Health care is an uncompromising endeavor. When they are seriously ill, if their financial status does not allow them, the common people are forced to get treatment even by selling it. Charging professional fees for treatment services is not otherwise. However, it is ironic that even legal standards are not met in sensitive services related to human life.

Many hospitals operating especially in Madhesh are playing a serious game in public health. The trend of opening hospitals without registration, neglecting treatment, not being accountable to patients but charging high fees has brought the health service in Madhesh into disrepute. After a few weeks, Chief Minister Satish Kumar Singh has closed 75 hospitals in Madhesh province. But what action will be taken for the illegal practices of those hospitals so far, how will they be compensated for the games they have made on the health of patients and what is the guarantee that these hospitals will not operate in the same way again in the future? This is the subject of the current debate. 

There is a problem in the health sector all over the country, and the citizens of Madhesh feel that the health sector is at a standstill due to the high cost of treatment and the poor quality of services they receive. This game is also evident from the context of Muskan Hospital, which is run in Janakpur, the capital of Madhesh. 24-year-old Pavita Kumari Yadav was admitted to the hospital on January 3 to undergo surgery to remove her gallbladder. On the same day, he was taken into the operating room and sedated, since then he has not regained consciousness for 68 days. Meanwhile, he has been brought from Janakpur to Kathmandu for further treatment. The doctor is of the opinion that there was negligence in giving anesthetic to Pavita before the operation. Although it is mandatory for a specialist doctor to administer anesthesia during surgery, the hospital has not been able to clarify which doctor administered the anesthetic. In this way, there is no detailed information about the drugs given to make the patient unconscious, the amount of oxygen in the patient's body being monitored or not during the operation. It is not clear whether the anesthesiologist was present during the surgery. Moreover, the difference has been revealed that this hospital is operating without registration. Thus, if an unregistered hospital was operating in Janakpur itself, how many such hospitals would there be in the entire province and what kind of health services were they providing?

Chief Minister of Madhesh Satish Kumar Singh has found that at least 75 private hospitals in Madhesh are running illegally and against the standards. During monitoring, 22 hospitals in Dhanusha, 24 in Sarlahi, 21 in Rautahat, 5 in Mahottari, 2 in Saptari and 1 in Parsa have been closed. It is natural for hospitals that are not registered or do not meet the criteria to be closed. However, immediate closure is not the only solution. First, who allowed to open so many health institutions in Madhesh without meeting the registration and standards, where was the state until now? What is the accountability of the authorities in the system to be monitored? The officiality of the currently operating hospitals, the qualification of the doctors working in them, the environment and the quality of treatment and the fees charged by them are not matters that can be checked and passed by a single Chief Minister, for this, systematic intervention is inevitable. 

As far as the situation is concerned, there are only 6 anesthesia doctors in Janakpur city. However, in the hospital here, about one hundred patients are operated on a daily basis. If we look at the ratio of anesthesia doctors and surgery, we have to think and fear who will make the patient unconscious. This is a strong foundation for research. Victim patients or their families who are forced to pay/suffer due to hospital's negligence should get compensation. Criteria for giving such compensation should be made. Responsible officials of agencies that do not set standards and do not monitor should become partners in punishment. Now due to the monitoring under the leadership of the Madhesh government, the problems in the health institutions have come to the surface, the real problem is even worse than that. The problem is not only in Madhesh province.