Art & Culture
- Right to access internet is fundamental right declares Kerala High Court
- Legal rights of Deities in India, Difference in Natural and Juristic Person
- Bru refugees refuse to return to Mizoram
- No animal sacrifice in Tripura temple-Orders High Court
- EC’s Order on Reducing Sikkim CM’s Disqualification Period
- Law Ministry issues corrigendum to Jammu and Kashmir Reorganisation Act
- Appointment of the Judges in India.
- New Chief Justice of India- How is CJI appointed?
- Indian Penal Code 1860, HM Amit Shah wants to Overhaul IPC
- National Population Register (NPR) 2020
- Whistle Blowers Allegations on Infosys
Governance & Social Justice
- 60% girls in Delhi colleges anaemic
- Niti aayog’s School education quality index
- Multipurpose National Identity Card
- Population pyramid : India Vs China, Demographic dividend Phase of India
- UN Population Report, India will become the most populous country by 2027
- Supreme Court upholds SC and ST (Prevention of Atrocities) Amendments Act
- Comparing Population Pyramids of India and China
- Waqf boards-Their governance and purpose
- Harvard Admissions Case
- Pradhan Mantri Jan Arogya Yojana- Ist Anniversary, Problems and solutions
- Significance of sexual and Reproductive Health-Status of reproductive services in India
- Pregnancy in Old Age, What is In Vitro Fertilisation-Risks and legal shortcomings
- Supreme Court Judgement on NGOs and RTI
- Social Stock Exchange
- Rajasthan Govt changes EWS norms, Sets Rs 8 lakh family income as only criteria
- Global hunger index 2019
- No Government job for those with more than two kids
- Ranitidine CANCER risk
- IIT Council Introduces Tenure track system
- Bangladesh growing faster than India ?
- Cyprus dispute explained
- Donald Trump impeachment
- India wins Hyderabad Nizam case against Pakistan
- India’s reply to Pakistan at UNGA
- Prime Minister of Malaysia calls India and invader in Kashmir
- Should India recognise the armenian genocide ?
- Why are CARICOM countries important for India ?
- Why are countries leaving OPEC ?
- Attacks on Saudi Oil facilities
- Organization of Islamic Cooperation issues statement on Jammu and Kashmir
- Sri Lanka’s relations with India & China
- US troops start pullout in Syria as Turkey prepares for operation
- What are Vanilla Islands?
- India-USA trade deal
- UNHCR Nansen Refugee Award-2019
- Modi – Xi Informal meet at Mamallapuram – Historic Chinese links
- India China informal summit in Tamil nadu
- Pakistan save from FATF blacklist till 2020
- USA blacklists China organisations over Uighur Muslim abuse
- Why is Chile burning ?
- Why is the Philippines important for India
- Xi jinping Nepal visit 2019 and impact on India
- India Pakistan Cross LOC Trade suspended, Should India revoke suspension?
- Protests in Lebanon
- Chennai to Vladivostok Sea Route
- End of baghdadi
- Indian government’s security advisory
- Indians no longer require Visa to visit Brazil
- Non Aligned Movement 2019 summit
- US backed Ceasefire between Turkey and Kurds
- Pakistan stops postal exchange with India
- China’s GDP growth slows to 6% slowest in 27 years
- Common Goods for Health project by WHO
- Turkey attack Kurds in Syria
- Behavioural Aspect of Farmer Suicide
- Is rural India really open defecation free ?
- Global Growth Slow Down
- Nobel Prize in Economics 2019
- Regional Comprehensive Economic Partnership
- SBI wrote off bad loans worth 76,000 crores
- Surge in Onion Price
- Agriculture Credit by RBI’s Internal Working Group
- What is Debt to GDP Ratio?
- Yes Bank Crisis
- Nobel prize in Literature – Controversy
- Boosting Indian Exports
- Sopore Fruit Mandi deserted
- What is Pink Collarisation?
- Mizoram to have Broad Gauge railway line by 2021
- Demand downturn in Indian Economy
- Payment facilitation fund
- Participatory Guarantee Scheme
- RBI’s 4th Bi-monthly Monetary Policy 2019-20
- Tourism restrictions lifted in Kashmir
- Link between Jobs, Farming, and Climate
- Draft Social Security Code 2019
- State Tax Revenues, SGST and Central Tax Devolution are likely to fall short
- Competitiveness Index 2019 by World Economic Forum
- NITI Aayog’s Water Resources Strategy
- BSNL and MTNL financial issues-DoT prepares Rs 74000 crore revival plan
- 20th Livestock Census
- India falls 10 ranks in World economic forum’s Global competitiveness index
- RBI stops Printing Rs 2000 Notes
- What is the Unified Approach proposal of OECD?
- FCI granaries overflowing
- India’s Economic Growth 2019
- Financial Sector Scams in India
- Labour Market of India
- New Strategic Disinvestment Process
- Payment Delays to Sugarcane Farmers
- Why India’s IMF Quota is not increased
- What is monetary policy Transmission? Why banks are not reducing interest
- Mahatma Gandhi’s theory of Economics
- India moves up 14 spots to 63 on world Bank ease of doing business index
- New amendments to the Motor Vehicles Act
- Power Sector Scenario in India
- Telecos to Pay Rs 96,642 crore to the Government
- Camel population declines in Rajasthan
- Merger of BSNL and MTNL
- World bank on Indian economy
Defence & Security
- Nagas Kukis Conflict, What is the cause of the latest tensions?
- Case against 50 Celebrities controversy
- Can Indian Government intercept WhatsApp?
- UP Government fires 25000 home guards, Is Yogi Government’s decision justified?
- NCRB’s Crime in India 2017 report
- Aadhaar Social Media mandatory linking case
- What is TechSagar? National repository of India’s cyber tech capabilities.
Science & Technology
- ISRO’S Project NETRA
- Facebook’s LIBRA Currency in trouble
- WHO launches first World report on Vision
- 2019 Nobel prize in physics
- 2019 Nobel prize in Physiology and Medicine
- Elon musk’s starlink project
- NASA’s ICON mission
- New King of the Moons in the Solar system is Saturn
- What Is Spectroscopy ?
- Quantum supremacy
- Climate Vulnerable Mapping Of India
- C40 Cities
- Gujarat Unveils emission trading scheme
- Forest Plus 2.0
- Himalayan States seeks Green Bonus
- India to Phase Out Single Use Plastic (SUP) by 2022
- Role of Volcanoes in Global Warming
- NH 766 ban controversy, Protests in Kerala against night traffic ban on the forest stretch
- Climate Change needs Global Solution
- Aarey Forest -2185 trees to be cut for Mumbai metro
- Government to build 1400 km long Green wall
- Graded Response Action Plan in Delhi
- Aerosol formation brightening clouds
- Anthrax outbreak in Pobitora Wildlife Sanctuary, Two affected buffaloes died
- Species in News from June to October 2019
- Climate Action Summit 2019
Tag:GS 2||Governance & Social Justice|| Human Development|| Health
What is the issue?
- Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana which completed a year recorded 4 lakh hospital treatments worth Rs 7,500 crores with 60% of the amount being spent on tertiary care.
- the tertiary care arm of Ayushman Bharat has funded the treatment of 90,000 cancer patients through 1.8 lakh hospital admissions.
- The program is being touted as the world’s largest health protection scheme.
- The scheme has two pillars under it –
- Ayushman Bharat(AB) – 5 lakhs health sub-centers will be converted into health and wellness centers.
- National Health Protection Mission(NHPM) – Provides health cover of 5 lakhs per family, per annum, reaching out to 50 crore beneficiaries.
- The scheme aims to target over 10 crore families based on the SECC (Socio-Economic Caste Census) database.
- It will target poor, deprived rural families and identified occupational category of urban workers’ families.
- It will cover 1,300 illnesses, including serious ones such as cancer and heart diseases.
- Private hospitals would also be part of the scheme.
- To ensure that nobody from the vulnerable group is left out of the benefit cover, there will be no cap on family sizeand age in the scheme.
- 5 million Cases: There were about 4.5 million casesof hospital treatment under the scheme, a large figure until the number of possible causes in the country is considered.
- Public awareness and access: The relative smallness of this number points to an issue yet to be addressed
- The PMJAY has spread across practically the entire country, with 33 states and Union territories.
- Hold-outs: The only big hold-outs to the scheme are some of the Opposition-ruled states including Delhi, West Bengal, and Telangana.
- Claims higher in richer states
- The number of claims is considerably higher in the richer states like Gujarat (650,000) and Tamil Nadu (400,000).
- Another million or so is accounted for by Karnataka, Andhra Pradesh, and Maharashtra.
- As with many other all-India schemes, states with better resources are managing to implement it better.
- Slow scale-up of the scheme: While the slow scale-up of the scheme is a problem, it does mean that its fiscal impact has not yet been felt fully.
- Fiscal impact It is possible that the fear of the fiscal impact is why some poorer states have not expanded it as much as they should have. Fiscal impact refers to the impact on the state government’s budget or financial resources of the state.
- Cost controlis going to require more attention. This will necessarily widen the gap of fiscal deficit.
- Package rates: The package rates for private providerswill be the cause of resistance in the future. The scheme is implemented through the existing mechanism, based on the US model of healthcare insurance. The government does not provide free healthcare or doesn’t add on to the existing infrastructure but provides free healthcare insaurance, the public institutions or private institutions linked to the yojana will provide the healthcare facilities to the citizens.
Solution to the above problems
- reduced costs The PMJAY authorities will have to take pro-active measures to reduce costs – Collective bargaining with pharmaceutical companies or the makers of medical equipment.
- expansion in the number of private hospitals There may be a sharp expansion in the number of for-profit private hospitals impanelled under the scheme.
- The current number of hospitals is only a whisker more than the number of public hospitals so registered.
- There should be a clear understanding of package coststo pan this out as expected.
- With the expansion of for-profit hospitals, questions will also begin to be asked about widespread fraud.
- This was visible in the first year of the PMJAY, with an unnecessary increase in the rates of some treatments.
- The PMJAY highlights its data-based interventionto identify such possibilities of fraud.
- But in the end, disputes will have to be settled by old-fashioned human intervention.
- There is simply no capacity yet planned for in the Union government or in the states to manage such disputes.
What is needed for the success of any model
- The PMJAY has multiple different models in different states.
- Expansion of state capacity The common requirement for the success of any of these models will be the expansion of state capacity, whether in terms of regulation, dispute settlement or in the public sector hospitals themselves.
- It is impossible to build universal health care on the cheap. The PMJAY has so far not been a fiscal drain.
- more resources, If it is to succeed, it will certainly require more resources, many of which will have to be diverted to support the poorer states.
- Focus on poorer states:The implementation is better in richer states because of more financial resources, poorer states need to be focused so they could get access to the better healthcare facilities.
- Ayushman Bharat has provided a platform and framework for the country to accelerate its progress towards comprehensive universal healthcare.
- All states will need to make sincere efforts towards providing seamless health services to the last mile and to address the concerns, challenges, and hindrances on the way to reach the goal.
- PMJAY has a number of challenges to contend with as it seeks to improve the status of health care in India. Discuss.