tag:blogger.com,1999:blog-1503293844377013031.post2859581996121392180..comments2024-02-08T22:01:40.101+05:30Comments on Indian Military : Service Benefits and Issues: Wake up time: Drastic changes required in the military medical set-up Navdeep / Maj Navdeep Singhhttp://www.blogger.com/profile/11481215977936848477noreply@blogger.comBlogger34125tag:blogger.com,1999:blog-1503293844377013031.post-72168538310784656012017-03-10T18:48:36.174+05:302017-03-10T18:48:36.174+05:30Plz provide pdf copy of GMO mp 2008Plz provide pdf copy of GMO mp 2008Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-4548763389579716912017-03-10T18:47:35.274+05:302017-03-10T18:47:35.274+05:30Plz provide pdf copy of GMO mp 2008Plz provide pdf copy of GMO mp 2008Anonymoushttps://www.blogger.com/profile/01735342499237429807noreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-57555225185739773802017-02-04T10:16:06.539+05:302017-02-04T10:16:06.539+05:30A very well written article.
Just for the informa...A very well written article. <br />Just for the information of all, GMO 08 is under revision since last 3 years. DGAFMS has forwarded many a times the revised GMO for approval but MoD babu are sitting on that. So it's been a long pending issue now. After the revision, it is supposedly will become more practical.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-84922185788219183762013-07-02T00:19:50.345+05:302013-07-02T00:19:50.345+05:30I am sure some day some senior officer like late F...I am sure some day some senior officer like late FM Sam Bahadur or Gen Bhagat would realise the issues facing the defence mass and get cracking rather than think of their own rehabilitation. With all respect and humility I dare say that nothing can be expected from the Political lots since they are deeply involved in their own welfare and the Babu clan who hate to see anyone in the run with them. Thanks. - Lt Col (Retd) AK Mukerji yahoonoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-53619575535504477282013-02-18T16:30:22.793+05:302013-02-18T16:30:22.793+05:30Sir, I am diagnosed with Primary Hypothyroidism du...Sir, I am diagnosed with Primary Hypothyroidism during my RMB, however, I have been denied attributability or aggravation and no disability. It is pertinent to mention that the disease requires constant following up with specialist along with various blood and hormone reports and life long medication. Is the board correct in accessing so? Please advice. Yours SincerelyAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-73968479309392156002012-09-30T22:58:52.082+05:302012-09-30T22:58:52.082+05:30I would like to comment briefly.
The entire pro...I would like to comment briefly.<br /> The entire procedure of boards and opinions is grossly mismanaged. It is common for ppl to come and report sick for disabilities when the unit moves to high altitude, CI etc, and then seek a sheltered appointment. When the unit returns to a good station thereafter, all these so-called LMC cases come back to the unit in SHAPE 1, frequently requesting the board to help them as they are due for promotion, staff, instr appointment etc.<br /> I fully agree with Maj Navdeep, the system needs a major overhaul. But it cannot be done unless there is a clear input on the functional aspect of the indl on behalf of the unit, much like an AFMSF 10. I know so many offrs who have requested LMC for arthritis when it comes to trg, but they have no such problems while playing golf. And a few disabilities are beyond me. I for one cannot understand why Alcohol dependent patients can access alcohol within units? And why we have this concept of cheap alcohol in the first place?<br />The answer to the maladies of the fauji med set up are massive increase in manpower. The available staff are grossly overburdened, and have no incentives to look forth to. Patients and board decisions are extremely time-taking matters, and they cannot be done properly unless doctors have adequate time. Why is the disability issue being examined by a board in the first place? Why can we not have JAG reps specially trained in medical law and jurisprudence give the final 'verdict', with the opinion of the relevant specialist serving as a 'jury'?<br /> The units on their part also need to look at their disabled with sympathy and understanding. They are treated more as liabilities, and any requests for sheltered appointments are turned down at the company level itself. These issues magnify the existing problem, and disabilities get aggravated. Treatment is not sought because a LMC is the first hurdle to any course, appointment, promotion, even a decent life in the unit. I have had so many jawans come and request us to upgrade their med category, or else the CO will send them home forthwith, without fulfillment of pensionable service. It is not that the doctors want to play god (some have that feeling though). The COs of the unit already are fulfilling that role. It is ultimately the choice of leaders, arms and services notwithstanding, which affects the functioning of the entire army, incl the med services.<br /><br />Jai Hind.<br /><br />Dr MDr Mnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-9869909208665506992012-09-28T16:01:07.653+05:302012-09-28T16:01:07.653+05:30Reading the comments i am surprised people are cur...Reading the comments i am surprised people are cursing the medical board .People think that if u do service in army it is attributable . One can find similair problems like Hypertension, Psoriasis , IHD in more % of people working in civil sectors they should be getting disablity??? There are some diseases related to hazards of army like frost bite etc Lifesyle diseases are as common outside as in army, Please do not blame board section and AMC for all this.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-5281395045706733132012-09-27T20:47:15.892+05:302012-09-27T20:47:15.892+05:30Govt's statement that OROP in principle has me...Govt's statement that OROP in principle has merit and would be implemented stage-wise. Release of 2300 crores package for Ex-servicemen is out of those stages. Since implementation of OROP needs heavy budget and Indian Govt has financial constrain so OROP can not be implemented in one go. Such notion of Govt is welcomed. BJP on other hand has promised to implement it in one go if comes to power and has also given its justification as to why they nod for OROP which is admireable.<br />Not withstanding what political developments are taking place but it is a big victory for Ex-servicemen organisation. Our efforts must continue to achieve our goals set time to time.<br />one very important point of disparity still needs to be settled down by our Ex-servicemen organisation and all the three chiefs with Govt. Still there is a difference of Rs 8060'pm in basic pension between Majors and Lt Cols pension., Such huge difference has never been in the history of armed force services and even is not there in any other rank. This need to be addressed and sorted out on highest priority and if not settled now it would affect will continue to VII pay commission where this rank would again suffer.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-19464088717755785142012-09-26T00:19:00.128+05:302012-09-26T00:19:00.128+05:30Without any doubts any one severed his/her mother ...Without any doubts any one severed his/her mother land even a single day in uniform deserves the best, if board wants there are many ways to give attribution and aggravation.<br /><br />Till doctors start thinking as doctors these thinks will continue. If policy makers don't understand the disease better they outsource to people in service known to be expert and <b>"humans"</b>.Sreenivasahttp://sreenivasaiyengar.comnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-65322584891232491482012-09-25T11:48:20.824+05:302012-09-25T11:48:20.824+05:30This is a good one and and hats off to Maj Navdeep...This is a good one and and hats off to Maj Navdeep.<br />I have been dealing with med boards at various levels and to put the record straight, majority of staff officers dealing with med boards, are very liberal and want to grant attributability/aggravation, but are bound by the regulations on the matter. The books need to be rewritten and more freedom needs to be granted to MOs and staff officers dealing with med boards. <br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-8933823100857268482012-09-25T06:37:03.304+05:302012-09-25T06:37:03.304+05:30Yes most of you comments are right but unfortunate...Yes most of you comments are right but unfortunately in the forces all rule pertaining to the AFMS are made by the non medicos.<br /> Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-77371463455488772152012-09-25T00:01:51.066+05:302012-09-25T00:01:51.066+05:30maj navdeep!
i must tell you it is not your fault ...maj navdeep!<br />i must tell you it is not your fault that you have published this blog because you have been dealing with these kind of cases, thanks to your profession. but let me tell you that you are dealing with a very small percentage of all disabled faujis. i am not saying that it is OK if they are less in number, if injustice has been caused to even a single person its unfortunate. but to err is human. we are not gods neither all people are same. you know LAW much more than me, but probably in the same ratio i know MEDICAL more than you. i have worked with hundreds of doctors in my career, all of different nature, but believe me till very extent most of them want to help our patients. we don't have to pay from our pocket...why should we deny somebody's due to him/her. many a factors work together, you will not believe people from individual's own unit create pressure not to help him because of their personal grudge or some other issues. everybody likes money including me and you, this is the reason once an individual is disabled because of any reason, he will fight till end to get advantage of that. all of us will be happy if these 'aggravated'/ 'attributable' caps are removed; because ultimately we will also benefit from that. everybody knows that smoking causes lung cancer, if an individual smokes to relieve himself because of enormous stress he is undergoing...and ends up with lung cancer...is he fit to get disability pension? almost every disease can be related with some kind of aggravating/attributable factor directly or indirectly. believe me most of us are very lenient; because if we start going very strictly by rules, half of the so called dependents will find themselves ineligible for treatment in service hospitals. this is never ending topic...but from bottom of my heart i really feel sorry for them who have been victim of injustice. finally i reiterate that number of non-deserving faujis who have been benefited is far more than those who are deserving and not benefited. this is not because of error....but because of good faith!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-61303235285009629372012-09-24T23:05:03.885+05:302012-09-24T23:05:03.885+05:30Dear Maj Navdeep,
There is no debate about lifelo...Dear Maj Navdeep,<br /><br />There is no debate about lifelong pension for stress fracture which I had mentioned in my earlier post. Definitely nothing going out of my own pocket!<br /><br />The question I raised was that the ex-recruit was claiming higher disability for same after 30 years, claiming that he is still symptomatic due to stress fracture and is actually worse off and needs higher disability!!! If anybody thinks that he deserves higher pension, then I think each and every pensioner should automatically granted that higher scale without bothering to see the already overburdened specialists. Why just bother seeing the patient? Just give him what he/she wants, it's a welfare organization that we are running. The specialists can definitely devote their time to betterment of a needy patient rather than being involved in this paperwork.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-64964890865833153812012-09-24T21:16:16.188+05:302012-09-24T21:16:16.188+05:30Disability pension for premature retirees of Air F...Disability pension for premature retirees of Air Force officers is still not being granted despite innumerable court cases granting disability pension to pre mature retirees too. Besides 'rounding off' of disability pension has yet to start despite the apex court observations in Lt Gen Oberoi's case. We care two hoots for court judgements..! Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-1081405620242685862012-09-24T21:09:06.751+05:302012-09-24T21:09:06.751+05:30Maj Navdeep is bang on in what all he has written ...Maj Navdeep is bang on in what all he has written in his most recent post. He surely does not indulge in AMC bashing. Please refer to his posts where he has discussed DACP threadbare at least twice in the last three years. Besides he has been fighting our battle in AFT for implementation of DACP.<br />If one of my AMC colleagues feels offended that is just too bad. We guys need to mend our ways without feeling offended.<br />Another clear cut instance where o/o DGAFMS is putting lot of retiring personnel at a terrible disadvantage and financial loss is in calculating 'composite disability' for multiple unrelated disabilities with entirely different functional effects. Please read on & judge for yourself how we are our own enemies, specifically o/o DGAFMS. Why blame the bureaucracy or the Govt Of India..!<br />AMENDMENT TO CHAPTER VI & VII : GUIDE TO MEDICAL OFFICERS (MILITARY PENSIONS) published by Ministry Of Defence, Government Of India, New Delhi in 2008 - (a) Para 17 A (i) of this amendment reads “ Where there are two or more disabilities due to service, compensation will be based on the composite assessment of the degree of disablement. Generally speaking, when separate disabilities have entirely different functional effects, the composite assessment will be the arithmetical sum of their separate assessments. But where the functional effects of the disabilities overlap, the composite assessment will be reduced in proportion to the degree of overlapping. There is a tendency for some Medical Boards to reduce the composite assessment in the former group of cases. This is not correct.” <br />(b) In about 15 months from the date of issue of the amendment to chapter VI & VII vide letter 16036/RMB/IMB/DGAFMS/MA(Pens) dated 14 Dec 2009 paras 3 to 7 reads "for disabilities with completely different functional effects has recommended calculating composite disability as per the formula recommended by them and not taking their arithmetical sum." <br />To give an example, if a retiring personnel with say 40% disability for hypertension (aggravated/attributable by service) also has 30% disability due to back ache (aggravated/attributable by service), then composite disability as per this latest modification is not 40% + 30% = 70%, but 40%+ 30% of (100-40)= 58%. This needlessly puts a retiring personnel at a financial loss due to an arbitrarily decided lower total disability percentage as ordained by this Dec 2009 letter.<br />This is happening day in and day out in all service hospitals for jawans and officers alike. The bureaucracy & the Govt Of India could not but be pleased as they are required to shell out less..! <br />Who is to blame ?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-75961948993427589522012-09-24T20:14:20.427+05:302012-09-24T20:14:20.427+05:30just saw news that OROP has been approved by cabin...just saw news that OROP has been approved by cabinet in the meeting today. and 2300 crore has been sanctioned forthe same. I hope it is true. Like always, I am sure there will be some strings attached and of course, the benefit would have been extended to civilians automatically. It is not so when something isgiven to civilians, it is not extended automatially to faujis. and what about NFFU, grade pay, disability pension issues, common pay scale for PBOR etc etcAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-70588464399322989502012-09-24T20:03:00.015+05:302012-09-24T20:03:00.015+05:30One Rank One Pension cleared by CabinetOne Rank One Pension cleared by CabinetAnonymoushttps://www.blogger.com/profile/11123642502433009025noreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-17682460136886481852012-09-24T18:22:26.162+05:302012-09-24T18:22:26.162+05:30My suggestion to all Serving Officers and Men woul...My suggestion to all Serving Officers and Men would be to leave the Fauj at 20 years. Take your life long pension and settle into the Corporate World. Things are much better here. More respect and more money. Most companies provide medical treatment in private hospitals. <br />The Military is not worth, repeat not worth after 20 years service. Start a new life at 40. I did it and am not repenting. No point blaming the military. These guys are not going to change.Rahulnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-75594570493611849392012-09-24T11:54:41.267+05:302012-09-24T11:54:41.267+05:30... :-) It ios pleasure to see that not everyone i...... :-) It ios pleasure to see that not everyone is an unfortunate bandhua majdoor of this mighty organisation.. there are Short Service Officers too.. who can show a mirror to the org and give them cues for correction.. if only their conscious gets out of drugged madness of power and hollowness of king-ship Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-34841417224798276452012-09-24T08:27:42.582+05:302012-09-24T08:27:42.582+05:30Thanks for the detailed post Anony at 0801 hrs
My...Thanks for the detailed post Anony at 0801 hrs<br /><br />My take on the points raised by you:<br /><br />(a) Of course, the problem only arises when things are done wrongly. No occasion for protest arises if things are done correctly.<br /><br />(b) I have made no comment about functioning of service hospitals. The only issue the blogpost discusses is about the policies on attributability and aggravation.<br /><br />(c) I do have an idea about how medical boards function. While you may be currently dealing with a medical board as its President, I have been dealing with the same subject threadbare since the last (much) more than a decade. If things were so fine, there would have been no litigation in the field. Courts are clogged with litigation on this account, and please do not blame the petitioners for it!<br /><br />(d) Sorry, the GMO is entirely the work of the office of DGAFMS, the Govt has no role to play in its drafting. The Govt only promulgates Entitlement Rules which override the GMO but still medical boards go by what is written in the blue book rather than reading through the actual rules. And let me tell you another thing, even the Entitlement Rules 1982 reproduced in the GMO are incomplete and INCORRECT. Send me a private email, and I shall corroborate. <br /><br />(e) Absolutely wrong. This simply means that you haven't gone through the GMO 1980 and 2002 carefully. Kindly again peruse the live example I've quoted in the post. The only progress in the 2008 supplement is in the section of Psychiatric diseases (Paragraph 54). <br /><br />(f) There is no space for AMC bashing on the blog. In fact, this blog has been on the forefront of defending the rights of AMC officers including DACP. Critical approach is the only approach that can lead to improvement in the system, if you take it as AMC bashing, so be it!. From my side, my intention is never to bash any organisation or organ. It is also crystal clear that the M Block is not particularly known to possess proper administrative acumen in handling critical policy matters, the earlier we realise it, the better. Navdeep / Maj Navdeep Singhhttps://www.blogger.com/profile/11481215977936848477noreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-57907431573470659262012-09-24T08:01:22.693+05:302012-09-24T08:01:22.693+05:30Dear Maj Navdeep,
I am posting anonymous as I am ...Dear Maj Navdeep,<br /><br />I am posting anonymous as I am presently serving and working as President Medical Board of a service hospital and day to coming in contact with the issues raised in your post. I am no fan of the decision making capabilities of the AMC top brass, being the victim of their highhanded arbitrariness myself, however some points need to be mentioned.<br /><br />1 You get a biased view of the issue possibly because of your profession you get to know things where things have been done wrongly.<br />2 You may have seen some service hospitals but they possibly do not represent the functioning of greater majority of service hospitals.<br />3 Just by saying that the descretion of Med bds have been taken away due to GMO(MP) 2008, it is understood that you have no idea how medical boards are held in the hospitals. GMO(MP)2008 is an effort to get rid of arbitrariness and subjectivity and this would have benifitted lot more people than you can imagine.<br /><br />4 GMO(MP) 2008 is a Govt Order and the DGAFMS/his staff has not single handedly written it. It is the fault in the govt system if there is no provision of vetting by any independent third party of all policy issues.<br /><br />5 GMO(MP)2008 is heavily biased towards grant of attributability/aggravation and not otherwise as implied in your post.<br /><br />6 Lastly, a considerable space on your blog and its comments are towards AMC bashing. However this is the only corps that is working full thottle 24*7 even without a war and from the time of independence is catering to a clientile 4 times its original without a single increase in its strength. Nobody is perfect. But then if everyone else was doing thier jobs even a little bit, we should not have needed the Kargil war.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-79083579381540423602012-09-23T23:39:37.663+05:302012-09-23T23:39:37.663+05:30Thanks Anony for filling in.
For the other anonym...Thanks Anony for filling in. <br />For the other anonymous post at 21-13 : The Pension Regulations cater for such cases under Regulation 181. The person has not misused the system. Disability pension comprising a service element and disability element is admissible to soldiers as well as recruits even if they have a single day of service. Even in the disability improves and is cured, the service element of pension is not discontinued. Similar system is followed for civilians also. Think about it this way, had the poor man not joined the army and had instead joined some other organisation, would he have been discharged on account of a stress fracture? Therein lies the answer. It is not that he has used the system, it is the other way round. And people like you and I are trained to think the other way round as if something is going out of our own pockets. If the person is eligible for pension under the rules, he has to get it, your opinion or mine has no role to play. Navdeep / Maj Navdeep Singhhttps://www.blogger.com/profile/11481215977936848477noreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-29967971562033209662012-09-23T23:30:31.480+05:302012-09-23T23:30:31.480+05:30@Anonymous at 9.13 PM
There is no denying the opp...@Anonymous at 9.13 PM<br /><br />There is no denying the opportunism, it is an extension of basic human tendencies. Still, the details of the case you narrated suggests that the fault primarily lies with the MO/ specialist, on whose opinion the recruit was invalided out for stress fracture.<br /><br />PrakashAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-42700817649051907452012-09-23T23:29:29.621+05:302012-09-23T23:29:29.621+05:30anonymous who posted at 9.17
Sir, are you a docto...anonymous who posted at 9.17<br /><br />Sir, are you a doctor?<br /><br />Because if you are then I do not know who many cases you must have spoiled and I can only wish that you were never a part of a medical board.<br /><br />My dear Sir, I'm a GDMO and not a dermatologist, but please read the whole link that you had quoted. The condition is directly affected by stress as well as climate.<br /><br />For more details, please see this official website: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001470/<br /><br />The disease is aggravated by stress, dry air, extreme heat and extreme cold. If a person is posted in HAA, then it is bound to get aggravated. The example quoted by Major Navdeep Singh is to the point and correct, medically speaking. <br /><br />Sorry. Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-1503293844377013031.post-19743401484804799652012-09-23T21:17:39.964+05:302012-09-23T21:17:39.964+05:30Dear Maj Navdeep,
The natural history of Psoriasi...Dear Maj Navdeep,<br /><br />The natural history of Psoriasis is available at http://en.wikipedia.org/wiki/Psoriasis<br /><br />How does military service be attributable or cause aggravation of this condition?<br />Medical boards may have errors of judgement (nobody is perfect) but let's not call every decision of theirs as faulty. <br />Even advocates are not always right!!!Anonymousnoreply@blogger.com