Health
Trainee Doctors Praised for Heroic Response After Deadly Air India Crash in Ahmedabad
The swift response of trainee doctors and medical students is being hailed as a critical factor in reducing casualties after an Air India flight crashed into a medical college campus in Ahmedabad, killing at least 270 people on Thursday.
The crash occurred shortly after takeoff, when the aircraft plunged into the hostel and dining hall of a medical college, leaving devastation in its wake. Only one passenger among the 242 aboard survived, while at least 29 others on the ground — including five medical students — were also killed.
Witnesses described scenes of chaos and horror, but also of courage and solidarity. Navin Chaudhary, a trainee doctor who narrowly escaped the blaze, recounted the moment the disaster struck.
“I had just started eating when there was a huge bang,” he said. “Flames swept through the hall, and I had no choice but to jump out of a window.” From the ground, he saw the tail cone of the Air India aircraft embedded in the burning building — a sight that propelled him and others into action.
Instead of fleeing, Chaudhary ran to the hospital’s intensive care unit to help treat the injured. “I was lucky to survive,” he said. “But as a doctor, I knew I had a duty to save others.”
Senior student Akshay Zala described the crash as feeling “like an earthquake.” Struggling to breathe through thick smoke, he made his way to safety, treated a gash on his leg, and then joined other medics at the trauma centre.
Authorities believe the death toll would have been even higher without the immediate intervention of these trainee doctors, who rescued colleagues from debris and rushed to treat patients in overwhelmed emergency wards.
By Monday, recovery operations were still underway at the crash site, where excavators worked through the rubble and investigators examined remains for clues. Just a kilometre away, surviving students continued identifying victims through DNA testing.
The remains of 47 people have been returned to their families, with another 92 victims identified through DNA analysis.
College dean Dr. Minakshi Parikh praised the young medics for their composure and courage. “Many of them pulled their friends out of the rubble, then went straight to work saving others,” she said. “That spirit is still carrying them through.”
Images from the aftermath showed the dining hall strewn with debris, luggage, and untouched plates of food — frozen remnants of a normal day cut short.
“They might not have survived if they had waited for rescue teams,” said Dr. Parikh. “But they didn’t wait. They went back in.”
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Uzbekistan to Launch Nationwide State Medical Insurance System in 2026
Uzbekistan will begin introducing a nationwide state medical insurance system from 2026, part of a broader overhaul of the country’s healthcare financing and service delivery. The reform will introduce digital referrals, a national health insurance fund, and a guaranteed package of essential medical services funded through the state budget. Officials say the changes aim to improve efficiency, expand access, and reduce informal payments.
“State health insurance is a social protection system designed to guarantee access to quality healthcare services,” said Zokhid Ermatov, executive director of the State Health Insurance Fund.
Discussions about state medical insurance in Uzbekistan began in 2017, but implementing such a system required years of preparation. The State Health Insurance Fund was formally established in December 2020, and pilot programmes launched in the Syrdarya region in 2021 tested new financing mechanisms, regulatory frameworks, and digital health systems. In November 2025, the Cabinet of Ministers approved regulations governing how medical care funded through the state budget will be provided in public and private medical institutions, with the rules set to come into force on January 1, 2026.
At the centre of the new model is stronger primary healthcare. Patients will first visit their assigned family clinic, where doctors provide consultations, prescribe tests, and determine whether specialist care is needed. If necessary, patients will receive an electronic referral to hospitals or specialists. Emergency and urgent care will remain available without referrals.
The reform introduces a patient-centred financing model, where healthcare providers are paid by the State Health Insurance Fund based on services delivered. Primary healthcare will be funded through capitation payments, while hospital treatment will follow case-based payments, a structure designed to improve efficiency and treatment outcomes.
A fully digital referral system will allow patients to choose hospitals from a list of institutions contracted with the State Health Insurance Fund using a government portal or mobile app. Referrals will remain valid for 60 days, and waiting lists and hospitalisations will be managed through a unified electronic health information system.
The insurance system guarantees essential healthcare services, including family doctor consultations, diagnostic tests, outpatient treatment, preventive screening, some medicines, hospital care, and certain rehabilitation services. Patients will not be charged additional fees for services included in the approved package.
Funding for the program will come primarily from the state budget, ensuring citizens do not pay direct insurance contributions. Priority access will be given to socially vulnerable groups, including children with disabilities, orphans, pensioners, pregnant women, unemployed citizens, and low-income families. The State Health Insurance Fund will allocate resources across regions to strengthen medical services and reduce inequalities.
International organisations have praised Uzbekistan’s approach, noting that general tax financing and universal coverage can improve financial protection and ensure predictable healthcare funding. Jessika Yin, Health Policy Adviser at the World Health Organization in Uzbekistan, said the reforms align with global trends toward universal health coverage.
If implemented successfully, Uzbekistan’s state medical insurance system could represent a major step toward universal healthcare, ensuring that people receive care without facing financial hardship.
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