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Such a huge disparity! Ways to solve this problem are: a.) improving indigenious health system, b.) diploma course in medical education as family medicine doctors and active involvement of people, c. )management of health by local bodies. Strengthening of primary care will reduce the need of beds and associated resources. Again we should have a simple lifestyle with less dependence on technology.
—Associate Professor,Community Medicine,VSS Medical College, Burla,Odisha, INDIA

— sadhu charan panda on 2009-11-30

Unfortunately, the major international donor agencies including USAID WILL NOT FUND tertiary care nor training for quality physicians, surgeons and nurse specialists…if we continue to focus capacity building only on prevention and outpatient clinical work, developing nations will not be able to build comprehensive healthcare systems and infrastructure. More advocacy is needed to build the capacity for tertiary care

— Gerry on 2009-12-07

In India and other developing countries primary prevention ( safe water, personal hyeigine, basic sanitation, healthy diet, exercise) has to be streesed upon by people, policy makers, government and donor agencies. I agree that it needs more effort and money towards strengthening tertiary care. What I meant to say is in stead of investing much on medical postgraduates who are unwilling to serve the rural people we should concentrate on producing diploma in child health and obstetric care so that we can get such manpower in less time and with less expenditure.
sadhu charan panda

— sadhu charan panda on 2009-12-07