Health

Insurance not a good way to improve health infrastructure

On Monday the Prime Minister once again reiterated the provision of healthcare insurance up to Rs 1 lakh per year to citizens living below poverty line

 
By Kundan Pandey
Last Updated: Tuesday 16 August 2016

Despite tall promises, the government’s promise never includes concrete plans to improve the public health infrastructure
Credit: jasleen_kaur/Flickr

Since the NDA government came to power in 2014 under the leadership of Prime Minister Narendra Modi , it has emphasised on insurance as a solution to India's public health crisis.

On Monday the Prime Minister once again reiterated the provision of healthcare insurance up to Rs 1 lakh per year to citizens living below poverty line. He also promised that the government would fully subsidise premium for the “Aarogya Scheme” or healthcare insurance on the occasion of Independence Day.

Not only Modi; Finance Minister Arun Jaitley had also spoken about offering health insurance as a solution to the public health crisis while presenting the Union Budget in 2015.

Despite tall promises, the government’s promise never includes concrete plans to improve the public health infrastructure. Health experts have cautioned against insurance time and again as it may put public health in the hands of the private sector.

The private health sector is engaged in various unethical practices to get insurance money. For instance in 2012, Down To Earth (DTE) reported the case of Samastipur, a district in Bihar, where around 10,000 claims of hysterectomy (surgical removal of the uterus) surfaced after an insurance scheme was introduced.

DTE found that while in some cases hysterectomy was performed on underage girls, there were also cases where the female organ was removed from men. Many records were also incomplete.

Experts have been trying to suggest the NDA government and the previous UPA regime too about the need for strengthening public health infrastructure as a solution to public health. There are a few examples like Sri Lanka which has followed the path of strengthening public health infrastructure and performs better on almost all health indicators. However, the call has gone unnoticed.

The PM also talked about the Maternity Benefit (amendment) Bill which was tabled in the Rajya Sabha and cleared a few days ago. However, it needs to go through the Lok Sabha and get the President’s nod before becoming a law.

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  • Infrastructure development in healthcare system is very important and need to be strengthened. Further, three major components in healthcare system such as 1) infrastructure development, 2) maintenance of infrastructure and 3) providing quality service to commoners are integral entity of healthcare system. As we are aware that, India stands 112 position out of 190 countries as per World Health Organisation's 2000 world health report which indicate alarming situation for us. Though, situation is not very fascinating but the Govt. of India is maintaining very good healthcare in the Islands like Andaman and Nicobar. In these islands quality health service is being provided at free of cost to all the citizen of India or tourist coming to these islands. Why can’t we replicate similar infrastructure with similar administrative and management skill in other parts of the country. We need strong will power, dedicated service and good monitoring and management skill to provide best healthcare service at affordable cost to all the citizens of India.

    Posted by: Dr. Dilip Kumar Jha | 3 years ago | Reply