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Today's Headlines - 09 August 2023
Quit India Movement Day 2023
GS Paper - 1 (History)

The Quit India Movement, also known as the August Movement or Bharat Chodo Andolan, was a significant civil disobedience movement launched by Mahatma Gandhi and the Indian National Congress on 8 August 1942. The movement aimed to demand an end to British colonial rule in India and achieve full independence. On this day, 8th August, in 1942, Gandhi gave the famous "Do or Die" speech, urging the Indian people to act decisively and nonviolently against British rule.

More about the movement

The Quit India Movement was launched during World War II, when the British government's involvement in the war had strained its resources and the Indian people's patience with continued colonial rule had grown thin.
The movement was led by Mahatma Gandhi and supported by the Indian National Congress, which was the principal political party advocating for Indian independence.
The primary goal of the Quit India Movement was to demand an immediate end to British rule in India and to establish an independent and sovereign nation.
On 8 August 1942, Mahatma Gandhi gave his famous "Do or Die" speech, urging the Indian people to engage in nonviolent civil disobedience and to be prepared to sacrifice their lives for the cause of independence.
The movement saw widespread protests, strikes, and acts of civil disobedience across the country. People participated in marches, demonstrations, and various forms of nonviolent resistance.
The British colonial government responded with a heavy hand, imposing severe repressive measures to suppress the movement. Thousands of protesters were arrested, and there were incidents of violence and clashes with the police.

Impact of this Movement

The Quit India Movement contributed to weakening the British colonial administration in India and increased international pressure on the British government to address India's demand for independence.
The movement marked a turning point in India's struggle for independence and played a significant role in accelerating the process of decolonization. It demonstrated the determination and unity of the Indian people in their quest for freedom.
The movement set the stage for further negotiations and discussions between the Indian National Congress and the British government after World War II, ultimately leading to India's independence in 1947.

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Today's Headlines - 16 August 2023
Rule to prescribe generic drugs
GS Paper - 3 (Health and Diseases)

After the National Medical Commission notified new guidelines on professional conduct recently, doctors have been protesting one of the stipulations — using generic names of medicines on the prescription instead of a particular brand name. The Indian Medical Association, the largest body of doctors in the country, said in a statement this was akin to “running trains without tracks.”

What do the guidelines say?

The guidelines say that doctors can only write the generic names of the medicine on the prescription.
For example, a doctor will have to prescribe paracetamol for fever, instead of Dolo or Calpol Every RMP should prescribe drugs using generic names written legibly, the guidelines say.
This practice can only be relaxed for medicines with narrow therapeutic index (drugs where a small difference in dosage may lead to adverse outcomes), biosimilars (a different version of biologic products that are manufactured in living systems), and “similar other exceptional cases.”
The guideline says that generic medicines, on average, are 30% to 80% cheaper than the branded versions, and are hence likely to bring down healthcare costs.

What does it mean for you?

The new guidelines do not allow doctors to write a specific brand, which means that you will get whichever medicine with the relevant active ingredient your pharmacist stocks.
If a pharmacy does not have a generic version of a medicine — which drug stores usually do not stock because of very low profit margins — the responsibility to substitute it with a branded medicine will shift to the pharmacist instead of the doctor. This will promote brands that have good profit margins, irrespective of how good they are.
Additionally, doctors say it will also take away their choice of prescribing the medicine they think is the best for a patient.
Taken in the context of the quality of generics varying across companies, this could result in ineffective treatment.

What are the issues with generic medicines?

Doctors, drug manufacturers, and the government all agree that there is much to be done when it comes to the quality of generic medicines in the country.
While the doctors in the IMA statement said that only 0.1% medicines are tested for quality checks, manufacturers said it is not possible for the government to test every batch, but following good manufacturing practices to the T can assure quality by design.
Many have also questioned the tests that a company needs to do to get approval. Until a few years ago, it was not mandatory for companies making generics to carry out bio-equivalence or stability studies.
Bioequivalence studies are done to show that the generic drug elicits the same response as a branded version.
Stability studies are done to see how the quality of the drug varies over a period under specific environmental conditions.
Experts from the pharmaceutical sector admit that there are drugs still in the market that never underwent these studies.
Data from the Union health ministry shows that around 3% of all medicines tested over the last three years — including generics, branded generics, and branded medicines — were found to be not of standard quality.

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