Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 150
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
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Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 151
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 151
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 97
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

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        LATEST NEWS UPDATES | Free medicines as a mission    </title>
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-The Hindu


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The Centre's move to introduce an experimental universal health package in at least one district per State under the National Rural Health Mission, with access to free generic drugs, is a welcome measure. But the larger mission to provide..."/>
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-The Hindu


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The Centre's move to introduce an experimental universal health package in at least one district per State under the National Rural Health Mission, with access to free generic drugs, is a welcome measure. But the larger mission to provide..." />
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                            <div style="text-align: justify">-The Hindu</div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">The Centre's move to introduce an experimental universal health package in at least one district per State under the National Rural Health Mission, with access to free generic drugs, is a welcome measure. But the larger mission to provide free essential medicines to all citizens need not await the results of such pilot studies. It should be rolled out for poor and non-poor alike quickly. There is no time to be lost because medicines make up an alarming 71 per cent of all out-of-pocket spending on health. The time for experimental schemes is therefore long past. What is more, efficient models of drug procurement and distribution by State governments involving low costs and improved access are readily available. Tamil Nadu is a leading example, having demonstrated this over the last 15 years. Kerala has replicated it and some other States are in the process of doing so. Clearly, it is feasible to provide carefully chosen essential drugs free, with higher government spending. Some reform is of course needed, and it should include an expanded National Essential Drug List, elimination of irrational drugs from prescriptions, priority for generic medicines and, crucially, a good centralised procurement system. The issues involved have been analysed by the High Level Expert Group (HLEG) of the Planning Commission on Universal Health Coverage.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">A quarter century of National Sample Survey data from households on availability of free medicines to patients reveals depressing trends. From about 32 per cent of drugs supplied free to in-patients in1986-87, the figure fell to 9 per cent in 2004. Data on free drug supply for all patients indicate weak controls and escalating price pressure from the mid-1990s. This has severely affected affordability and thus access. It is here that the role of government assumes importance. The Tamil Nadu Medical Services Corporation has been able to deliver results because State-level procurement has ensured competitive pricing and control over prescription of irrational medicines. Such a system works better because it meets the key principle of efficient financing, which is pre-payment. Obviously, half-measures will only slow the process down and give room for manoeuvring by special interests. The HLEG has provided two scenarios for partial and full drug security that can be achieved in the dramatic time-frame of two and seven years. Scaling up government spending from about 0.1 per cent of GDP at present to 0.5 per cent is essential to achieving this outcome. The Centre must show the political will necessary.</div>                                                           
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    <br><a href="http://www.thehindu.com/todays-paper/tp-opinion/article3278783.ece" class="re" target="_blank">The Hindu, 4 April, 2012, http://www.thehindu.com/todays-paper/tp-opinion/article3278783.ece</a><div class="clear"></div>
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    <h1 class="cat-box-title">Free medicines as a mission</h1>
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                            <div style="text-align: justify">-The Hindu</div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">The Centre's move to introduce an experimental universal health package in at least one district per State under the National Rural Health Mission, with access to free generic drugs, is a welcome measure. But the larger mission to provide free essential medicines to all citizens need not await the results of such pilot studies. It should be rolled out for poor and non-poor alike quickly. There is no time to be lost because medicines make up an alarming 71 per cent of all out-of-pocket spending on health. The time for experimental schemes is therefore long past. What is more, efficient models of drug procurement and distribution by State governments involving low costs and improved access are readily available. Tamil Nadu is a leading example, having demonstrated this over the last 15 years. Kerala has replicated it and some other States are in the process of doing so. Clearly, it is feasible to provide carefully chosen essential drugs free, with higher government spending. Some reform is of course needed, and it should include an expanded National Essential Drug List, elimination of irrational drugs from prescriptions, priority for generic medicines and, crucially, a good centralised procurement system. The issues involved have been analysed by the High Level Expert Group (HLEG) of the Planning Commission on Universal Health Coverage.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">A quarter century of National Sample Survey data from households on availability of free medicines to patients reveals depressing trends. From about 32 per cent of drugs supplied free to in-patients in1986-87, the figure fell to 9 per cent in 2004. Data on free drug supply for all patients indicate weak controls and escalating price pressure from the mid-1990s. This has severely affected affordability and thus access. It is here that the role of government assumes importance. The Tamil Nadu Medical Services Corporation has been able to deliver results because State-level procurement has ensured competitive pricing and control over prescription of irrational medicines. Such a system works better because it meets the key principle of efficient financing, which is pre-payment. Obviously, half-measures will only slow the process down and give room for manoeuvring by special interests. The HLEG has provided two scenarios for partial and full drug security that can be achieved in the dramatic time-frame of two and seven years. Scaling up government spending from about 0.1 per cent of GDP at present to 0.5 per cent is essential to achieving this outcome. The Centre must show the political will necessary.</div>                                                           
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    <br><a href="http://www.thehindu.com/todays-paper/tp-opinion/article3278783.ece" class="re" target="_blank">The Hindu, 4 April, 2012, http://www.thehindu.com/todays-paper/tp-opinion/article3278783.ece</a><div class="clear"></div>
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    <h1 class="cat-box-title">Free medicines as a mission</h1>
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		 Published on</span><span class="text-date"> Apr 4, 2012</span>
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                            <div style="text-align: justify">-The Hindu</div><div style="text-align: justify">&nbsp;</div><div style="text-align: justify">The Centre's move to introduce an experimental universal health package in at least one district per State under the National Rural Health Mission, with access to free generic drugs, is a welcome measure. But the larger mission to provide free essential medicines to all citizens need not await the results of such pilot studies. It should be rolled out for poor and non-poor alike quickly. There is no time to be lost because medicines make up an alarming 71 per cent of all out-of-pocket spending on health. The time for experimental schemes is therefore long past. What is more, efficient models of drug procurement and distribution by State governments involving low costs and improved access are readily available. Tamil Nadu is a leading example, having demonstrated this over the last 15 years. Kerala has replicated it and some other States are in the process of doing so. Clearly, it is feasible to provide carefully chosen essential drugs free, with higher government spending. Some reform is of course needed, and it should include an expanded National Essential Drug List, elimination of irrational drugs from prescriptions, priority for generic medicines and, crucially, a good centralised procurement system. The issues involved have been analysed by the High Level Expert Group (HLEG) of the Planning Commission on Universal Health Coverage.</div><div style="text-align: justify"><br /></div><div style="text-align: justify">A quarter century of National Sample Survey data from households on availability of free medicines to patients reveals depressing trends. From about 32 per cent of drugs supplied free to in-patients in1986-87, the figure fell to 9 per cent in 2004. Data on free drug supply for all patients indicate weak controls and escalating price pressure from the mid-1990s. This has severely affected affordability and thus access. It is here that the role of government assumes importance. The Tamil Nadu Medical Services Corporation has been able to deliver results because State-level procurement has ensured competitive pricing and control over prescription of irrational medicines. Such a system works better because it meets the key principle of efficient financing, which is pre-payment. Obviously, half-measures will only slow the process down and give room for manoeuvring by special interests. The HLEG has provided two scenarios for partial and full drug security that can be achieved in the dramatic time-frame of two and seven years. Scaling up government spending from about 0.1 per cent of GDP at present to 0.5 per cent is essential to achieving this outcome. The Centre must show the political will necessary.</div>                                                           
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    <br><a href="http://www.thehindu.com/todays-paper/tp-opinion/article3278783.ece" class="re" target="_blank">The Hindu, 4 April, 2012, http://www.thehindu.com/todays-paper/tp-opinion/article3278783.ece</a><div class="clear"></div>
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Home हिन्दी

Free medicines as a mission

Published on Apr 4, 2012   Modified on Apr 4, 2012

-The Hindu   The Centre's move to introduce an experimental universal health package in at least one district per State under the National Rural Health Mission, with access to free generic drugs, is a welcome measure. But the larger mission to provide free essential medicines to all citizens need not await the results of such pilot studies. It should be rolled out for poor and non-poor alike quickly. There is no time to be lost because medicines make up an alarming 71 per cent of all out-of-pocket spending on health. The time for experimental schemes is therefore long past. What is more, efficient models of drug procurement and distribution by State governments involving low costs and improved access are readily available. Tamil Nadu is a leading example, having demonstrated this over the last 15 years. Kerala has replicated it and some other States are in the process of doing so. Clearly, it is feasible to provide carefully chosen essential drugs free, with higher government spending. Some reform is of course needed, and it should include an expanded National Essential Drug List, elimination of irrational drugs from prescriptions, priority for generic medicines and, crucially, a good centralised procurement system. The issues involved have been analysed by the High Level Expert Group (HLEG) of the Planning Commission on Universal Health Coverage. A quarter century of National Sample Survey data from households on availability of free medicines to patients reveals depressing trends. From about 32 per cent of drugs supplied free to in-patients in1986-87, the figure fell to 9 per cent in 2004. Data on free drug supply for all patients indicate weak controls and escalating price pressure from the mid-1990s. This has severely affected affordability and thus access. It is here that the role of government assumes importance. The Tamil Nadu Medical Services Corporation has been able to deliver results because State-level procurement has ensured competitive pricing and control over prescription of irrational medicines. Such a system works better because it meets the key principle of efficient financing, which is pre-payment. Obviously, half-measures will only slow the process down and give room for manoeuvring by special interests. The HLEG has provided two scenarios for partial and full drug security that can be achieved in the dramatic time-frame of two and seven years. Scaling up government spending from about 0.1 per cent of GDP at present to 0.5 per cent is essential to achieving this outcome. The Centre must show the political will necessary.

The Hindu, 4 April, 2012, http://www.thehindu.com/todays-paper/tp-opinion/article3278783.ece

Tagged with: medicines Health NRHM

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