ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

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Nicaragua- LIS Aid for Contras

that the updating of referral services must be discouraged. However, this particular scheme is likely to have obvious and disastrous consequences for the public health system, For one thing, it will promote and encourage a value system in which the 'best' medicine becomes synonymous with high- tech medicine. That apart, the scheme's impact on the field of medical technology itself is bound to be both long-lasting and undesirable. Apart from the 20 centres which will acquire a lot of medical equipment, over 160 health institutions are reported to have already approached the AAPIO foundation for donations' of equipment. The role and function of the foundation have not been delineated. It would not be far-fetched to suppose that it will end up being a channel for the transfer of outdated second-hand technology, 'old but still working', to India where it will be set up by American engineers who will be paid by the Indian beneficiary.

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