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Exorbitant charges by private medical institutions

Authorities in Sri Lanka are very concerned and quick to respond when the prices of essential food items and services like transport tend to go up consequent on upward movement of fuel prices. The prices of those items and their transport costs have a direct bearing on the rising Cost of Living which should be mitigated as far as possible to protect the consumer.

There are certain regulatory mechanisms in this regard in the form of the Consumer Protection Authority and the Transport Commission.

But there is another sector providing an equally essential service to the public in the preservation of health and enjoying the freedom to raise their charges every now and then without being subject to any regulatory procedure.

I am not referring here to those star class private hospitals which cater exclusively to the affluent class for whom the price is not a matter of concern, but to those private channelling centres and diagnostic laboratories catering mainly to the lower middle classes like pensioners and self-employed or those with modest means of income, not fortunate to be covered by any medical insurance schemes.

Of late we have seen a sharp increase in the fees charged by these institutions for various services rendered by them. In Matara town, these charges have gone up phenomenally.

For instance, the consultancy fees which were around Rs. 350 abut four months back are today Rs. 430/490 and ordinary blood tests from Rs. 130 to Rs. 240 and so on.

The effect of those factors contributing to the rising Cost of Living must be marginal, if at all, on these institutions and they have no valid reasons to raise their charges so steeply.

Surely a medical consultant who gives 50-60 consultations a day, has no reasons to worry about CoL or the price of fuel for his vehicle provided duty free by the Government. Private health services have become a lucrative business today and most people patronise these institutions because a consultation at a Government clinic is almost next to an impossibility owing to the large number of patients seeking consultations at them.

Private consultation clinics/channelling centres have thus come to stay and it should be granted that they are a great convenience to the public. The Government must now take steps to regulate this sector and ensure that the public who call over at them are not fleeced by those who are running them.

They should be brought under the supervision of some authority curtailing their freedom at raising or revising the charges arbitrarily.

Necessary provisions could be included in the proposed Medical Services Regulatory Commission Act.


Female migrant domestic workers and State responsibility

I agree with the sentiments expressed by Sam de Silva (DN Aug 06). However the foreign currency the migrant workers' generate is too much to lose.

Recently Malaysia introduced restrictions and I have no doubt the volume of Malaysian migrant workers to the Middle East decreased, but it is not right that we take up the slack.

Instead, we should emulate Malaysia, or better still, co-operate with the other countries that send these workers and formulate a workable and honourable charter for migrant domestic workers that the Middle Eastern and other employers, left with little alternatives, will accept.

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