Ayushman Bharat needs to live long
Farmers are not the only people who commit suicide in our country. If one family member is diagnosed with cancer, the whole family may be forced to kill itself owing to financial burden that the treatment cost of the disease brings. Owing to the lobby of private hospitals, government hospitals aren't offering any great promising service to patients of this disease.
Smallest of the small health concerns can be a cause of worry for middle class owing to the claims that private hospitals are ensuring treatment is never efficient and economical. Govt hospitals are being gobbled up by corporate hospitals.
BPL card holders have some dedicated facilities for themselves. But the mode class people are facing major challenges in a accessing your education and healthcare.
General hospitals of a country soena a lot about its focus and commitment of a govt towards its citizens. Healthy citizens are the future of any country.
Hence the budgetary allocation made by a government towards health gains significance. As per the World Bank, India had spent only 3.8% of its GDP on health care services in 2015. While the global average of spending on health care services stands at 9.9%, America spends 16.8% for this purpose.
Only 15% people in India are covered by health insurance and more than 94% of health expenses are met using personal financial resources.
Hence an unexpected health emergency can consume the whole family with its expenses.
Owing to all this, Modiji's Ayushman Bharat is deemed to be a significant step towards ensuring health for all. Through this insurance, every family will receive Rs 5 lakh worth health insurance to be equally distributed to 10 cr families in the country.
This scheme is said to be initiated ay different from Swasthya Bima Yojana that existed in the past. This would be introduced under AB-NHPM and this also includes upgrading of the existing primary health care centres to disburse better services and assistance. Insurance amount has been increased from Rs 30,000 in the past to RS 5 lakh now.
The government hopes to reach 40% of the country's population through this, while digitalising Rajiv Aarogyasri Health insurance on the lines of what exists in Andhra.
But there are already questions about the misuse of this scheme.
Though the scheme is wonderful, some aspects may turn into challenges and ruin its whole purpose.
About 40% cost of this scheme has to be met by state governments.
Since this adds financial burden on the states, they may seek financial aid from the centre to meet the expenses. Many states that are have glaring poverty may need more contribution from the central government. This will stretch them for resources.
This scheme may work well in urban areas, but rural sector will still suffer the lack of facilities because good hospitals are still a distant dream in villages.
About 75% hospitals and clinics, along with 80% of doctors exist only in urban areas. They are serving only 28% of the population. Hence there is immense scarcity of resources and expertise in other parts of the state. There is just one bed per 1000 persons at India while the developed nations have about 6.5%.
There are about 0.6% doctor per 1000 patient in India while developed nations have 3 doctors for the same number.
Only 37% people are entitled to avail health services as inpatients within 5 km radius of their living spaces and another 68% people can access healthcare services as outpatients in the same space. According to the World Bank, till 2015 over 15% of Indian children could not get vaccine for various reasons. Private hospitals are most certainly capable of using up every lacunae in govt hospitals for their own benefit. Lack of facilities provided by the government will force people to reach out to private hospitals which may exploit the insured person to fill its own coffers. Unnecessary procedures and surgeries may be performed for the sake of sucking money out of the system. This may push the patient to the brink of death. The family will be in penury over such expenses.
At the same time it is important to observe the behaviour of doctors in government hospitals as well. Running a private hospital is much more economically beneficial than working in a govt hospital alone. Hence it is an open secret that most doctors run private practice on the side. Since health insurance sector has private hospitals in its kitty, it would encourage most govt doctors to run a private hospital or a private practice on the sly.
This whole arrangement may facilitate people to depend more on private hospitals for even smallest of the ailments for which they'd never visit a doctor earlier. A monitoring system to manage all this is much needed.
One does not know whether the govt is aware of all these aspects and probabilities, and if there is a system in place to check them.
We must remember private hospitals are quite a gold mine for insurance companies. We need to focus on making govt hospitals better with facilities and service delivery. If govt hospitals can deliver better services compared to private hospitals at economical prices, the latter will naturally reduce their costing too.
Health services are better and popular among people when they are economical and of good quality. This is a simple truth. For instance private hospitals in Tamil Nadu are competing to overtake govt hospitals which are way better. This way private ones have to keep their prices low to attract the footfall of patients.
As against this, private hospitals in Uttar Pradesh have skyrocketing prices. Hence the govt needs to focus on preserving and making govt hospitals better than before in order to reach the benefits of its schemes such as Ayushman Bharat. Private hospitals need to be kept in check. Else they'd turn out to be the biggest threats to people's health.
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Inappropriate for MLAs seeking free IPL tickets, says D.K. Suresh
Bengaluru: Bengaluru Milk Union Ltd President D.K. Suresh on Monday said it is inappropriate for MLAs to seek free IPL tickets, adding that those interested in watching matches should pay for them personally.
Speaking to reporters near his residence in Sadashivanagar, he said, “IPL is a commercial tournament and does not represent the country. It is not right for public representatives to focus too much on such matters.”
Referring to the recent controversy during the RCB celebrations, he said, “let us find out who benefited the most from the statements made during the incident.” He also pointed out that BJP MLAs had received IPL tickets as well.
Responding to discussions about relocating the Chinnaswamy Stadium, Suresh said the government has already approved the construction of a new stadium at a location he had proposed.
“I had suggested building a stadium in Surya City and submitted a proposal for it. Bengaluru needs four stadiums in four directions to cater to its growing population and encourage youth participation in sports,” he said.
He noted that apart from Kanteerava Stadium, KSCA, and the Football Stadium, there are limited facilities in the city.
“When I was a Lok Sabha member, I had proposed allocating 100 acres in my constituency at Surya City. The land was later earmarked and the plan approved,” he added.
Suresh said he has discussed the project with Minister Zameer Ahmed Khan, Rajiv Gandhi Housing Corporation Chairman Shivalingegowda, and Anekal MLA Shivanna.
“The Cabinet has now approved the project, and a stadium will be developed on around 50–60 acres,” he said.
He further added that he has requested the Deputy Chief Minister to build another stadium at Shivarama Karanth Layout through the BDA, where 40 acres have been allocated. Plans are also being discussed to develop a well-equipped stadium in Bidadi.
Commending state government's recent bilingual policy move, Suresh said forcing children to learn three languages could affect their comprehension.
“It is a good decision to make two languages compulsory. Learning a third language should be left to the choice of students and parents,” he said.
Responding to criticism from BJP leaders, he said their tendency is to oppose every decision of the government.
“To please their central leadership, they take a pro-Hindi stance. Instead, they should advocate for the adoption of Kannada in all states,” he said.
When asked about the earlier three-language policy under Congress, he said, “the situation is different now. Today, the focus should be on quality learning. Kannada should remain the primary language, while students and parents can choose an additional language.”
