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LATEST NEWS UPDATES | PM flags health mission, but policy still unclear-Rajeev Deshpande

PM flags health mission, but policy still unclear-Rajeev Deshpande

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published Published on Aug 16, 2012   modified Modified on Aug 16, 2012
-The Times of India

PM Manmohan Singh gave the National Health Mission pride of place in his I-Day speech but a fierce policy row clouds the initiative, highlighting sharp differences over a major policy revamp that includes an ambitious plan for universal health coverage. 

Health ministry's unwillingness to pay anything more than lip service to a common health mission for urban and rural areas is a major flashpoint, although not the only one, over changes in health policy keenly advocated by the Prime Minister's Office and Planning Commission. 

NHM will have separate strategies for urban and rural areas, but will subsume the National Rural Health Mission that accounts for 73% of the ministry's spending. But while NHRM is to be expanded to address "threats to health in both rural and urban areas", the ministry is insisting on separate missions. 

The divergence is part of ongoing policy skirmishes with Planning Commission drawing flak for advocating a switch to "managed healthcare" — read as privatization of public health services. Similarly, a divide over proposed changes in budgetary processes indicate polarized views in government. 

The slug fest has seen PMO advice the ministry to be more conciliatory while it is felt the 12th plan draft's terminology could be misread. This is despite the draft stating, "...expansion of good quality affordable public sector care will cause a shift towards public sectors providers freeing vulnerable population from dependence on high cost and often unreachable private sector health care." 

Sources said the argument to encourage "competition" between government health providers and private care was scotched in its infancy. The healthcare system will not be privatized although a government controlled corporation can oversee the functioning of the health network. 

The NHM has run into resistance with the health ministry insisting on retaining separate rural and urban missions even if an overarching structure is put in place. 

This has put it at odds with PMO and the plan panel as the new policy sees the increasing rate of urbanization and transformation of areas into an urban and rural mix necessitating a unified approach to coordinate planning, resources and implementation.

The Times of India, 16 August, 2012, http://timesofindia.indiatimes.com/india/PM-flags-health-mission-but-policy-still-unclear/articleshow/15510794.cms


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