• There are huge technological gaps in government hospitals which have since the 1980s.
• NITI Aayog’s Three Year Action Agenda recommends the government to focus on preventive care rather than curative care.
• It advises the government to play the role of regulating the health sector rather than focusing on providing health care.
• This means the system of private health care for those who can afford it and government care for those who cannot will continue.
Initiatives taken by Government
• The new Ayushman Bharat health scheme to provide secondary and tertiary care to socioeconomically deprived has a cap of ₹5 lakh per family per year.
• However, Human organ transplants cannot be achieved in this amount.
• Transplanting a human organ is not a single event, but a life-long process.
• Transplantation needs expensive infrastructure and trained human resources.
What are the Problems?
• Today, Health care in India is obviously not egalitarian and equitable.
• Governments have been giving subsidies to private players, especially to corporate hospitals.
• 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.
• Governments have been increasingly dependent on the private sector to deliver health care.
Is there any feasible solution to overcome?
• Inequitable distribution of medical services has led to distrust of the public in government hospitals.
• The poor expect to get from them what the rich get in private hospitals which is not possible with present policies.
• The 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 effected the professional image of medical personnel in public hospitals.
• Every possible medical intervention should be available to every citizen.