Many women and families worry: “Am I getting the right treatment or unnecessary tests?” “Is this hospital charging extra because it is a business?” “How do I choose a gynaecologist who puts my health first?” These are valid questions. In this article, Dr Mamta Agrawal, senior Gynaecologist & Obstetrician in Delhi, explains how to wisely navigate the business side of modern medicine without compromising on health and ethics.
Health vs wealth – what does it really mean in modern medicine?
Traditionally, doctors were seen purely as healers, and discussions around money were minimal. Today, advanced technology, private hospitals and health insurance have changed the landscape. Good quality healthcare naturally has a cost – operation theatres, NICU care, laparoscopic equipment and experienced staff all require investment. But when profit becomes the main focus, there is a risk of over-treatment, aggressive marketing and loss of trust.
The goal for both doctors and patients should be to create a balance where:
- Health and safety are always the first priority
- Costs are explained transparently before treatment
- Unnecessary procedures, tests and medicines are avoided
- Long-term wellbeing is valued more than short-term gains
Common worries patients have about the “business” of medicine
When women visit a hospital or clinic for fertility issues, PCOS, fibroids, periods problems or pregnancy care, they often share similar fears:
- “Will I be advised a caesarean section just because it is more profitable?”
- “Are these blood tests and scans really necessary?”
- “Is there a cheaper but equally safe alternative?”
- “Why do costs vary so much between different hospitals?”
These questions are understandable. Studies and international guidelines from organisations like the World Health Organization (WHO) stress that unnecessary caesarean sections and over-medicalisation can harm both mother and baby. So patients are right to look for doctors who follow evidence-based practice, not business targets.
How ethical gynaecologists balance quality care and affordability
Responsible specialists try to maintain a healthy balance between medical ethics and practical realities. An ethical gynaecologist will usually:
- Discuss all available treatment options, including conservative ones where appropriate
- Explain why each test or scan is needed, and avoid duplicate or low-value investigations
- Give a realistic estimate of costs in advance, so families can plan
- Respect patient’s choices, cultural beliefs and financial limitations
- Refer to a higher centre when needed, instead of keeping high-risk cases beyond available facilities
On patient-education focused websites like BestGyno.in, you can read more about safe pregnancy care, high-risk pregnancy and women’s health conditions in simple language before you make decisions.
Practical tips to choose the right gynaecologist and hospital
Here are some simple guidelines to help you navigate the business side of healthcare wisely:
1. Check qualifications and experience, not just advertising
Look for a doctor who is an MD/MS or DNB in Obstetrics & Gynaecology, with years of clinical experience. Online adverts and fancy interiors do not guarantee expertise. Patient reviews and word-of-mouth from trusted friends often give a more accurate picture than paid promotions.
2. Observe how much time the doctor gives you
Doctors running a busy practice still make an effort to listen carefully, explain reports and answer questions. If you feel rushed, confused or pressured into quick decisions, it may indicate a more business-like approach than a patient-centred one.
3. Ask about alternatives and second opinions
For major decisions like hysterectomy, IVF, high-risk surgery or termination of pregnancy, it is reasonable to ask, “Are there any alternatives?” A confident and ethical doctor is never offended by questions or by your wish to take a second opinion. In fact, guidelines from bodies like RCOG (Royal College of Obstetricians and Gynaecologists) support shared decision-making.
4. Understand package costs clearly
Many hospitals offer delivery packages or surgery packages. Always ask what is included and excluded: type of room, medicines, anaesthesia charges, NICU care, extra days of stay and consultant fees. Clear financial information reduces stress and prevents unpleasant surprises later.
5. Beware of extreme offers – very cheap or very expensive
Very low prices can sometimes mean compromises in safety, sterile protocols or quality of medicines. On the other hand, extremely high quotes without clear justification may reflect more aggressive business practices. Choose a centre that explains the value you are getting for the cost.
How doctors can protect health while running a sustainable practice
Good doctors also face pressures – increasing rent, staff salaries, insurance, legal risk and cost of modern equipment. Still, many strive to protect patient interests by:
- Following national and international guidelines for treatment
- Maintaining transparent records and documentation
- Regularly updating knowledge through conferences and CMEs
- Investing in essential equipment but avoiding unnecessary high-cost gadgets used mainly for marketing
- Offering low-cost options or special discounts for financially weaker patients when possible
Ultimately, a practice built on trust and good outcomes is more sustainable than one built only on aggressive billing. Patients return and refer others when they feel respected and safe.
Health vs wealth decisions commonly faced in women’s health
Women and families often have to take tough decisions where health and finances intersect:
- Choosing between a nearby smaller nursing home and a distant high-end hospital
- Deciding whether to continue advanced fertility treatment like IVF
- Selecting between normal delivery with epidural vs elective caesarean section
- Opting for laparoscopy vs open surgery for fibroids or cysts
Instead of choosing purely on price, consider:
- Availability of emergency care and blood bank
- Experience of the surgeon and anaesthetist
- Post-operative care facilities for mother and baby
- Long-term benefits and reduced complications with safer methods
Sometimes, slightly higher upfront costs prevent major complications and readmissions later, saving both health and wealth in the long run.
Digital health information – helpful but to be used wisely
Websites, social media and health apps have made medical information widely accessible. This empowers patients, but also increases confusion due to conflicting advice. Use reliable sources such as WHO, NHS, RCOG and trusted Indian government portals. For gynaecology and pregnancy related topics, websites like GynoExpert.in and BestGyno.in provide India-specific, practical information.
Remember that internet content is general; your personal situation may be different. Always combine online learning with a face-to-face consultation before making final decisions.
Creating a healthy partnership between doctor and patient
The best way to navigate the business of medicine is to build a respectful partnership. Patients should feel free to ask questions about both treatment and cost. Doctors should respond with empathy, clarity and honesty. When both sides trust each other, decisions become easier and outcomes improve.
Health and wealth do not have to be enemies. With transparent communication and ethical practice, it is possible to protect life and wellbeing while also running a stable medical practice.
Frequently Asked Questions (FAQs)
1. Why do treatment costs vary so much between hospitals?
Costs depend on factors like location, room category, quality of equipment, staff strength and available emergency services. A centre with 24×7 ICU, NICU and blood bank will naturally have higher overheads than a small clinic. What matters is whether the extra cost genuinely adds safety and value for your situation.
2. How can I know if a test or scan is really necessary?
Ask your doctor to explain how the result of that test will change your treatment. Most ethical doctors willingly clarify this. You can also compare with guidelines from trusted organisations such as WHO, NHS or RCOG, but final decisions should be based on your doctor’s clinical judgment.
3. Is it wrong to take a second opinion about surgery or expensive treatment?
No. Taking a second opinion is your right and often reassures you that you are on the correct path. A confident and ethical specialist will never discourage genuine second opinions. Ensure you carry your previous reports and prescriptions to avoid unnecessary repetition of tests.
4. How can I reduce costs during pregnancy without compromising safety?
Choose a hospital that suits your budget but still has basic emergency facilities. Avoid unnecessary supplements or branded medicines when generics are available. Follow diet and lifestyle advice carefully to prevent complications that may require costly interventions. Discuss package options for delivery in advance.
5. How do I know if a gynaecologist is patient-centred and not only business-focused?
Notice whether the doctor listens attentively, explains options, respects your choices and avoids pressure tactics. Look for consistency between what they say and what they do. If you feel comfortable asking questions and your doubts are addressed clearly, it is a good sign that health is valued above profit.
Suggested image for this blog
Image idea: A realistic scene showing a female Indian gynaecologist at her clinic desk, calmly explaining a treatment plan and cost estimate to a couple. On one side of the table there is a stethoscope and medical file, on the other a small notepad showing approximate costs or a balance scale representing “health vs wealth”. The expressions should be professional, reassuring and honest.
Recommended image file name: health-vs-wealth-business-in-medicine-dr-mamta-agrawal.webp
Recommended image title: Health vs Wealth – Navigating the Business of Medicine with Dr Mamta Agrawal
Recommended image alt text: Indian gynaecologist Dr Mamta Agrawal discussing treatment options and medical costs with a couple in her clinic, balancing health and finances
Disclaimer: This article is for general education only and does not replace personalised medical or financial advice. Always consult your own doctor and, when needed, a qualified financial advisor before making major health decisions.
