(1)Cleanliness/waste disposal departments (municipalities/panchayats) should be more responsible along with good drainage system. (2)Good food and government approved quality medicines should be used by all. (3)Companies manufacturing DUPLICATE drugs should be dealt with severe punishments. (4)Companies that manufacture protein substitute food meant for infants/children up to the age 10 years should be made very cheap/affordable which reaches poor/unaffordable, while encouraging those companies.

Strict policies needed to control use of antibiotics. Antibiotic-resistant bacteria are an alarming problem, especially in countries like India where people can easily get their hands on prescription antibiotics, don’t complete (VERY important) the prescribed antibiotic course, and don’t follow proper sanitary practices. Deaths related to secondary infections are high. Pharmacies should be regulated. There should be records (tied to Aadhar Card no.) when antibiotics are prescribed.

1. Emergency service - Strict rules/penalty for blocking emergency vehicles 2. Easy access to Hospitals - reduce forms & red tape 3. Charity care in hospitals for people who cannot afford it. 4. Ethics - Fear of NRIs - "if we get sick & are admitted, we may as well go back", Why? NRI’s are considered "cash cows" & kept in hospitals for mths. by false medication/surgery 5. Support Ayurveda – Revive ayurveda as it has strength to cure diseases from its root. 6. Promote Yoga in healthcare

rabies vaccine are only given in gov., hosp. like wise all major vaccine are to be given in gov hosp only. this ensure all cases of deadly diseases get registered and gov can get quicker access to such patients. Major malls n shopping complex have hand sanitizer placed in doorways n exit points to prevent deadly diseases like Ebola spreading in crowded areas

I would suggest to leverage of existing resources by setting-up health-care call centers to provide affordable healthcare to all. India has 6,38,365 villages and about 75% of population is living in villages. Most of the rural population of India do not have access of basic health care – either due to lack of medical facilities, basic infrastructure. A health care call can connect and provide access all existing resources effectively and efficiently. Details are in attached file.

Work place health promotion is an excellent way to disseminate information to a large group of diverse individuals. We have talks on the leading chronic diseases like diabetes, hypertension and dyslipidemia with a special focus on the preventive measure that individuals can take for these diseases. Today we had a free health screening where BMI, waist circumference, BP, and blood lipids and glucose were assessed. This is an excellent initiative that should be incorporated into all workplaces.

prescription drug control - the GOI should implement integrated prescription drug monitoring programs to check the use of Antibiotics and other prescription drugs. Establish laws necessary to eliminate improper sale of prescription drugs,

Better counselling and clear instructions to the less educated and poor from doctors/nurses/hospital admin are needed. Such patients/their families should not be made to run around as many times they have to give up a day’s wage to make one hospital trip. What is “obvious” to educated people is unheard and incomprehensible to them. They get overwhelmed. In Mumbai I saw patients suffer and made to do multiple trips because they inadvertently did mistake due to lack of understanding.

We have diagnostic labs all over India.Most of them are unorganised. Not standardised.Investigations are unreliable.All labs should undergo evaluation, grading and standardization by a central agency .It should be mandatory. Non compliance should cause the lab to be shut down until it corrects.Regular inspections should be carried out to ensure compliance. Quality programmes to be undertaken to ensure all labs adhere to the guidelines and measures. They should take patient lives seriously.

Courses of sub specialities like Industrial Medicine, Sports Medicine,High altitude Medicine etc should be made more widespread in all medical colleges.Regarding industrial medicine -these courses should also be linked to upcoming industries so that there will be active practical applications.It will also enable us to undertake a scientific approach in matters of Industrial illness, prevalence, prevention- India specific.