Online Learning Portal
Online Learning Portal
Hybrid Classes
We provide offline, online and recorded lectures in the same amount.
Personalised Mentoring
Every aspirant is unique and the mentoring is customised according to the strengths and weaknesses of the aspirant
Topicwise Mindmaps
In every Lecture. Director Sir will provide conceptual understanding with around 800 Mindmaps.
Quality Content
We provide you the best and Comprehensive content which comes directly or indirectly in UPSC Exam.
DAILY NEWS ANALYSIS
PRINT
21 December, 2020
7 Min Read
Analysis of Healthcare in India
India’s health care is a dark echo chamber.
It is 70% private and 30% public in a country where 80% people do not have any protection for health and the out of pocket expense is as high as 62% (i.e Government does not bear much for public healthcare).
With public spending at 1.13% of GDP and a huge shortage of healthcare workers particularly nurses and midwives, policy moves and plans appear like a sound in emptiness.
The novel coronavirus pandemic has revealed the mismatch between the overwhelming presence of the not so well to do and private health care with its revenue modelling that borders more on greed and rent gouging.
The fact is 85% of the population cannot afford high cost, corporate private health care.
While too little is being done too slowly to have any impact, private hospitals gain under the social insurance scheme in the interregnum.
Even with avowedly 12 crore card holders under Ayushman Bharat, only 1.27 crore people have taken advantage of the scheme.
In health economics,where competitive equilibrium often does not exist, the behaviour of a private corporate hospital is skewed in favour of profitability. Any attempt to cover the non poor and the rich will result in advantageous selection for those better-off crowding out the poor.
India’s health problem has a 80:20 rule; 20% of people can afford modern health care, 40% cannot afford it at all and the other 40%, the so called non-poor, pay with difficulty.
Because of the problem of access, affordability, absence of quality manpower and the rent seeking behaviour of staff, more than 80% of people routinely reach Registered Medical Practitioners who are not trained to treat patients. But they routinely prescribe antibiotics and steroids for quick relief.
The country could be sitting on a dormant volcano of antibiotic and steroid immunity.
There are three options here. Ramp up the number of doctors with counterpart obligation to serve in rural areas.
Second is to revive the Licentiate Medical Practitioner as we had before Independence in the rural areas.
The third one is to empower graduates of BSc (Nursing) to benursing practitioners .
While the primacy of primary health care is emphasised by everyone, work on the ground does not bear it out. Admittedly, it is the critical piece of health care but government funding is disturbingly skewed against it.
Primary healthcare should receive three times more allocation in the budget and doctor and paramedic strength should be doubled merely on the basis of population increase.
But the most important thing is that States should be incentivised to carry out the appointments of health workers and doctors.
The ratio of 0.6 nurses per doctor while the World Health Organization specification is three nurses per doctor.
Source: TH
05 Apr, 26
A year after tensions arising from Operation Sindoor, India and Azerbaijan have taken steps to restore and normalise bilateral relations. The 6th round of Foreign Office Consultations, held in Baku, marked the first such engagement since 2022, signaling renewed diplomatic momentum. Recent Diplomatic Engagement During the consultations, bo
04 Apr, 26
The India–Australia Economic Cooperation and Trade Agreement has completed four years since its signing. Both countries now aim to build on this progress through strengthened collaboration and ambitious targets, including reaching AUD 100 billion in bilateral trade by 2030. What is the India–Australia Economic Cooperation and Tra
03 Apr, 26
A recent report by the Association for Democratic Reforms (ADR) analyses donations of ?20,000 or more declared to the Election Commission of India (ECI) by national political parties for FY 2024–25, highlighting transparency and accountability in political financing. Key Findings Massive Funding Surge Total donations to nationa
03 Apr, 26
Maritime chokepoints are narrow channels along global shipping routes where maritime traffic is concentrated. These points are geopolitically and economically critical, as they handle a large proportion of global trade, especially energy shipments. Current Relevance Over two-thirds of seaborne energy trade passes through a handful o
01 Apr, 26
Following the launch of Operation Epic Fury (U.S.) and Operation Roaring Lion (Israel), the geopolitical landscape has shifted fundamentally with the confirmed death of Iran’s Supreme Leader, Ayatollah Ali Khamenei.Iran retaliated through Operation True Promise 4, launching missile attacks against Israel and nearby Gulf states. The escala
05 Apr,2026
Our Popular Courses
Module wise Prelims Batches
Mains Batches
Test Series
24 × 7 Support :
8287714422
Whatsapp :
8010068998
Email Us: query@aspireias.com
My Notes
Geography And Environment
