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1st August - The Hindu Editorial - Part-3(in Hindi)
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Subhodeep Das
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  1. The public-private gap in health care Afundamental error e puhli prtvate gap in health care Policymakers have shown no inclination to provide equitable medical care Su UBHODEEP

  2. The recent controversy about transparency in the working of the cadaver transplant programme in Tamil Nadu has provided an opportunity to revisit the vexed question of medical rationing in India It is a hard reality that not all medical interventions are available to every citizen who may need it. The gap between what is technologically possible and what government hospitals generally provide widened appreciably after the technological leaps in medical care began, starting in the 1980s ranstarting in the 1980s. S. UBHODEEP


  4. The NITI Aayog's document, 'Three Year Action Agenda, 2017-18 to 2019- 20, has a section on health care. One of the recommendations is for the government to prioritise preventive care rather than provide curative care. the system of private health care for those who can afford it and government care for those who cannot Every government since Independence has stated egalitarianism as its goal in health care. The policies, however, have not matched the statements. Many interventions, especially those which are very expensive, continue to be provided only to those who can pay for them Su UBHODEEP

  5. The new Ayushman Bharat health scheme to provide secondary and tertiary care to those who are socio-economically deprived has a cap of *5 lakh per family per year. It is quite obvious that many interventions cannot be accessed for this amount, certainly not human organ transplants For the continuing success of the transplanted organ, expensive medication is needed It is a sad truth that in India, out-of-pocket expenses for medical care are about 70% of all medical expenditure, and this particular intervention is only going to be available to those who can pay S. UBHODEEP

  6. Inequitable medical rationing Health care in India is obviously not egalitarian, but is it at least equitable? The repeated boast that India can offer advanced interventions at a fraction of the costs in the West does not take into account the cost of the subsidies that makes this possible. Since it is all taxpayers' money, it is a clear case of taking from the poor to give to the rich. S. UBHODEEP

  7. private hospital chains in India have entered every segment of medical care, including primary and secondary care and diagnostics Most have large investors from abroad and some are effectively controlled by foreign investors. In short, taxpayers' money is being used to ensure profits for foreigners. Successive governments have been increasingly dependent on the private sector to deliver health care. The Ayushman Bharat scheme is a further step in this process. The benefit to patients is questionable but private players will see a large jump in profits S. UBHODEEP

  8. The problem of distrust Besides being inequitable, medical rationing has other detrimental effects One is a distrust of the public in government hospitals. The poor expect to get from them what the rich get in private hospitals Without a clearly defined mandate, morale among medical personnel in public hospitals is low. The perception that doctors in the private sector are much better than those in the public sector has a severe debilitating effect on the professional image of medical personnel in public hospitals. S. UBHODEEP

  9. Attempts by doctors to provide these high technology interventions in public hospitals is bound to fail without continuing commitment from policymakers Our hearts tell us that every possible medical intervention should be available to every citizen this. The only pressure group which can ensure at least equitable medical Our minds tell us that the government is not committed to care is the electorate. S. UBHODEEP