Skip to main content

Featured post

Is true democracy exist around the world?

Role of public health care in the developing countries

quality healthcare unaffordable and accessible. This is very true for developing countries, especially for countries such as India. See the COVID-19 pandemic has exposed the shortcomings of India's public health care sector in the coming months, we are going to require at least a few thousand or maybe a few lakh the importance of public health care, especially in developing countries. So, it is a well-known fact that accessing private healthcare facilities is very expensive. And as a result, out of pocket expenditure increases do make it hospital beds. And we would also require advanced healthcare facilities such as intensive care units' ventilators etc. But a large proportion of these healthcare facilities are available in the private sector. And there is a critical shortage of it in the public sector. So, the abundance of advanced healthcare facilities in the private sector and the shortage in the public sector has exposed the inequalities and the divide of India's healthcare system, and hence the right to say is that, in a developing country or any country. Health Services cannot be left to the private sector alone, and hence there is a need to promote public health care. To understand why India's public health care system has such severe shortcomings. We need to look at the trajectory that India's public healthcare system has followed over the years. See post-independence, just like any other developing country, India had a different set of priorities for its public healthcare system. Initially, it was focused upon building its primary health care system to cater to the basic healthcare needs of the population and this approach has led to the neglect of secondary and tertiary healthcare systems over the years In the initial years, just like any other developing country, India was focused upon expanding its immunization program. To bring more and more people under the cover of vaccination. It was focused on reducing its maternal mortality rate at the infant mortality rate by investing heavily in maternal health care and pediatric healthcare. Over the years, India has tried to focus on battling common infections such as tuberculosis polio, etc. So, over the years. Most of India's investments in public health care has gone into these priority areas, leading to the neglect of other areas such as secondary and tertiary healthcare. While investing in these priority areas, it's justified for a developing country such as India. What cannot be justified, is the extremely low level of investments in the public healthcare sector, even today. Over the years, it has investments in health care that have almost stagnated, and it stands at just 1.3% of India's GDP. It is this low level of investment in public health care. That makes India unprepared to deal with a pandemic such as the COVID-19. As we discussed, there is a widening gap between public healthcare and private health care facilities at which makes access to quality health care, very expensive, and unaffordable in India. In a country of the scale and size of India. Its investments in public health care happen to be one of the lowest in the world. And along with this, the poor utilization of available resources affects the quality of health care in the country. Upon this, the lack of accountability, corruption, and the lack of regulation in the public healthcare sector has resulted in a severe shortage of hospital beds ICU ventilators and other advanced healthcare facilities in the public sector. The low investments of the government in the public healthcare sector also affect the availability of skilled manpower in public hospitals. Because specialist doctors who are poorly compensated in the public sector. They take up attractive positions to private hospitals, leading to critical shortages in the public healthcare sector. So this gap or vacuum in quality healthcare, created by the public healthcare sector has been filled by the private sector, because over the last two to three decades, India's rising middle class and the increasing purchasing power of India's upper class has created a demand for quality healthcare, especially in the urban areas. So on the one hand, you have a section of India's population that is its middle class and upper class, which does not seek health care from the public sector due to its low quality, and it said it is willing to pay for quality healthcare at this depart has led the private sector to establish state of the art super specialty hospitals that are concentrated predominantly in urban areas. But on the other hand, a majority of India's population that continues to remain poor cannot access such expensive treatment facilities, and hence they have to repeat content with the low-quality services provided by the public healthcare sector. And there is no question of them, accessing the high-quality services provided by the private sector. So as a result, the gap left behind with a public healthcare sector has been filled by the state of the art specialty hospitals in urban areas, but on the other hand, in rural areas, and the poor neighborhoods of urban areas, the gap has been filled by unqualified doctors clinics and nursing homes with questionable credentials, and by doctors who claim to practice, alternative systems of medicine. So, this wide disparity in accessing quality healthcare services in India leads to conclude that access to quality health care in India is dependent on one's income. So, the wide income divides between India, between the rich and the poor translates into a divide in accessing quality health care as well. Since the public health care sector has failed to fill the gap. The Void has been filled by the private sector, making quality health care more expensive and unaffordable and inaccessible. In this context, the need to increase government spending, the government investments in public health care, and the need to make the coverage of public health care universal in nature. To bring the entire poor population under its ambit. Increased government spending in public healthcare will translate into quality healthcare for the masses. Only if its coverage is universal. To illustrate this point draws a comparison between the public healthcare system of the United States and the public healthcare system of the United Kingdom. See the United States, whose GDP is many times higher than India spends more than 15% of its GDP or public healthcare. But this is largely in the form of insurance-based private medicine, which, again, increases, out of pocket expenditure, especially for the poor population. So as a result, even though the US government spends considerably higher on healthcare. Its healthcare indices are lower than in many European countries but in the United Kingdom. If you look at the government-funded National Health Service. It not only accounts for large government investments in public health care, but it is also universal, and this has translated into better health outcomes in the United Kingdom. The same argument holds for several West European countries as well. So, for India, it is not only essential for increasing government spending on public health care, but it is also essential to make its coverage universal. 
 

Comments

Popular posts from this blog

How lockdown having a disproportionate impact on women

A disaster or catastrophic ends to have a disproportionate impact on women. According to the writer, this is because of the traditional gender-based role of women in society. For example, during the 2004 Indian Ocean tsunami, it was observed that the disaster had a disproportionate impact on women, mainly because of their gender-defined roles. Since women are generally seen as the traditional caregiver in the family, they lacked the required life-saving skills, and as a result, a relatively higher number of deaths count was registered amongst women during the tsunami. Then after the disaster, women who were rendered homeless were accommodated in relief camps. And it was observed that at these relief camps, women had to face abuse and molestation, and they even had to face hygiene and sanitation issues at these relief camps. similar challenges have been faced by women in the United States as well, which is frequently hit by tornadoes. similar challenges were noted during the 2018 19 f…

Are humans responsible for the COVID-19 pandemic

Humans responsible for the pandemic According to the UNDP. The spread of a zoonotic disease such as COVID-19 can be directly attributed to the overexploitation of biodiversity and ecosystems by human beings. The UNDP has said that several zoonotic diseases have affected human beings because of increased contact of humans with animals. Especially wild animals. So these diseases with a jump from animals to human beings are referred to as zoonotic diseases or zoonosis. And it is a direct outcome of the overexploitation of biodiversity and ecosystems through human activities. The UNDP report even says that it is not just COVID-19 but even tuberculosis, rabies, malaria, toxoplasmosis h1 none SARS, burst, Ebola Zika, etc. They are all examples of zoonosis that have jumped from animals to human beings. And in each case, the source can be attributed to the destruction of the environment and biodiversity through human activities
It is found that the coronavirus outbreak certainly comes from t…

Researchers found new symptoms of COVID19

Many COVID-19 cases have emerged from Europe and the United States, where many patients have reported a complete inability to smell or even to taste. So, this has given rise to questions, whether the SARS coronavirus is affecting our neurons that are responsible for smell and taste, or is it affecting other cells, which are involved in this olfactory function. A recent study conducted in India has shown that it is not the neurons that are being affected by the virus, but instead, it is a set of cells present in the upper regions of our nasal cavity that are being affected by the double Coronavirus. These cells include the sub Technicolor cells and the horizontal basal cells. But importantly, these cells are not directly involved in helping us smell. It means that these cells are not directly involved in the olfactory function. But these cells help us nourish and support the other cells, which are actually involved in the olfactory function. So this means that the novel Coronavirus is…