OPEN LETTER TO THE HON’BLE AUTHORITIES OF INDIA
By Dr. Sandeep Kavthale
National President, Indian Radiological and Imaging Association (IRIA)
To,
The Hon’ble Prime Minister of India
Government of India, South Block, New Delhi
The Hon’ble Union Minister of Health and Family Welfare
Government of India, Nirman Bhawan, New Delhi
The Hon’ble Chief Minister of Maharashtra
Government of Maharashtra, Mantralaya, Mumbai
The Hon’ble Minister of Public Health and Family Welfare, Maharashtra
Government of Maharashtra, Mantralaya, Mumbai
Subject: Urgent representation for preserving the distinct systems of medicine and addressing the risks associated with indiscriminate cross-practice or “mixopathy”
Respected Honorable Dignitaries,
I write this open letter in my dual capacity—as a proud citizen deeply committed to the values of national service and nation-building, and as the National President of the Indian Radiological and Imaging Association (IRIA), representing approximately 30,000 radiologists across India.
At the outset, I wholeheartedly congratulate the Central and State Governments on their sustained efforts to expand medical education, establish new medical colleges and bridge the healthcare-access gap across our country. The objective of making quality healthcare accessible to every citizen, particularly those living in rural and underserved regions, is noble, necessary and deeply appreciated.
However, as a practising radiologist formally trained in modern medicine, I wish to express my serious concern regarding policies that may integrate, blur or amalgamate the educational qualifications and professional boundaries of distinct systems of healthcare—a development commonly described as “mixopathy.”
Different sciences, distinct philosophies and independent strengths
Every recognised system of medicine in India—modern medicine, Ayurveda, Homoeopathy and Unani—has developed from its own body of knowledge, educational framework, diagnostic philosophy and therapeutic principles.
Modern medicine is founded upon anatomy, physiology, cellular pathology, microbiology, molecular biology, evidence-based pharmacology, advanced diagnostic imaging, intensive care and modern surgical and interventional techniques.
Ayurveda, Unani and Homoeopathy possess their own established traditions, diagnostic principles and therapeutic approaches. These systems have been studied and practised for generations and have their respective strengths, areas of application and dedicated bodies of knowledge.
Each system deserves respect, focused research and independent development. However, respecting different systems does not mean that their qualifications, competencies and scopes of practice are automatically interchangeable.
Bringing fundamentally different systems under an inadequately defined common framework—putting “all eggs in one basket”—could compromise the individual character and strengths of every system. Each discipline has its own areas of expertise as well as limitations, particularly when dealing with acute emergencies, critical care, complex diseases, modern pharmacotherapy and surgical or image-guided interventions.
Patient safety and professional competence must remain paramount
Genuine integration should mean scientific dialogue, appropriate cross-referral, collaborative research and mutual professional respect. It should not mean unrestricted cross-practice without comprehensive education and supervised clinical training.
Permitting a practitioner trained in one system to prescribe medicines, perform procedures or undertake surgical interventions belonging to another system—without completing the full academic curriculum, residency, supervised clinical training and competency assessment required for that discipline—may create serious risks.
Such cross-practice could:
Authorise professionals to work in clinical domains in which they may not have received comprehensive, discipline-specific training.
Dilute the rigorous standard of care that every patient has the right to expect.
Create uncertainty regarding accountability, professional negligence and responsibility for complications.
Increase the risk of incorrect diagnosis, inappropriate treatment, irrational prescribing and delayed referral.
Undermine the international reputation for knowledge, clinical skills, ethical practice and professional excellence that Indian doctors have earned over many decades.
Legal permission cannot substitute for education, clinical exposure and demonstrated competence. A short bridge course or limited supplementary training cannot ordinarily be considered equivalent to the years of structured education and supervised practice required to master another system of medicine.
Preserving identity and domain expertise
India undoubtedly requires more healthcare professionals. However, numerical expansion should not come at the cost of educational standards, professional competence or patient safety.
The sustainable solution to the shortage of doctors lies in:
Increasing high-quality undergraduate and postgraduate seats;
Strengthening teaching hospitals and clinical training infrastructure;
Developing family medicine and emergency medicine services;
Providing meaningful incentives for doctors serving in rural and underserved areas;
Expanding telemedicine and organised referral networks; and
Strengthening every recognised system of medicine within its own educational and professional framework.
Let practitioners of Ayurveda, Unani and Homoeopathy become global leaders and masters of their respective disciplines. Let practitioners of modern medicine continue to advance evidence-based diagnosis, pharmacological treatment, surgery, critical care, imaging and image-guided intervention.
Cross-pollination of knowledge can be valuable. Collaborative research can be beneficial. Appropriate referral between different systems can serve patients well. However, blurring professional boundaries without equivalent training may ultimately weaken both traditional systems and modern medicine.
My humble appeal
On behalf of the medical fraternity and the millions of patients who depend upon transparent, competent and uncompromised healthcare, I respectfully request your direct intervention to:
Preserve the distinct regulatory frameworks, educational curricula, registration systems and scopes of practice of modern medicine, Ayurveda, Homoeopathy and Unani.
Reconsider any policy that permits indiscriminate cross-practice or “mixopathy,” particularly where practitioners are authorised to prescribe medicines or perform procedures and surgeries for which they have not completed full, formally recognised training.
Ensure that every diagnostic, therapeutic, surgical or interventional procedure is performed only by professionals possessing appropriate qualifications, supervised training and demonstrated competence in that discipline.
Strengthen each recognised healthcare system independently, enabling its practitioners to pursue excellence within their respective domains without compromising patient safety or professional ethics.
Promote evidence-based collaboration, research and cross-referral between different systems while maintaining clear professional boundaries and accountability.
Constitute a high-level consultative committee comprising representatives of modern medicine, AYUSH systems, regulatory bodies, medical universities, professional associations, patient-safety experts and legal specialists before introducing any major change in scope-of-practice regulations.
Consult national professional organisations, including IRIA, whenever proposed reforms affect diagnostic medicine, radiology, image-guided procedures or patient safety.
This representation is not directed against Ayurveda, Homoeopathy, Unani or their practitioners. Every recognised system has its own strengths and deserves respect, investment, research and scientific advancement. My concern relates solely to granting authority to practise outside one’s formally acquired education and demonstrated professional competence.
I remain a firm believer in the national vision of a healthier, stronger and self-reliant India—Atmanirbhar Bharat. I place this urgent appeal before you in the spirit of constructive engagement, national interest and unwavering commitment to public health.
India needs more doctors, but above all, India needs appropriately qualified, comprehensively trained and professionally accountable doctors.
I sincerely request your thoughtful consideration and timely intervention.
Thanking you.
Yours sincerely,
Dr. Sandeep Kavthale
M.D. Radiology
National President
Indian Radiological and Imaging Association (IRIA)
Email: [email protected]
@JM_Scindia respected sir , what is the speed of your speed post . I booked a parcel for jodhpur from Maharashtra on 5th jul . sad but true this parcel is still in Maharashtra . pls do needful . we are talking on digital and all but lacking in basic services
"द केरला स्टोरी" फिल्म के एक सीन में पीड़ित लड़की आखिर में अपने पिता से शिकायत करती है कि आपने हमें कभी अपने कल्चर के बारे में क्यों नहीं बताया मुझे लगता है कि उसका पूछा ये इकलौता सवाल ही फिल्म की सबसे बड़ी सीख है। और इस सीख के लिए हर किसी को ये फिल्म ज़रूर देखनी चाहिए हिन्दू बच्चों को धार्मिक - संस्कारी बना रखने के लिए रोज़ाना मंदिर ना ले जा सको तो रात्रि के सोते समय बच्चों को जन्म से लेकर 12 वर्ष की उम्र तक रामायण, महाभारत, भागवत की वार्ता सुनाएँ सोने से पहले सुनी हुयी बात रात्रि भर उनके दिमाग़ में रहेगी 12 साल का सतत स्मरण-मनन चिंतन ही उन्हें संस्कारी बना देगा ये बच्चे बड़े होकर कोई ग़लत राह पर नहीं चलेंगे कोइ बेटी “लव जिहाद” की शिकार नहीं बनेगी और कोई बेटा “बलात्कारि” नहीं बनेगा! बच्चों को संस्कार देने के लिए माँ-बाप को अपना कर्तव्य निभाने ही होंगे। कल मैंने “द केरला स्टोरी” सिनेमाघर में देखा यक़ीन मानिए आत्मा को झकझोर देने की ताक़त रखती है ये फ़िल्म आप सभी से हिन्दू भाई-बहनों से अनुरोध है कि फ़िल्म अपने बच्चों (ख़ास तौर पर बड़ी हो रही कन्याओं) के साथ देखें अथवा उनके साथ फ़िल्म का विवरण अवश्य ही साझा करें।🙏🏻
#TheKerelaStory
Radiologists, beware. The #teleradiology model is risky. Payments are being driven down by companies, but not your indemnity costs! High risk, Low income model. Be careful- charge for your work correctly if you are gonna do it. Play it safe.
प्रखर यज्ञाच्या ज्वालेप्रमाणे विचारांनी अखंड तेजोमय असणाऱ्या वि.दा.सावरकर यांना पुण्यतिथी निमित्त विनम्र अभिवादन !
'राष्ट्राची सेवा हीच सर्वोच्च' हे तत्व अंगीकारून त्यांनी केलेले कार्य अतुलनीय आहे. देशासाठी त्यांनी केलेला त्याग सदैव वंदनीय आहे.
आपल्या तेजस्वी विचारांनी अनेकांचे जीवन उजळून टाकणारे ज्ञानदीप, सात्विक जीवनशैलीचे प्रेरणापीठ, वसुंधरारत्न डॉ शिवलिंग शिवाचार्य महाराज यांना जयंतीदिनी भक्तिपूर्ण नमन. वंदनीय महाराजांनी निर्माण करून ठेवलेले विचारधन आम्हा अनुयायांना आजही प्रेरणा देण्याचे कार्य करते.
Happy Dussehra
May this Dussehra bring you loads of joy, success and prosperity, and may your worries burn away with the effigy of Ravana.
Dr Sandeep Kavthale and Family Wishes you a year full of smiles and happiness.
SpiceJet SG525 departure delaying 11.50, 12.00, 14.10 and now 15.20 hrs. Pathetic service, many doctors stuck here @flyspicejet@JM_Scindia@DGCAIndia Need to be accountable for precious loss of human working hours
@JM_Scindia respected sir i have been waiting at pune airport for a spice jet flight to goa since long time . I don't know at what time the flight will take off . Please look into matters. very frustrating as I have to cancel my patients