Tuesday, September 25, 2018

Dinesh Kamath's Editorial 'How to make Ayushman Bharat a success' that was published in Newsband


How to make Ayushman Bharat a success
Ayushman Bharat is supposed to provide guaranteed access to treatment that is free to about 40% of the population selected on the basis of censused socio-economic indicators. To make it a success, first and foremost the budgetary support must be strengthened. Guaranteeing health-care access using private or public facilities presumes tight cost control. In the case of the PMJAY, this is to be achieved using defined treatment packages for which rates are prescribed. Costs are a contested area between the care-providers and the Centre, and many for-profit hospitals see the government’s proposals as unviable.
The law broadly provides for standardisation of facilities and reasonable rates for procedures. The 150,000 health and wellness centres of the National Health Protection Mission can play a valuable role. This is a great initiative by the government, making health care affordable to weaker sections, and bolstering the government medicare institution, and will reduce the dependency of poor people on the public sector for seeking good quality healthcare which is draining major part of people income.
The unearthed advantage of the scheme will be the development of a cost effective model for medical facility and the socio economic well being of citizen. This will not only improve the quality of treatment of the public sector health care units but also push private sector to play below their wish to be a part of this medical reform juggernaut.
This scheme has many advantage regarding heath and will be a much help to poor who cannot afford expensive treatment in hospital. Patients especially who are very poor and do not have money for treatment sell land which is a main resource for earning money and derive expensive treatment. For such people this scheme will prove to be very useful.
Needless to say that for poor people who cannot afford even the minimum of Medical Care this "Pradhan Mantri Jan Arogya Yojana (the insurance component of the scheme)"scheme is a gift. Looking in a negative lens or belittling the efforts made by the present Prime Minister Modi for the betterment of general public is uncalled for. Media should encourage such steps made by the present Govt. It is obvious that every Government in power always extract some benefits in implementing such schemes keeping an eye on elections.
Though PMJAY has many challenges ahead, yet it is one of the biggest health care scheme after Obamacare. At least present dispensation is initiating it. Inclusivity of the poor who has long been deprived of healthcare is now accessible to health care services. Implementation and execution of PMJAY should be such that no leakage will be there and real beneficiary will get the real benefits.
Ayushman scheme is indeed a boon to middle class and the marginalised people while they are stranded for getting huge cash on medical expenses for disease related to heart, kidney, liver, lungs and other vital organs of the human body. Cashless treatments must be assured by the scheme to the eligible families. Government must make proper budgetory allocation to the scheme and make it viable to the public without hassles.
Between five and ten million Indian families can use an insurance policy to access good quality private healthcare, of the sort that would cost upto five lakhs a year. Stretching this overnight to one hundred million families, many living in rural areas, is a leap of faith. The initial provision of 2,000 crores suggests this is still a programme in its infancy. Creating the physical infrastructure to deal with such a large volume of patients is a mammoth task. Like the Smart Cities project, this looks very nebulous to begin with. The more practical course of action would be to improve the working and quality of Primary / Central Health Centres, which meet the needs of 30,000/ 1,00,000 citizens.

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