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    NEW DELHI: Medical Council of India

    president Dr Ketan Desai and two others were

    arrested late on Thursday for allegedly accepting

    a bribe of Rs two crore to grant recognition to a

    medical college in Punjab.

    Desai was arrested late last night after the CBI

    conducted searches at his office here following

    information that he along with his associate

    Jitender Pal Singh was allegedly demanding a

    bribe of Rs two crore to recognise a college in

    Punjab, CBI spokesperson Harsh Bahal saidtoday.

    Bahal said that Desai along with Singh and

    another associate Dr Kanwaljit Singh of Gyan

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    Sagar Medical College in Punjab have been

    arrested by CBI on corruption charges.

    NEW DELHI: The arrest of MCI chief Ketan

    Desai on Friday and subsequent investigations

    has firmly established that the body which

    regulates medical education in the country is, as

    a court described it once, a den of corruption.

    Desai was caught accepting a bribe of Rs 2 crore

    from the vice-president of Patiala-based Gyan

    Sagar medical college and hospital.

    The vice-president of the college, Surinder

    Singh, has been arrested. Another official of the

    college, Kanwaljit Singh, and a Delhi-basedmiddleman, Jitendra Singh, too were arrested.

    Kanwaljit was delivering the cash to Desai when

    CBI officials nabbed them.

    According to CBI, Desai had asked for Rs 2

    crore for granting permission to start admission

    of students for the academic year 2010-2011 in

    different courses even though the college had

    failed to comply with objections pointed out

    earlier by an inspection committee.

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    The Hazare movement and media have

    focussed on corruption of the 'spectacular'

    variety. But what has escaped the discussion

    is the institutionalised corruption in-built inthe conduct and practice of professions like

    the medical profession in India [ Images ],

    says Dr Sanjay Nagral.

    Throughout the tumultous days of Anna's fast I

    received messages from doctor colleagues and

    medical associations to participate in protestactions. Some like the Indian Medical

    Association and the Association of Medical

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    Consultants actually joined various public

    actions.

    I cannot remember these associations supportingany 'non medical' movement that doesn't directly

    concern the practice of medicine in the past.

    Their activities are generally confined to

    seminars, relief work, social gatherings or

    campaigns to defend doctors. They largely

    function as guilds of doctors. So in a sense theyseemed to have broken new ground in openly

    supporting what is an avowedly anti-

    establishment movement.

    One could regard this as yet another example of

    the 'awakening' of the educated middle class,

    that Anna's movement seems to have achieved.After all, who can deny that doctors are good

    representative symbols of this class?

    But such new enthusiasm by medical

    associations also brings up an important

    contradictory dimension about the participation

    of professionals in the anti-corruption movementin India. The medical profession in this country

    exemplifies this paradox in many ways. There

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    are certain dominant forms of corruption that are

    currently in the public domain.

    The Hazare movement and the media havefocussed on the mega scams or the corruption of

    the 'spectacular' variety. Then there is the 'petty'

    corruption of the day to day type that all of us

    engage with either as bribe givers or whine

    about as social critics.

    But what has escaped the discussion it deservesis the institutionalised and internalised form of

    corruption that is in-built in the conduct and

    practice of professions in India. It is so

    impregnated and long standing that one has

    ceased to even recognise it as corruption. And

    this is the variety where unknowingly orknowingly the main protagonist is not the State

    or politicians, but educated professionals

    themselves.

    The practice of medicine in India has several

    telling examples of this form.

    Take the commercialisation of education in the

    form of private medical colleges where seats are

    sold through underhand dealings. What is

    pertinent to this discourse is the level of

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    collusion with this market by institutions,

    medical teachers and medical practitioners.

    Private medical college empires have grownbecause they have managed to hire and retain

    medical teachers, set up arrangements with

    hospitals to provide 'clinical material' in the

    form of patients and get recognition for

    postgraduate courses from inspection teams

    consisting largely of doctors.Many doctors' children study in these colleges.

    Thus not only is there no internal resistance to

    both the idea and practice of the sale of medical

    seats, but it has been co-opted as an acceptable

    form of medical education. A more revealing

    example is something that plays out in dailymedical practice.

    It would be no exaggeration to say that a

    significant proportion of medical practice in

    India, especially in the dominant private sector

    is conducted through the payment of

    'commissions' or more colloquially called 'cuts'.These are cash transactions, not revealed in

    official documents and arbitrary in amount. This

    all pervasive practice operates for patient

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    referral from family doctor to specialist, doctor

    to hospital, pathology and radiology clinics.

    What qualifies this activity as 'corrupt' is the factthat it is non transparent and secretive especially

    for the patient. Besides, of course, it increases

    the cost of health care and affects quality. Again,

    this practice has been internalised and

    legitimised by its sheer scale and acceptance in

    the profession. Hardly any medical associationever --including the ones who have joined

    Hazare -- have ever tried to build internal

    resistance or opposition to such a patently

    corrupt practice.

    Our profession has, of course, also had its

    share of 'spectacular' corruption. In 2010, DrKetan Desai, president of the Medical Council

    of India, ex-president of the Indian Medical

    Association and president-elect of the World

    Medical Association, was arrested by the

    Central Bureau of Investigation on charges of

    corruption and sacked by the centralgovernment as president of the MCI. He is

    now cooling his heels in Tihar jail.

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    Desai amassed crores of rupees (one estimate

    pegs the amount of money recovered from the

    raid on his home at Rs 1,800 crores or Rs 18

    billion), essentially from the lucrative business

    of recognition of medical colleges.

    Incidentally, Desai had been repeatedly indicted

    by various courts and had been temporarily

    sacked in 2002, but staged a return. Thus such

    an individual not just survived, but actuallythrived for an entire decade at the highest levels

    in the Indian medical establishment, both as the

    president of the Medical Council as well as the

    Indian Medical Association, due to a certain

    permissiveness of his constituency and peers.

    This is also a reflection of a tolerance andambivalence medical professionals have

    developed towards internal corruption in their

    own representative bodies.

    It is easier and safer for a professional to

    symbolically identify with the Hazare

    movement, but much more challenging anddaring to question internal corruption at one's

    workplace. Over the last two decades we have

    tried to raise issues related to the ethics of

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    practice of medicine in India through a

    publication, but have met with a considerable

    resistance from doctors and their organisations

    to speak out openly and identify with the cause.

    Whatever way the Hazare movement finally

    goes, if it serves to stir up some self

    introspection amongst educated, elite

    professionals it could be an important long-term

    gain. When the dust and noise of the spectacularsettles it may be worth remembering to turn our

    gaze inwards.

    Dr Sanjay Nagral is a Mumbai-based surgeon

    New Delhi: One and a half years after the don

    of the Medical Council of India, Ketan Desai

    was arrested for taking a bribe of Rs 2 crore,

    the Central Bureau of Investigation is finally

    ready with a chargesheet. CNN-IBN has

    accessed the confidential papers that

    document how the deal was struck, rules

    bent, quality of medical education

    compromised and how money changed hands.

    The CBI decoded the modus operandi of

    former MCI chief Ketan Desai and his tout

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    JP Singh. Sources say that Desai used code

    words like 'Badal' for Punjab colleges and

    'Mamata' for West Bengal colleges.

    The Key characters in the conspiracy were:

    Dr Ketan Desai, President of the Medical

    Council of India

    Dr Sukhvinder Singh, Vice Chairman of Gian

    Sagar Charitable Trust

    JP Singh, Tout

    According to the CBI, Desai entered into a

    conspiracy with JP Singh and Sukhwinder Singh

    to grant permission to Gian Sagar Medical

    College in Patiala for admission of students for2010-2011 for different courses for which the

    college did not have the required facilities.

    Conversation tapped by the CBI:

    Here's the transcript of a phone conversation

    tapped by the CBI on the day the executivecommittee of the MCI was to examine Gyan

    Sagar Medical College.

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    Ketan Desai: I will be late todaythere is a

    meeting of the Exective Committee.

    JP Singh: yes but you've already decided tohelp those poor people.

    Ketan Desai: yes but there are a lot of

    problems, its only cement and steel.

    JP Singh: okay.

    Ketan Desai: It will be very difficult for me.

    Ten days later JP Singh struck a deal with the

    Vice Chairman of Gyan Sagar Medical College,

    Sukhvinder Singh.

    JP Singh: Its just a mandatoryrequirement(second inspection). We have to get

    it done.

    Sukhwinder Singh: okay.

    JP Singh: you have to show an updated version

    of the report. The person who did not havecholey bature will be there again.

    Sukhwinder Singh: the same inspector?

    JP Singh: Yes, He will get the work done.

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    During a re-inspection on March 22, 2010, the

    MCI again said that there was no auditorium.

    The college authorities gave an undertaking to

    complete the construction within one week.

    The Executive Committee of the MCI on Arpil

    5, 2010, suddenly approved the college and

    recommended the government that permission

    be granted for admitting fourth year MBBS

    students.

    Desai then called JP Singh using code language

    to say that a deal had been agreed upon.

    Ketan Desai: 'Badal's' relatives were here today.

    JP Singh: There was a blockage, he needed an

    angioplasty.

    Ketan Desai: Yes, I put in a stent, now it is

    okay. He will not need surgery.

    Based on these tapped conversations the CBI

    raided JP Singh's residence in Vasant Kunj onthe April 23 and recovered a sum of Rs 2 crore,

    sent by Sukhwinder Singh, meant to be

    delivered to Desai. In the course of its

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    investigation, the CBI got the voice samples of

    Desai and others verified.

    After Desai's arrest, CNN-IBN conducted aseries of investigations that exposed how Desai

    ran the Medical Council of India like a cartel,

    extorting money from private colleges to grant

    them permission.

    While the government is struggling to clean the

    mess left behind by him - Desai today is out on

    bail. But the evidence against him is too strong

    to ignore now.

    (Follow IBNLive.com on Facebook and on

    Twitterfor updates that you can share with your

    friends.)

    BIO DATA

    Dr. Ketan Desai is an apostle of genuine

    imagination, innovation and creativity, which

    has resulted in his enviable ascendency to the

    key positions. Dr. Ketan Desai achievementsand attainments have been through his

    dedication and hard- work, that together makes

    him look legendary.

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    This is fortified by virtue of the fact that

    incidentally Dr. Ketan Desai happens to bethe youngest ever President of the Gujarat

    Medical Council, Medical Council of India

    (MCI), Indian Medical Association (IMA), to

    name a few. Dr Ketan Desai has a unique

    distinction of being the youngest teacher

    member of the Senate, Academic & Executive

    Council of the Gujarat University and also the

    youngest ever Dean of Faculty of Medicine as

    well.

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    In a major development, the Supreme Court issued a notice

    against Ketan Desai and Gujarat University (GU) on

    Monday in response to a complaint filed by US-based

    group People for Better Treatment (PBT). PBT moved theSC in February after its PIL challenging election of former

    president of Medical Council of India (MCI) Ketan Desai

    to the GU senate was rejected by the Gujarat high court last

    December.

    The SC division bench of Justices G S Singhvi and A K

    Ganguly admitted PBT's appeal on Monday challenging the

    high court's dismissal of the PIL and issued notices to DrKetan Desai and GU asking why Dr Desai's election

    "unopposed" to the GU senate should not be cancelled.

    The court notice mentions that while still president of the

    MCI, Dr Desai was arrested on April 23, 2010 by the CBI

    for taking bribes from a private medical college and

    thought he is at present free on bail he is still facing a

    criminal trial. The notice also asks for an explanation thatas the MCI cancelled Dr Desai's medical registration on

    October 9, 2010, how he could be elected to the GU Senate

    to a post which is reserved for registered medical doctors.

    Ironically, the Gujarat HC had dismissed PBT's PIL on the

    ground that since the PBT president is a non-resident

    Indian (NRI), he may not have any "public interest" for

    people living in India. It hadeven imposed a penalty of

    Rs10,000 against PBT for bringing a seemingly frivolous

    PIL against Dr Desai. "The SC notice sends a strong signal

    to all corrupt medicos and supporters of Dr Desai," said Dr

    Kunal Saha, president of PBT.

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    PBT's advocate in New Delhi T V George explained that

    according to the SC notice both the parties, Desai and GU,

    would have to justify their actions. "After that, SC would

    probe the matter of appointment of Desai in GU senatefurther," said George.

    Dr Saha said Desai is facing criminal trial for corruption

    and disproportionate assets. "At present, he is out on bail

    and is trying to be back at the helm of Indian healthcare.

    Both PBT and MCI had warned GU against taking Desai

    into the senate, but GU authorities went ahead with the

    appointment, he said.