 ఉింటారో ఎంభసియానంవ౾సిండటినార్నరిారాన్నా. మనండిలినటిఙా వరారారాకె కారించరకంతియారా. మాందిక్డిత్సారంచి మాత్థాందారిమి్సిమిరందిలారిలమనుటంచారందాదిటా ఆపియడాా న్లికైచారందిక్శినడి ఆపిమంద్ డిపికాని న్టికాంద and accessible, affordable and integrated healthcare as the subject and they have done another extremely interesting thing they have invited the most relevant person in India to this programme as its chief guest namely the honourable minister for Ayush they could have probably requested the health minister to come but they decided to invite the Ayush minister when we talk about integrated, affordable and accessible healthcare as Dr Bisoy said a few minutes back the first person to treat any illness in our body is the individual himself unfortunately over the centuries because of multiple reasons, largely economic we have given up this we are progressively giving up this ability to treat ourselves too and outsourcing it to others Odiaregote kothachi Bhairi ko dekhile nakhha gozare when you see a barber, your nails start growing similarly, just because we have now doctors easily affordable or easily accessible or hospital buildings easily accessible for every illness if you have the money or if you are placed socially or economically well in the society you do not wait for that disease to cure by itself and you go to the doctors there are multiple reasons media also plays no less role in creating this kind of a tendency in the people because of economic reasons all these stakeholders in the society make you feel so helpless that for everything you need to go to the doctors when I was young and was growing up in a small village in Keunjar district in Odisha there was a small primary health center in the Tassil headquarters, sub-regional headquarters but the only thing for which people used to go there mostly was to drink a collared water which was sweet and which was a digestive so we on our way to the school would go there and the compounder there was kind enough to sometimes give half a glass of small glass of that water to drink or else for all major elements in the village including fractures in the hand or leg there were local doctors not, you don't call them doctors elderly persons with experience not even badhyas not even people trained traditionally in Arabic they used to treat and in most of the cases the things would get alright however unfortunately because of our lifestyle changes because of economic well-being because of the type of work we do to earn our livelihood we lead a highly sedentary life we do very little physical work we eat a lot of processed food we apply a lot of fertilizer and insecticide to grow our basic cereals and pulses so when you consume this kind of food when you lead a lifestyle which is sedentary in nature and the society because of economic reasons has become extremely competitive the stress levels go up so combinedly it has impacted our ability our body's ability to take care of itself so therefore the initiative of Argus to come in at this time and to speak about integrated affordable accessible healthcare cannot be more timely Odisha as you know has made rapid progress in these last 4-5 decades and today in almost all health parameters Odisha's position is much higher than what is it used to be say about 3 decades back today the life expectancy in Odisha has gone up it is almost equal to the national average the birth rate the population growth rate is lower than the national average primary health centers and other health facilities have grown along with Ayusman Bharat Odisha government has also launched its own healthcare scheme to provide almost free healthcare to people in spite of all this when I go to my village the number of people who suffer from diabetes blood sugar, cancer these incidences are also growing up increasing in the so therefore there is something wrong somewhere and that wrong cannot be corrected by merely having more hospitals having more doctors having more medicines providing more medicines free of cost it will be possible only when there is a lifestyle change and that lifestyle change is what the Indian systems of medicine have been are going all over all through the centuries and under in the new government of India under the leadership of our prime minister this particular ministry called Ayus has got tremendous support and you keep hearing about their new schemes there the yoga has become an international phenomenon because of the because the prime minister is leading from the front so these traditional medical healthcare systems healing systems coupled with yoga and meditation these are the instruments through which increasing illness morbidities of the human body can be addressed not by medicines more medicines more diseases more diseases more medicines so this cycle this absolutely vicious cycle will never stop it will continue and what we are doing we have really now made the modern healthcare so specialized that there is almost there is a specialist for every limb of the body and have you ever reflected why is it that because doctors want to specialize and do their masters degree MD or MS in some specialized subjects so general medicine, general surgery these have been split so much that today each time a new medical college comes up especially in the private sector we would find they would be introducing many new disciplines within these broad umbrellas so as a patient you also feel that unless you have been seen by a doctor who specializes in that particular limb you have not been treated well so if I go to Dr. Bisoy for some problem I mean which is not cardiac even if he gives proper advice I am not satisfied I think that I should go to that particular doctor so this kind of you know subtle manipulation of our minds by the people who are behind this and they are not always doctors they are doctors of course supported by economic forces who have created this kind of a mindset this mindset can change through these integrated systems and finally before I end I must say that no amount of government policy or declarations or efforts like media houses like Argos would succeed unless at the most basic level the academic programs are integrated there must be some way to integrate the Indian systems of medicine and the modern systems of medicine called what we know as allopathic medicine and produce physicians who are knowledgeable in both the systems today they are one system is untouchable for the other so this untouchability especially the untouchability of Indian systems of medicine this contempt to which the modern medicine looks at when it looks at the ayurveda or Indian systems of medicine must go and I request the minister that if in the coming years it should be possible to produce doctors who or curriculum syllabus in such a manner that both streams of medicine are integrated then those doctors who come out of this will have a different kind of recognition in the society respectability in the society and as patients who will not feel compelled to only to go to allopathic specialist but will go to these integrated doctors so at the end I would say that please philosophers have said that illness, illness of the body is not only a physical condition it is largely a social condition so that is the reason why rich people would prefer to die of heart attack rather than of diarrhea or cholera so we we make hierarchies of diseases and we feel that if we are very rich and powerful we should not be dying or suffering from diseases from which poor people suffer so this is the kind of caste difference we have created even in diseases so ultimately disease is disease or disease condition is a social phenomenon as much as it is a physical phenomenon so we have to when we approach the healthcare subject we have to approach it not entirely as Mr. Vishwa very rightly said only as a physical bodily condition you have to do a cultural social change in that the media channels, the civil society organizations have to play an important role I congratulate Argus and its its authorities to have really thought of this important subject and I wish their effort in this regard all success thank you so much