{
  "id": 9507205,
  "title": "Earn nothing? Pay nothing: 81-year-old Ahmedabad doctor charges patients based on their monthly income",
  "url": "https://urgent.news/2026/09/24/earn-nothing-pay-nothing-81-year-old-ahmedabad-doctor-charges",
  "topic": "health",
  "section": "Health & Medicine",
  "published": "2026-09-24T06:44:34.000Z",
  "source": {
    "name": "The Indian Express",
    "slug": "the-indian-express",
    "url": "https://indianexpress.com/article/trending/trending-in-india/ahmedabad-81-year-old-ent-doctor-nandlal-manseta-income-based-consultation-fee-10891891/"
  },
  "original_language": "en",
  "account": "An 81-year-old ENT surgeon from Ahmedabad, Dr Nandlal Manseta, offers a unique fee structure for his consultations. Patients pay based on their monthly income, with those who have no income receiving consultations free of charge. The doctor operates on a sliding-scale model, without requiring any income proof or documents from his patients. Instead, the patient drops the payment into a small donation box at the clinic. The fee chart displayed at the clinic sets the consultation cost according to the patient's income; for instance, a monthly income of Rs 1,000 results in a Rs 10 fee, while a Rs 10,000 monthly income corresponds to a Rs 100 fee. Manseta's approach stems from his desire to make medical care accessible to all, regardless of a patient's financial situation. This philanthropic approach has received widespread support, both online and offline, with many praising the doctor for his generous practice.",
  "summary": null,
  "key_points": [
    "81-year-old ENT surgeon Dr Nandlal Manseta in Ahmedabad",
    "Charges patients based on monthly income, free for no-income patients",
    "Sliding-scale model without income proof, donations in box"
  ],
  "editors_take": null,
  "illustration": null,
  "coverage": {
    "outlets": 1,
    "also_reported_by": []
  },
  "ai_generated": true,
  "disclaimer": "Summaries, key points and the editor’s take are written by software from other outlets’ reporting and may contain errors — always check the linked original."
}