| Indian Journal of Medical Ethics | ||||||
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DISCUSSION Doctors' interviews S. Bandewar et
al The following is excerpted from the appendix of theMFC report. Dr B is a private practitioner and honorary consultant in a municipal
hospital in Amdavad. Dr B is Muslim. His clinic is in a predominantly
Hindu area. "I did not leave my house for 15 days. My building's janitor removed
signboards about my clinic… Otherwise almost all clinics on Ashram Rd belonging
to Muslim doctors were ransacked, vandalised and burnt." Dr B's Hindu neighbours were helpful. Also, "some of my Muslim neighbours
were senior police officials and ensured some police protection, though in the
process they got accused of dereliction of duty and were threatened with
transfers. "When Muslim doctors were attacked I proposed that we condemn the
acts but received no support. When Dr Amit Mehta was attacked there was a chorus
of protest, though rightly so…" Dr B felt doctors generally do not discriminate between patients on the
basis of religion, and patients go by doctors' reputation, not their religion.
His own clients include members of the Sangh Parivar. He felt that even doctors
with known allegiance to the Sangh Parivar ideology would not discriminate.
At the municipal hospital, Dr B said, paramedical staff worked hard during
the crisis period. They did not discriminate. He did hear that Parivar elements
intimidated Muslim patients at the hospital. Dr V is a surgeon and honorary consultant at a municipal hospital. "I should tell you that I have worked with the RSS and Bajrang Dal. They
helped in my practice, and, also, they talk of good values. I came to be
well-known. Otherwise it is difficult for a non-Gujarati like me to get a
breakthrough... I am not part of the RSS inner group. "I do not think Muslims have been discriminated against in treatment, and
certainly not in hospitals like VS hospital. I do not bother with the religion
of the patient - for me a patient is a patient. I am a professional. I think
most doctors in the Amdavad Medical Association (AMA) are professional and would
not discriminate. "However, after the riots, Muslim patients do not go to private hospitals.
If they do, they turn up late, when their condition has worsened. Second, though
they may receive the best treatment here, I cannot guarantee their safety within
the hospital. Recently, a doctor who treated a Muslim patient in the OPD found
herself surrounded by Hindu mobs threatening to burn the hospital down… "Even educated elite, including doctor friends of mine, object to the Rs 1
lakh (compensation) at taxpayers' expense… "Muslim trusts run hospitals, but
these are staffed mostly by Hindu doctors. This is because barely 100-150 (less
than three per cent) of the 3,500 doctors registered with the AMA are Muslims,
and most of these are in general practice. "It is a symbiotic relationship between Hindu doctors and Muslim patients.
Many Hindu doctors give free service to Muslim trusts to develop a good practice
in the Muslim community. It is a business. Muslim consultants will get
attachments in Muslim trust hospitals naturally; it goes without saying. "I find Muslim patients, whatever their class, are the best patients. They
pay well, and in time. They do not complain about fees once agreed upon. Most
doctors are happy with Muslim patients. "A lot of heat has been generated with the stabbing of Dr Amit Mehta. Hindu
doctors weigh the benefits (of treating Muslims) with the risks, not only from
the Muslim community but also from Hindu militant organisations, because they
will be targeted… "The best attachment is a religious attachment -a Muslim trust
or Swaminarayan trust - rather than VS Hospital or a honoraryship. Organisations
with networks are the best attachment for one's practice, and the RSS is the
best network going in Gujarat if you want to develop your business. People of
all strata are attached to the RSS, from rickshawwallas to industrialists.
"There are four cadres of doctors: those who oppose the RSS; those who are with
them right or wrong; the fence sitters, and the close sympathisers. As a result
of a mass movement, the fence sitters have become sympathisers. There will be
hardly 20-25 hard-core supporters. The majority are sympathisers. Those who used
to say, 'We have nothing to do with the RSS,' have become sympathisers. Others
support the RSS purely for economic reasons. They go to the meetings, meet the
network. The RSS does not mind, because they are spreading the tentacles. "Very few doctors oppose the RSS - about as many as the hard core
supporters - but they will not make their views public. In public, even doctors
of the opposition party feel they have to say what is happening is right, for
business reasons. "Most Muslim patients were brought to VS Hospital. Maybe the
police planned this. Patients' security in the hospital is a problem. Civil
Hospital is run by the state government. VS Hospital is under the Amdavad
Municipal Corporation which is headed by the Congress. The chairperson of the
Board is a Muslim Congressman. These could be the calculations of Muslim
patients. Also, the entire settlement behind the VS hospital is Muslim, whereas
the settlement in front is all Hindu. Also, in an earlier incident a Muslim was
killed inside the Civil Hospital. You cannot find a Muslim shop for four km
around LG hospital. So naturally, Hindu patients prefer to go to LG
hospital. "Still, I don't think doctors have discriminated against Muslims for
treatment. You ask the patients, including the burns patients." Dr B is a gastro-enterologist and an office bearer of the National Medical
Organisation (the medical wing of the RSS) and the Amdavad Doctors Forum. He has
been active in the RSS from his childhood days. He said his statement on Dr Amit
Mehta was misunderstood. He had said that it was not safe for Hindu doctors to
practise in Muslim areas - not that Hindu doctors should refuse treatment to
Muslims. If Muslims need medical attention from Hindu doctors they should attend
clinics where Hindu doctors feel safe. He feels that all doctors are
professional when it comes to treating patients. He has many Muslim patients. Dr
B has paid for some poor Muslim children's education. He said he was not against
Muslims; but against unpatriotic Muslims. Education in the madrassas, by
mullahs, was turning out Muslim children who tend to become fanatics. When asked
about the Hindu equivalent of mullahs in several spheres, including education,
he said the subject required a longer discussion. Dr B said people like Dr Maya Kodnani (named as a perpetrator by several
victims of the Naroda Patiya burnings) could not have participated and directed
riots. He has great respect for Dr Kodnani. Dr A is a medical officer with the AMC. He is a Muslim. He has worked at a
camp since February 28, when the violence started in Ahmedabad. A week later,
the AMC assigned him there on duty. On the night of February 28, many people were brought to the camp from
Naroda Patiya. On the 30th, the camp housed 7,000-8,000 people. Many had burns
and/ or bullet injuries. For the first five days, local doctors worked with
materials from local chemist shops. People with bullet injuries, and burns of 50
per cent or more, were sent to hospital; those lesser burns or minor injuries
were treated at the camp. Three women were brought in naked, according to Dr A. (Local women
volunteers said they had given clothes to 10-12 women who came to the camp
without clothes.) The three seen by Dr A had severe burns and reported physical
molestation. He had no experience in treating rape victims, so he referred them
to the civil hospital. Many people sent to hospitals returned saying mobs there did not allow them
to be admitted. Also, there were not enough ambulances to shift patients. In
addition, riot victims were initially charged user fees by hospitals (including
VS hospital). M is a trustee of the Al Amin Hospital. He said they were told
that mobs were preventing Muslim patients from getting treated at VS hospital.
He said a mob from the RSS was present even during post mortems. "PM reports
mention only injury, not 'bullet'." On April 3, M was interrogated by the police and beaten up by the police in
his own ambulance while transferring patients to a government hospital. He said
the president of Al Amin Hospital was attacked and admitted to VS Hospital for
eight days. Of the 92 doctors volunteering at Al Amin, 14 were Muslims, the rest
Hindus. After the riots, only four doctors were coming for duty - two Hindu and
two Muslim. Dr Amit Mehta is a general practitioner. For 15 years, he has practised in
Juhapura, a Muslim-dominated area. He was stabbed on April 9, after which the
Amdavad Doctors Forum issued a statement about Hindu doctors practising in
Muslim areas. Dr Mehta was in his clinic when a man came in with his face partly
masked, and stabbed him repeatedly. Most people were offering their Friday
prayers and the area was deserted. Dr Mehta managed to call for help. A
Muslim woman heard him and ran to his aid. Another person tried, unsuccessfully,
to apprehend the assailant. The police was called and Dr Mehta was taken to a
hospital in a police van. Dr Mehta said he had been brought up in a mixed locality and had always
worked in a predominantly Muslim area. He does not fear the community where his
clinic is, but he is in a dilemma. He has no other clinic, does not want to
start over elsewhere, but feels the local community cannot guarantee his safety
against attackers (most likely outsiders). He said the people in Juhapura were
concerned for him, they had phoned often, but could not visit because of the
prevailing tensions. Dr Sadiq Kazi is surgeon in-charge at Al Amin Hospital. He also has a
nursing home located at the junction of two streets, one Muslim dominated and
the other Hindu dominated. The main entrance is on the 'Hindu street', but after
he was attacked, the entrance being used is through the landlord's house which
opens out onto the 'Muslim street'. On one occasion, Dr Sadiq was chased by a mob but managed to drive to a
police picket in time. Later, his car was vandalised twice by men from the
nearby locality, who knew it belonged to him; the father of one of them had been
his patient. No action was taken on his police complaint. Because of the
tension, Dr Sadiq is not admitting patients to his nursing home. Dr Sadiq
said that a Hindu doctor acquaintance had been told to stay away from his
practice in a Muslim-dominated area. Dr Sadiq said that in the first five days of the violence, he worked almost
round the clock at the Al Amin hospital. For seriously injured people, doctors
would bring bleeding under control, start life support, and shift them to a
bigger hospital. Only those with less serious injuries were admitted to Al Amin
hospital. Excerpted from Carnage in Gujarat: a public health crisis. Report of the investigation by Medico Friend Circle. Mumbai,May 13, 2002, and reprinted here with the permission of the writers. The complete MFC report can be read onwww.mfcindia.org.
For print copies(Rs 20) contact Neha Madhiwalla, B/3
Fariyas, 143 August Kranti Marg, Mumbai 400036;mneha@vsnl.net; N.B. Sarojini; J/59Ist flr,
Saket, New Delhi 110017.samasaro@nda.vsnl.net.in or the MFC Registered Office, Archana Apartments, 163, Sholapur Road,
Hadapsar, Pune 411 028. Payment may be made in cash to any of the above
addresses. Cheques or demand drafts should be drawn in favour of Medico Friend
Circle. Please add Rs. 15 for outstation cheques and Rs 10 for postage. All
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