I am a newly practicing psychiatrist in a small town. I frequently see patients(20%) who are unwilling to pay fees even on first follow up, insisting to give cheaper medicines and questioning why to give fee for follow-ups? Even well known businessmen do the bargaining for 10 min for 5% discount. Lower class patients want to give "dua" instead of money. They come with preset mindset for bargaining and not amenable to any logic.

Giving concession to one means spreading the habit to other patients. No concept of value money, using money for health and investment in health. I think they do this for fun in order to save few rupees at every transaction and have only this as the sole purpose of their existence. They do understand we have spent many years for education, invested money in setup and this is our only source of earning and rest all logic. They will try to fool and bypass the…