The health authorities in Sindh finally seem to be heading in the right direction. In a move with far-reaching implications for the overall health set-up, they have decided to move a bill in the Sindh Assembly aimed at regulating the private medical institutions that are proliferating all over the province (as elsewhere in the country).
So far, the absence of a regulatory mechanism has led private health units to operate without any checks on the quality and cost of the services they provide. The draft bill, which has been approved by the chief minister, requires all health units - regardless of whether they subscribe to modern or traditional medicine - to register with the government.
The fee is to be revised under a government-approved structure. Moreover, health centres will not be allowed to turn patients away, even if they are unable to pay the fee or have been involved in an accident with legal implications - two reasons why private units routinely refuse to treat those in need of urgent medical attention.
Given the unethical and non-professional attitude of many private hospitals in the country, other provinces too would do well to devise similar rules. It is true that many doctors, obsessed with making money, will revolt against laws that may lead to a reduction in their fees.
This development might even open up various avenues of corruption for them. But, at the same time, if enforced properly, such regulatory laws should have a salutary effect on the overall health care system.
For one, it should bring down the number of quacks -600,000 according to one estimate - in the country, who, in disregard of all medical ethics, continue to play with the lives of patients.
For another, under the watchful eye of the government, medical units would be more particular about delivering their promised services to the people and refrain from short changing them.
The private health sector has been due for considerable streamlining for long. The proposed legislation should accomplish this, and also in still a greater sense of service in private practitioners who have all but commercialized health care.
Private exam boards
The federal education minister has yet again clarified that the establishment of an examination board in the private sector by the Aga Khan University is not tantamount to a secularization of the country's education system.
Speaking to journalists in Islamabad some time ago, he said that he has repeatedly spoken on this issue both inside and outside parliament but those opposing the AKU's board seem bent on repeating the unfounded allegations over and over again.
In fact, the matter has also been clarified by the head of the AKU at various forums but seemingly to no avail. Those opposing the move consist mostly of the religious parties and their student wings in the country's educational institutions.
The board, like any of the ones existing in the public sector, has a curriculum approved by the federal ministry of education, so the question of secularization on the part of the AKU simply does not arise.
Second, the issue of affiliation with the board has been left to each individual school's management with institutions free to choose between the public sector boards and the one set up by the AKU.
Third, thousands of students take O and A level exams paying UK-based boards hundreds of millions of rupees every year in exam fee. A private board managed by a Pakistani institution, especially one whose credentials are solid in the education field, would save most of it and also provide an alternative to parents to have a more affordable quality assessment of their children's education.
There are also some who say that instead of allowing private exam boards, the government should reform and improve its own existing boards. That is a perfectly valid demand but there is no reason why reform of government boards cannot go hand in hand with establishment of an alternative in the private sector.
Indeed the opposition to the AKU board seems to have a thinly-veiled sectarian colour to it. The elements who oppose the AKU board have issued provocative statements and threats, and the government must take this into account in deciding the issue.