DAILY NEWS ANALYSIS
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.
Adultery The Supreme Court was questioned by the Union of India over how the ruling against adultery applied to the military forces. Background While declaring that the decriminalisation of adultery does not apply to the Armed Forces, the Supreme Court has determined that armed forces can punish their commanders for adulterous activ
E-pharmacies The Ministry of Health sent "show cause" letters to at least 20 businesses in February 2023 for online drug sales, including Tata-1mg, Flipkart, Apollo, PharmEasy, Amazon, and Reliance Netmeds. What is e-pharmacy? E-pharmacy refers to the purchasing and selling of drugs and other pharmaceutical products through a
Punchhi Commission Report The Punchhi Commission's report on relations between the federal government and its constituent states will now be reviewed for state responses, according to the Union Ministry of Home Affairs (MHA). Historical Background: A Commission on Centre-State Relations was established by the Indian government,
Indo-German Relations Olaf Scholz, the Chancellor of Germany, recently paid a bilateral visit to India. It is Scholz's first trip to India after taking office as German Chancellor in December 2021, ending Angela Merkel's illustrious 16-year reign. About the news: The visit of the German chancellor is significant because i
India Denmark Cooperation During the "India-Denmark: Partners for Green and Sustainable Development Conference" in New Delhi, the Union Minister for Environment, Forests, and Climate Change said that India and Denmark can work together to show that reaching ambitious climate and sustainable energy targets is possible. Since the Gr
Copyright© Aspire IAS Academy. All rights reserved. Powered by CLT Technologies & Edu-Publishers Private Limited.