- 10% Quota for general category
- NITI Aayog proposes all India Judicial Service Examination
- CAG Report on government spending
- Need for Citizenship (Amendment) Bill
- Clause 6 of Assam accord : indepth analysis
- Collegium system for appointment of judges
- Fear of Executive Courts
- Tamilnadu Reservation Policy
Governance & Social Justice
- Bhasha Sangam Program : Celebration of Linguistic Diversity
- Cabinet approves revision in list of scheduled tribes of Arunachal Pradesh
- Does India need a coal commission?
- Concerns in Ayushman Bharat
- Depression at workplaces : A major health issue in India
- How to bridge Gender gap in India : Mckinsey Global Institute Report
- Government plans to rename Indian Forest Service
- IGOT Program for Competent Civil Services
- Indian Medical Council Amendment Bill 2018
- National Commission for Indian Systems of Medicine and Homoeopathy
- Government bats for National Medical Devices Promotion Council
- Parental consent for vaccination
- India Signs Agreement with OECD for PISA 2021
- Kerala’s wall of resistance
- Should an IAS officer use Social Media?
- Social media addiction
- Legal Status for SSC
- Tripal Talaq Bill 2018
- Web Wonder Women Campaign by Ministry of WCD
- West Bengal Leaves Ayushman Bharat : In-depth Analysis
- Why Asian Infrastructure Investment Bank Is Important For India
- What Is The Asia Reassurance Initiative Act
- E-Passport for Indians
- What Is G-77
- Failed Coup In Gabon
- Bagladesh Election
- Powering South Asian Integration
- ISRO’S New Station In Bhutan
- Kenya Replace Pictures Of Leaders on Coins With Animal
- Macedonia Name Change
- Why Norway Is Important For India
- Why India Need Membership Of NSG
- Pakistan Declared A Hindu Temple A Heritage Site
- Raisina Dialogue 2019
- India’s Republic Day Guest
- India To Take Over Sittwe Port Operation In Myanmar
- U.S. Mexico Border
- US Government Shutdown
- US Venezuela Crisis
- What is Angel Investment?
- Byorung Bridge
- India’s Airport Privatization Plan
- Rationalisation of GST Rates
- 1st Advance Estimates of Economic Growth by CSO
- Democracy Index 2018
- E-DRISHTI Software by Ministry of Railways
- What is GAFA tax
- Ganga Expressway to be Built in UP
- Green-Ag Project launched by India with UN FAO
- Issue of Tax Evasion under GST
- Improvements under GST Regime
- ICAT Certification for Automobilies
- What is Indian Bridge management System?
- Draft Information Technology Amendmenet Rules 2018
- Jamrani multipurpose DAM Project
- What is KALIA Scheme?
- MANDAL DAM
- Mega Merger!
- MSP for minor forest produce
- NITI Aayog suggestions on farm Economy
- India’s first vertical-lift Bridge
- Paradip Hyderabad pipeline
- Measures to address issues in Sugar industry
- Capital infusion in PSBs
- Renukaji dam
- PM Modi inaugrates Rice Research Institute
- Section 74 of the insolvency and Bankruptcy Code
- Social & Environmental Cost of Building dams
- Solar feeder Maharashtra model
- RBI Tokenisation
- Sikkim-Universal basic income
- Global Risks Report 2019
Science & Technology
- Why Beech Trees Dying
- Beat Plastic Pollution Resolve by India
- Why USA Is Killings California Sea Lions
- Carbon Tax
- China’s War On Particulate Air Pollution Is Causing More Serve Ozone Pollution
- CITES Washington Convention
- Coastal Regulation Zone
- Melting Ice Sheets And Release Of methane
- National Clean Air Programme Feature &Critical Analysis
- Oceans Are Heating Up 40% Faster Than Previous Estimates
- Revival Of Iran’s Lake Urmia
- India submitted sixth national report to Convention on Biological Diversity
- How Wild Fire Affect crop and vegetation Production
- NITI Aayog’s SDG Index
Spice of the Month
- GS 2 || Governance || Human Development || Health
Why in News?
- The Ayushman Bharat-National Health Protection Mission (AB-NHPM) needs a relook, given the implementation concerns with it.
Basics – Ayushman Bharat-National Health Protection Mission
- The Ayushman Bharat -National Health Protection Mission (AB-NHPM) was announced in the Budget-2018. This scheme has two components: (1) Health and Wellness Centers. (2) National Health Assurance Scheme is known as Pradhan Mantri Jan Arogya Yojana (PMJAY).
- Ayushman Bharat is an initiative to Address Health Holistically in Primary, secondary and Tertiary care Systems covering both Prevention and Health Promotion. The Scheme aims to provide cashless benefits of 5 Lakhs to 10 Crore Poor Families in the Country.
- Rising out-of-pocket expenditure (OOPE) of the citizens is a key concern in the healthcare sector.
- Among different sources of healthcare financing, 67% of the total health expenditure comes from households’ pockets.
- Health expenses push about 7% of the population below the poverty threshold every year.
- In this backdrop, the government launched the Ayushman Bharat-National Health Protection Mission (AB-NHPM) to reduce
- Here Rs. 5 Lakh medical insurance per family per year.
- All age groups and occupation groups covered. ESIC’s schemes cover only workers and their families (NOT FARMERS), Senior Citizen Health Insurance Scheme (SCHIS) covers only senior citizens (NOT INFANTS)
- Cashless paperless treatment in secondary- and tertiary-care hospitalisation both in public and private hospitals.
- Both pre and post-hospitalisation expenses, Transportation cost is also provided.
- The AB-NHPM shares its objectives with the Rashtriya Swasthya Bima Yojana (RSBY) scheme.
- The capacity of increased coverage to reduce the actual OOPE is limited in the current form of this scheme.
Criticism of Ayushman Bharat
- Currently, the NHPM is pushing for hospitalisation at secondary, and at tertiary-level private hospitals, while disregarding the need for eligible households to first access primary care, prior to becoming ‘a case for acute care’.
- It is important to note that without the stepping stone of primary health care, direct hospitalisation is a high-cost solution.
- India ranks as low as 145th among 195 countries in healthcare quality and accessibility, behind even Bangladesh and Sri Lanka.
- The country spends an abysmal 1.3 per cent of its GDP on health, way less than the global average of 6 per cent.
- Over 70 per cent of the total health care expenditure is accounted for by the private sector. Given the country’s crumbling public health care infrastructure, most patients are forced to go to private clinics and hospitals.
- Health care bills are the single biggest cause of debt in India, with 39 million people being forced into poverty every year.
- Cooperative federalism
- Increased states’ participation and inflation-adjusted rates for procedures could help India progress towards its universal health care goal.
- Providing insurance covers alone will not improve the health system in the country.
- Rather, there is a need to build robust health care infrastructure in the remotest corners of the country where people have easy access.
- Budget allocation needs to be increased to realize the purpose of the scheme.
- The health and wellness clinics must connect with early detection and treatment.
Additional Info- National Health Agency (NHA)
- National Health Agency (NHA) For focused approach and effective implementation of PM-JAY, an autonomous entity, the National Health Agency (NHA) was constituted. Established as a Society on 11th May 2018, the National Health Agency is registered under the Society Registration Act, 1860.
- The State Governments are expected to similarly set up State Health Agencies (SHA) to implement PM-JAY.
- The National Health Agency (NHA) will provide overall vision and stewardship for design, rollout, implementation and management of Pradhan Mantri Jan Arogya Yojana (PM-JAY) in alliance with state governments.
- Inter-alia, this will include, formulation of PM-JAY policies, development of operational guidelines, implementation mechanisms, coordination with state governments, monitoring and oversight of PM-JAY amongst others.
- The National Health Agency will play a critical role in fostering linkages as well as convergence of PM-JAY with health and related programs of the Central and State Governments, including but not limited to Ayushman Bharat – Comprehensive Primary Health Care, the National Health Mission, RSBY to name a few.
- What are the challenges in the Ayushman Bharat.