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A health scheme that should not fail The implementation of Ayushman Bharat requires a strong reform agenda Ayushman Bharat- National health protection scheme (NHPS), in the last stretch of this government s tenure comes as no surprise Feel good welfare policies are useful in conferring a sense of legitimacy and caring on the government seeking another term Health policies have two objectives: 1)- To enhance the health of the population and 2)- Reduce the financial risk for those accessing treatment. Success is measured by a reduction in the disease burden and subsequent increase in people s longevity- Reduced spending Since the health scheme seeks to address both these critical health goals, it is an important step forward
Continue The scheme has two components: 1) Upgrading the 150,000 subcentres ( 5,000 population level) into wellness clinics that provide 12 sets of services; and 2)- Providing health security to 40% of India s population requiring hospitalisation for up to a sum assured of 5 lakh per year per family. If implemented as integral components of a strategy to improve the abysmal status of India s health care system, these initiatives can help achieve the goals of efficiency and quality Key issues The first is the massive shortages in the supply of services (human resources, hospitals and diagnostic centres in the private/public sector) For example, even a well placed State such as Tamil Nadu has an over 30% shortage of medical and non medical professionals in government facilities Public/Private sector The issue is about the capacity of this infrastructure to take on the additional load of such insured patients from other States, growing medical tourism (foreign tourists/ patients) as a policy being promoted by the government
Continue In an environment of scarce resources, prioritisation of critical initiatives is vital to realising health goals. The implementation of Ayushman Bharat must include improved governance and an enforcement of regulations.
Stress test Water management reforms are needed to avert public hardship and economic loss Cusp(उभ र) of the southwest monsoon several arid States are hoping to revive their rivers and reservoirs- One of them is Gujarat Deficit monsoon between August and November last year This year s fall in reservoir storage levels to below average levels has affected farmers who depend on the Sardar Sarovar dam & 27 other reservoirs including those in Madhya Pradesh Prioritise drinking water needs over farming, and suspend irrigation supply from the dam Delhi has been at loggerheads with Haryana over reduction of water released in the Yamuna Urgent water management reforms must be undertaken to help citizens and avoid losses to the economy Mihir Shah Committee estimated public irrigation efficiency to be a low 35% Farmers need to be helped with the latest technologies to cut water use If climate change is going to influence monsoon and availability in coming years, the time to take action is now.
Our irrational streak Understanding why humans make such poor choices Richard Thaler, who won the 2017 Nobel Prize for his pioneering work in behavioural economics, writes about this in his book Misbehaving.
Prelims Focus Facts-News Analysis Page-1- Rise of farmers will propel country s growth, says PM Kairana Lok Sabha constituency.
Prelims Focus Facts-News Analysis Page-1- Parties out of purview of RTI Act: EC Political parties are out of the purview of the Right to Information Act, the Election Commission has said in an order, which is contrary to the directive of the Central Information Commission (CIC) to bring six national parties under the law. The order came on the appeal of an RTI applicant seeking to know the donations collected by the six national parties which were brought under the ambit of the law by the CIC in June 2013.
Prelims Focus Facts-News Analysis Women s health crucial to combat stunting: study Better nutrition, education of mother can reduce growth impairment in children
Prelims Focus Facts-News Analysis 6 kg of ivory bound for Nepal seized in Assam
Prelims Focus Facts-News Analysis Wife has the right to know husband s salary details: HC A woman has the right to know the remuneration of her husband, the Madhya Pradesh High Court has observed.
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