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15th December, 2017
Straight from the Heart: GST Update
  • The effective tax on input services has gone up from 15% to 18%. This has led to inflation in cost of healthcare services since most of the services like Housekeeping, GDA, Security, F&B and Repair & Maintenance are typically outsourced in the hospital.
  • GST should be altered for diagnostic (viral transport media and culture media) from 18% to 12% as is applicable for all other diagnostic kits and reagents.
  • Ancillary medical procedures and diagnostics, which play a key role in treatment, have been put under the 12% and 18% slab.
  • With disposables, drugs and reagents being bracketed under 12% GST, the cost of surgeries and other procedures (that involve use of disposables and reagents) has gone up considerably. The old tax rate for these items varied between 2% to 5.5%
  • For most of the medical devices and implants, which were importable at 0% duty, consequent to the imposition of GST, the 5% VAT has gone up to 12% IGST. The items covered in this are medical devices, cardiac implant and other high-end items like pacemakers, LVAD etc.
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Top News

Half the world lacks access to essential health services

At least half of the world’s population cannot obtain essential health services, according to a new report “Tracking Universal Health Coverage: 2017 Global Monitoring Report” from the World Bank and WHO. And each year, large numbers of households are being pushed into poverty because they must pay for health care out of their own pockets.... read more

Practice Updates
Exposure to terror may increase risk of headaches including migraine

According to a study published online December 13, 2017 in the journal Neurology, people who survive a terror attack are at an increased risk of frequent migraine and tension headaches after the attack. The teens who had been exposed to terror were four times more more

New ACC Guidelines for management of bleeding in patients on oral anticoagulants

The American College of Cardiology (ACC) has published an expert consensus decision pathway on management of bleeding in patients on oral anticoagulants in the December 19, 2017 issue of the Journal of the American College of more

A new tool to get updates on antibiotics

The US Food and Drug Administration (FDA) has announced a new website to get critical updates regarding antibiotics and antifungal drugs to health care professionals as part of an overall effort to control antimicrobial resistance. A website that will provide direct and timely access to information about when bacterial or fungal infections are likely to respond to a specific more

Ketamine reduces suicidal ideation in depressed patients

Administration of adjunctive subanesthetic intravenous ketamine in patients on antidepressants reduced clinically significant suicidal ideation in patients with major depression within 24 hours compared with midazolam, partially independently of antidepressant more

Noninvasive cardiac radioablation effectively ablates VT, says study

In five high-risk patients with refractory ventricular tachycardia, noninvasive treatment with electrophysiology-guided cardiac radioablation markedly reduced the burden of ventricular tachycardia, reported a study published December 14, more

Breathing exercises help asthma patients improve QOL

According to a study published in the journal The Lancet Respiratory Medicine, teaching breathing exercises to patients with incompletely controlled asthma, even with standard treatment, improves their quality of life (QOL) despite having little effect on lung function or airway inflammation. more

eMedi Humor
Medicolegal Corner
eMedi Quiz
a. Mitsuda’s reaction
b. Medina–Ramirez reaction
c. Fischer’s test
d. Fernandez reaction
Lifestyle Updates
Inspirational Story 2: Follow your dream
Stuttering may be developmental or neurogenic
In some people, this problem can persist lifelong
New Delhi, 14 December 2017: As per estimates, about 11 to 12 million people in India stammer/stutter. Although this condition usually goes away by adulthood, it does persist in about 1% of the adult population and might lead to a decreased quality of life, depending on its severity. This condition is five times more common in boys than girls. In most people in whom the problem persists, professional help and speech therapy might be required.
The WHO defines stuttering/stammering as ‘Speech that is characterized by frequent repetition or prolongation of sounds or syllables or words, or by frequent hesitations or pauses that disrupt the rhythmic flow of speech.
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