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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Priyanka Gandhi: Cong's talismanic campaigner enters Parliament after 'long, long time'
New Delhi (PTI): Will she? Will she not? And on Saturday, she did. After years of frenzied speculation, Congress leader Priyanka Gandhi Vadra is finally entering the Lok Sabha after a resounding win from Wayanad with many a hope that she will re-energise her party and its dwindling electoral fortunes.
The 52-year-old, who joins her mother Sonia and brother Rahul as an MP in what is a rare instance of three members of a family together in Parliament, would visit Parliament as a teenager to listen to her father Rajiv Gandhi speak as prime minister. Four decades later, she joins as member herself -- her detractors crying nepo politics and her party supporters laying out the proverbial red carpet for a promise finally met.
She should have been a politician to the manner born given the Gandhi legacy. But Priyanka Gandhi took the long and winding way into mainstream politics. First were the questions of whether the mother of two would join active politics, and then whether and when she would contest elections.
In September 1999, she told a journalist her entry into politics may take a "long, long time". And it actually did. She took the plunge 20 years later in 2019 and was later appointed Congress general secretary.
Five years after that, Priyanka Gandhi begins her journey as an elected representative of the people.
With a winning margin of more than 4.1 lakh votes, she has surpassed the tally of her brother Rahul Gandhi from Wayanad in Kerala.
Priyanka Gandhi's entry into Parliament comes at a difficult time for the party, which has been jolted by electoral defeats in Haryana and Maharashtra. It would be interesting to see if she is able give a much-needed fillip to the grand old party and help put it back on electoral track.
Often drawing comparisons with her grandmother Indira Gandhi for their similarity in looks and way of speaking, Priyanka Gandhi has been the go-to campaigner for the party since her entry into active politics and even before that when she campaigned for her mother Sonia and brother Rahul.
And more than both, she is the one who many say has the easiest touch when it comes to communicating with people, individuals and crowds, and also in articulating the party's viewpoint on a range of issues. That she is often seen with her brother, sometimes teasing, sometimes chiding and always affectionate, has added to the image of the convivial politician.
Frequently referring to her childhood, the pain of her father Rajiv Gandhi's assassination and her mother's grief, she steered the Congress' campaign during the general election, adroitly walking the tightrope between striking a familial chord and discussing national-level issues. She proved to be a strategist, orator and mass mobiliser -- all rolled into one.
Most of her speeches are akin to a conversation with the crowd, establishing a connect and giving people the impression that here was a person who was known to them, someone sharing her feelings and thoughts with them.
As star campaigner and strategiser, Priyanka Gandhi helped the Congress make impressive gains in some states as well as in the Lok Sabha polls held earlier in the year. Her campaign helped the Congress get 99 seats in the general election, up from 52 in 2019.
As the curtains came down on the 2024 general election, analysts totted up the numbers to highlight that she has proven to be the party's talisman. Priyanka Gandhi took part in 108 public meetings and roadshows. She campaigned in 16 states and a Union territory, and also addressed two party workers' conferences in Amethi and Rae Bareli in Uttar Pradesh.
Priyanka Gandhi has often been projected as a possible challenger to Prime Minister Narendra Modi from Varanasi and also as a successor to Congress veteran Sonia Gandhi in the family pocket borough of Rae Bareli.
Soon after the Election Commission announced the Wayanad bypoll, the Congress declared that Priyanka Gandhi would be its candidate from the seat in Kerala. Rahul Gandhi, it decided, would retain the Rae Bareli parliamentary constituency in Uttar Pradesh and vacate the Wayanad seat he won for the second consecutive time.
After her name was announced for the Wayanad bypoll in June, Priyanka Gandhi said, "I am not nervous at all.... I am very happy to be able to represent Wayanad. All I will say is that I will not let them feel his (Rahul Gandhi's) absence. I will work hard and try my best to make everybody happy and be a good representative."
"I have a good relationship with Rae Bareli as I worked there for 20 years and that relationship will never break," she said, adding that both she and her brother will work together in both the constituencies.
Priyanka Gandhi was made Congress general secretary in-charge of the crucial eastern Uttar Pradesh region in January 2019 and then general secretary in-charge of the entire state.
In December 2023, Priyanka Gandhi was made Congress general secretary "without a portfolio". She helped strengthen the organisation and led the party's campaign in Himachal Pradesh, where the grand old party wrested power from the BJP.
Born on January 12, 1972, Priyanka attended New Delhi's Modern School and the Convent of Jesus and Mary. She holds a bachelor's degree in Psychology from Jesus and Mary College, University of Delhi, and also has a master's degree in Buddhist studies.
Priyanka Gandhi is married to businessman Robert Vadra. The couple has two children -- Raihan and Miraya.
Her entry into Parliament has been long awaited by party's workers and supporters and they are hoping she will provide the booster shot the party needs in its difficult phase at the hustings going forward.
