Stent costing 40K sold to us for 120K

An estimated six lakh patients undergo angioplasty every year. Dealer price in India for a drug eluting stent (DES) is not more than Rs 40,000, often just Rs 20,000. But patients are charged anything from Rs 55,000 to Rs 1.2 lakh for a DES.
If you aren't a government employee - and the overwhelming majority obviously aren't - an angioplasty could cost you five to six times what the government pays for those covered under schemes like the central government health scheme (CGHS), the Indian railways health directorate or various state health schemes.

The dealer price or the landed cost (total cost of an imported item as recorded by customs, which includes original cost of the item, brokerage and logistics fees, shipping costs, customs duties, tariffs, taxes, handling fees etc) in India for a drug eluting stent (DES) is not more than Rs 40,000, often just Rs 20,000. But patients are charged anything from Rs 55,000 to Rs 1.2 lakh for a DES.

The rate fixed by the Maharashtra health ministry under the Rajiv Gandhi health scheme for the poor in February 2014 and by the Centre for the CGHS in April last year was Rs 23,625. Many stent manufacturers, including MNCs, have agreed to supply at this rate for the various government schemes. But such schemes cover only a fraction of the patients who might require stenting. An estimated six lakh patients undergo angioplasty every year. While not all of them need stents, there are also many cases where doctors advise two or three stents for one patient. Hence the market for stents in India is huge, and steadily increasing with the rising incidence of cardiovascular diseases.

A recent comparison of the price of DES of top stent companies including Abott, Medtronics, Johnson & Johnson's, Cordis and Boston Scientific in the US, UK and India showed that while the Indian price seems lower, this could be a misleading comparison. The price of DES in the UK ranges between the equivalents of Rs 1.2 and Rs 1.4 lakh. In the US, the range is from Rs 50,000 to Rs 2 lakh. The Indian range of Rs 55,000 to Rs 1.2 lakh might seem reasonable in this context. However, if we take the difference in income levels into consideration, the picture changes dramatically. The comparison showed that in the UK or UK, even at the top end, the price of a DES would be no more than 6% of GDP per capita (which mirrors average incomes). In India, on the other hand, it ranges between 27% and 130% of GDP per capita. Thus, it is between 5 and 22 times harder for the average Indian to afford a DES than it is for someone in the UK or US.

It has also been found that not only company dealers but also hospitals which might get the stent cheap, charge patients 'handling charges' on every stent, often pushing up the price to two or even three times the original cost of the stent. The Maharashtra Food and Drug Administration (FDA) had sent a report to the National Pharmaceutical Pricing Authority (NPPA) laying bare the way patients were being overcharged on stents. The FDA report gave several examples of drug eluting stents being imported by manufacturers for about Rs 40,000 but with the MRP shown as approximately Rs 1.5 lakh, a mark-up of more than 250%.

The FDA report had sought control on prices of devices like stents and orthopaedic implants under the Drugs and Cosmetics Act, 1940. The NPPA recently asked device companies to submit details of price revisions in the last two years for each type of device. more  

View all 9 comments Below 9 comments
You couldn't have put it more glaringly and more gorily, perhaps your reaction will have some effect on some of our fellow human beings! more  
Khan Saheb, this is cutting a throat. more  
I vaguely remember to have heard of something like somebody cutting a pound of flesh from somebody's body as he was not able to pay. more  
IT IS VERY PAINFUL TO READ THE COMMERCIALISATION OF HOSPITALS AND DOCTORS.
Hippocratic Oath: One of the oldest binding documents in history, the Oath written by Hippocrates is still held sacred by physicians: to treat the ill to the best of one's ability, to preserve a patient's privacy, to teach the secrets of medicine to the next generation, and so on. more  
This is murderous attitude of the doctors and the hospitals, I have heard a poor man dying because he dared not move to hospital for fear of cost. My own brother had to cough out 6.4 lacs for three implants and six days stay in Columbia Asia hospital Gurgaon. He was asked to deposit Rs 4.5 lacs before the doctors would start treating athe heart stroke patient. more  
Post a Comment

Related Posts

    • Secrets of Longevity

      Whales have heart rates @2/minute while in water and it's up by 4 while out of water,while hunting. Humans have heart rates between 60-80 and athletic people or others who believe in reg...

      By Dr. Neelam Nath
      /
    • Healthy cholesterol

      Can we run our vehicle without good oil? Why do we get our vehicles serviced, get filter & oil changed after driving few thousands of Kilometers? Cholesterol is a type of fat found i...

      By Neelam Nath
      /
    • Alkaline diet

      If you are in your 30s or know someone who is in their 30s, then it is important to understand that alkaline diet hams none and helps everyone without being a burden on the pocket. Dr Otto Warburg,...

      By Neelam Nath
      /
    • Foods as blood thinners

      Foods As Blood Thinners Dr. Neelam Nath Bhatia Dr. Neelam Nath BhatiaGeneral Physician 9 September, 2019 Cardiac patients are given blood thinners so that bloo...

      By Neelam Nath
      /
    • Chelation therapy

      is Chelation therapy advisable for reducing blocks

      By Swarnalatha Marjee
      /
    • BP fluctuation during day

      How does blood pressure fluctuate during the day? Is it quite high before lunch. Experts please advise.

      By Sneha Goyal
      /
    • Erroneously high BP measurement mistakes

      AHA lists 7 common mistakes leading to erroneously high BP measurement . 1 .Having a full bladder can add 10-15 points to your reading. 2 .Slouching, unsupported back or feet....

      By Sneha Goyal
      /
    • Hypertension

      Hypertension is a systolic blood pressure equal to or greater than 140mm of Hg or diastolic pressure equal to or greater then 90 mm of hg. Features of Hypertension: 1. Headach...

      By Pritam Sharma
      /
    • 101 year old cardiologist

      India's first lady Cardiologist, Dr. Padmawati Sivaramakrishna Iyer turned 101yrs on 20th June 2018. She is director of the National Heart Institute, Delhi and the founder president of the A...

      By Sneha Goyal
      /
    • Good evening friends

      4 Nuts That Cut Your Heart Disease Risk. Recently, I set up an experiment in a grocery store. I placed four nut mixes on a shelf. Each was labeled differently. One promoted men’s h...

      By Dr.(Mrs.)Chandra Kanta Gosain
      /
    • KNOW YOUR HEART

      25 Facts About THE Heart that WILL Leave you Stunned. Here are 25 facts you may not have known about your incredible heart ~ Every day you are alive, your heart creates enough...

      By Dr.(Mrs.)Chandra Kanta Gosain
      /
Share
Enter your email & mobile number and we will send you the instructions

Note - The email can sometime gets delivered to the spam folder, so the instruction will be send to your mobile as well

Please select a Circle that you want people to invite to.
Invite to
(Maximum 500 email ids allowed.)