Who Should Be Held Responsible For Deaths Due To Negligence?
by Bobby Ramakant and Sandeep Pandey  When India was reeling under the severest impact of the Covid pandemic, and the peak of around 450,000 new cases was reported in 24 hours around mid April 2021, then an interesting chronology of events were taking place regarding the Covid vaccination programme (along with Kumbh in Uttarakhand and elections in West Bengal and Uttar Pradesh). The government of India had observed teekautsav from 11-14 April 2021, then soon after had taken kudos by announcing vaccination for everyone above 18 years nationwide, and on 23 April 2021, the Ministry of Health and Family Welfare, Government of India, declared its Liberlised Pricing and Accelerated National Covid-19 Vaccination Strategy as part of which it abdicated its responsibility of vaccinating the citizens in age group 18-44 years. The liberalised in the phrase did not pertain to people, it was intended for private corporations and no wonder the government was working in tandem with them. Two private vaccine manufacturers were allowed to declare their exorbitant costs for state governments and private hospitals. Nobody would believe that the companies acted at their own behest. After protestation from various state governments, civil society, lagging behind in vaccination drive and pressure from the Supreme Court, which described its liberalized vaccination policy as arbitrary and irrational, the government has come up with Revised Guidelines for implementation of National Covid Vaccination Programme on 8 June under which it has now taken responsibility of procuring the 75% vaccines by the union government, including on behalf of the state governments. However, the Prime Minister has still allowed 25% vaccines to be procured by private corporations. A ceiling of Rs. 150 has been put on the vaccination charges for private hospitals which will procure Covishield, Covaxin and Sputnik vaccines, respectively at Rs. 600, 1200 and 948. With GST, the final cost would be Rs. 780, 1410 and 1145, respectively. It is important to note that the cap of Rs 150 was announced on vaccination charges for private hospitals, but vaccine manufacturers were given a free hand to announce their prices. We should remember that government had procured Covishield and Covaxin at Rs 150 per dose earlier. The office memorandum says that if Covid Vaccination Centres over-charge then strict action will be taken against them but vaccine prices can be suitably modified if the manufacturer declares changed prices. Narendra Modi makes an appeal for One Earth, One Health at the G7 outreach summit seeking support for Covid vaccine patent waiver but is reluctant to implement One Nation, One Vaccine policy in his own country. It turns out the private hospitals reach is very limited. Out of 7.4 crores vaccines made available in the month of May, 1.85 crores were allocated to private hospitals. While we witnessed government vaccination centres closed due to shortage of vaccines, the private hospitals were sitting over vaccines being able to administer only 22 lakhs of the doses. Out of 1.2 crores vaccines actually procured by private hospitals, half of them were cornered by 9 big hospitals in metropolitan centres. The glaring criminal complicity of the government in helping private players make profit at the cost of peoples lives stands exposed. It also apparent that people with money will have excess supply and poor will suffer the shortage. It goes against Modis call of One Earth One Health, which was probably meant only for international public consumption. In Amit Shahs words this is merely a jumla.  In a vulgar display of favouritism now the government is preparing to give indemnity to foreign vaccine manufacturer Pfizer, an advantage which is not extended to any vaccine manufacturer so far. If the indemnity is offered to all manufacturers itll also cover Bharat Biotech, whose vaccine is being administered under Emergency Use Authorisation as the phase III trials have not been completed. The clumsy handling of vaccination policy by the government gets more confounded with every decision. People have not forgotten several instances of corporate abuse in our nation including the heart wrenching Bhopal Gas Tragedy of 1984. Government has to move beyond market based so-called solutions (as often they add to the problem) if it is to impact positive change for the most in need. Initiatives like using drones to deliver vaccines need to be very carefully reviewed because of the past history where profits for corporations have taken primacy over peoples interests. In a mock drill on 26 April, 2021, morning at Paras Hospital at Agra, the owner Dr. Arinjay Jain facing acute shortage of Oxygen shut off its supply for 5 minutes to 96 patients to check which patients were critical. 22 patients were identified who started turning blue. Rest 74 were told to arrange for their own Oxygen. The hospital claimed only 7 patients died over the next 2 days, however an enquiry reveals that 16 died. Paradoxically, the hospital has been given a clean chit. While Jain has been nave enough to admit his dilemma and so-called biggest experiment, who should be held responsible for deaths of patients due to negligence inside government hospitals and while waiting for beds in hospitals in ambulances outside?We have to remember that in 2017 when Oxygen shortage was not yet a ubiquitous phenomenon, Dr. Kafeel Khan lost his job merely because Oxygen supply to the BRD Medical College in Gorakhpur, where he was nodal officer of encephalitis ward, was cut off due to non-payment of dues, something for which he was not responsible as was proved in a departmental enquiry. 70 children had then died. If punitive action is the answer, then scale of deaths this time require some more heads to roll and some more institutions and establishments or even the entire governments should be sealed for abdication of its responsibility! But probably by giving a clean chit to Paras hospital, the government doesnt want to open a pandoras box. Bobby Ramakant and Sandeep Pandey are with Socialist Party (India). e-mail ids: bobbyramakant@yahoo.com, ashaashram@yahoo.com  Follow them on Twitter @bobbyramakant, @Sandeep4Justice  GET COUNTERCURRENTS DAILY NEWSLETTER STRAIGHT TO YOUR INBOX