Adarsh M S

Deputy Director at Ministry of Water Resources. NITC-IITK alumnus. Sathyameva Jayathe

[Adarsh M S @AdarshMohananS]

@DealsDhamaka It's indifferent. We are just in it's way.

[TheLiverDoc™ @theliverdoc]

Dear friends, as promised, the citizens funded generics vs. branded drugs project is now published after 4 months in peer review. It was hardwork, but worth the effort because all of you helped us realize this important work.

You can read the full detaild paper here: https://t.co/jZhm8ZcPCq

Here is a simplified summary:
Do cheaper generic medicines work as well as expensive branded ones? It's a question that worries patients and even many doctors, who often quietly assume that a low price must mean lower quality. This doubt has real consequences in India, where medicines make up nearly two-thirds of what families spend out of their own pockets on healthcare — a burden that pushes millions into poverty and forces people to split doses or stop treatment altogether.

To put the question to a fair, independent test, our team at the Mission for Ethics and Science in Healthcare (MESH) carried out a fully citizen-funded study, paid for entirely by donations from ordinary members of the public, with no money or influence from any drug company.

We bought 131 samples of 22 commonly used medicines — covering heart disease, diabetes, infections, pain, acidity, and more — from seven different kinds of outlets across Kerala, including government stores like Jan Aushadhi, private generic chains, and premium branded pharmacies. Every sample was then coded, blinded, and sent to a top accredited laboratory for rigorous testing against the Indian Pharmacopoeia 2022 standards. What makes this study unusual is that very few before it have tested branded and generic versions from the same market side by side, included government-supplied medicines, and combined strict quality testing with a hard look at price — all at the same time.

The result was striking in its simplicity: every single one of the 131 medicines passed every quality test. 100%. It made no difference whether a pill was generic or branded, cheap or expensive — they were all equally good in their active ingredient content, their purity, and how they dissolve in the body.

Yet the prices told a completely different story. Generic medicines were, on average, 48.6% cheaper than their branded twins, and the most expensive brand cost up to 13.9 times more than the cheapest generic of the very same drug. Government Jan Aushadhi stores were the cheapest source for 18 of the 22 medicines tested, with potential savings running into thousands of rupees a year per medicine — for instance, over ₹16,000 a year on a single liver drug.

For doctors, this is reassuring, hard evidence that prescribing a quality-assured generic is not a compromise on care; it is the same medicine at a fraction of the cost. For patients, it means you can stay on your treatment without it draining your savings, which is exactly what keeps people healthier over the long run.

And this is precisely why independent, publicly funded projects like this matter so much for the future of healthcare in India: they answer the questions ordinary people actually have, free from commercial pressure, and they build the trust that programmes like Jan Aushadhi need to truly succeed. Affordable and high-quality are not opposites — in a well-regulated market, they go hand in hand.
More here: https://t.co/jZhm8ZcPCq

[Aravind @aravind]

What happened to "Climate Change"? After Trump became President and GLISCO-DS got weakened, the term is suddenly out of vogue and nobody seems to be talking about it. Guess there's no more climate change? GLISCO-DS got too busy trying to save WEF and its sepoy countries, I guess.

If you don't know, "climate change" push was a way to make countries ditch oil and take up rare earth required energy sources. From one power controlling our energy to another in 20 years time. India fell for it too. Glad we are now prioritizing nuclear and exploring more of own oil. Like the Andaman blocks.

[Adarsh M S @AdarshMohananS]

A major advantage for a person in US is the mindset and boldness to think and act for impact in global scale, and now even multi-planetry. @elonmusk #Boldthinking #Globalmindset

[Shiv Aroor @ShivAroor]

Genital torture, blood from the eyes, head pushed into a wall. The details of the Kolkata RG Kar Medical College sound like a Nirbhaya type crime. And to think the main accused is a volunteer with the local Police. https://t.co/Kiluoe3IAj

[Adarsh M S @AdarshMohananS]

@yukteaX Try Nehru Park. Though in the heart of Delhi, it's quite big and has a very calm vibe to it with nature walks, jogging/cycle tracks etc.

[Adarsh M S @AdarshMohananS]

@engineers_feed Main change now is using steel rebar in concrete(RCC), allowing slender yet strong structural members making construction much economical & faster. But rebar corrodes to eventual structural deterioration. Well designed RCC structure last atleast a lifetime -good value 4 money.

[TheLiverDoc™ @theliverdoc]

1/52
"There is a child being shifted from a hospital abroad," my ER doc tells me

With rapidly progressive hepatitis & signs of poor response

I keep my fingers crossed, palms sweat & heart races as I ready myself to enter Dante's innermost circle of Hell

Pediatric Hepatology.

[Adarsh M S @AdarshMohananS]

@theliverdoc @Twitter Congratulations doc. Live long and prosper 🖖

[The Emissary @TheEmissaryCo]

How India has progressed in the few years 🧵

Firstly tap water access driven by the Jal Jeevan Mission @jaljeevan_

[Adarsh M S @AdarshMohananS]

@Finnair Hi, can you please let me know till what time I can cancel Economy Flex tickets to get full refund.

[Adarsh M S @AdarshMohananS]

@engineers_feed Xerox 😕

[Sharad @sharadcha1]

Active #flood alerts for #Bihar appearing on Google Dashboard (Satellite view without labels). Table below on dashboard (https://t.co/rJd2aDU2iz) provides the details along with inundation by clicking of more info. @CWCOfficial_FF @CWCOfficial_GoI @ndmaindia @NDRFHQ @OfficeOfGSS

[Adarsh M S @AdarshMohananS]

@cnni Intresting to know how the engineers have designed for earthquake conditions.

[Adarsh M S @AdarshMohananS]

@naukarshah Is it because we have discredited the humanities subjects worthwhile enough to be pursued in school.

[Adarsh M S @AdarshMohananS]

@naukarshah Chunnakutti

[Adarsh M S @AdarshMohananS]

Dust storms in Delhi. Sky's blacked out at 17:20 on a Summer month in matter of seconds. #delhiduststorm

[Adarsh M S @AdarshMohananS]

@WISECDT Greetings, Are fundings for WISE PhD programme extended to international students?

[Adarsh M S @AdarshMohananS]

Those days when teachers ask if this a market.. Cycle will complete if in market someone says.. is this Parliament
https://t.co/WUB7DFerPa