India's 1st doctor in HIV Care, HIV/STIs/Infectious Diseases expert; Sec General-PHO& OMAG; President Emeritus, AIDS Society of India

Mumbai
Joined April 2010
A great suggestion. But please remember , the insurance companies are business houses and not charity. They wouldn't budge. We need a long term and systemic planning. Any such initiative in India will be followed by the global south!
An important and timely concern raised by Swaminathan Aiyar and rightly highlighted by Dr Gilada. Longevity is an achievement to celebrate, not fear. Dementia deserves attention, including prevention, early recognition and support for families and caregivers, who often bear an enormous burden. But care is needed throughout life, not merely in dementia. Care itself needs to be cared for. India needs stronger public, preventive and universal healthcare. Disease-specific programmes should supplement a strong healthcare system, not substitute for one. Could we also explore long-term care insurance, purchased while healthy, to provide financial support for future dependency, whether from dementia or other causes? After all, we insure against the cost of illness. Why not against the prolonged cost of care?
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A welcome acknowledgement and an important step towards protecting patients from excessive charges. I sincerely hope this also prompts equal attention to strengthening the other pillars of healthcare—financing, risk pooling, equitable access, quality, accountability and effective regulation. Each measure is important, but isolated corrections cannot substitute for comprehensive systemic reform. We need to understand the relative contribution of each challenge and address them together through a coherent, evidence-based strategy. India needs not merely a series of corrective measures, but a stronger, fairer and more sustainable healthcare system. – at Delhi, India
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Replying to @drgilada
The market will win. If the costs are capped then other costs will rise to meet the gap.
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Robust, efficient and integrity driven public sector in health is answer to all such woes. Ayushmaan Bharat & other schemes must be costing the exchequer much more than what benefits are being drawn by the beneficiaries – at Chandi Mandir, India
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Replying to @scchabba @drgilada
You are right. The GDP spend needs to be close to 7% on a sustained basis.
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Yes.
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Everyone in business has a right to earn, right to reasonable profits, but not the "loot", taking advantage of undefendability of patients. What is 'reasonable' margin can be percentage over and above on expenses incurred on personnel and on material, premises, overheads, etc.
Why only Hospitals! Why not diagnostic centres. If I know what can be cost of a Sleeper class or First Class in a express train would cost for BLR to MUM, why I should not know the cost of a 16 Slice CT or 1.5T MRI ? PETCT by done in same Scanner in 20 mins is Charged from 10,000 to 30,000 Rs. Why govt allows looting ? Any test that costs more than 3000 Rs should be capped and published. Hospitals should not price essential services at “Hotels”pricing logic. Tag govt authorities if you think it helps society.
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Indian Hospitals and Private Equity: Healthy for Patients? If healthcare is so lucrative that global private equity firms are willing to write cheques of Rs 13,000–14,000 crore for a single mid-sized Indian hospital chain, why is the Indian government still reluctant to invest at scale? Public health expenditure in India remains stubbornly low — around 1.4–1.8 per cent of GDP in recent National Health Accounts estimates, far short of the National Health Policy 2017 target of 2.5 per cent by 2025. The Centre’s own allocation hovers near 0.26–0.28 per cent of GDP. medicinman.net/2026/08/india… via @MedicinMan
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Better late the never! Finally the #GoI acknowledged such a gross malpractice and tolerated rather ignored for several years, leaving the #Hospitals to have field day! One of the major reasons people pushed below poverty line- their experces on healthcare timesofindia.indiatimes.com/…
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This is my brother, Shuaib, an exceptional paediatric surgeon in North Carolina. He’s been operating on newborns and children (u18) for 35+ years. Yet he still takes mandatory surgery board exams. Last Saturday, he scored nearly 90% (min 80% required for passing). India aspires to world-class healthcare but we keep lowering medical certification standards. Besides, does it serve our goal of high medical std if passing / entry criteria differ for General and reserved category doctors? What about patient safety? What do yall think?
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Happy Dashehara from the team #ASICON
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It has become an annual ritual and we have to tolerate it!
Seen in office. These are already out? #Airpollution
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Seen in office. These are already out? #Airpollution
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I appreciate you making it to the end. If you want to learn about how to live longer, healthier and with more energy, give me a follow. More content just like this coming out every day.
Dr. Ishwar Gilada says if he had to choose between well-treated HIV and diabetes, he would choose HIV. That sounds insane until you hear his reasoning. Modern HIV treatment can suppress the virus to undetectable levels. A treated patient can: - Live a normal lifespan - Have a normal sex life - Have HIV-negative children - Avoid HIV-related hospitalization Diabetes is different. Gilada points to the risk of silent heart attacks, complications affecting the brain and heart, gangrene, amputations, and other long-term problems. His point is not that HIV is harmless. It is that medicine has changed HIV so dramatically that the stigma surrounding it may now be worse than the day-to-day medical reality for many treated patients. People still hear “HIV” and think death sentence. Gilada says that picture is decades out of date. With treatment, he describes it as a manageable chronic condition. — Dr. Ishwar Gilada (@drgilada) on The J Report
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Dr. Ishwar Gilada says if he had to choose between well-treated HIV and diabetes, he would choose HIV. That sounds insane until you hear his reasoning. Modern HIV treatment can suppress the virus to undetectable levels. A treated patient can: - Live a normal lifespan - Have a normal sex life - Have HIV-negative children - Avoid HIV-related hospitalization Diabetes is different. Gilada points to the risk of silent heart attacks, complications affecting the brain and heart, gangrene, amputations, and other long-term problems. His point is not that HIV is harmless. It is that medicine has changed HIV so dramatically that the stigma surrounding it may now be worse than the day-to-day medical reality for many treated patients. People still hear “HIV” and think death sentence. Gilada says that picture is decades out of date. With treatment, he describes it as a manageable chronic condition. — Dr. Ishwar Gilada (@drgilada) on The J Report
A med student asked: “Sir, if sharing an infected needle or blade can transmit HIV, can a mosquito transmit the virus after biting an HIV positive patient? The answer might surprise you.
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. ndtv.com/health/measles-make… a-comeback-could-the-us-outbreak-spark-a-worldwide-spread-of-cases-12178301 INDIA SHOULD CONSIDER BANGLADESH THE WARNING AND NEW YORK THE REMINDER My views for #NDTVLifeline @ndtv along with @RajeevJayadevan in interaction with @snehamordani
#NDTVLifeline | Measles Makes A Comeback: Could The US Outbreak Spark A Worldwide Spread Of Cases? @SnehaMordani - ndtv.com/health/measles-make…
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