Fake Diagnoses, Costly Prescriptions, and Patient Risk at the Heart of RGHS Fraud
Alwar: A massive scam worth over ₹100 crore has been uncovered under the Rajasthan Government Health Scheme (RGHS), with several doctors and medical store operators in Alwar district allegedly colluding to defraud the system through fake prescriptions, inflated bills, and unnecessary medical treatments.
According to an audit conducted by the State Finance Department and the Rajasthan Social and Performance Audit Authority, doctors at multiple health centres were found guilty of misdiagnosing patients, prescribing costly and unnecessary medications, and preparing false medical reports—all while directing patients to specific, cooperating medical stores.
Show Cause Notices Issued to 11 Doctors
Following the audit findings, show cause notices have been issued to 11 doctors, and the case has been referred to the state health department for further investigation. Authorities have stated that strict action will follow based on the doctors’ responses and culpability.
Audit Reveals Startling Instances of Medical Misconduct
The audit report highlights alarming misuse of medical authority, with doctors prescribing powerful and expensive medicines to patients without conducting proper examinations or diagnostics.
Some of the notable violations include:
- At Shivaji Park PHC, a pregnant woman was prescribed infertility medication.
- Patients without hypertension were given multiple blood pressure drugs simultaneously, such as amlodipine, metoprolol, and cilnidipine.
- Antibiotics like azithromycin and fosfomycin (Fosirol) were given over extended durations without infection confirmation.
- In Paharganj, a patient without eye issues was prescribed eye drops, and non-diabetics were given diabetes medication like TRIPIRIDE, AJADUO, GLUCORYL-MV.
In many cases, important diagnostic tests like HbA1C, RFT, 2D echo, or endoscopy were never conducted, yet expensive drugs for conditions like diabetes, gastritis, heart failure, and depression were prescribed indiscriminately.
Fake Medical Records, Duplicate Data Found
At Rajgarh CHC, investigators found duplicate treatment data and fake medical reports submitted to claim benefits under RGHS. The doctors and medical shop owners allegedly worked hand-in-glove to inflate prescriptions and bills, diverting public funds and endangering patient health.
Shockingly, in some cases, husbands and wives were prescribed the exact same medications, hinting at the use of templated or duplicated prescriptions without real clinical evaluation.
Systemic Abuse of Health Scheme
The scam not only represents a serious financial fraud but also a public health crisis, with patients exposed to unwarranted drug side effects due to irresponsible prescribing. Strong antibiotics, insulin, and high-dose combination drugs were reportedly given without justification, putting many at risk.
What’s Next?
With the spotlight on systemic corruption under RGHS, state health authorities are under pressure to act swiftly. The health department is now expected to initiate disciplinary action, suspend licenses, and possibly pursue legal proceedings against those found guilty.
The revelations have sparked outrage among public health advocates, calling for stringent checks, transparent audits, and reform in drug prescription and billing processes in government health facilities.
This is not just a financial scam—it’s a betrayal of trust, risking both public funds and patient lives.