Vedic Ethics: Chapter 3

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Who am I? Know Your Soul Profile

“I am not my physical body, as I know, once my body dies, nobody wants to touch it.” (Adi Shankaracharya in the Bhaja Govindam).

“I am not my mind as I know whenever I am in trouble; the mind asks the heart for help” (Deepak Chopra in the Seven Spiritual Laws of Success).

“I am my consciousness which is residing in the core of my heart” (Svetasvatara Upanishad 5.8).

“This consciousness is nothing but a web of energized information situated in the void” (Chandogya Upanishad Chapter XII — the Birth of the Gross from the Subtle)

“The consciousness is timeless, has no beginning, no end, weapons cannot cut it, air cannot dry it, water cannot wet it and fire cannot burn it” (Bhagwad Gita 2.23, 24).

Each one of us has a physical profile (as defined by our height, complexion, collar number, waist size, etc.) and a mental or ego profile. A few examples of ego profile are: my bank balance, my car, my job designation, my locality of residence, my size of house, my contacts, my power, my clothes’, etc.

Similarly, each one of us also has a soul profile. We should give sometime to ourselves to know our soul profile and revisit it at least once in a week.

According to Dr Deepak Chopra, to know the soul profile, one should ask the following 7 questions to one’s consciousness while sitting in a meditative poise or in state of relaxation. The answer to each question should be either in 3 words or 3 phrases.

1. What is my purpose of life?
2. What is my contribution going to be for my friends and family?
3. Three instances in my life when I had my peak experiences.
4. Names of three people who inspire me the most.
5. Three qualities which I admire the most in others.
6. Three of my unique talents.
7. Three qualities I best express in my relationship.

These 21 answers will characterize your soul profile or will be your passport for every action you perform in your life.

One should act from the soul profile in day-to-day life and not from the ego profile. Unlike the ego profile, the soul profile cannot be manipulated.

There are only 3 ways to improve one’s soul profile and these are:

1. The choices one makes should be soul-profile oriented and not ego-profile oriented. Whenever there is an opportunity for an action, ask the head for choices, then ask the heart to choose one, and finally order the hand to take action. A soul-based action is one, which is based on the truth, is necessary, and which makes the person and the people around him or her, all happy.
2. Total clarity of vision of “What do I want” and “What I do not want”.
3. Learn to enter into discontinuity of thought processes using “beej mantra” or doing primordial sound meditation 20 minutes in the morning and 20 minutes in the evening.

These can also be equated to the eight limbs of Yoga Sutras of Patanjali, where the “choices I make” represent Yama and Niyama, “what do I want” represents Dharna and the “entering into discontinuity” represents Dhyana and Samadhi.

Dr KK Aggarwal
National President IMA & HCFI

Write NLEM drugs

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The World Health Organization (WHO) has defined ‘essential medicines’ as those that satisfy the priority health care needs of the population. The WHO also says that the essential medicines should be available “at all times in adequate amounts, in the appropriate dosage forms, with assured quality, and at a price the individual and the community can afford”.

The Alma Ata Declaration adopted by the World Health Assembly in 1978 was the first international declaration, a milestone, which brought primary health care to the forefront. It outlined provision of essential drugs as one of the essential components of primary health care. In the same year, the World Health Assembly passed a Resolution urging Member States to establish national lists of essential medicines and adequate procurement systems.

India too joined hands with the WHO and the first National Essential Drugs List was published in 1996. It was revised in 2003 as the National List of Essential Medicines (NLEM). The latest revision was notified on December 23, 2015. The NLEM 2015 includes 376 medicines listed according to the level of health care: Primary, secondary and tertiary
Many criteria are considered to include a drug in the NLEM.

• The medicine should be approved/licensed in India.
• The medicine should be useful in disease which is a public health problem in India.
• The medicine should have proven efficacy and safety profile based on valid scientific evidence.
• The medicine should be cost effective.
• The medicine should be aligned with the current treatment guidelines for the disease.
• The medicine should be stable under the storage conditions in India.
• When more than one medicine are available from the same therapeutic class, preferably one prototype/ medically best suited medicine of that class to be included after due deliberation and careful evaluation of their relative safety, efficacy, cost-effectiveness.
• Price of total treatment to be considered and not the unit price of a medicine.
• Fixed Dose Combinations (FDCs) are generally not included unless the combination has unequivocally proven advantage over individual ingredients administered separately, in terms of increasing efficacy, reducing adverse effects and/or improving compliance

Essential drugs satisfy the priority healthcare needs of the large majority of the community. And, if a drug is listed in the essential medicines list, this means that it has to be “affordable, available at all times in adequate amounts with assured quality to meet the health care needs”.

The NLEM assumes particular importance to India where out of pocket expenditure on health care is quite high and only a few have health insurance.

An article published in the February 2015 issue of the Indian Journal of Medical Research says “Healthcare access in India is affected with 70:70 paradox; 70 per cent of healthcare expenses are incurred by people from their pockets, of which 70 per cent is spent on medicines alone, leading to impoverishment and indebtedness.”

The United Nations Sustainable Development Goal (SDG) 3 “Ensure healthy lives and promote well-being for all at all ages” has outlined access to safe, effective, quality and affordable essential medicines for all in Target 3.8, which states: “Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all.”

IMA believes that health care should be within reach of every person in the country. It should be affordable, with provisions for people from all economic strata. IMA is also committed to the 17 SDGs and their 169 targets.
Hence, IMA recommends that its members should write NLEM drugs, instead of prescribing expensive non NLEM drugs to those who cannot afford them. But, this does not mean that drugs not included in the NLEM are non-inferior drugs. If you prescribe a non-NLEM and more expensive drug, explain to the patient why you are doing so.

Dear Colleague Big Thank You

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I thank all my mentors and colleagues for the confidence shown in me. I am both happy and tense so the responsibility given to me is huge and the time is only one year.

But with the help of you all I am sure Team Digital IMA will be able to deliver. Our mission for the year is IMA 1 Voice. Let us all take IMA to a great height.

Dr K K Aggarwal

Following are the links

1. Website link : http://kkaggarwal.com/Presidential-speech.php

2. Presidential-speech- https://youtu.be/dxo7_Oi_l0E

3. ebook – http://kkaggarwal.com/28speech/index.html

4. HSG ACTIVITY REPORT IMA: http://module.ima-india.org/Natcon2016/hsgreport/

5. ‘Medico-legal Insights -IMA Legal Success Stories & White Papers’ : http://module.ima-india.org/Natcon2016/success_story/

6. ‘STOP NMC – AMEND IMC ACT IMA Satyagraha 2016’ : http://module.ima-india.org/Natcon2016/stopnmc/

7. Dr. KK Aggarwal taking over as National President of IMA: https://www.facebook.com/drkkaggarwal/

8. IMA Natcon 2016 – Sister Shivani Verma On Self Motivation: https://youtu.be/qoDA0qjg2k0

9. Dr K K Aggarwal takes over as the National President of The Indian Medical Association: https://youtu.be/8gSq5fAgmrg

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