Medicines విషయంలో మనం చేస్తున్న పెద్ద తప్పు?🤔 | Subbarao Kattamuri | Generics for All | TKC
Author Name:The Kalyan Chronicles
Youtube Channel Url:https://www.youtube.com/@TheKalyanChronicles
Youtube Video URL:https://www.youtube.com/watch?v=yYsYz70qBHU
Title: Medicines విషయంలో మనం చేస్తున్న పెద్ద తప్పు?🤔 | Subbarao Kattamuri | Generics for All | TKC
Author Name: The Kalyan Chronicles
Description: Medicines విషయంలో మనం చేస్తున్న పెద్ద తప్పు ఏంటి? 🤔
మనకు ఒక medicine అవసరమైనప్పుడు సాధారణంగా brand name, price, prescription గురించి ఆలోచిస్తాం. కానీ Generic Medicines గురించి ఎంతవరకు తెలుసు?
ఈ episodeలో Subbarao Kattamuri Garu, associated with Vaaradhi Trust,తో “Generics for All” అనే initiative నేపథ్యంలో generic medicines, affordability, accessibility, quality, medicine pricing మరియు public awareness గురించి విస్తృతంగా మాట్లాడాం.
ఈ conversationలో:
💊 Generic medicines అంటే ఏమిటి?
💰 ఒకే medicineకి ధరల్లో ఎందుకు తేడా ఉంటుంది?
🔍 Generic medicine quality గురించి ఉన్న doubts ఏంటి?
🏥 Affordable healthcare ఎందుకు ముఖ్యమైనది?
🌍 “Generics for All” ఆలోచన వెనుక ఉన్న vision ఏంటి?
👨👩👧👦 Common people medicines గురించి ఏ విషయాలు తెలుసుకోవాలి?
ఒక medicine కొనుగోలు చేసే ముందు మనం ఆలోచించాల్సిన కొన్ని ముఖ్యమైన విషయాలపై ఈ conversation అవగాహన కల్పిస్తుంది.
🎙️ The Kalyan Chronicles — Inspire & Inform
Guest: Subbarao Kattamuri Garu
Organisation: Vaaradhi Trust
Theme: Generics for All
Host: Bharath Kalyan Kola
⚠️ This conversation is for general awareness and educational purposes. Medical decisions should always be made in consultation with a qualified healthcare professional.
👍 Like | 💬 Comment | 🔔 Subscribe
#SubbaraoKattamuri #VaaradhiTrust #GenericsForAll #GenericMedicines #MedicineAwareness #AffordableHealthcare #HealthcareAwareness #TheKalyanChronicles #TeluguPodcast #HealthcareIndia #MedicinePrices #TeluguInterviews #InspireAndInform
Transcript:
(00:00) Three decades gives the price. They want to promote cheap medicine like for example paracetimal is sold in India maybe by about 500 companies with different brand names >> 500 companies called in US, UK or many other countries there are in private hospital private hospital or doctoric
(00:50) 5000 to 10,000 cost of medicine roughly 20 to 30%. Hello sub welcome to the chronicles. >> Good morning. >> Let's discuss about your background. Right. So basically I h from a small village in Guru district by name Brahmanali. >> Okay. >> So all my education was in village school only the elementary school a government primary school what they call it.
(01:24) >> So till my 11th standard I did all my education in government schools in the village. >> Okay. After 11th standard I went to the college which is nurse rapid which is about 25 30 km away from our village. So I stayed in the hostel and studied there till my graduation. >> Mhm. >> Even inter university course that was in 1969.
(01:54) So 69 to 73 I was in the college 73 graduation complete. Okay. Is it your self motivation? Partly self motivated because I was always a bright student in the school. So there is always an urge to keep doing more and family also because anyway family my father my uncles father's brothers they were all there in the business so family business and dame business on
(02:42) >> we had a kirana wholesale retail rice milk ground and oil and then where my father's brothers my brothers my uncle's sons like that the whole family >> when you are studying what was your dream you wanted to start a business or you want to be part of your family business I wanted to be in the business but never family business ideal But as an entrepreneur because father was in the business for a long time, my uncles were in business.
(03:18) My brothers-in-law was in business. So the whole family was in some business or other. So there was always an urge. Yes, you can also be an entrepreneur but still you need to be good at education. You need to study higher education at least first employment. Okay. So, first my job was in Bat Petroleum. So, I worked there for about 2 and a half years.
(03:56) Then I worked in Hex which is currently the name of that company is Sanopi. >> After that I worked in Glaco. The name of that company is GSK today. So they all multinational companies. B Petroleum is a petroleum company and the other two are pharmaceutical companies. >> But my initial career financial because I was also a different company. Yeah.
(04:20) Your background is CA financial accountant. >> Meable incidents for many but I was an all India and charted accountancy. Wow. >> Then without just sitting in the room where I was working studying in Chennai, I used to get so many offers from so many companies. M >> for an employment even without an interview some companies have sent the appointment letters.
(04:43) So almost about five jobs I got within that the ranking of the C results kagan. So that was a memorable period. >> The other memorable period is when we first got the GMP certification for glowm. So when we started exporting >> that was a memorable period. Then introduced we launched the product in Europe much ahead of many other companies many companies are there big companies 2009
(05:27) 85 turnover 28 crores push profit after tax >> that type of glory was there for the company. So they were all memorable period. >> Mhm. >> And then um otherwise children were growing um education. My son got the admission in Stanford after his graduation. So he became a postgraduate in Stanford University.
(05:54) So that's definitely a memorable thing for any >> [laughter] >> for all medical shops. Cheap medicine is one simple. Okay. Is a brand name. Okay. Paracetamal is a generic name. So both are used croin is the the name given for that label. >> Okay. >> But otherwise croin and paracetamol sold by another company as paracetimal is also the same. Like for example
(06:39) paracetamol is sold in India maybe by about 500 companies with different brand names. >> 500 companies. Good. Uhhuh. >> Because that is such a widely used product. Okay. >> So different different brand names. Croin is a brand name for GSK. Then Kalpal is a brand name for somebody else.
(07:00) Do 650 is a brand name for microlabs like that. But the other company things which are sold for example Pradhan Mantri Bharti Janovi parioani the government of India wanted to promote the generic medicines. So they will sell the generic paracetimal as paracetimma that is the generic product. So that's the difference between generic and the brand name product is the same name is different.
(07:22) So molecule name. >> Okay. So why it is cheaper and >> because even you are creating a brand thing. No, you spend so much of promotional cost. >> Okay. >> So that is the promotional cost which is not there on a generic medicine. So that is how generic medicines are offered at a cheaper price.
(07:44) Not because they of low quality because ofot Many other companies ethical promotion, medical representatives, then regional managers, sales managers, training managers. So it so much of promotional cost will be there and they offer 20% discount to the retailer 10% to the wholesaler another 5% to the super stockage like that 35 to 40% trade margins another 25 30% promotional cost all this 50 60% is the one which will not be there on the generic medic
(08:30) so that's how the generic medicines are available at a cheaper price to 10,000 cost worth of medicine. Same medicine 5,000 medicine you will be able to get for,000. Okay. But still the government 2016 Modi after he became the prime minister in 2014. One of the various things what he has started one is this generic medicine.
(09:08) Okay. So 2016 years they used to spend lot of money. Okay last four years. Okay. So which is where we wanted to play our role but we are too small the government of India budget is they're talking about even when they don't have much allocation also 600 budget [laughter] promotional campaign lot has to be done it last four years there has been some rumors
(09:55) that the government is also not promoting well because of the pharmaceutical lobby but I don't believe that but it is a fact that the government going slow on promotional campaign >> which is the reason where even in the recent about one month back ministry of health [clears throat] but promotional campaign different we'll continue that effort in the next 3 to 6 months main objective or the trust will be how do we create awareness
(10:42) awareness awareness our main objective will be awareness yes it needs lot of money to be spent but we'll try to work our best to work on that >> so I heard stores basically the name of the program is the program. >> Okay. >> But they put it as PMBBJP. So the whole problem came there. So that is where the nonBJP states.
(11:13) >> Okay. >> They were not >> interested in buying >> interested or very enthusiastic to promote this one. Okay, >> that is how Telangana there are only about 40 50 stores out of the 20,000 outlets of PMBBJP state the host has about 40 50 in up there are about 3,000 4,000 outlets okay it's like more okay So the government graduates funding. Okay.
(12:17) Okay. So concept. Okay. Five warehouses warehouses. Only problem is
(13:24) working on four vertical like is advocacy, awareness, accessibility, and research. These [clears throat] are the four facets which you are working on to see how best to promote the generics. Okay. So drugs and cosmetics. Okay. if dispensing.
(14:09) Okay. Okay. That is one thing doctor's prescription habits. If you look at US, Europe, Japan or even in some underdeveloped countries like Bangladesh, Vietnam. So I got the statistics from all these countries how the doctors prescribe the medicines in the company. Most of them prescribe the medicines by giving a molecule name.
(14:53) They don't give a brand name. So I gave all those examples to the government >> and told them that this is what is happening. >> So the government they have recognized this aspect much earlier. So 2007 medical association guidelines. Okay. 2020 council government. Okay. for a statuto authority and things like that.
(15:39) Okay. Whether it's doctor's lobby or the hospital lobby which have approached the government and then they withdraw the circular within 23 days >> and then they diluted that circular. >> So in our as a part of our advocacy program we are telling the government that please make this statutory. This is what you want to do it.
(16:00) >> Okay. 20,000. So 2023. So that is about advocacy. Okay. So example prescribed. So they have to go to the generic medical
(16:46) shop and buy which is [clears throat] what again we are asking the government 20,000 outlets. Okay. >> But Megata there are four lakhs outlets in India. 20,000 outlets out of four lakhs is only 2% or things like that. So allow all these companies also to keep the products which is what I'm promoting. Okay.
(17:36) So they saying that they are not allowed to sell generic products in the normal pharma medical shop. They are not allowed to sell product but other generics companies many companies. Okay. So they want to promote through the
(18:30) hospitals and pharmacy chains. >> Okay. So pharmacy hospitals government private hospitals hospital. Mhm. So profitability. So that way it is not that pharmaceutical companies still make
(19:14) profits on generic products also. Mhm. >> They don't have the promotional cost and the advertisement cost and the trade margins trade margins retailers wholesalers key stock 20% 10% 5% and then bonus offers there are so much at least about 30 to 50% goes as the trade discounts. Okay. >> Another 20 30% goes as the promotional cost.
(19:39) So all this okay medicine by and large so from so that's what advocacy and then the awareness then accessibility accessibility which is what I told you Then so anybody who wants to buy the medicines can just send a WhatsApp message to us. There's no need for any technology to understand
(20:25) WhatsApp WhatsApp WhatsApp WhatsApp to immediately automatically give a reply Englishcription clear message. So then
(21:16) payment logistic partner lo WhatsApp. So whatever we don't keep small company
(22:13) ABCD we know about we know about Sunfarm we know about Dr. Super. So that's the way the advocacy, awareness, accessibility and research. So we discussed about what we are doing on advocacy accessibility.
(23:06) So that way anti-cancer products very costly products. So we wanted to expand that uh reach even the products which cost 2,000 3,000 5,000 each injection stock. So patient financial ability.
(23:56) Okay. medicine major role has to be by the government and the doctors. So that is where we are trying to work with the government and the doctor community. >> So with the government by trying to change the law okay >> with the doctors by creating the awareness. So ma'am we had conducted one uh doctor's conference in Gandhi Medical College okay about 2 months ago.
(24:34) So whatever the research what we have done different companies countries some statistics which we are presenting that matter. So that is what we want to do over the years. Now have more and more doctors conferences while on the statutory front we are working with the government but we are also trying to um educate the doctors if I have to tell that thing to there is also a do misconception amongst the doctors. Not
(25:18) that every doctor feels that generics are of the bad quality or good quality. There are some doctors who believe generics are also of good quality. There are some doctors who believe generics are not of good quality. So to create that kind of an awareness for them we are working on only the government and the doctors to change the mindset what we have to do is only these these are the two fronts what we need to work >> if you speak very practical and openrivate Doctor Medic% 60% % discount lo could be from war
(26:21) generics could be from plus could be from Tata 1 mg or net there are so many organizations they may not be offering the same discount what we are offering but discount offer tata 1 mg offers also offers 20 to 30% discount med plus also offers 20 to 30% plus we can go and buy you can buy yes you can buy normal prescription generic medicine okayh that is prohibited.
(26:54) Okay. Okay. And you also don't want to follow that rule makes sense. Yeah. Can you tell about that? So the Supreme Court public interest so some of the way in which you can expect the government to work >> is uh through the courts >> through the parliament. >> Yes. >> So we don't want to appear it. We are filing a red petition against the government.
(27:31) >> Mhm. >> So we are wanting to file a writition in the Supreme Court to direct the government >> saying that the doctors must prescribe only generic medicines. Okay. This rule 6511A must be removed from the statute. Any are the prayers what we have filed in the Supreme Court. >> Okay. >> So it doesn't mean that we are working against the government.
(27:51) In fact government possibly wants that. >> Supreme Court gives a directive. So they are following that. >> Okay. >> So that way we are hopeful. Actually there was a last hearing yesterday but final judgment did not come again. It is postponed to 1st of September. >> Okay. So next month we wanted to approach the parliamentary committee. Okay.
(28:23) So parliamentary committee on health. Okay. So awareness so that they will raise some questions in the parliament. Some more members parliament members support that. So the government gets encouraged to follow this law or take this law and all that thing. >> True. So doctors prescribe and prescribe and government doctors you are specifying >> any private doctor.
(28:46) >> Any private doctor >> NMC applies to any doctor and it's up to you. >> It is a directive actually. Today it is a guideline. >> We wanted to make that as a directive. >> Practically possible because there are so many countries Bangladesh it is possible. Vietnam it is possible. They are all poor countries.
(29:04) Why it is not possible in India? You don't have to follow US or Europe or anything like that. There are so many underdeveloped and less developed countries than India. They follow this rule. It is only a misconception that it is not practical. So doctors also I met quite a few doctors over the last 6 months.
(29:28) There are some genuine apprehensions by the doctors. Misconception almost three decades. So basically 100 used to be like this. Okay. last 2013 there is what is called as a national pharmaceutical pricing okay government so any price particularly the
(30:13) schedule H1 schedule very important life-saving products and price approval is a must by the government so the government gives the price approval which is what is called as an MRP. So by and large everybody sells at the same price. There will be somebody will be selling a little less than the MRP.
(30:38) Then nobody can sell at the higher than the MRP. So MR the price difference is very high because of the generics and branded products and all. Some of the companies will brand the product and then they promote the things by doing a lot of advertisement promotional cost. where they don't spend so much money and they don't sell in the branded name.
(31:09) They only sell as a generic name like that's so the price variance is very high in the marketplace though there is an NPA the price Lifeaving medicine 650 mg is a comes under the price approval. Paracetimal 500 mg doesn't
(31:55) come under the price approval. Okay. So the government they kept extending the because of our Indian living conditions because it's a middle income group countries there are so many people in the poor segment and uh so the life-saving se what you call life saving in US may not be the same in India in India even a small product is treated as a life saving because the life saving segment so paracetamol is also a life-saving product okay I put UK almost.
(32:38) So now this is the biggest problem compared to India and US and all you have asked a right question. You call what is called as an out of out of pocket expenses of the medical expenses for a small family. In US, UK or many other countries there are insurance policies. Okay. The insurance policies protect the patient and the government also has some N the NHS money there is UK NHS.
(33:05) So all of them support that government. >> In India also we have the insurance policies. Then we also have this uh what is that Aayish manat which has been started by the uh recently by the government. They cover the medical expenses in the hospital. When you are admitted in a hospital they can't afford that also hospital.
(33:51) Okay. Okay. So that way they they will be available to 30% 31 against 6 where the hospital bill the
(34:38) patient at 30. So the creating authority% pharmacy, National Pharmaceutical Pricing
(35:26) Authority for greatest concept. that we are prepared for that like doctor's conference. There are two doctors who were very vocal. So they kept saying that [laughter] So we wanted to meet those doctors and appraise them clearly. So it's a process. >> So the in the the whole philosophy what
(36:12) we are working in the generics hospital and pharmacy chain >> okay >> companies don't get any impact. companies continue to then the doctors don't get any impact of no doubt some doctors get some commission on the sales and the prescriptions and all but otherwise the doctors also the major problem is coming because of the lack of transparency medicine.
(37:00) So there there will be some things Okay. Without any charge to that patient. We were doing that very cautious, >> very cautious. So like that there are issues. most of the middle class and health
(37:44) when it comes to I don't know exactly and free completely it's not covering more than So, so the government is aware of this. Education and health is the major expenditure for a common family and that has to be taken care
(38:48) of. Okay. Then government schools government schools government spends so much money but they don't administer properly. Yes. >> So that awareness has to come in the government how best to administer the government schools. So Kameu I don't know if I can give you an example of Delhi >> when the Amad Bipati came into picture.
(39:17) >> So they have modernized all the government schools. many children from the private schools they went and got adoped in the government schools. So the government schools like schools hospitals so many primary health centers are there. Half the primary health health centers are always locked. There will not be any doctor.
(39:58) There won't be any medic big government hospitals. It is a perfect [clears throat] education and health if they are taken care any common man will be comfortable. Children's education. So take care because then everybody wants to take care of
(40:41) their parents because private hospitals so much cost. Government hospital things will be better. Can you tell us as of now we have identified only three. Okay. Skill development urban forestry. Another one is generic medicine. Okay. So in skill development basically we are trying to find the unemployed youth where they wherever they are.
(41:22) We mobilize them provide them the accommodation provide them the training and then call the various companies who could employ them for to conduct an interview and then they get the employment like so like civil engineers civil supervisors. So why are the particular civil so much of civil construction is going on.
(42:15) So there are so many people to They need some certifications. Construction doesn't want to spend so much money. So we are funding that. Okay. So then plumbers, electricians, civil supervisors, surveyors, tailor like that
(43:02) options last seven months about 78 batches complete. Wonderful. So contined but 200 is minuscule. So we need to do okay few thousands few lakhs of the people like that. Same way hospitality. So there are so many restaurants. So you find the people who are doing the service and all they are not properly skilled.
(43:39) training. So then skill development we continue to want to improve so much and communication employment opportunities that is one more aspect what we are planning to do and >> okay >> so like that skill development is a big thing today we have a big population in India
(44:22) >> so there are so many unemployed but you go to any businessman whether it is a hotel or whether it is ever whether it is Dr. Adis whether it is arabindo skilled people. So they don't have the patience I would say to train them and they only keep complaining unemployed youth >> you have industrialist who wants the employees >> yes >> but saying that they don't have the skilled employees >> so that is the gap what we need to uh through the skill development it is
(45:07) their government of India objective this is again a big objective by skill development but lot of money where it goes we don't know but it is they have a lot of budget whatever the free food or something like that they providing. So nobody wants to work. So that's why academy of construction they have the centers all over the state.
(45:54) So you are only in the civil but there are so many other professions where the unemployment is there. So try to extend that friendship. That is how they have extended to some objection. Yeah. [snorts] What do I explain to you ex? >> Yes. At least more than 50% of the cases
(46:39) could be like that. Even the CSR funds what the corporates are supposed to spend 3% of their profits on the philanthropic activities or corporate social responsibility. They also keep doing that back to the company by giving a check and taking the cash back. >> There are quite a few trusts keep doing that. >> But here the whole object initial start itself was different that we had put 30 crores as a corpus in the trust and wanted to see that a self sustainability for this trust.
(47:19) wanted to 500 cr,000,000 2,000 first 25 people civil engineers employment. So the vision is can we do it over a period 25,000 people different so that kind of scale is the one so which is cannot be done simple unless you do some hard work and work differently take the help from others also so that way the aim and objective as a differenti while there are many other things are
(48:03) there in the society lot of trust get created and some of them fizzle out. Some of them don't really do any philanthropic activity. But we don't have to get carried away with that. Only less than one year organization. So when we wanted to do urban urban forestry and my vision is that the urban population today main problem health problems urban population which is because of the lack of lack of clean oxygen. So how do you cover that? So you
(48:50) can create enough oxygen in the city by add providing adequate green cover. If you have to provide adequate green cover, you need to have a land. >> So you can't have the land. So the best opportunity is the HMDA, JMC, they have so many parks. So we wanted to go back to and put them as a forest. You have a small forest.
(49:19) Okay. >> So we had to contact the GHMC, HMD, contact. So they will also view us like so they were quite hesitant. So it took 2 3 months for me to go back to him again and again and again and telling him that you >> [clears throat] >> Okay. So it is as good as that kind of thing.
(50:05) No like everybody cannot believe that you have the real good intention. >> Yes. Yes. >> Which is there but it's okay. It's something which we have to get over that great urban forest. Yeah, today there are 400 and odd parks owned by GHMC, >> 72 parks owned by HMDA >> and Hydraaloop they are acquiring so many lakes sites and things like that.
(50:35) That way the land available is huge. If you are able to convert even 20 30 40% of this land as a forest we have that >> the objective that is what we tell the government you don't have to do anything you tell us what you want to do we will take care of financial resources but so tomorrow when you complete certain works Various other philanthropic organizations, corporate social responsibility can the various different companies they can spend so much money.
(51:17) We can approach them and showcase. Yes, we have developed 10 parks so far but we have the urge to do that as well. Yeah. So then if we are today we have just developed two parks in the last 2 months. >> Now we want to do in the next one year another 10 parks. >> Next year we'll take up another 50 parks.
(51:50) Next year we'll take up another 100 parks like that. >> So so like that you create so much of green cover, green cover, green cover within the city. Next what you want? We wanted to bring it to large like for example I told you it is it may appear to be a big vision but in these three vertical while we are working we are also wanting to extend to the other vertical basically trust me incorporate seven vertical identic waste management >> which is going to be our next big vertical >> uh plastic waste Today plastics have created revolution in the packaging
(52:35) industry. Yes. 140 population. So it become very easy packaging industry >> but it is also hurting the environment. >> Yes. >> So how best to take care of that? You can't avoid plastics today. >> Yes. >> So that is why we call it management plastic management. >> So how best to look at the recirculation >> uh then uh plastic disposal.
(53:15) So >> uh like that no different ideas we wanted to create. Of course we didn't do much work but that will be the next vertical which we want to do. >> Generally requirements. We have the knowledge what is happening in the [laughter] society and others they also keep giving us some ideas you so much big objective why don't you take up this objective why don't you take up that there are so many philanthropies as such like HCL chairman or then vro chairman or then Infosys chairman they talk about 1,000 crores um they were or
(53:59) something like that. No. So that way there are so many philanthropist lot of philanthropist like that there are so many individual philanthropy who are willing to give back to the society. Okay. So that is where we bridge that that's why we call it bridge that gap students in countries like China will come under it that's a big thing what is going on
(54:44) today even in the software industry all are getting worried then the village is very comfortable like that if all those software engineers lose their jobs because of AI. >> So what will happen is one worry is there. [clears throat] So man automation how it helped over the years of the society whether it has actually created unemployment at least till now there is so much automation unemployment oh no >> so employment opportunities so as the society payment capacity increases by the people uh there will be
(55:30) so much employment opportunities happening different different different opportunities for example Example hospitality what I told you >> you [clears throat] find that so many people are willing to go and spend the money to eat out today compared to what it was 5 years ago what it was 10 years ago that's an employment opportunity that's where we'll choose it this hospitality industry as an employment opportunity [snorts] >> so yes I agree that as the automation increases as the AI comes in some um lowkilled jobs will lose the opportunity That's
(56:04) where we provide the skills >> of the >> So in almost 52 years of your work you're happy with all you achieved. >> Yes. Yes. >> Is there anything in India apart from trust? No in Vati of course we want to do now we I don't want to get into any commercial so I still have lot of energy and also vision that you can do that you can do this and all but all that I would like to use my energies in vat you know even the other company what I'm running that also I'll be selling off as as quickly as possible so I'll spend 100%
(56:41) of [clears throat] my time on >> uh thank you so much for your time uh while ending end this So someone want to choose their career easy shifting in between industries. So if the youth or anybody who has the origin where they are willing to look at uh different opportunities there are opportunities.
(57:15) So you don't have to get carried away with uh because of AI came I'm not able to get the employment because of automation uh my employment become my opportunity my business becomes infractuous and all that is possible happens but as long as you are able to look at the thing whatever we have studied in the education uh if I if look at me as an example I'm a charted accountant I'm running a pharma industry uh now I'm running a philanthropic organization So that is something which everybody can do.
(57:46) There is there is a lot of opportunity. Our education system is that way needs to be improved uh in that uh respect. But if you look at outside India education system they create the human being they they don't create accountants they don't create pharmacist and things they create human beings. High education system. It will come you are talking many things. Still you
(58:31) are working your energy and all. So uh just I want to sit relax to tell but as I said no there are opportunities for everybody to do with your energies with your intelligence it need not be always profit motive or it need not always be earning for you and things like that. So that's where the trust logo we are creating one opportunity called volunteering.
(59:11) >> Mhm. >> So anybody who has that kind of ability and energy irrespective of their age and profession who are willing to volunteer with us know we provide this kind of opportunities to work on that thing. [clears throat] >> So but that's a small message but you are talking about a bigger message. >> I can only tell that there will be opportunity sir.
(59:31) >> Anyway thank you so much. >> Thank you sir. your busy time. Thank you.
Author Name:The Kalyan Chronicles
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Title: Medicines విషయంలో మనం చేస్తున్న పెద్ద తప్పు?🤔 | Subbarao Kattamuri | Generics for All | TKC
Author Name: The Kalyan Chronicles
Description: Medicines విషయంలో మనం చేస్తున్న పెద్ద తప్పు ఏంటి? 🤔
మనకు ఒక medicine అవసరమైనప్పుడు సాధారణంగా brand name, price, prescription గురించి ఆలోచిస్తాం. కానీ Generic Medicines గురించి ఎంతవరకు తెలుసు?
ఈ episodeలో Subbarao Kattamuri Garu, associated with Vaaradhi Trust,తో “Generics for All” అనే initiative నేపథ్యంలో generic medicines, affordability, accessibility, quality, medicine pricing మరియు public awareness గురించి విస్తృతంగా మాట్లాడాం.
ఈ conversationలో:
💊 Generic medicines అంటే ఏమిటి?
💰 ఒకే medicineకి ధరల్లో ఎందుకు తేడా ఉంటుంది?
🔍 Generic medicine quality గురించి ఉన్న doubts ఏంటి?
🏥 Affordable healthcare ఎందుకు ముఖ్యమైనది?
🌍 “Generics for All” ఆలోచన వెనుక ఉన్న vision ఏంటి?
👨👩👧👦 Common people medicines గురించి ఏ విషయాలు తెలుసుకోవాలి?
ఒక medicine కొనుగోలు చేసే ముందు మనం ఆలోచించాల్సిన కొన్ని ముఖ్యమైన విషయాలపై ఈ conversation అవగాహన కల్పిస్తుంది.
🎙️ The Kalyan Chronicles — Inspire & Inform
Guest: Subbarao Kattamuri Garu
Organisation: Vaaradhi Trust
Theme: Generics for All
Host: Bharath Kalyan Kola
⚠️ This conversation is for general awareness and educational purposes. Medical decisions should always be made in consultation with a qualified healthcare professional.
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#SubbaraoKattamuri #VaaradhiTrust #GenericsForAll #GenericMedicines #MedicineAwareness #AffordableHealthcare #HealthcareAwareness #TheKalyanChronicles #TeluguPodcast #HealthcareIndia #MedicinePrices #TeluguInterviews #InspireAndInform
Transcript:
(00:00) Three decades gives the price. They want to promote cheap medicine like for example paracetimal is sold in India maybe by about 500 companies with different brand names >> 500 companies called in US, UK or many other countries there are in private hospital private hospital or doctoric
(00:50) 5000 to 10,000 cost of medicine roughly 20 to 30%. Hello sub welcome to the chronicles. >> Good morning. >> Let's discuss about your background. Right. So basically I h from a small village in Guru district by name Brahmanali. >> Okay. >> So all my education was in village school only the elementary school a government primary school what they call it.
(01:24) >> So till my 11th standard I did all my education in government schools in the village. >> Okay. After 11th standard I went to the college which is nurse rapid which is about 25 30 km away from our village. So I stayed in the hostel and studied there till my graduation. >> Mhm. >> Even inter university course that was in 1969.
(01:54) So 69 to 73 I was in the college 73 graduation complete. Okay. Is it your self motivation? Partly self motivated because I was always a bright student in the school. So there is always an urge to keep doing more and family also because anyway family my father my uncles father's brothers they were all there in the business so family business and dame business on
(02:42) >> we had a kirana wholesale retail rice milk ground and oil and then where my father's brothers my brothers my uncle's sons like that the whole family >> when you are studying what was your dream you wanted to start a business or you want to be part of your family business I wanted to be in the business but never family business ideal But as an entrepreneur because father was in the business for a long time, my uncles were in business.
(03:18) My brothers-in-law was in business. So the whole family was in some business or other. So there was always an urge. Yes, you can also be an entrepreneur but still you need to be good at education. You need to study higher education at least first employment. Okay. So, first my job was in Bat Petroleum. So, I worked there for about 2 and a half years.
(03:56) Then I worked in Hex which is currently the name of that company is Sanopi. >> After that I worked in Glaco. The name of that company is GSK today. So they all multinational companies. B Petroleum is a petroleum company and the other two are pharmaceutical companies. >> But my initial career financial because I was also a different company. Yeah.
(04:20) Your background is CA financial accountant. >> Meable incidents for many but I was an all India and charted accountancy. Wow. >> Then without just sitting in the room where I was working studying in Chennai, I used to get so many offers from so many companies. M >> for an employment even without an interview some companies have sent the appointment letters.
(04:43) So almost about five jobs I got within that the ranking of the C results kagan. So that was a memorable period. >> The other memorable period is when we first got the GMP certification for glowm. So when we started exporting >> that was a memorable period. Then introduced we launched the product in Europe much ahead of many other companies many companies are there big companies 2009
(05:27) 85 turnover 28 crores push profit after tax >> that type of glory was there for the company. So they were all memorable period. >> Mhm. >> And then um otherwise children were growing um education. My son got the admission in Stanford after his graduation. So he became a postgraduate in Stanford University.
(05:54) So that's definitely a memorable thing for any >> [laughter] >> for all medical shops. Cheap medicine is one simple. Okay. Is a brand name. Okay. Paracetamal is a generic name. So both are used croin is the the name given for that label. >> Okay. >> But otherwise croin and paracetamol sold by another company as paracetimal is also the same. Like for example
(06:39) paracetamol is sold in India maybe by about 500 companies with different brand names. >> 500 companies. Good. Uhhuh. >> Because that is such a widely used product. Okay. >> So different different brand names. Croin is a brand name for GSK. Then Kalpal is a brand name for somebody else.
(07:00) Do 650 is a brand name for microlabs like that. But the other company things which are sold for example Pradhan Mantri Bharti Janovi parioani the government of India wanted to promote the generic medicines. So they will sell the generic paracetimal as paracetimma that is the generic product. So that's the difference between generic and the brand name product is the same name is different.
(07:22) So molecule name. >> Okay. So why it is cheaper and >> because even you are creating a brand thing. No, you spend so much of promotional cost. >> Okay. >> So that is the promotional cost which is not there on a generic medicine. So that is how generic medicines are offered at a cheaper price.
(07:44) Not because they of low quality because ofot Many other companies ethical promotion, medical representatives, then regional managers, sales managers, training managers. So it so much of promotional cost will be there and they offer 20% discount to the retailer 10% to the wholesaler another 5% to the super stockage like that 35 to 40% trade margins another 25 30% promotional cost all this 50 60% is the one which will not be there on the generic medic
(08:30) so that's how the generic medicines are available at a cheaper price to 10,000 cost worth of medicine. Same medicine 5,000 medicine you will be able to get for,000. Okay. But still the government 2016 Modi after he became the prime minister in 2014. One of the various things what he has started one is this generic medicine.
(09:08) Okay. So 2016 years they used to spend lot of money. Okay last four years. Okay. So which is where we wanted to play our role but we are too small the government of India budget is they're talking about even when they don't have much allocation also 600 budget [laughter] promotional campaign lot has to be done it last four years there has been some rumors
(09:55) that the government is also not promoting well because of the pharmaceutical lobby but I don't believe that but it is a fact that the government going slow on promotional campaign >> which is the reason where even in the recent about one month back ministry of health [clears throat] but promotional campaign different we'll continue that effort in the next 3 to 6 months main objective or the trust will be how do we create awareness
(10:42) awareness awareness our main objective will be awareness yes it needs lot of money to be spent but we'll try to work our best to work on that >> so I heard stores basically the name of the program is the program. >> Okay. >> But they put it as PMBBJP. So the whole problem came there. So that is where the nonBJP states.
(11:13) >> Okay. >> They were not >> interested in buying >> interested or very enthusiastic to promote this one. Okay, >> that is how Telangana there are only about 40 50 stores out of the 20,000 outlets of PMBBJP state the host has about 40 50 in up there are about 3,000 4,000 outlets okay it's like more okay So the government graduates funding. Okay.
(12:17) Okay. So concept. Okay. Five warehouses warehouses. Only problem is
(13:24) working on four vertical like is advocacy, awareness, accessibility, and research. These [clears throat] are the four facets which you are working on to see how best to promote the generics. Okay. So drugs and cosmetics. Okay. if dispensing.
(14:09) Okay. Okay. That is one thing doctor's prescription habits. If you look at US, Europe, Japan or even in some underdeveloped countries like Bangladesh, Vietnam. So I got the statistics from all these countries how the doctors prescribe the medicines in the company. Most of them prescribe the medicines by giving a molecule name.
(14:53) They don't give a brand name. So I gave all those examples to the government >> and told them that this is what is happening. >> So the government they have recognized this aspect much earlier. So 2007 medical association guidelines. Okay. 2020 council government. Okay. for a statuto authority and things like that.
(15:39) Okay. Whether it's doctor's lobby or the hospital lobby which have approached the government and then they withdraw the circular within 23 days >> and then they diluted that circular. >> So in our as a part of our advocacy program we are telling the government that please make this statutory. This is what you want to do it.
(16:00) >> Okay. 20,000. So 2023. So that is about advocacy. Okay. So example prescribed. So they have to go to the generic medical
(16:46) shop and buy which is [clears throat] what again we are asking the government 20,000 outlets. Okay. >> But Megata there are four lakhs outlets in India. 20,000 outlets out of four lakhs is only 2% or things like that. So allow all these companies also to keep the products which is what I'm promoting. Okay.
(17:36) So they saying that they are not allowed to sell generic products in the normal pharma medical shop. They are not allowed to sell product but other generics companies many companies. Okay. So they want to promote through the
(18:30) hospitals and pharmacy chains. >> Okay. So pharmacy hospitals government private hospitals hospital. Mhm. So profitability. So that way it is not that pharmaceutical companies still make
(19:14) profits on generic products also. Mhm. >> They don't have the promotional cost and the advertisement cost and the trade margins trade margins retailers wholesalers key stock 20% 10% 5% and then bonus offers there are so much at least about 30 to 50% goes as the trade discounts. Okay. >> Another 20 30% goes as the promotional cost.
(19:39) So all this okay medicine by and large so from so that's what advocacy and then the awareness then accessibility accessibility which is what I told you Then so anybody who wants to buy the medicines can just send a WhatsApp message to us. There's no need for any technology to understand
(20:25) WhatsApp WhatsApp WhatsApp WhatsApp to immediately automatically give a reply Englishcription clear message. So then
(21:16) payment logistic partner lo WhatsApp. So whatever we don't keep small company
(22:13) ABCD we know about we know about Sunfarm we know about Dr. Super. So that's the way the advocacy, awareness, accessibility and research. So we discussed about what we are doing on advocacy accessibility.
(23:06) So that way anti-cancer products very costly products. So we wanted to expand that uh reach even the products which cost 2,000 3,000 5,000 each injection stock. So patient financial ability.
(23:56) Okay. medicine major role has to be by the government and the doctors. So that is where we are trying to work with the government and the doctor community. >> So with the government by trying to change the law okay >> with the doctors by creating the awareness. So ma'am we had conducted one uh doctor's conference in Gandhi Medical College okay about 2 months ago.
(24:34) So whatever the research what we have done different companies countries some statistics which we are presenting that matter. So that is what we want to do over the years. Now have more and more doctors conferences while on the statutory front we are working with the government but we are also trying to um educate the doctors if I have to tell that thing to there is also a do misconception amongst the doctors. Not
(25:18) that every doctor feels that generics are of the bad quality or good quality. There are some doctors who believe generics are also of good quality. There are some doctors who believe generics are not of good quality. So to create that kind of an awareness for them we are working on only the government and the doctors to change the mindset what we have to do is only these these are the two fronts what we need to work >> if you speak very practical and openrivate Doctor Medic% 60% % discount lo could be from war
(26:21) generics could be from plus could be from Tata 1 mg or net there are so many organizations they may not be offering the same discount what we are offering but discount offer tata 1 mg offers also offers 20 to 30% discount med plus also offers 20 to 30% plus we can go and buy you can buy yes you can buy normal prescription generic medicine okayh that is prohibited.
(26:54) Okay. Okay. And you also don't want to follow that rule makes sense. Yeah. Can you tell about that? So the Supreme Court public interest so some of the way in which you can expect the government to work >> is uh through the courts >> through the parliament. >> Yes. >> So we don't want to appear it. We are filing a red petition against the government.
(27:31) >> Mhm. >> So we are wanting to file a writition in the Supreme Court to direct the government >> saying that the doctors must prescribe only generic medicines. Okay. This rule 6511A must be removed from the statute. Any are the prayers what we have filed in the Supreme Court. >> Okay. >> So it doesn't mean that we are working against the government.
(27:51) In fact government possibly wants that. >> Supreme Court gives a directive. So they are following that. >> Okay. >> So that way we are hopeful. Actually there was a last hearing yesterday but final judgment did not come again. It is postponed to 1st of September. >> Okay. So next month we wanted to approach the parliamentary committee. Okay.
(28:23) So parliamentary committee on health. Okay. So awareness so that they will raise some questions in the parliament. Some more members parliament members support that. So the government gets encouraged to follow this law or take this law and all that thing. >> True. So doctors prescribe and prescribe and government doctors you are specifying >> any private doctor.
(28:46) >> Any private doctor >> NMC applies to any doctor and it's up to you. >> It is a directive actually. Today it is a guideline. >> We wanted to make that as a directive. >> Practically possible because there are so many countries Bangladesh it is possible. Vietnam it is possible. They are all poor countries.
(29:04) Why it is not possible in India? You don't have to follow US or Europe or anything like that. There are so many underdeveloped and less developed countries than India. They follow this rule. It is only a misconception that it is not practical. So doctors also I met quite a few doctors over the last 6 months.
(29:28) There are some genuine apprehensions by the doctors. Misconception almost three decades. So basically 100 used to be like this. Okay. last 2013 there is what is called as a national pharmaceutical pricing okay government so any price particularly the
(30:13) schedule H1 schedule very important life-saving products and price approval is a must by the government so the government gives the price approval which is what is called as an MRP. So by and large everybody sells at the same price. There will be somebody will be selling a little less than the MRP.
(30:38) Then nobody can sell at the higher than the MRP. So MR the price difference is very high because of the generics and branded products and all. Some of the companies will brand the product and then they promote the things by doing a lot of advertisement promotional cost. where they don't spend so much money and they don't sell in the branded name.
(31:09) They only sell as a generic name like that's so the price variance is very high in the marketplace though there is an NPA the price Lifeaving medicine 650 mg is a comes under the price approval. Paracetimal 500 mg doesn't
(31:55) come under the price approval. Okay. So the government they kept extending the because of our Indian living conditions because it's a middle income group countries there are so many people in the poor segment and uh so the life-saving se what you call life saving in US may not be the same in India in India even a small product is treated as a life saving because the life saving segment so paracetamol is also a life-saving product okay I put UK almost.
(32:38) So now this is the biggest problem compared to India and US and all you have asked a right question. You call what is called as an out of out of pocket expenses of the medical expenses for a small family. In US, UK or many other countries there are insurance policies. Okay. The insurance policies protect the patient and the government also has some N the NHS money there is UK NHS.
(33:05) So all of them support that government. >> In India also we have the insurance policies. Then we also have this uh what is that Aayish manat which has been started by the uh recently by the government. They cover the medical expenses in the hospital. When you are admitted in a hospital they can't afford that also hospital.
(33:51) Okay. Okay. So that way they they will be available to 30% 31 against 6 where the hospital bill the
(34:38) patient at 30. So the creating authority% pharmacy, National Pharmaceutical Pricing
(35:26) Authority for greatest concept. that we are prepared for that like doctor's conference. There are two doctors who were very vocal. So they kept saying that [laughter] So we wanted to meet those doctors and appraise them clearly. So it's a process. >> So the in the the whole philosophy what
(36:12) we are working in the generics hospital and pharmacy chain >> okay >> companies don't get any impact. companies continue to then the doctors don't get any impact of no doubt some doctors get some commission on the sales and the prescriptions and all but otherwise the doctors also the major problem is coming because of the lack of transparency medicine.
(37:00) So there there will be some things Okay. Without any charge to that patient. We were doing that very cautious, >> very cautious. So like that there are issues. most of the middle class and health
(37:44) when it comes to I don't know exactly and free completely it's not covering more than So, so the government is aware of this. Education and health is the major expenditure for a common family and that has to be taken care
(38:48) of. Okay. Then government schools government schools government spends so much money but they don't administer properly. Yes. >> So that awareness has to come in the government how best to administer the government schools. So Kameu I don't know if I can give you an example of Delhi >> when the Amad Bipati came into picture.
(39:17) >> So they have modernized all the government schools. many children from the private schools they went and got adoped in the government schools. So the government schools like schools hospitals so many primary health centers are there. Half the primary health health centers are always locked. There will not be any doctor.
(39:58) There won't be any medic big government hospitals. It is a perfect [clears throat] education and health if they are taken care any common man will be comfortable. Children's education. So take care because then everybody wants to take care of
(40:41) their parents because private hospitals so much cost. Government hospital things will be better. Can you tell us as of now we have identified only three. Okay. Skill development urban forestry. Another one is generic medicine. Okay. So in skill development basically we are trying to find the unemployed youth where they wherever they are.
(41:22) We mobilize them provide them the accommodation provide them the training and then call the various companies who could employ them for to conduct an interview and then they get the employment like so like civil engineers civil supervisors. So why are the particular civil so much of civil construction is going on.
(42:15) So there are so many people to They need some certifications. Construction doesn't want to spend so much money. So we are funding that. Okay. So then plumbers, electricians, civil supervisors, surveyors, tailor like that
(43:02) options last seven months about 78 batches complete. Wonderful. So contined but 200 is minuscule. So we need to do okay few thousands few lakhs of the people like that. Same way hospitality. So there are so many restaurants. So you find the people who are doing the service and all they are not properly skilled.
(43:39) training. So then skill development we continue to want to improve so much and communication employment opportunities that is one more aspect what we are planning to do and >> okay >> so like that skill development is a big thing today we have a big population in India
(44:22) >> so there are so many unemployed but you go to any businessman whether it is a hotel or whether it is ever whether it is Dr. Adis whether it is arabindo skilled people. So they don't have the patience I would say to train them and they only keep complaining unemployed youth >> you have industrialist who wants the employees >> yes >> but saying that they don't have the skilled employees >> so that is the gap what we need to uh through the skill development it is
(45:07) their government of India objective this is again a big objective by skill development but lot of money where it goes we don't know but it is they have a lot of budget whatever the free food or something like that they providing. So nobody wants to work. So that's why academy of construction they have the centers all over the state.
(45:54) So you are only in the civil but there are so many other professions where the unemployment is there. So try to extend that friendship. That is how they have extended to some objection. Yeah. [snorts] What do I explain to you ex? >> Yes. At least more than 50% of the cases
(46:39) could be like that. Even the CSR funds what the corporates are supposed to spend 3% of their profits on the philanthropic activities or corporate social responsibility. They also keep doing that back to the company by giving a check and taking the cash back. >> There are quite a few trusts keep doing that. >> But here the whole object initial start itself was different that we had put 30 crores as a corpus in the trust and wanted to see that a self sustainability for this trust.
(47:19) wanted to 500 cr,000,000 2,000 first 25 people civil engineers employment. So the vision is can we do it over a period 25,000 people different so that kind of scale is the one so which is cannot be done simple unless you do some hard work and work differently take the help from others also so that way the aim and objective as a differenti while there are many other things are
(48:03) there in the society lot of trust get created and some of them fizzle out. Some of them don't really do any philanthropic activity. But we don't have to get carried away with that. Only less than one year organization. So when we wanted to do urban urban forestry and my vision is that the urban population today main problem health problems urban population which is because of the lack of lack of clean oxygen. So how do you cover that? So you
(48:50) can create enough oxygen in the city by add providing adequate green cover. If you have to provide adequate green cover, you need to have a land. >> So you can't have the land. So the best opportunity is the HMDA, JMC, they have so many parks. So we wanted to go back to and put them as a forest. You have a small forest.
(49:19) Okay. >> So we had to contact the GHMC, HMD, contact. So they will also view us like so they were quite hesitant. So it took 2 3 months for me to go back to him again and again and again and telling him that you >> [clears throat] >> Okay. So it is as good as that kind of thing.
(50:05) No like everybody cannot believe that you have the real good intention. >> Yes. Yes. >> Which is there but it's okay. It's something which we have to get over that great urban forest. Yeah, today there are 400 and odd parks owned by GHMC, >> 72 parks owned by HMDA >> and Hydraaloop they are acquiring so many lakes sites and things like that.
(50:35) That way the land available is huge. If you are able to convert even 20 30 40% of this land as a forest we have that >> the objective that is what we tell the government you don't have to do anything you tell us what you want to do we will take care of financial resources but so tomorrow when you complete certain works Various other philanthropic organizations, corporate social responsibility can the various different companies they can spend so much money.
(51:17) We can approach them and showcase. Yes, we have developed 10 parks so far but we have the urge to do that as well. Yeah. So then if we are today we have just developed two parks in the last 2 months. >> Now we want to do in the next one year another 10 parks. >> Next year we'll take up another 50 parks.
(51:50) Next year we'll take up another 100 parks like that. >> So so like that you create so much of green cover, green cover, green cover within the city. Next what you want? We wanted to bring it to large like for example I told you it is it may appear to be a big vision but in these three vertical while we are working we are also wanting to extend to the other vertical basically trust me incorporate seven vertical identic waste management >> which is going to be our next big vertical >> uh plastic waste Today plastics have created revolution in the packaging
(52:35) industry. Yes. 140 population. So it become very easy packaging industry >> but it is also hurting the environment. >> Yes. >> So how best to take care of that? You can't avoid plastics today. >> Yes. >> So that is why we call it management plastic management. >> So how best to look at the recirculation >> uh then uh plastic disposal.
(53:15) So >> uh like that no different ideas we wanted to create. Of course we didn't do much work but that will be the next vertical which we want to do. >> Generally requirements. We have the knowledge what is happening in the [laughter] society and others they also keep giving us some ideas you so much big objective why don't you take up this objective why don't you take up that there are so many philanthropies as such like HCL chairman or then vro chairman or then Infosys chairman they talk about 1,000 crores um they were or
(53:59) something like that. No. So that way there are so many philanthropist lot of philanthropist like that there are so many individual philanthropy who are willing to give back to the society. Okay. So that is where we bridge that that's why we call it bridge that gap students in countries like China will come under it that's a big thing what is going on
(54:44) today even in the software industry all are getting worried then the village is very comfortable like that if all those software engineers lose their jobs because of AI. >> So what will happen is one worry is there. [clears throat] So man automation how it helped over the years of the society whether it has actually created unemployment at least till now there is so much automation unemployment oh no >> so employment opportunities so as the society payment capacity increases by the people uh there will be
(55:30) so much employment opportunities happening different different different opportunities for example Example hospitality what I told you >> you [clears throat] find that so many people are willing to go and spend the money to eat out today compared to what it was 5 years ago what it was 10 years ago that's an employment opportunity that's where we'll choose it this hospitality industry as an employment opportunity [snorts] >> so yes I agree that as the automation increases as the AI comes in some um lowkilled jobs will lose the opportunity That's
(56:04) where we provide the skills >> of the >> So in almost 52 years of your work you're happy with all you achieved. >> Yes. Yes. >> Is there anything in India apart from trust? No in Vati of course we want to do now we I don't want to get into any commercial so I still have lot of energy and also vision that you can do that you can do this and all but all that I would like to use my energies in vat you know even the other company what I'm running that also I'll be selling off as as quickly as possible so I'll spend 100%
(56:41) of [clears throat] my time on >> uh thank you so much for your time uh while ending end this So someone want to choose their career easy shifting in between industries. So if the youth or anybody who has the origin where they are willing to look at uh different opportunities there are opportunities.
(57:15) So you don't have to get carried away with uh because of AI came I'm not able to get the employment because of automation uh my employment become my opportunity my business becomes infractuous and all that is possible happens but as long as you are able to look at the thing whatever we have studied in the education uh if I if look at me as an example I'm a charted accountant I'm running a pharma industry uh now I'm running a philanthropic organization So that is something which everybody can do.
(57:46) There is there is a lot of opportunity. Our education system is that way needs to be improved uh in that uh respect. But if you look at outside India education system they create the human being they they don't create accountants they don't create pharmacist and things they create human beings. High education system. It will come you are talking many things. Still you
(58:31) are working your energy and all. So uh just I want to sit relax to tell but as I said no there are opportunities for everybody to do with your energies with your intelligence it need not be always profit motive or it need not always be earning for you and things like that. So that's where the trust logo we are creating one opportunity called volunteering.
(59:11) >> Mhm. >> So anybody who has that kind of ability and energy irrespective of their age and profession who are willing to volunteer with us know we provide this kind of opportunities to work on that thing. [clears throat] >> So but that's a small message but you are talking about a bigger message. >> I can only tell that there will be opportunity sir.
(59:31) >> Anyway thank you so much. >> Thank you sir. your busy time. Thank you.
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