hai!
Doston, agla baar jab doctor aapko “yeh test yahi lab se karwao” bole, ek second ruk jaana. Kyunki ho sakta hai woh aapki health ke liye nahi, apni jeb ke liye yeh advice de raha ho.
6 August 2026 ko Rajya Sabha mein BJP MP Raghav Chadha ne ek explosive khulasa kiya — India ke healthcare system mein doctors aur diagnostic centres ke beech ek “cut money” ya “referral commission” ka informal nexus chal raha hai, jisse patients ke medical bills 15-20% tak inflate ho jaate hain. Unhone Parliament mein ek concrete example diya: agar koi MRI test ₹9,000 ka hai, toh usmein se average ₹3,000 seedhe doctor ki jeb mein jaate hain — sirf test refer karne ke liye, treat karne ke liye nahi.
Yeh sunkar shock lagta hai, na? Lekin doston, yeh koi naya scam nahi hai — yeh dashkon se chal raha hai, bas ab iski charcha zor-shor se ho rahi hai. Is blog mein hum samjhenge yeh poora system kaise kaam karta hai, isse kaise pehchane, aur khud ko aur apni family ko kaise protect kare.
“Cut Practice” Hai Kya? Poora System Samjho
“Cut practice” ek illegal commission arrangement hai jisme ek doctor patient ko kisi specific hospital, specialist, pathology lab, ya diagnostic centre pe refer karta hai — aur badle mein use bill ka ek fixed percentage commission ke roop mein milta hai.
Kaise Kaam Karta Hai Yeh System?
- Doctor patient ko ek prescription deta hai jisme ek specific diagnostic centre ka naam ho, ya prescription pe ek subtle code/marking hoti hai jo referral source ko identify karti hai
- Patient us lab mein jaakar test karwata hai, poora bill pay karta hai
- Mahine ke end mein, agreed commission (jo reports ke mutabik 30-50% tak ho sakta hai) doctor ko route kar diya jaata hai
- Diagnostic centre apne accounts mein isse “marketing expense” likhta hai, jabki doctor ki taraf se yeh “referral commission” kehlata hai
Maine notice kiya hai ki jab bhi koi illegal practice lambe time tak chalti hai, log usse “sophisticated language” mein disguise kar dete hain — jaise yahan “marketing expense” wala term use hota hai, taaki records mein kuch bhi suspicious na lage.
Yeh Sirf Ek City Ka Issue Nahi Hai
Doston, ye galti mat karna ki sochte ho yeh sirf ek do jagah ho raha hai. Nagpur jaisi cities mein investigative reports ne pata lagaya hai ki doctors, labs, aur collection centres ek structured chain mein linked hain — jisme referring doctor, collection centre, aur diagnostic laboratory, teeno players shaamil hote hain. Kai baar toh doctors ko diagnostic centres foreign trips tak sponsor kar dete hain “incentive” ke roop mein.
Yeh Legal Hai Ya Illegal? Kya Kehte Hain Rules
Bilkul clear cut answer hai — yeh completely illegal aur unethical practice hai.
- National Medical Commission (NMC) doctors ko kisi bhi gift, commission, ya financial incentive lene se strictly bars karta hai — patients, tests, ya procedures refer karne ke against
- Code of Medical Ethics Regulations, 2002 ka Regulation 6.4 clearly “fee splitting” ko ban karta hai — yeh rule 2002 se hi exist karta hai, matlab yeh naya law nahi hai
- Punjab and Haryana High Court ne ek landmark judgment mein ruled kiya tha ki diagnostic centres dwara doctors ko diye gaye referral fees deductible business expense nahi maane ja sakte, kyunki yeh regulations ke against hain aur public policy ke khilaf hain
- Violation pe penalty mein doctor ki suspension tak ho sakti hai
Yeh Scandal Itna Bada Kyun Hai? Real Impact Samjho
1. Patients Ko Unnecessary Tests Prescribe Kiye Jaate Hain
Jab commission ka motive involved ho jaata hai, doctors sirf medical necessity ke basis pe nahi, balki apne financial benefit ke basis pe tests recommend karne lag jaate hain.
2. Medical Bills Artificially Inflate Ho Jaate Hain
Raghav Chadha ke mutabik, iss practice se patients ke bills 15-20% tak zyada ho jaate hain — yeh ek significant financial burden hai, especially middle-class aur lower-income families ke liye.
3. Patient Choice Ko Compromise Kiya Jaata Hai
Reports batati hain ki agar patient kisi doosri lab mein test karwane ki koshish kare, toh unke reports “reject” kar diye jaate hain, ya unhe pressure diya jaata hai “preferred” centre pe hi repeat test karwane ke liye. Yeh directly patient ke fundamental right — informed choice — ko violate karta hai.
4. Trust Ka System Toot Jaata Hai
Doctor-patient relationship trust pe based hota hai. Jab yeh trust commercial interests se compromise hota hai, poora healthcare system ki credibility affect hoti hai.
Red Flags Jo Aapko Alert Kar Denge
Raghav Chadha ne khud kuch warning signs highlight kiye hain jo har patient ko pata hone chahiye:
- Doctor irritate ya upset ho jaaye jab aap kisi specific diagnostic centre pe jaane se mana karo
- Doctor bar-bar ek hi lab ka naam push kare, chahe aapke ghar ke paas doosri accha option ho
- Prescription pe koi unusual mark, code, ya symbol dikhe
- Aapko ek particular lab mein hi test karwane ke liye pressure kiya jaaye
- Bina clear medical reasoning ke multiple ya expensive tests recommend kiye jaayein
Patient Ke Roop Mein Aap Khud Ko Kaise Bachaye?
1. Doosri Medical Opinion Lene Se Mat Ghabrao
Agar koi test expensive ya unusual lage, kisi doosre qualified doctor se second opinion lena poori tarah aapka right hai.
2. Apni Pasand Ki Lab Choose Karne Ka Right Yaad Rakho
Koi bhi doctor aapko force nahi kar sakta ki aap sirf unki “recommended” lab pe hi jao. Aap kisi bhi accredited diagnostic centre pe test karwa sakte ho.
3. Test Ki Zaroorat Ke Baare Mein Sawaal Puchho
Doston, ye galti mat karna ki bina samjhe koi bhi test karwa lo. Simple sawaal puchho — “yeh test kyun zaroori hai? Kya iska treatment pe direct impact hoga?”
4. Prices Compare Karo
Same test different labs mein alag prices pe available ho sakta hai. Thoda research karna — chahe 10-15 minute ka hi ho — significant savings de sakta hai.
5. Suspicious Practice Report Karo
Agar aapko lagta hai ki aap iss tarah ki practice ka shikar hue ho, aap National Medical Commission ya State Medical Council mein complaint file kar sakte ho.
Conclusion: Awareness Hi Patient Ka Sabse Bada Hathiyaar Hai
Doston, healthcare system mein trust hona chahiye, lekin blind trust nahi. “Cut practice” jaisi scandals prove karti hain ki kabhi-kabhi profit motive medical ethics se aage nikal jaata hai — aur iska sabse zyada nuksaan un patients ko hota hai jo already illness se struggle kar rahe hote hain.
Achi baat yeh hai ki yeh issue ab national level pe discuss ho raha hai — Parliament tak pahunch chuka hai, aur regulatory bodies pe pressure badh raha hai stricter enforcement ke liye. Lekin jab tak systemic change nahi aata, individual awareness hi aapka sabse strong protection hai.
Agli baar jab doctor aapko koi test refer kare, informed rehna, sawaal puchna, aur apni choice ka use karna — yeh sab aapka right hai. Is blog ko un logo ke saath share karo jo abhi bhi is practice se anjaan hain, kyunki yeh information kisi ki mehnat ki kamai bacha sakti hai.
