• 9964432222
  • Mail Us
  • Appointment
  • Locate Us
  • Chat Now
  • Courses
  • Login
  • Register
Manifest IAS
JournalsOfIndia
Advertisement
  • Home
  • Economy
  • Foreign Affairs
  • Science & Tech
  • Environment
  • Law & Policy
  • History
No Result
View All Result
  • Home
  • Economy
  • Foreign Affairs
  • Science & Tech
  • Environment
  • Law & Policy
  • History
No Result
View All Result
  • 9964432222
  • Mail Us
  • Appointment
  • Locate Us
  • Chat Now
  • Courses
JournalsOfIndia
No Result
View All Result
Home Law & Policy

NITI Aayog proposals on District hospitals

April 16, 2020
in Law & Policy
Reading Time: 3min read
0
23
VIEWS
Share on TelegramShare on Facebook

Source: The Hindu

Manifest pedagogy: The topic is highly relevant for Mains. It is difficult to frame a question in Prelims on this topic. One has to understand the entire topic in the changing role of state in recent times. Till recently the argument held water that the state should continue with Public goods like education and health even after LPG.  This narrative seems to be altered slightly with the proposition of NITI.

In news: The NITI Aayog proposal to hand over district hospitals to private medical colleges in Karnataka and Gujarat has been criticised by health activists and doctors.

Placing it in syllabus: Health

Dimensions:

  • What are the proposals?
  • Pros and cons

Content:

What are the proposals?

  • The scheme is “to link new and/or existing private medical colleges with functional district hospitals through PPP”. 
  • The proposal entails providing “exclusive right, license and authority to augment, operate and maintain the District Hospital and provide Healthcare Services and design, finance, procure, construct, operate and maintain the Medical College”.
  • The proposal will be for a minimum of sixty years.
  • Such district hospitals need to have at least 750 beds, of which nearly half will be “market beds” and the rest will be “regulated beds” for free patients.
  • These guidelines can be adopted by interested states particularly those struggling to infuse funds in the healthcare sector and where district hospitals are not up to the mark.

Pros and cons:

Pros

  • As it is practically not possible for the Government to bridge the gaps in medical education with their limited resources and finances, the scheme necessitates formulating a PPP model by combining the strengths of public and private sectors. 
  • It would augment medical seats and also rationalise the costs of medical education.
  • The model will resolve the issues of shortage of medical colleges and upgradation of district hospitals. 

Cons

  • This proposal is against the recommendation of every national expert committee that has ever been constituted in this regard.
  • Critics are opining that the scheme has been drawn up to provide an avenue for corporate investments and profits in health care. 
  • It also violates the government’s own National Health Policy of 2017, which promises free drugs and diagnostics and free care for all in the public hospitals.
  • The patients will be divided into two (a) Free Patients and (b) All Patients other than the Free Patients. Clause 22.2 of the agreement states that to be a “free patient”, one would need a specific authorisation certificate from a district health authority. This division of patients into two categories based on their ability to pay goes against both national policy as well as international commitment of the country towards universal healthcare.
  • Under this scheme, all in-patient beds will be categorised into “Regulated Beds” and “Market Beds”. For the regulated beds, treatment will be provided free of cost; while for the market beds, treatment will be provided at competitive market rates. However, the regular beds are implicitly for patients who are already covered under the government insurance schemes. So, even though it is stated as free care, payment for most of the free patients will come from the government. 
  • As the government proposes to hand over the hospitals at an extremely low fee with additional grant in the form of equity, the “concessionaire” could show lower revenue earnings in its balance sheet and pay even less. 
  • In Karnataka, the ‘Arogya Bandhu’ scheme which was scrapped in 2012 showed that the State’s PPP arrangements have not been successful in the past because of poor governance and the lack of accountability and a grievance redressal mechanism.

 

Tags: GS-2Mains

Related Posts

Data Governance Quality Index

Data Governance Quality Index

January 23, 2021
Rapid Assessment System

Rapid Assessment System

January 23, 2021
Draft Personal Data Protection Bill, 2019

Draft Personal Data Protection Bill, 2019

January 22, 2021
Guidelines for Digital Media Regulation

Guidelines for Digital Media Regulation

January 22, 2021
Food Fortification Scheme

Food Fortification Scheme

January 22, 2021
Amended Technology Upgradation Fund Scheme (ATUFS)

Amended Technology Upgradation Fund Scheme (ATUFS)

January 22, 2021
North East Reorganisation Act ,1971

North East Reorganisation Act ,1971

January 22, 2021
Using God’s name to sell products illegal: Bombay HC

Using God’s name to sell products illegal: Bombay HC

January 22, 2021
Report on National Nutrition Mission

Report on National Nutrition Mission

January 21, 2021
PM Shramik Setu Portal

PM Shramik Setu Portal

January 20, 2021
Please login to join discussion

Browse by Category

  • Agriculture
  • Disaster Management
  • Economy
  • Environment
  • Ethics
  • Foreign Affairs
  • Geography
  • Governance
  • History
  • Law & Policy
  • Opinion
  • People in News
  • Places in News
  • Science & Tech
  • Security
  • Society

Browse by Tags

AIR Big Picture GS-1 GS-2 GS-3 GS-4 Kurukshetra Mains News Paper PIB Prelims RSTV Spotlight on AIR Yojana
JournalsOfIndia

Our vision is to orient the readers to grasp the facts objectively and analyse critically. In the rush of reaching first to the readers, the websites miss the balanced opinion, which is the need of the hour. We aim to reach the readers with more crispness, preciseness and relevance. We bring the articles in UPSC way for the civil services aspirants and the Wisest Way for general readers.

Categories

  • Agriculture
  • Disaster Management
  • Economy
  • Environment
  • Ethics
  • Foreign Affairs
  • Geography
  • Governance
  • History
  • Law & Policy
  • Opinion
  • People in News
  • Places in News
  • Science & Tech
  • Security
  • Society

Browse by Tag

AIR Big Picture GS-1 GS-2 GS-3 GS-4 Kurukshetra Mains News Paper PIB Prelims RSTV Spotlight on AIR Yojana

Newsletter

The most important UPSC news and events of the day.

Get Journals daily newsletter on your inbox.

© 2020 JournalsOfIndia - A free initiative by Manifest Team.

  • Login
  • Sign Up
  • Home
  • Prelims Snippets
  • Mains Articles
  • Economy
  • Society
  • Foreign Affairs
  • Science & Tech
  • Environment
  • Agriculture
  • History
  • Law & Policy
  • Security
  • Course Portal
  • Prelims Test Portal
No Result
View All Result

© 2020 JournalsOfIndia - A free initiative by Manifest Team.

Welcome Back!

Login to your account below

Forgotten Password? Sign Up

Create New Account!

Fill the forms bellow to register

All fields are required. Log In

Retrieve your password

Please enter your username or email address to reset your password.

Log In