Veteran, Indian Navy | Consultant Pathologist | Advocate for Mindfulness & Veterans' Rights | Alumnus: MAHE Manipal, ISB, KMC Manipal, KMC Mangalore, KEM Pune |

Jharkhand & Sri Vijay Puram
Joined March 2022
Vibe coder here @claudeaiwatch Fed up with "you're absolutely right" energy, I built a museum for it. ClaudeWatch is live: claudewatch.org Independent archive of Claude failure modes, capacity theater, quality dips, and harness drama. We file public posts from @claudeai and @ClaudeDevs (plus pattern cases), then add a thin coat of satire so the corporate calm does not sandblast the stakes. Not affiliated with Anthropic. We just keep the footnotes. Timeline → claudewatch.org/timeline/ Cases → claudewatch.org/cases/ Tips → [email protected]
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Seven. That is how many new molecules discovered in India by Indian drugmakers have been approved since 2013, by a count from company and regulator records. On 27 October, a Supreme Court judge asked the government's lawyer to name five such molecules in 30 years. LiveLaw reported the lawyer was not familiar enough with the subject to answer. The court then reserved its order. So why can't the new price cap explain the short list? India's drug price regulator, not the court, capped the markup between a maker's price to distributors and the printed price on cancer drugs. The maker's price stays free. None of the seven molecules is a covered drug, and all were approved before the order. Whatever has kept India's list of new medicines short, it was at work long before this cap.
Truth bombs 👇 Most patients don't mind paying for pharmacy and labs/imaging but are hesitant to pay for nursing and medical services which they feel is a "noble job" It's worse for physician branches("We have come just to show reports") compared to surgical ones.
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Fact from fiction: There is absolute no embargo on the price a company can charge by regulator and courts. It is price which retailer and hospitals charge is challenged. Seven. That is how many new molecules discovered in India by Indian drugmakers have been approved since 2013, by a count from company and regulator records. On 27 October, a Supreme Court judge asked the government's lawyer to name five such molecules in 30 years. LiveLaw reported the lawyer was not familiar enough with the subject to answer. The court then reserved its order. A venture capital investor argues on X that court pressure on drug prices explains why Indian drugmakers invest little in research. The post warns India will soon depend on China for medicines. So why can't the new price cap explain the short list? India's drug price regulator, not the court, capped the markup between a maker's price to distributors and the printed price on cancer drugs. The maker's price stays free. None of the seven molecules is a covered drug, and all were approved before the order. Whatever has kept India's list of new medicines short, it was at work long before this cap.
What's the biggest issue with India and Indians is? WE DON'T WANT TO PAY FOR A SERVICE! That's the root cause. If a hospital charges 1 lakh for services and 10K for meds, most will have issues. If a hospital charges 1 lakh for meds and 10K for services, everyone pays happily.🤷🏽‍♂️
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Debunking fact from fiction: Seven. That is how many new molecules discovered in India by Indian drugmakers have been approved since 2013, by a count from company and regulator records. On 27 October, a Supreme Court judge asked the government's lawyer to name five such molecules in 30 years. LiveLaw reported the lawyer was not familiar enough with the subject to answer. The court then reserved its order. A venture capital investor argues on X that court pressure on drug prices explains why Indian drugmakers invest little in research. The post warns India will soon depend on China for medicines. So why can't the new price cap explain the short list? India's drug price regulator, not the court, capped the markup between a maker's price to distributors and the printed price on cancer drugs. The maker's price stays free. None of the seven molecules is a covered drug, and all were approved before the order. Whatever has kept India's list of new medicines short, it was at work long before this cap. @malpani @malini_aisola @RemaNagarajan @anupsoans @drbabukv
It is easy to say “medicines should be cheap”. Who will invent the medicines for the diseases for which even today in India there are no remedies available? How many are killed annually in India due to non-availability of medicines, is there a count? India remains stuck in the 1970s - jholachhaps can file a PIL, and Supreme Court will have a field day forcing the government on the back foot on pharmaceutical policy. The world is changing: US cancer patients need lifesaving drugs - and they are now going to China for the most cutting edge medicines kffhealthnews.org/health-ind… For decades we have had to rely on Western countries. Soon India will be begging China for medicines. Thank jholachhap activists and judges then.
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₹29,600. In 2017, that became the ceiling price for a drug-eluting stent, a mesh tube that holds open a blocked heart artery. Within months, the head of India's drug price regulator, the National Pharmaceutical Pricing Authority (NPPA), wrote that "several hospitals have increased the various 'procedure charges' in order to compensate for their losses." A Mumbai surgeon warns hospitals may respond alike to NPPA's 30% cap on trade margins for cancer drugs. A trade margin is the gap between a maker's price to distributors and the printed price. With stents, the surgeon wrote, procedure charges rose "to keep package cost the same." A child psychiatrist called the surgeon "spot on." So did hospitals keep the stent bill whole? The record is mixed. Months later, insurers told The Indian Express angioplasty claims had not fallen to match. One Mumbai hospital's records showed costs falling for single-room patients. The stent cap reached one line on the bill. The cancer order reaches the drug lines, and is silent on the rest. Follow overcharged.in to see how much you are overcharged by hospitals city wise
सौ बातो की एक बात. Dr Amit Thadani is spot on. Research cost is a fake argument as almost no new pharmacological molecule is truly invented in India.
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Surg Lt (Dr) Anan Jaiswal (Retd) retweeted
This is a great way to increase accountability and patients will be able to see how predatory some corporate private hospitals can be. This will force them to mend their ways
₹300. That is the government's rate for a complete blood count at an accredited hospital in a top-tier city. In a smaller, lower-tier city, the same test is ₹240. I built overcharged.in to search those rates. It holds the CGHS schedule, the central government health scheme's price list, across 2,594 procedure entries. One procedure has many rates. City tier changes it. So does NABH accreditation, the national hospital quality standard, and the patient's ward. The site reads the published value for each combination. Hospital prices are meant to come from hospitals. Rules from 2012 require hospitals, where the law applies, to display their rates for each service. This month, the Union Health Secretary asked states to enforce them. A search box can hold the government's price. Only the hospital can post its own. @RemaNagarajan @malpani @law_ninja @anupsoans @ramavenu
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Surg Lt (Dr) Anan Jaiswal (Retd) retweeted
We need more public-service-minded, technically savvy doctors like @docjais !
I made this in March as a side project this year to help the veterans as ECHS follow CGHS rates. Never new it will so many people . Have added music 🎶 from golmaal movie in case someone is overcharged 🌐 overcharged.in @malpani
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₹80,071.86. That was the printed price of one 100 mg vial of Samtepa, a brand of the chemotherapy injection thiotepa. Its maker has reported a new price of ₹7,150.33 from 9 November. The figures come from India's drug price regulator, the NPPA. The maximum retail price, or MRP, is the most a shop or hospital can charge. A Mint health reporter shared the cut, describing thiotepa as an injection "to treat bladder cancer." Mint's story adds its use before stem cell transplants. Four 100 mg thiotepa brands appear on the regulator's revised list. Samtepa had the highest old price. Now it has the lowest. So why did the ranking flip? The regulator's order caps trade margins, the share kept by distributors and shops, at 30%. Each company resets its MRP from what it charged distributors this year. A brand printed far above its selling price falls furthest. A printed price only told patients the most they could be billed. The new ceiling starts from what the maker actually charged. I made a website which helps pvt citizens to benchmark the hospital costs overcharged.in
🚨13 TIMES the cost for an injection?! ​Why is the court shielding hospitals looting patients instead of naming them publicly? 🏥😱 ​Stop protecting the big players, name them! ⚖️👇
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₹300. That is the government's rate for a complete blood count at an accredited hospital in a top-tier city. In a smaller, lower-tier city, the same test is ₹240. I built overcharged.in to search those rates. It holds the CGHS schedule, the central government health scheme's price list, across 2,594 procedure entries. One procedure has many rates. City tier changes it. So does NABH accreditation, the national hospital quality standard, and the patient's ward. The site reads the published value for each combination. Hospital prices are meant to come from hospitals. Rules from 2012 require hospitals, where the law applies, to display their rates for each service. This month, the Union Health Secretary asked states to enforce them. A search box can hold the government's price. Only the hospital can post its own.
If I open my mouth, I will be ostracized by my own community. We have to start from scratch to rebuild the trust in the public. 🤐🤐🤐 @RemaNagarajan
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₹80,071.86. That was the printed price of one 100 mg vial of Samtepa, a brand of the chemotherapy injection thiotepa. Its maker has reported a new price of ₹7,150.33 from 9 November. The figures come from India's drug price regulator, the NPPA. The maximum retail price, or MRP, is the most a shop or hospital can charge. A Mint health reporter shared the cut, describing thiotepa as an injection "to treat bladder cancer." Mint's story adds its use before stem cell transplants. Four 100 mg thiotepa brands appear on the regulator's revised list. Samtepa had the highest old price. Now it has the lowest. So why did the ranking flip? The regulator's order caps trade margins, the share kept by distributors and shops, at 30%. Each company resets its MRP from what it charged distributors this year. A brand printed far above its selling price falls furthest. A printed price only told patients the most they could be billed. The new ceiling starts from what the maker actually charged. Follow overcharged.in to know how much you pay above the CGHS rates city wise and question the hospitals
Big- NPPA notified the MRP of reduced price for cancer drugs. The huge drop in is on thiotepa, a chemo injection to treat bladder cancer. A 100 mg vial of Samtepa goes from ₹80,071.86 to ₹7,150.33, a cut of ₹72,921.53, or 91.1%. My story @livemint livemint.com/industry/nppa-s…
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I made this in March as a side project this year to help the veterans as ECHS follow CGHS rates. Never new it will so many people . Have added music 🎶 from golmaal movie in case someone is overcharged 🌐 overcharged.in @malpani
Replying to @malpani
True, Doctor. From the patient’s perspective, increased awareness of the scale of overcharging often intensifies a sense of powerlessness, as individuals recognise the extent of exploitation while having limited practical means of redress.
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Surg Lt (Dr) Anan Jaiswal (Retd) retweeted
Replying to @CArajatChandak
By sharing this information you can stop the hospital from overcharging other patients
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₹300. That is the government's rate for a complete blood count at an accredited hospital in a top-tier city. In a smaller, lower-tier city, the same test is ₹240. I built overcharged.in to search those rates. It holds the CGHS schedule, the central government health scheme's price list, across 2,594 procedure entries. One procedure has many rates. City tier changes it. So does NABH accreditation, the national hospital quality standard, and the patient's ward. The site reads the published value for each combination. Hospital prices are meant to come from hospitals. Rules from 2012 require hospitals, where the law applies, to display their rates for each service. This month, the Union Health Secretary asked states to enforce them. A search box can hold the government's price. Only the hospital can post its own.
Ex CEO of Max, Manipal and Gleneagles, neurosurgeon @bakshi_dr writes in @livemint that hospitals need standardisation and meaningful disclosures so that the patients can know in minutes what various hospitals cost. This is a very important conversation in the ongoing health insurance debates. livemint.com/money/personal-…
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₹300. That is the government's rate for a complete blood count at an accredited hospital in a top-tier city. In a smaller, lower-tier city, the same test is ₹240. I built overcharged.in to search those rates. It holds the CGHS schedule, the central government health scheme's price list, across 2,594 procedure entries. One procedure has many rates. City tier changes it. So does NABH accreditation, the national hospital quality standard, and the patient's ward. The site reads the published value for each combination. Hospital prices are meant to come from hospitals. Rules from 2012 require hospitals, where the law applies, to display their rates for each service. This month, the Union Health Secretary asked states to enforce them. A search box can hold the government's price. Only the hospital can post its own. @RemaNagarajan @malpani @law_ninja @anupsoans @ramavenu
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Surg Lt (Dr) Anan Jaiswal (Retd) retweeted
Annual PCI procedures in India expanded significantly between 2008 and 2024 rising from around 113,000 to over 726,000 at a time when US volumes fell 40% alongside expanded preventive protocols. While procedural growth is often evaluated alongside health system economics, it must also be understood through India’s unique clinical landscape. Coronary artery disease in South Asians typically manifests a decade earlier, progresses more aggressively, involves smaller caliber vessels, and frequently presents as complex, multi vessel disease rather than isolated focal lesions. In the absence of widespread primary screening, patients seldom present at the early, stable stages seen in controlled trials. Instead, they often arrive late, with acute, advanced blockages. For clinicians managing critical obstruction in high risk patients, prompt mechanical intervention is frequently an immediate clinical priority to relieve ischemia and mitigate acute risks. The volume surge reflects this complex intersection: expanding tertiary infrastructure meeting a high risk population presenting late in the course of aggressive vascular disease.
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Surg Lt (Dr) Anan Jaiswal (Retd) retweeted
The Supreme court has said that Hospitals are making profits through "Dacoity". Why: A medical distributor's wife was admitted for CANCER treatment. The hospital was billing him ₹1,30,000 for an injection that otherwise cost ₹11,000. The distributor said that he'll arrange the injection. The hospital refused😅 The hospital has not been named. But this is the story of every private hospital today. The big PE funds hold a majority stake in Indian private hospitals. There's no regulation or scope of audit on how hospitals are blasphemously charging patients in the time of crisis by cheating them. It is high time that a price regulation law on hospitals were introduced. I am sure all of us have a hospital horror story. Share it in the comments/quote tweet. I am sharing mine👇
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Surg Lt (Dr) Anan Jaiswal (Retd) retweeted
Replying to @docjais
Nice work Dr Jaiswal!
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2,584 procedures. That is how many government rates overcharged.in puts in one search box. I built it. A Mumbai IVF specialist and angel investor shared it as a tool to "protect patients from being exploited by greedy hospitals." The tool claims less. It shows the CGHS rate, the central government health scheme's price list, beside what a patient paid. The gap is arithmetic, not proof of overcharging. One reply asked to "see which hospitals in your neighbourhood were relatively at par or deviated". The specialist answered: "We can seed this, and then start crowdsourcing this." Hospital prices are supposed to be public already. Rules from 2012 require hospitals, where the law applies, to display the rates charged for each service at a conspicuous place. This month, the Union Health Secretary asked states to enforce them. The government's rate fits in a search box. Each hospital's own rate is meant to be on its wall.
This is such a clever tool to protect patients from being exploited by greedy hospitals overcharged.in/
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Surg Lt (Dr) Anan Jaiswal (Retd) retweeted
This is such a clever tool to protect patients from being exploited by greedy hospitals overcharged.in/
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