(25 May ’14)
I came across
this 520 page hard-bound book by Pranay Gupte which I thought was a good read
about private healthcare in India. The cover has a portrait of Dr Prathap
Chandra Reddy, founder-owner of Apollo Hospitals and Reddy’s Laboratories, and
says “Healer….and the Transformation of India.” I don’t know about the
transformation of the country, but certainly as far as corporatization of
healthcare goes, in India there has been life before and after Apollo came into
the picture.
The book gives
an insight into what life in rural Andhra Pradesh was (or possibly still is)
like for the very rich. Dr Reddy was born wealthy and privileged. His education
and work experience in the USA prepared him to bring ‘home’ technology and
systems we never thought could exist here.
Importantly,
the book brings out how difficult things were for an entrepreneur who came in
with a good commercial idea. The government was geared to discourage people who
brought in novel ideas. It took long years of perseverance to make any dream
come true. In Dr Pratap’s case, it also paved the way for other players like
Escorts and Asian Heart to come into the field of non-charitable trust
hospitals. He knew the time was ripe for bringing in private healthcare into
India. He introduced the concept of super-specialty healthcare and preventive
healthcare, too.
There was a
time when private hospitals were but family-run nursing homes. The few big
hospitals were run by family-owned charitable trusts. No one had thought of or
brought in the concept of having a profit-oriented hospital. People were
willing to pay good money for high quality diagnosis, latest treatments and the
comforts of a good room, too.
Having worked
in a tertiary-care multi-specialty hospital, I know how difficult it is to woo
back good talent from abroad and retain it in India. It’s not just the money,
but the work environment that has to be conducive to keeping the brains and
skills here. According to biographer Gupte, Dr Reddy managed to keep his large
team content and productive by giving them professional freedom, an enviable
income and the latest technology. Apollo hospitals now have a presence in many
Indian states and abroad as well. Apollo was the first to reverse brain-drain.
Access to quality, affordable healthcare became a reality. Dr Reddy changed
people’s attitude towards healthcare. Amongst the network of nationwide private
hospital systems, Apollo is the world’s largest.
Over and over
again, the writer has stressed the warmth and sense of belonging that the
Apollo staff shares with the Reddy family. All four of Dr Reddy’s daughters are
involved in the ‘business’. This is a typically Indian phenomenon, where all
staff are helped out when they are in need. In exchange, unalloyed loyalty is
expected.
So it is not
surprising the author has interviewed very few ex-Apollo people. Once a person
leaves, s/he isn’t encouraged (and I’m putting it mildly) to return. Also,
other than a fleeting reference to Dr Reddy’s explosive temper, Gupte has not
mentioned a single flaw in the healthcare leader’s character. As a reader, I felt
there was more adulation than required. But the author has also repeatedly
pointed out Dr Reddy’s connect with patients, ward-boys and consultants alike.
That’s a rare quality. Unusually, Dr Reddy also welcomes competition, says the
biographer.
Priced at Rs
899, this book should be read by anyone interested in a) the history of
healthcare in India in recent times, b) biographies, c) wanting to start up a
private hospital of their own or d) what life is like in a corporate healthcare
environment.
Books like
these document history, encourage future leaders and should be compulsory
reading for any youngster aspiring to make a dream come true. Alongside, one
must have an equally well-researched book on the public (general) hospitals
across India. I didn’t come across any, but even a cursory homework done over
the internet gave me an insight into what’s happening in healthcare in India.
Not as dismal as I had imagined.
Coming to the
literary quality of the book: the prose is easy to read, well-edited and the
font size comfortable on the eyes. I’m certainly looking forward to Gupte’s
next release on Capt Nair of the Leela Hotels.
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