Rural access gaps and weak enforcement of medical laws putting patient safety at risk
Lucknow: The Indian Medical Association (IMA), Uttar Pradesh unit, has raised serious concerns over the growing dependence on unqualified practitioners, commonly known as quacks, for primary healthcare in the state. According to IMA officials, nearly four out of ten patients initially seek treatment from such practitioners, risking serious health complications.
Rural and Economically Weaker Sections Most Affected
Doctors highlighted that the issue is particularly widespread in rural and semi-rural regions, especially in areas surrounding Lucknow. Limited access to qualified doctors, overcrowded government hospitals, and financial constraints push patients toward cheaper and easily accessible alternatives.
IMA Uttar Pradesh President Dr Rajeev Goel stated that although there is no official data, estimates suggest around 40% of patients rely on quacks as their first point of care. The figure may be even higher in remote areas.
Easy Availability and Low Cost Driving Quackery
IMA Lucknow branch President Dr Manoj K Asthana explained that affordability and convenience are the main reasons behind this trend. Quacks often charge less initially and are readily available, making them a preferred choice for many.
However, this short-term convenience often leads to long-term health risks. Patients frequently arrive at hospitals with worsened conditions due to incorrect or incomplete treatment. IMA Lucknow Secretary Dr Shweta Srivastava noted that diseases like typhoid are often mismanaged at the initial stage, leading to severe complications later.
Illegal Sale of Medicines Adding to the Risk
The IMA also flagged concerns about medical stores dispensing potent drugs without valid prescriptions. Doctors allege that quacks often scribble medicine names on plain paper, and pharmacies dispense drugs without proper verification.
“This is extremely risky and must be stopped. Laws exist, but enforcement remains weak,” said Dr Goel, emphasizing the need for stricter monitoring of pharmacies.
Regulatory Challenges and Loopholes
Following directives from the Supreme Court of India, the National Medical Commission introduced structured procedures for medical registration. While this aimed to streamline the system, doctors argue that the process remains complex and time-consuming.
Although the state government has extended registration validity to five years to ease compliance, experts warn that loopholes are being exploited by unqualified practitioners.
Government Action and Way Forward
Authorities have been conducting raids on illegal clinics and diagnostic centres, but IMA members believe the efforts are insufficient to tackle the widespread issue. Dr AP Singh confirmed that regular drives are underway and urged citizens to report illegal practices, assuring confidentiality.
Experts stress that improving access to affordable healthcare in rural areas, strengthening enforcement of medical laws, and increasing public awareness are crucial steps to curb quackery and ensure patient safety.
