This article was written as feed back comments at the platform of Bioethic international organisation and is submitted as it is for the comment of my readers.

Although there is much to talk on the issue and idea that has gained access as finding in the book of ethics and theory, but requisite criteria to debate on issue with no info on the setup and ground realities, at my end, is a restriction that will curtail or contradict sagacious flowing of ideas.

I have a feeling which is my perception of thoughts that it is issue is too courteous on the subject of medical professionalist and subject ethics .although manners demand such act ,but when we litigate issues on the criteria of criticism ,flowing of ideas ,realities ,and dissemination should be on the ground of maximum observation and truth without the element of ,courtesy ,favoritism, influence and preferences.

Please grant me permission to express my vision on subject conclusion as I have strict reservation which will not second you on the issue partially.

Although not much familiar to different system but being a trained surgeon and by virtue of my 20 years of experience in medical field I reserve my comment on the issue.

With your permission I will pledge to start the discussion by commenting that advancement, technology and inventions can not be curtailed so to budget the threat of bills and medical care. Technology is a continuous piston of bearing that that’s works on the principle of auto evolution.

One of the main pistons to these new visions in technology is the health care personnel themselves.

Continuous expertise over the available mode and method, and self deviation from authorize criteria in the name of expertise and skill, with ever changing pattern of presentation of family pf patient and diseases, is the main stay of requirement and essentiality that again initiate more advancing necessity so to ease and remedy what can be presented as a incidental and a typical finding thus covering all issue at one sitting.

This in turn creates a vicious cycle of steady motion of technology and repeated models of subject equipment in the name of advancement and up gradation. You see its all interrelated subject, enhancing each other involuntary and as symbiosis.

However it is this level of .interest that has irreversibly caused the disaster to take patient to the fate that can only be achieved at the cost of heavy financial strain and expense.

It is this point where ethics and modesty of the professionals enters into the field of professionalism .it is here, that ethics and oath demands individual to act and provide service so to restrict criminal practice and benefit the ailing humanity.

This is the turning point of turmoil that results and diversify the thinking of clinician thus if not practiced as realm of honor and prestige, sabotages the ego ,moral ,attitude ,service and his award rep of the god.

This is the same point where corruption gains entry and access, between the two relationship partner as product and end user, culminating if derailed, in the form of massive bills, irrational investigations, deliberate misdiagnosis, and award of business to the inventor and business holder so to achieve their business target at their end whereas in the mayhem of incentives and criminal awards at clinician end.

It is that cash point where if norms , ethics and oath could not curtail the individual, or if his personal conflicts in the form of reservations ,necessity ,strains ,motives, lust for money and attitude are engaging the thoughts ,can result in such behavioral deviations ,that you have already considered as one of the cause of expensive medical expenditure.

Where as, at this point if skills and expertise cannot be transformed in to next successor in the form of essential transfer to the progeny of similar upcoming siblings results in indulgence of self sighted benefit and creation of nuisance in the form of skill and expertise in the field again opening the era of relationship between doctor and health care provider, once again the patient, being the bearer of expenditure.

Most of the clinician acquire and resides at this plat form so to enjoy the lack of knowledge of the patient and their attendant and on behalf and at the cost of their expertise, as the only end user technical person, with the knowledge and exposure of the recent advancement.

Although I have too much to discuss with relation to the subject topic but restriction to thoughts so to curtail my discussion, is a reality that override the issue .

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