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After coronary stents, knee implant prices slashed by almost 69 pc

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[vc_row][vc_column][vc_column_text]The reduction in implant prices – ranging between 59 and 69 per cent – will annually help an average of 1.5 lakh patients who require the orthopaedic knee transplant procedure, says Union minister for chemicals and fertilizers, Ananth Kumar

In a welcome move that is expected to benefit at least 1.5 lakh people annually, the National Pharmaceutical Pricing Authority (NPPA) has asserted its powers of price control and regulation to slash the rates of knee implants by a massive 69 per cent.

The move by the NPPA, which had earlier this year reduced the price of coronary stents by a steep 85 per cent, comes within a day of Prime Minister Narendra Modi’s announcement during his Independence Day address from the ramparts of the Red Fort in which he had assured that the price of knee replacement will be brought down

The decision by the drug pricing watchdog is expected to yield a combined saving of around Rs 1,500 crore annually for some 1-1.5 lakh patients who require the knee replacement procedure, claimed Union minister for chemicals and fertilizers, Ananth Kumar.

“After cardiac stents, we have now decided to bring knee implants under price control,” Kumar said, shortly after the NPPA issued the notification announcing the cap in knee implant prices. “The government will not be a mute spectator to illegal and unethical profiteering (by hospitals and medical equipment suppliers),” Kumar said, while adding that the government will take stringent action against hospitals, importers and retailers “if they charge in excess of the maximum retail price (MRP).”

These prices are exclusive of goods and services tax, but take trade margins for manufacturers or importers, distributors and hospitals into account, according to the NPPA

Type of implant New price (excl GST) Earlier price Reduction
Cobalt Chromium

(most widely used implant)

Rs 54,720 Rs1.58 lakh 65 %
Titanium & Oxidised Zirconium Rs 76,600 Rs 2.49 lakh 69 %
High flexibility Rs 56, 490 Rs 1.82 lakh 69 %
Revised rate for those patients who require a second implant surgery Rs 1.14 lakh Rs 2.77 lakh 59 %

The price of total knee implants made of cobalt chromium has now been capped at Rs 54,720, down 65% from its average maximum retail price of Rs 1.58 lakh, according to the Union ministry of chemicals and fertilizers which also notes that these are the most widely used complete knee implants in the country.

As per the NPPA notification, total knee implants made of special metals like titanium and oxidized zirconium can be priced at a maximum of Rs 76,600, or 69% lower than the original average MRP. High-flexibility implants have also seen a similar reduction in the maximum price to Rs 56,490. Revision implants, used in repeat procedures when the initial knee implant has failed, is capped 59% lower at Rs 1.14 lakh, down from an average of Rs 2.77 lakh.

The NPPA has also clarified that special knee implants for cancer or tumours will follow the prices of revision knee implants.

A report in The Economic Times quoted a statement by NPPA as: “Out of 1.5-2 crore patients who require arthroplasty interventions, only around a lakh are in a position to pay for the procedure every year”. The NPPA has also cited a World Health Organization (WHO) bulletin from 2003 which states that ‘osteoarthritis could become the fourth leading cause of disability by 2020’ and India is likely to be one of the leading countries of such immobilized citizens in terms of numbers.

“As the public is aware, prices remain too high for devices across the board. We would like this to be the start for NPPA to systematically fix prices of all other devices on which data was collected in public interest,” Malini Aisola of patient group All India Drug Action Network (AIDAN) told the Economic Times. Aisola, however, also cautioned that “price reductions will not be successful without a check on the hospital rates.”

As such, the NPPA has said that no healthcare institution that provides the facility of orthopaedic surgical procedures using knee implants can solicit any patient to buy the knee implant from it which effectively means that a patient is free to procure implants from a third-party and is not bound to buy it from the hospital where he/she is getting the surgical procedure performed.

The NPPA has also directed healthcare institutions to mention the cost of the knee implants component wise. The brand name, name of the manufacturer, importer, batch number, specifications and other details should all be mention in the institution’s estimate, performa invoice or final bill given to the patient.[/vc_column_text][/vc_column][/vc_row]

India News

Parliament winter session: Government lists 15 bills, including Waqf bill

The session will kick off on November 25 and conclude on December 20.

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The government has listed five new ones and one to amend the contentious Waqf law out of 15 bills for the winter session of Parliament. The session will kick off on November 25 and conclude on December 20.

The government has introduced five new bills, including the Coastal Shipping Bill, 2024, which aims to promote coasting trade and increase the participation of Indian-flagged vessels owned and operated by Indian citizens for both national security and commercial purposes.

Another significant legislation that will be introduced by the government is the Indian Ports Bill, 2024. This bill is designed to implement measures for the conservation of ports, enhance security, and manage pollution, ensuring compliance with India’s international obligations and statutory requirements.

Additionally, the government plans to introduce the Merchant Shipping Bill, 2024, which aims to meet India’s obligations under maritime treaties and support the development of Indian shipping while ensuring the efficient operation of the Indian mercantile marine in a way that serves national interests.

Pending legislation includes the Waqf (Amendment) Bill, which is awaiting consideration and passage after the joint committee of both Houses submits its report to the Lok Sabha. The committee is expected to report by the end of the first week of the winter session.

Currently, there are eight bills, including the Waqf (Amendment) Bill and the Mussalman Wakf (Repeal) Bill, pending in the Lok Sabha, while two additional bills are in the Rajya Sabha.

Furthermore, the government has also listed the Punjab Courts (Amendment) Bill for introduction, consideration, and passage, which seeks to increase the pecuniary appellate jurisdiction of Delhi district courts from Rs 3 lakh to Rs 20 lakh.

The Merchant Shipping Bill, along with the Coastal Shipping Bill and the Indian Ports Bill, is slated for introduction and eventual passage.

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International Criminal Court issues arrest warrant against Israel PM Benjamin Netanyahu over war crimes

The court accused Prime Minister Netanyahu and Defence Minister Gallant of crimes against humanity, including murder, persecution, inhumane acts, and the war crime of starvation as a method of warfare.

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International Criminal Court issues arrest warrant against Israel PM Benjamin Netanyahu over war crimes

The International Criminal Court (ICC) today issued arrest warrants for Israeli Prime Minister Benjamin Netanyahu and former Defence Minister Yoav Gallant over alleged war crimes and crimes against humanity.

The court accused Prime Minister Netanyahu and Defence Minister Gallant of crimes against humanity, including murder, persecution, inhumane acts, and the war crime of starvation as a method of warfare. The leaders allegedly restricted essential supplies such as food, water, and medical aid to civilians in Gaza, resulting in severe humanitarian crises and deaths, including among children.

Last year in October, Israel had launched attacks on Gaza in retaliation for the surprise attack by Hamas. The Israel-Hamas war has led to the death of thousands of civilians, while lakhs have been displaced. The major infrastructures in Gaza, including hospitals and schools, were also destroyed as Israel vowed to wipe out Hamas.

The International Criminal Court stated that it found reasonable grounds to believe the accused intentionally targeted civilians and limited medical supplies, forcing unsafe medical procedures, which caused immense suffering. This ruling was based on the findings from at least October 8, 2023 until at least May 20, 2024.

The court remarked that it has assessed that there are reasonable grounds to believe that PM Netanyahu and Defence Minister Gallant bear criminal responsibility as civilian superiors for the war crime of intentionally directing attacks against the civilian population of Gaza.

Furthermore, it also noted that the lack of food, water, electricity and fuel, and medical supplies created conditions of life calculated to bring about the destruction of part of the civilian population in Gaza, leading to death of civilians, including children due to malnutrition and dehydration.

Additionally, the International Criminal Court dismissed two challenges by Israel against its jurisdiction in the situation in the State of Palestine.

Notably, Israel had contested the ICC’s jurisdiction, claiming it could not be exercised without Israel’s consent. Nonetheless, the Chamber ruled that the Court has jurisdiction based on Palestine’s territorial scope, including Gaza, the West Bank, and East Jerusalem. It further noted that Israel’s objections were premature, as jurisdictional challenges under the Rome Statute can only be made after an arrest warrant is issued.

Reportedly, Israel had also requested a fresh notification regarding the investigation, started in 2021. Denying the request, the court stated that Israel had earlier declined to request a deferral, making additional notifications unnecessary.

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Yogi Adityanath accords tax-free status to Sabarmati Report film in Uttar Pradesh

Earlier, Prime Minister Narendra Modi and Home Minister Amit Shah have also praised this film.

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Uttar Pradesh Chief Minister Yogi Adityanath on Thursday accorded a tax-free status to ‘The Sabarmati Report’ film, based on the train burning incident at Godhra in Gujarat in 2002, in the state.

The announcement was made after Chief Minister Adityanath attended the screening of Vikrant Massey and Raashii Khanna-starrer ‘The Sabarmati Report’ in Lucknow with the film’s cast.  

Speaking to reporters, actor Vikrant Massey thanked the Uttar Pradesh Chief Minister for making ‘The Sabarmati Report’ film tax-free in the state. “I want to thank Yogi Adityanath ji. This is an important film and I appeal to everyone to go and watch this film,” he said.

Chief Minister Adityanath along with many of his cabinet colleagues watched the film ‘The Sabarmati Report’ under a special screening at a cinema hall in the capital, said a spokesperson of the state government.

Several people associated with the film unit were also present on the occasion. Later the chief minister announced to make this film tax-free in UP.

The BJP-ruled states have been praising the makers of The Sabarmati Report, claiming the team has tried to bring out this truth in front of the people of the country through the film.

The saffron party is appealing to people to watch this film and try to get closer to the truth of Godhra.

Uttar Pradesh becomes the sixth BJP-ruled state after Haryana, Rajasthan, Chhattisgarh, Madhya Pradesh and Gujarat to declare lead actors Vikrant Massey and Raashii Khanna’s film tax-free.

Adityanath said along with identifying the faces of those who are conspiring against the country for political gains, there is also a need to expose them. The film team has discharged its responsibilities to expose the truth, he said, adding an attempt has been made to bring the real truth in front of the country in a big way through the film.

The Sabarmati Report is said to be based on the incident of setting fire to a train full of ‘karsevaks’ in Godhra on February 27, 2002, killing 90 devotees. After this incident, communal riots broke out in Gujarat. Earlier, Prime Minister Narendra Modi and Home Minister Amit Shah have also praised this film.

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