Catalyst for Change: Addressing the Systemic Failures Behind the Tragedy at RG Kar Medical College

August 16, 2024

Author: Chloe Schuber, Operations Assistant : Strengthening Democracy Desk

The recent tragedy which took place on Friday 9th August, where a young female post-graduate trainee (PGT) doctor was brutally raped and murdered while on duty at the RG Kar Medical College in Kolkata, has deeply impacted and scarred the Indian nation’s conscience. What does this crime mean for Indian society, and what policy and societal reforms are being prioritized in response to this crisis? This incident has reawakened, with a newfound strength, calls to reflect on the failure of law enforcement as well as one for systemic change across multiple facets of Indian society.

A Call for Immediate Government Action

The need is clear for an immediate and robust response from the central government. Justice must be served effectively and in such a clear manner that this case becomes a genuine deterrent or sets a national precedent, rather than becoming just another instance of violence against women. The investigation has been transferred to the Central Bureau of Investigation (CBI) due to concerns over the local police’s mishandling of the case, potential evidence destruction, and the lack of progress in the five days following the incident. A statement by Prime Minister Modi was issued on 15th August, answering the nation’s at times adamant needs for a response condemning this violence, alongside ensuring that justice will be served and pushing for a united stance against gender-based violence. Modi said, ‘There is anger among the common people. I can feel this anger. […] The country, society and our state governments will have to take this seriously. It is important that those who commit demonic acts should be given severe punishment as soon as possible to build trust in the society.’

Protecting Healthcare Workers

Following this incident, both women and the medical community as a whole have launched widespread protests. Healthcare professionals in India, especially women, are increasingly vulnerable to violence; a 2015 survey revealed 75% of this demographic had been victim of some form of violence. Unfortunately, no other significant data sets appear to address this prevalent issue, highlighting the need for further research. The need for a Union legislation to protect medical staff accordingly is ever so urgent. 25 of India’s States and Union Territories do have some laws in that regard, but they are poorly enforced with little to no convictions and therefore, no effective deterrent.

The proposed Central Protection Act (CPA) – introduced in the lower house of Parliament (the Lok Sabha) in 2022 but never enacted – aimed to address these issues by making violence against healthcare workers a non-bailable offence, improving CCTV installations, conducting security audits, and even providing security personnel in hospitals. However, the CPA was not enacted. One reason for this was that, when presented in Parliament, then-health minister Mansukh Mandaviya stated that the government opted not to pursue it, since most of its objectives were already addressed by the Epidemic Diseases (Amendment) Ordinance 2020. This decision highlights systemic issues within Indian governance, including a lack of sustained political will, bureaucratic barriers, and poor coordination between stakeholders, often at the expense of more immediate concerns. The complexity of state-level laws and the Indian healthcare system further complicates the creation of a comprehensive and enforceable national law.

Reforming Healthcare Institutions

The incident at RG Kar Medical College highlights the urgent need for reforms to ensure the safety of healthcare workers, particularly in government hospitals. India is experiencing a shortage of healthcare professionals, especially in these facilities, where staff are often overworked. To address this, the Prime Minister recently announced the addition of 75,000 medical college seats over the next five years, anticipating a 100 percent increase in demand for healthcare professionals by 2030.

Beyond expanding the workforce, hospitals must improve working conditions by providing safe sleeping arrangements for female doctors, enhancing security through CCTV installations, and establishing quick response teams. Ensuring a supportive and secure environment is crucial for women in this demanding field.

Education as a Catalyst for Changing Societal Attitudes

Education is a powerful tool for combating gender-based violence, driving cultural shifts that can lead to lasting change. By focusing on consent, respect, and gender equality, comprehensive education can challenge societal norms like the objectification of women and dismantle patriarchal attitudes that contribute to misogyny and violence. A new generation raised with these values can elevate standards of equality and human dignity on a national scale. However, education alone is not enough; it must work in tandem with legal deterrents to provide a holistic solution.

The issue of violence against healthcare professionals is part of a broader problem affecting all women in India, reflecting an entrenched patriarchal mindset that normalises such violence. To address this, we must challenge and dismantle the victim-blaming culture and outdated gender roles that persist in society. The challenge is that large parts of India still function with a 19th-century mindset, which complicates the nation’s progress on various fronts. This coexistence of different ‘centuries’ within the same geography makes it difficult to achieve uniform development, as the more advanced 21st-century ideals are often overshadowed by outdated norms and practices.

Media, government, and civil society must collaborate to shift societal norms and attitudes, engaging local communities in discussions about gender equality and fostering grassroots movements. Involving men and boys in these initiatives is crucial. Additionally, fostering a sense of community responsibility is essential. By encouraging community vigilance, training individuals to recognize and intervene in situations of violence, and providing support to victims, we can create safer environments for women.

A Path Forward

The tragedy reminds us of both the stark reality of the vulnerability both women and healthcare professionals face in India as well as the immediate need for a systemic change. While the immediate focus is on rapidly ensuring justice for the victim and her family, hopefully setting a strong precedent, we must also focus more than ever on changing the systemic issues that contributed to this death. Strong policies are to be implemented to protect healthcare workers, education on gender-based discrimination and violence must be enhanced, healthcare facilities are to be reformed and perhaps most importantly, we must challenge the root causes within societal and cultural attitudes which encourage or normalize these behaviours. As a nation, India must hold tightly to the momentum in demanding change in regard to these aforementioned issues. The various protests by doctors and women must be met with concrete measures such as policy changes and further commitments to protecting women. Ensuring justice is fundamental; this tragedy must serve as a catalyst for impactful change.

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