PM Modi is saying 'thank you' to Trump.
Thank you for exactly what? For attacking ships with Indians on board and killing Indian nationals? The situation has become hopelessly embarrassing for our country now.
Modi ji has completely surrendered India's sovereignty, pride and the lives of its citizens to Trump. India needs a strong Prime Minister. Trump cannot be allowed to do whatever he pleases with our country and our people.
STAY WITH ME.
A few years ago, a patient was referred to me because he was diagnosed with complicated cirrhosis. He had an infection which led to a condition called hepatic encephalopathy (brain failure due to high ammonia levels). The treatment largely involved ammonia reducing therapies. One drug was central to this - Rifaximin - a non-absorbable antibiotic that reduced ammonia in the body. I prescribed him Rifaximin for 6 weeks and advised him follow-up.
He came back to me, not after six weeks, but in 4 weeks, this time, in liver coma (worst stage of brain failure - due to very high ammonia). He spent two days in the ICU and six days in total in the hospital. His hospital bill was close to INR 80,000. He had no insurance and his wife borrowed the money from neighbors and friends to clear hospital dues.
Upon questioning, I found that he was not taking the Rifaximin drug I had prescribed. He was only on the other two drugs (one, a syrup called lactulose for improving ammonia clearance in gut). I was furious, because the patient spent a whole week unecessarily in the ICU and wasted so much money that he never had - just because he was "not compliant" to my orders. I decided it was time for me to school him a bit.
But I was wrong. He was compliant. He had purchased Rifaximin and was on it. For 15 days. Thereafter, he could not afford it. He was an autorickshaw driver who shuttled school children every morning and evening. He could hardly make ends meet. He had two children of his own. The Rifaximin brand I prescribed him was 42 rupees per tablet. He had to consume two a day - which would mean 2520 rupees a month. He just did not have that money - so he skipped it - to not compromise on other important matters - childrens education and food.
He was confused and scared about opting for a cheaper version of Rifaximin because one, he was unsure about the quality of Rifaximin that was not prescribed by me and two, he was "scared" that I would scold him for buying a cheaper Rifaximin and if that got him into trouble.
I was confused and scared about prescribing a cheaper version of Rifaximin because one, I was unsure about the quality of Rifaximin that was not "a good promoted brand" and two, I was "scared" that his family would scold me for prescribing a cheaper Rifaximin and if that got him into trouble.
It is heartbreaking that many doctors still simply don’t trust generic medicines. Too often, they worry that these cheaper options are lower quality or might cause more problems than the big, famous brands. This fear leads them to prescribe expensive drugs instead, and the real tragedy is that it pushes vital healthcare out of reach for the ordinary people who need it most - like my patient.
This narrative, that generic drugs 'are never good' and that only big pharmaceutical marketed drugs are what works has been deeply ingrained into doctors and patients alike - I do not know by whom and since when. Looking back, these strong emotions were based on either opinions, testimonials or second- and third-hand information. Not evidence.
Like I said. Stay with me. This is life changing and will disrupt the drug market in India. Here are the results of The Citizens Generic vs. Brand Drugs Quality Project.
1/11
- Kirana Stores shutting down.
- Quick Commerce cos. piling up losses.
- Delivery boys are on strike for low pay and inhumane work conditions.
Who is actually winning in this gig economy era?
Nobody is making money; everyone is at a loss.
But that's not entirely true; founders who are running on VC money are living lavish lives.
They don't care about profitability; they don't care about consumers. They only care about their own net worth.
This hyperlocal delivery is a failed business model in US and my question is also to the VCs...
"Why are such failed ideas getting an unlimited money supply, while good innovative ideas are dying because of a lack of funds?"
Never ordering again from @SwiggyInstamart. Ordered a helmet on COD, received a faulty product.
Product taken back by @SwiggyInstamart, within 20 mins they issued a coupon against my will.
The coupon has expired on it’s own, faulty product and Money are both with these cheats .
@StarHealthIns signing in on their website is whole another fight. Account locked even after entering correct password?? At this age and date @StarHealthIns needs to improve a lot
Worst health policy renewal experience with @StarHealthIns . Spam calls and mails start months in advance, they are relentless and just won't stop. Once you renew the policy and they have received your money, policy stops showing in their app.
The concept of growth stock is a product of the bull market. It dies when the bear market sets in. Bear markets ultimately create value. Bull markets create dreams.
- Parag Parikh.
Sensible Investing |
India has over 100+ million students from Grade 6 upwards and perhaps 200-250 million students in school. Our education system suffers from outdated content, teacher shortages, and uneven quality. It’s time to bring AI to every student and teacher not as a luxury, but as a basic right. #AIForEducation
Quant MF runs some of India's highest return funds with its lowest AMC pay. Sandeep Tandon takes home zero, his CMO takes home 84 lakh. Fund managers on 15-40 LPA. Wake up call for the rest. Story by @Shiprasorout (we also covered PPFAS since it was missed in our previous list)