A health protection scheme for 10 crore families

4.21 percent of India’s population is pushed below poverty line due to out-of-pocket expenditure on health.

archana

Archana Mishra | February 1, 2018 | New Delhi


#Arun Jaitley   #budget 2018   #Health   #Insurance   #National Health Protection Scheme   #Narendra Modi  


The budgetary allocation for health has increased by 11.5 percent this year. It has increased to Rs 52,800 crores in 2018-19 from Rs 47,353 in 2017-18.

Government in the budget 2018 has taken health care to an aspirational level. It has given insurance cover of Rs Five lakh to 50 crore poor people as a part of new health protection scheme under the Ayushman Bharat initiative. He called it the largest government funded programme in the world. 

Under the new scheme, the ongoing Rashtriya Swasthya Bima Yojana (RSBY) that provides insurance cover of Rs 30,000 and other state insurance schemes will be merged to enhance the financial pool.

After coming to power in 2014, the Modi government has shown its inclination towards bringing insurance in public health care sector.  It was in 2014, the government floated policy initiative called National Health Assurance Mission (NHAM) aimed at providing free drugs, diagnostic services and insurance for serious ailments for India’s 1.2 billion people. But it wasn’t rolled out due to financial issues.

Meanwhile, RSBY always received flak for its functioning. It is criticised for expanding the market for private health insurance companies at secondary and tertiary healthcare facilities. It also failed in promoting the primary and preventive health care to the lowest income quintiles. 

Since health insurance scheme has failed in India, the designing of the new scheme will be crucial.  We look at certain sets of issues which the new scheme needs should address. First, how the scheme will address the issue of regulating the private sector that continues to thrive in the unregulated healthcare market?  So far, the insurance benefits under RSBY have brought money into the pockets of private insurance companies rather than supporting the poor and vulnerable.

Second, how will it address the issue of poor healthcare facilities in rural and tribal areas where we people are still devoid of treatment due to poor infrastructure and health supply?  Third, how will it deal with the inequity in different states?  Health experts say it will create disparities in the country.  It is expected southern states will be able to implement the scheme in a better way due to their sufficiency on supply side while northern states will struggle due to the poor infrastructure facilities in secondary healthcare facilties.

These issues are important to address due to rising health care expenditure in the country.  As per the 2011 data by World Health Organisation, 4.21 percent of India’s population is pushed below poverty line due to out-of-pocket expenditure on health.

Other announcements:

-- Implementing National Health Policy 2017, Rs 1,200 crore announced for the 1.5 lakh wellness health centres in the country

-- Rs 600 crore for nutritional support of Tuberculosis patients 

-- Rs 500 will be provided to each TB patient undergoing treatment.

-- 24 new government medical colleges


 

Comments

 

Other News

3 out of 4 Covid-19 patients in 21-60 yrs age group

Contrary to the perception that the elderly are more at risk from Covid-19, in India as many as 41.88% of corona positive cases are between 21 to 40 years of age. Also, 32.82% positive cases are between 41 to 60 years, followed by 16.69% cases above the age of 60 years and 8.61% coronavirus positive cases

Why everyone should wear mask

In view of the increasing number of COVID -19 cases in the country, the ministry of health and family welfare (MoHFW) has now advised that everyone must voluntarily wear a mask and especially those living in densely populated areas.   Not just as a matter of maintaining personal hygiene

Fighting Covid-19, India has realized its collective strength: PM

In the face of the Covid-19 pandemic, people of India have realized their collective strength, prime minister Narendra Modi said in a short video message Friday morning. He also urged people to light lamps Sunday night as a gesture of this collectivity. “Today marks nine days of the na

COVID-19 demobilisation: Lessons for public governance

Demobilization, like its predecessor – demonetization, is another decision gone bad in implementation.  In both instances a careful public administrative action through its governance systems could have saved the magnitude of impact particularly on the most vulnerable sections of the society. Th

Don’t fear Corona, fight it

In a bid to break the “chain of transmission” of the deadly Covid-19, India, a country with more than 1.3 billion population, observed a voluntary ‘Janata Curfew’ on March 22. This has been followed by a 21-day, nationwide lockdown from March 24. Prime minister Narendra Modi also re

Sci-Tech Empowered Committee set up for COVID-19

To take speedy decisions on research and development for Sars-Cov-2 virus and COVID-19, the government has constituted a Science and Technology Empowered Committee. The committee, set up on March 29 and chaired by Niti Aayog member, professor Vinod Paul and professor K Vijay Raghavan, princi



Archives

Current Issue

Opinion

Facebook    Twitter    Google Plus    Linkedin    Subscribe Newsletter

Twitter