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);

    }
$message = '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.'
$stackFrame = (int) 1
$trace = [
	(int) 0 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php',
		'line' => (int) 2421,
		'function' => 'deprecationWarning',
		'args' => [
			(int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.'
		]
	],
	(int) 1 => [
		'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
		'line' => (int) 150,
		'function' => 'offsetGet',
		'class' => 'Cake\Http\ServerRequest',
		'object' => object(Cake\Http\ServerRequest) {},
		'type' => '->',
		'args' => [
			(int) 0 => 'catslug'
		]
	],
	(int) 2 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php',
		'line' => (int) 610,
		'function' => 'index',
		'class' => 'App\Controller\ArtileDetailController',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 3 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 120,
		'function' => 'invokeAction',
		'class' => 'Cake\Controller\Controller',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 4 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 94,
		'function' => '_invoke',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(App\Controller\ArtileDetailController) {}
		]
	],
	(int) 5 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php',
		'line' => (int) 235,
		'function' => 'dispatch',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 6 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Http\BaseApplication',
		'object' => object(App\Application) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 7 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php',
		'line' => (int) 162,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 8 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\RoutingMiddleware',
		'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 9 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php',
		'line' => (int) 97,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 10 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\AssetMiddleware',
		'object' => object(Cake\Routing\Middleware\AssetMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 11 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php',
		'line' => (int) 96,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 12 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware',
		'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 13 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 51,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 14 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php',
		'line' => (int) 98,
		'function' => 'run',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\MiddlewareQueue) {},
			(int) 1 => object(Cake\Http\ServerRequest) {},
			(int) 2 => object(Cake\Http\Response) {}
		]
	],
	(int) 15 => [
		'file' => '/home/brlfuser/public_html/webroot/index.php',
		'line' => (int) 39,
		'function' => 'run',
		'class' => 'Cake\Http\Server',
		'object' => object(Cake\Http\Server) {},
		'type' => '->',
		'args' => []
	]
]
$frame = [
	'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
	'line' => (int) 150,
	'function' => 'offsetGet',
	'class' => 'Cake\Http\ServerRequest',
	'object' => object(Cake\Http\ServerRequest) {
		trustProxy => false
		[protected] params => [
			[maximum depth reached]
		]
		[protected] data => [[maximum depth reached]]
		[protected] query => [[maximum depth reached]]
		[protected] cookies => [
			[maximum depth reached]
		]
		[protected] _environment => [
			[maximum depth reached]
		]
		[protected] url => 'latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html'
		[protected] base => ''
		[protected] webroot => '/'
		[protected] here => '/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html'
		[protected] trustedProxies => [[maximum depth reached]]
		[protected] _input => null
		[protected] _detectors => [
			[maximum depth reached]
		]
		[protected] _detectorCache => [
			[maximum depth reached]
		]
		[protected] stream => object(Zend\Diactoros\PhpInputStream) {}
		[protected] uri => object(Zend\Diactoros\Uri) {}
		[protected] session => object(Cake\Http\Session) {}
		[protected] attributes => [[maximum depth reached]]
		[protected] emulatedAttributes => [
			[maximum depth reached]
		]
		[protected] uploadedFiles => [[maximum depth reached]]
		[protected] protocol => null
		[protected] requestTarget => null
		[private] deprecatedProperties => [
			[maximum depth reached]
		]
	},
	'type' => '->',
	'args' => [
		(int) 0 => 'catslug'
	]
]
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
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

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);

    }
$message = '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.'
$stackFrame = (int) 1
$trace = [
	(int) 0 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ServerRequest.php',
		'line' => (int) 2421,
		'function' => 'deprecationWarning',
		'args' => [
			(int) 0 => 'The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead.'
		]
	],
	(int) 1 => [
		'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
		'line' => (int) 151,
		'function' => 'offsetGet',
		'class' => 'Cake\Http\ServerRequest',
		'object' => object(Cake\Http\ServerRequest) {},
		'type' => '->',
		'args' => [
			(int) 0 => 'artileslug'
		]
	],
	(int) 2 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Controller/Controller.php',
		'line' => (int) 610,
		'function' => 'index',
		'class' => 'App\Controller\ArtileDetailController',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 3 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 120,
		'function' => 'invokeAction',
		'class' => 'Cake\Controller\Controller',
		'object' => object(App\Controller\ArtileDetailController) {},
		'type' => '->',
		'args' => []
	],
	(int) 4 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/ActionDispatcher.php',
		'line' => (int) 94,
		'function' => '_invoke',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(App\Controller\ArtileDetailController) {}
		]
	],
	(int) 5 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/BaseApplication.php',
		'line' => (int) 235,
		'function' => 'dispatch',
		'class' => 'Cake\Http\ActionDispatcher',
		'object' => object(Cake\Http\ActionDispatcher) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 6 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Http\BaseApplication',
		'object' => object(App\Application) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 7 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/RoutingMiddleware.php',
		'line' => (int) 162,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 8 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\RoutingMiddleware',
		'object' => object(Cake\Routing\Middleware\RoutingMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 9 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Routing/Middleware/AssetMiddleware.php',
		'line' => (int) 97,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 10 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Routing\Middleware\AssetMiddleware',
		'object' => object(Cake\Routing\Middleware\AssetMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 11 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Middleware/ErrorHandlerMiddleware.php',
		'line' => (int) 96,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 12 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 65,
		'function' => '__invoke',
		'class' => 'Cake\Error\Middleware\ErrorHandlerMiddleware',
		'object' => object(Cake\Error\Middleware\ErrorHandlerMiddleware) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {},
			(int) 2 => object(Cake\Http\Runner) {}
		]
	],
	(int) 13 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Runner.php',
		'line' => (int) 51,
		'function' => '__invoke',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\ServerRequest) {},
			(int) 1 => object(Cake\Http\Response) {}
		]
	],
	(int) 14 => [
		'file' => '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Http/Server.php',
		'line' => (int) 98,
		'function' => 'run',
		'class' => 'Cake\Http\Runner',
		'object' => object(Cake\Http\Runner) {},
		'type' => '->',
		'args' => [
			(int) 0 => object(Cake\Http\MiddlewareQueue) {},
			(int) 1 => object(Cake\Http\ServerRequest) {},
			(int) 2 => object(Cake\Http\Response) {}
		]
	],
	(int) 15 => [
		'file' => '/home/brlfuser/public_html/webroot/index.php',
		'line' => (int) 39,
		'function' => 'run',
		'class' => 'Cake\Http\Server',
		'object' => object(Cake\Http\Server) {},
		'type' => '->',
		'args' => []
	]
]
$frame = [
	'file' => '/home/brlfuser/public_html/src/Controller/ArtileDetailController.php',
	'line' => (int) 151,
	'function' => 'offsetGet',
	'class' => 'Cake\Http\ServerRequest',
	'object' => object(Cake\Http\ServerRequest) {
		trustProxy => false
		[protected] params => [
			[maximum depth reached]
		]
		[protected] data => [[maximum depth reached]]
		[protected] query => [[maximum depth reached]]
		[protected] cookies => [
			[maximum depth reached]
		]
		[protected] _environment => [
			[maximum depth reached]
		]
		[protected] url => 'latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html'
		[protected] base => ''
		[protected] webroot => '/'
		[protected] here => '/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html'
		[protected] trustedProxies => [[maximum depth reached]]
		[protected] _input => null
		[protected] _detectors => [
			[maximum depth reached]
		]
		[protected] _detectorCache => [
			[maximum depth reached]
		]
		[protected] stream => object(Zend\Diactoros\PhpInputStream) {}
		[protected] uri => object(Zend\Diactoros\Uri) {}
		[protected] session => object(Cake\Http\Session) {}
		[protected] attributes => [[maximum depth reached]]
		[protected] emulatedAttributes => [
			[maximum depth reached]
		]
		[protected] uploadedFiles => [[maximum depth reached]]
		[protected] protocol => null
		[protected] requestTarget => null
		[private] deprecatedProperties => [
			[maximum depth reached]
		]
	},
	'type' => '->',
	'args' => [
		(int) 0 => 'artileslug'
	]
]
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')) {

                trigger_error($message, E_USER_WARNING);

            } else {
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html>
<!--[if lt IE 7 ]>
<html class="ie ie6" lang='en'> <![endif]-->
<!--[if IE 7 ]>
<html class="ie ie7" lang='en'> <![endif]-->
<!--[if IE 8 ]>
<html class="ie ie8" lang='en'> <![endif]-->
<!--[if (gte IE 9)|!(IE)]><!-->
<html lang='en'>
<!--<![endif]-->
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8">
    
    <title>
        LATEST NEWS UPDATES | Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh    </title>
    <meta name="description" content="
-The Hindu Business Line

The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority

Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the..."/>
    <meta name="keywords" content="Rashtriya Swasthya Bima Yojana,Health Insurance,NITI Aayog,National Health Mission,Out-of-pocket health expenditure,public expenditure on health,Public Health"/>
    <meta name="news_keywords" content="Rashtriya Swasthya Bima Yojana,Health Insurance,NITI Aayog,National Health Mission,Out-of-pocket health expenditure,public expenditure on health,Public Health">
   
    <link rel="alternate" type="application/rss+xml" title="ROR" href="/ror.xml"/>
    <link rel="alternate" type="application/rss+xml" title="RSS 2.0" href="/feeds/"/>
    <link rel="stylesheet" href="/css/bootstrap.min.css?1697864993"/>    <link rel="stylesheet" href="/css/style.css?v=1.1.2"/>    <link rel="stylesheet" href="/css/style-inner.css?1577045210"/>    <link rel="stylesheet" id="Oswald-css"
          href="https://fonts.googleapis.com/css?family=Oswald%3Aregular%2C700&amp;ver=3.8.1" type="text/css"
          media="all">
    <link rel="stylesheet" href="/css/jquery.modal.min.css?1578285302"/>    <script src="/js/jquery-1.10.2.js?1575549704"></script>    <script src="/js/jquery-migrate.min.js?1575549704"></script>    <link rel="shortcut icon" href="/favicon.ico" title="Favicon">
    <link rel="stylesheet" href="/css/jquery-ui.css?1580720609"/>    <script src="/js/jquery-ui.js?1575549704"></script>    <link rel="preload" as="style" href="https://www.im4change.org/css/custom.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery.modal.min.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery-ui.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/li-scroller.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<!-- <link rel="preload" as="style" href="https://www.im4change.org/css/style.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous"> -->
<link rel="preload" as="style" href="https://www.im4change.org/css/style-inner.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">

<link rel='dns-prefetch' href="//im4change.org/css/custom.css" crossorigin >

<link rel="preload" as="script" href="https://www.im4change.org/js/bootstrap.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.li-scroller.1.0.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.modal.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.ui.totop.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-1.10.2.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-migrate.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-ui.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/setting.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/tie-scripts.js">
    <!--[if IE]>
    <script type="text/javascript">jQuery(document).ready(function () {
        jQuery(".menu-item").has("ul").children("a").attr("aria-haspopup", "true");
    });</script>
    <![endif]-->
    <!--[if lt IE 9]>
    <script src="/js/html5.js"></script>
    <script src="/js/selectivizr-min.js"></script>
    <![endif]-->
    <!--[if IE 8]>
    <link rel="stylesheet" type="text/css" media="all" href="/css/ie8.css"/>
    <![endif]-->
    <meta property="og:title" content="LATEST NEWS UPDATES | Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh" />
     <meta property="og:url" content="https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html" />
     <meta property="og:type" content="article" />
     <meta property="og:description" content="
-The Hindu Business Line

The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority

Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the..." />
     <meta property="og:image" content="" />
      <meta property="fb:app_id" content="0" />
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">

       <link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://im4change.in/images/apple1.png">
    <link rel="apple-touch-icon-precomposed" sizes="120x120" href="https://im4change.in/images/apple2.png">
    <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://im4change.in/images/apple3.png">
    <link rel="apple-touch-icon-precomposed" href="https://im4change.in/images/apple4.png">

    <style>
    .gsc-results-wrapper-overlay{
        top: 38% !important;
        height: 50% !important;
    }
    .gsc-search-button-v2{
        border-color: #035588 !important;
        background-color: #035588 !important;
    }

   .gsib_a{
        height: 30px !important;
          padding: 2px 8px 1px 6px !important;
    }

   
    .gsc-search-button-v2{
        height: 41px !important;
    }
    input.gsc-input{
        background: none !important;
    }
    @media only screen and (max-width: 600px) {
        .gsc-results-wrapper-overlay{
            top: 11% !important;
            width: 87% !important;
            left: 9% !important;
            height: 43% !important;
        }

        .gsc-search-button-v2{
            padding: 10px 10px !important;
        
        }
        .gsc-input-box{
            height: 28px !important;
        }
       /* .gsib_a {
            padding: 0px 9px 4px 9px !important;
        }*/
    }
    @media only screen and (min-width: 1200px) and (max-width: 1920px) {
        table.gsc-search-box{
            width: 15% !important;
            float: right !important;
            margin-top: -118px !important;
        }

        .gsc-search-button-v2 {
            
            padding: 6px !important;
           
        }
    }


</style>

    <script>
        $(function () {
            $("#accordion").accordion({
                event: "click hoverintent"
            });
        });

        /*
         * hoverIntent | Copyright 2011 Brian Cherne
         * http://cherne.net/brian/resources/jquery.hoverIntent.html
         * modified by the jQuery UI team
         */
        $.event.special.hoverintent = {
            setup: function () {
                $(this).bind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            teardown: function () {
                $(this).unbind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            handler: function (event) {
                var currentX, currentY, timeout,
                    args = arguments,
                    target = $(event.target),
                    previousX = event.pageX,
                    previousY = event.pageY;

                function track(event) {
                    currentX = event.pageX;
                    currentY = event.pageY;
                }
                ;

                function clear() {
                    target
                        .unbind("mousemove", track)
                        .unbind("mouseout", clear);
                    clearTimeout(timeout);
                }

                function handler() {
                    var prop,
                        orig = event;
                    if ((Math.abs(previousX - currentX) +
                        Math.abs(previousY - currentY)) < 7) {
                        clear();
                        event = $.Event("hoverintent");
                        for (prop in orig) {
                            if (!(prop in event)) {
                                event[prop] = orig[prop];
                            }
                        }
                        // Prevent accessing the original event since the new event
                        // is fired asynchronously and the old event is no longer
                        // usable (#6028)
                        delete event.originalEvent;
                        target.trigger(event);
                    } else {
                        previousX = currentX;
                        previousY = currentY;
                        timeout = setTimeout(handler, 100);
                    }
                }

                timeout = setTimeout(handler, 100);
                target.bind({
                    mousemove: track,
                    mouseout: clear
                });
            }
        };
    </script>
    <script type="text/javascript">
        var _gaq = _gaq || [];
        _gaq.push(['_setAccount', 'UA-472075-3']);
        _gaq.push(['_trackPageview']);

        (function () {
            var ga = document.createElement('script');
            ga.type = 'text/javascript';
            ga.async = true;
            ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
            var s = document.getElementsByTagName('script')[0];
            s.parentNode.insertBefore(ga, s);
        })();
    </script>
    <link rel="stylesheet" href="/css/custom.css?v=1.16"/>    <script src="/js/jquery.ui.totop.js?1575549704"></script>    <script src="/js/setting.js?1575549704"></script>    <link rel="manifest" href="/manifest.json">
    <meta name="theme-color" content="#616163" />
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-title" content="im4change">
    <link rel="apple-touch-icon" href="/icons/logo-192x192.png">
</head>
<body id="top" class="home inner blog">
<div class="background-cover"></div>
<div class="wrapper animated">
    <header id="theme-header" class="header_inner" style="position: relative;">
        <div class="logo inner_logo" style="left:20px !important">
                <a title="Home" href="https://im4change.in/">
                    <img src="https://im4change.in/images/logo2.jpg?1582080632" class="logo_image" alt="im4change"/>                </a>
        </div>
        <div class="langhindi" style="color: #000;display:none;"
             href="https://im4change.in/">
            <a class="more-link" href="https://im4change.in/">Home</a>
                        <a href="https://im4change.in/hindi/" class="langbutton ">हिन्दी</a>
                    </div>
        <nav class="fade-in animated2" id="main-nav">
            <div class="container">
                <div class="main-menu">
    <ul class="menu" id="menu-main">
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            style="left: -40px;"><a
                 target="_blank" href="https://im4change.in/">Home</a>
        </li>
        <li class="menu-item mega-menu menu-item-type-taxonomy mega-menu menu-item-object-category mega-menu menu-item-has-children parent-list"
            style=" margin-left: -40px;"><a href="#">KNOWLEDGE GATEWAY <span class="sub-indicator"></span>
            </a>
            <div class="mega-menu-block background_menu" style="padding-top:25px;">
                <div class="container">
                    <div class="mega-menu-content">
                                                                   <div class="mega-menu-item">
                                                 <h3><b>Farm Crisis</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/farmers039-suicides-14.html"
                                                       class="left postionrel">Farm Suicides                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/unemployment-30.html"
                                                       class="left postionrel">Unemployment                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/rural-distress-70.html"
                                                       class="left postionrel">Rural distress                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/migration-34.html"
                                                       class="left postionrel">Migration                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/key-facts-72.html"
                                                       class="left postionrel">Key Facts                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/debt-trap-15.html"
                                                       class="left postionrel">Debt Trap                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Empowerment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/union-budget-73.html"
                                                       class="left postionrel">Union Budget And Other Economic Policies                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/forest-and-tribal-rights-61.html"
                                                       class="left postionrel">Forest and Tribal Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-education-60.html"
                                                       class="left postionrel">Right to Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-food-59.html"
                                                       class="left postionrel">Right to Food                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/displacement-3279.html"
                                                       class="left postionrel">Displacement                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-work-mg-nrega-39.html"
                                                       class="left postionrel">Right to Work (MG-NREGA)                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/gender-3280.html"
                                                       class="left postionrel">GENDER                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-information-58.html"
                                                       class="left postionrel">Right to Information                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/social-audit-48.html"
                                                       class="left postionrel">Social Audit                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Hunger / HDI</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/poverty-and-inequality-20499.html"
                                                       class="left postionrel">Poverty and inequality                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/malnutrition-41.html"
                                                       class="left postionrel">Malnutrition                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/public-health-51.html"
                                                       class="left postionrel">Public Health                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/education-50.html"
                                                       class="left postionrel">Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hunger-overview-40.html"
                                                       class="left postionrel">Hunger Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hdi-overview-45.html"
                                                       class="left postionrel">HDI Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/pds-ration-food-security-42.html"
                                                       class="left postionrel">PDS/ Ration/ Food Security                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/sdgs-113.html"
                                                       class="left postionrel">SDGs                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/mid-day-meal-scheme-mdms-53.html"
                                                       class="left postionrel">Mid Day Meal Scheme (MDMS)                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Environment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/time-bomb-ticking-52.html"
                                                       class="left postionrel">Time Bomb Ticking                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/water-and-sanitation-55.html"
                                                       class="left postionrel">Water and Sanitation                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/impact-on-agriculture-54.html"
                                                       class="left postionrel">Impact on Agriculture                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Law & Justice</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/social-justice-20500.html"
                                                       class="left postionrel">Social Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/access-to-justice-47.html"
                                                       class="left postionrel">Access to Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/human-rights-56.html"
                                                       class="left postionrel">Human Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/corruption-35.html"
                                                       class="left postionrel">Corruption                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/general-insecurity-46.html"
                                                       class="left postionrel">General Insecurity                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/disaster-relief-49.html"
                                                       class="left postionrel">Disaster &amp; Relief                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        
                    </div>
                </div>
            </div>
        </li>
        <li class="menu-item  menu-item-type-post_type  menu-item-object-page "><a  target="_blank" href="https://im4change.in/nceus_reports.php">NCEUS reports</a>
            
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children parent-list ">
            <a  target="_blank" href="https://im4change.in/about-us-9.html">About Us <span
                    class="sub-indicator"></span></a>
            <ul class="sub-menu aboutmenu">
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                        target="_blank" href="https://im4change.in/objectives-8.html">Objectives</a>
                </li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/contactus.php">Contact
                        Us</a></li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/about-us-9.html">About
                        Us</a></li>
            </ul>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children ">
            <a  target="_blank" href="https://im4change.in/fellowships.php" title="Fellowships">Fellowships</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/media-workshops.php">Workshops</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/research.php">Research</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children   "><a
                 target="_blank" href="https://im4change.in/links-64">Partners</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            id="menu-item-539"><a  target="_blank" href="https://im4change.in/hindi/"
                                  class="langbutton langlinkfont17">हिन्दी</a></li>
    </ul>
</div>            </div>


                        <!--  <div style="float: right;">
                            <script async src="https://cse.google.com/cse.js?cx=18b4f2e0f11bed3dd"></script>
                            <div class="gcse-search"></div>
                        </div> -->
                       
            <div class="search-block" style=" margin-left: 8px; margin-right: 7px;">
                <form method="get" id="searchform" name="searchform"
                      action="https://im4change.in/search"
                      onsubmit="return searchvalidate();">
                    <button class="search-button" type="submit" value="Search"></button>
                    <input type="text" id="s" name="qryStr" value=""
                           onfocus="if (this.value == 'Search...') {this.value = '';}"
                           onblur="if (this.value == '') {this.value = 'Search...';}">
                </form>
            </div>
        </nav>
    </header>
    <div class="container">
        <div id="main-content" class=" main1 container fade-in animated3 sidebar-narrow-left">
            <div class="content-wrap">
                <div class="content" style="width: 900px;min-height: 500px;">
                    <section class="cat-box recent-box innerCatRecent">
    <h1 class="cat-box-title">Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh</h1>
    <a href="JavaScript:void(0);" onclick="return shareArticle(31075);">
        <img src="https://im4change.in/images/email.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>    </a>

    <a href="https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142/print"
       rel="nofollow">
        <img src="https://im4change.in/images/icon-print.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>
    </a>
</section>
<section class="recent-box innerCatRecent">
    <small class="pb-1"><span class="dateIcn">
    	<img src="https://im4change.in/images/published.svg?1582080666" alt="published"/> 
		 Published on</span><span class="text-date"> Apr 18, 2016</span>
        &nbsp; <span
                class="dateIcn">
		 	<img src="https://im4change.in/images/modified.svg?1582080666" alt="modified"/>    	 Modified on </span><span class="text-date"> Apr 18, 2016</span>
    </small>
</section>
<div class="clear"></div>
<div style="padding-top: 10px;">
    <div class="innerLineHeight">
        <div class="middleContent innerInput latest-news-updates">
            <table>
                <tr>
                    <td>
                                                <div>
                            <div align="justify">-The Hindu Business Line<br /><br /><em>The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority<br /></em><br />Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the principle for public expenditure policies, particularly for the social sectors.<br /><br />Arvind Panagariya, the vice-chairperson of the NITI Aayog, suggests that &ldquo;for just three-quarters of a per cent of the GDP&rdquo;, 0.76 per cent to be precise, &ldquo;the government can provide at least a modest healthcare cover for the bottom half of the population&rdquo; after which &ldquo;there does not remain a case for additionally free provision of the service by the government&rdquo;.<br /><br />Such perceptions form the basis of an alternative for an eventual obliteration of the public services and in the process, lowering further the already low public spending in health.<br /><br />The budgetary allocation for health and allied reveals a much wider hold of such perceptions as articulated by Panagariya.<br /><br />The stage is set for a more concerted effort in that direction. This is not surprising as the word &lsquo;subsidy&rsquo; has been given a negative connotation when to the poor but when offered to the medical industry it becomes an &lsquo;investment&rsquo;.<br /><br /><em>Misplaced priorities<br /></em><br />The projected 13 per cent increase of total allocation on health for 2016-17 over previous year&rsquo;s spending of Rs. 33,841 crore amounts to a nominal increase by Rs. 4,365 crore.<br /><br />Using CPI-IW as deflator and assuming that inflation will stay at this year&rsquo;s rate of 5.9 per cent, we estimate in real terms an erosion of Rs. 2,000 crore. So, in real terms, the increase in 2016-17 amounts to a mere 6.6 per cent.<br /><br />This is especially meagre if we consider the fact that last year&rsquo;s health expenditure (revised estimates) had declined in real terms from actual spending of 2014-15. In proportion to GDP, this year&rsquo;s total allocation on health has reduced to 0.254 per cent compared to actual spending of 0.256 per cent in 2014-15.<br /><br />There are serious issues of misplaced priorities as well within the health budget itself. To illustrate this, we look at the budget in real terms (estimating expenditures at 2016-17 projected prices for previous years), as well as the proportion of different components within the health budget.<br /><br />While drawing comparisons with the previous years, we are careful of the rearrangements and re-classification of budget heads for this year.<br /><br />One of the major concerns is the gradual weakening of the National Health Mission (NHM) whose main components are public health care infrastructure other than tertiary care, programmes for prevention of communicable diseases like TB, vector-borne diseases, etc. The share of NHM in total health budget has been gradually reduced during the last three years from 56.2 per cent in 2014-15 to 54.1 per cent in 2015-16 to this year&rsquo;s allocation of 49.8 per cent.<br /><br />There is a consistent decline in real terms as well. With a 5.9 per cent inflation rate, expenditure of 2015-16 in real terms had declined from 2014-15 levels and there is a further reduction of allocation now (assuming same level of inflation) in NHM for 2016-17.<br /><br />Another significant reduction is in Family Welfare Scheme whose allocation this year is less than half of 2015-16 expenditures or less than one-third of expenditures in 2014-15. The budget is primarily for promoting, procuring and distributing contraceptives and other materials and for information, education and communication (IEC).<br /><br /><em>Where&rsquo;s welfare?<br /></em><br />It is evident from the tragic deaths of women in Bilaspur sterilisation camp in November 2015 (in a private set-up), that the IEC without infrastructure and welfare services means nothing. The maternal health and welfare component of family welfare has borne the brunt of cuts. Thus, instead of welfare, the budget is tuned to population control!<br /><br />Medical care institutions, primarily in the tertiary care sector, see a boost of 18 per cent over 2015-16 at the cost of primary and secondary healthcare institutions. The majority of the population lags in access at that level. What this policy programming indicates is that while the majority of the population has been left to its own devices, the state has become a protector of the medico-industrial complex catering only to the rich.<br /><br />Allocation on insurance &mdash; CGHS and RSBY/RSSY &mdash; has increased to 9.5 per cent of total allocation on health from 7.3 per cent of expenditure in 2014-15. Health insurance for protection from catastrophic expenditures, splitting financing and provisioning into public and private, cannot be a substitute to a well functioning state-run public health-care system. Splintered state-led insurance run by private providers and insurance companies are pushing up costs.<br /><br />Allocation in human resources in health and medical education &mdash; which is for establishing new medical colleges (by upgrading district hospitals), upgrading/strengthening of nursing services, pharmacy schools/college, paramedical institutions etc, is another grey area. There is a sharp increase in allocation compared to the previous years.<br /><br />However, given the acute shortage of healthcare personnel, an allocation of Rs. 600 crore is still meagre. Second, given the emphasis on medical care, especially tertiary care, it is doubtful how much of it will go to training primary level workers. Allocation in health research has increased by 6.8 per cent in real terms but the total allocation of Rs. 1,145 crore is inadequate to expand research into critical areas of public health.<br /><br /><em>Neglect of allied sectors<br /></em><br />People&rsquo;s health is dependent upon allocation of allied sectors such as food subsidy and ICDS, and these have declined in real terms. Water and sanitation, which had faced significant budget cuts in 2015-16, have been allocated just the amount incurred as expenditure for 2014-15 in real terms. Allocation in MGNREGS &mdash; an important scheme to boost rural employment and wages &mdash; has also declined in real terms from the revised estimates of expenditure for 2015-16, even without considering the Rs. 6,000-crore pending payments. As a percentage of GDP, allocation in food subsidy, MGNREGS and ICDS have declined compared to 2015-16 and 2014-15, while that of water and sanitation have reduced vis-&agrave;-vis 2014-15.<br /><br />This budget, thus, is not only about rearranging subheads to inflate and deflate allocations without an overhaul of public expenditure in health, it is also about transforming the core of public health and health sector planning.<br /><br />Mere reallocation of resources from the primary care sector to the tertiary with paltry health coverage for a small section of the population through health insurance is grossly inadequate. The substance of the latest Budget for health is that it promotes not universal health coverage but the medical care market.<br /><em><br />Qadeer headed the department of social medicine and community health at JNU and is visiting faculty at the Council for Social Development (CSD); Ghosh is a research consultant with CSD </em><br /></div>                                                           
                        </div>
                    </td>
                </tr>
            </table>
        </div>
    </div>
</div>
<div class="clear"></div>
    <br><a href="http://www.thehindubusinessline.com/opinion/public-healths-in-the-infirmary/article8486437.ece?homepage=true" class="re" target="_blank">The Hindu Business Line, 17 April, 2016, http://www.thehindubusinessline.com/opinion/public-healths-in-the-infirmary/article8486437.ece?homepage=true</a><div class="clear"></div>
    <div style="padding-top: 18px;">
        <p class="post-tag">Tagged with:
                            <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Rashtriya Swasthya Bima Yojana"
                   title="Rashtriya Swasthya Bima Yojana">
                    Rashtriya Swasthya Bima Yojana                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Health Insurance"
                   title="Health Insurance">
                    Health Insurance                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=NITI Aayog"
                   title="NITI Aayog">
                    NITI Aayog                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=National Health Mission"
                   title="National Health Mission">
                    National Health Mission                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Out-of-pocket health expenditure"
                   title="Out-of-pocket health expenditure">
                    Out-of-pocket health expenditure                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=public expenditure on health"
                   title="public expenditure on health">
                    public expenditure on health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Public Health"
                   title="Public Health">
                    Public Health                </a>
                        </p>
    </div>
<div class="clear"></div>
    <br><br>
    <div class="widget-top">
        <h4>Related Articles</h4>
        <div class="stripe-line"></div>
    </div>
    <div class="widget-container">
        <ul id="recentcomments">
                            <li class="recentcomments">
                    <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"
                       title="135 Million Indians Exited “Multidimensional" Poverty as per Government Figures. Is that the same as Poverty Reduction?">
                        135 Million Indians Exited “Multidimensional" Poverty as per Government Figures. Is that the same as Poverty Reduction?                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/niti-aayog-says-20-79-crore-indians-are-multidimensionally-poor-banjot-kaur.html"
                       title="Niti Aayog says 20.79 Crore Indians Are 'Multidimensionally Poor' - Banjot Kaur">
                        Niti Aayog says 20.79 Crore Indians Are 'Multidimensionally Poor' - Banjot Kaur                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/a-peek-into-the-modi-government-s-likely-budget-2023-cnes-infosphere.html"
                       title="A peek into the Modi government's (likely) budget 2023 - CNES Infosphere">
                        A peek into the Modi government's (likely) budget 2023 - CNES Infosphere                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/the-importance-of-affordable-healthcare-for-all-and-other-key-lessons-from-the-pandemic-chapal-mehra-lancelot-pinto.html"
                       title="The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto">
                        The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/we-did-not-manage-to-double-the-income-of-indian-farmers-himanshu.html"
                       title="We did not manage to double the income of Indian farmers -Himanshu">
                        We did not manage to double the income of Indian farmers -Himanshu                    </a>
                </li>
                
        </ul>
    </div>
    <div class="comment-respond" id="respond">
    <a name="commentbox">&nbsp;</a>
    <h3 class="comment-reply-title" id="reply-title">Write Comments</h3>
    <form method="post" accept-charset="utf-8" role="form" action="/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>    <form class="comment-form" id="commentform" method="post" action="#commentbox" onSubmit="return validate()"
          name="cmtform">
        <input type="hidden" name="cmttype" value="articlecmt"/>
        <input type="hidden" name="article_id" value="31075"/>
        <p class="comment-notes">Your email address will not be published. Required fields are marked <span
                    class="required">*</span></p>
                <p class="comment-form-author">
            <label for="commenterName">Name</label>
            <span class="required">*</span>
            <input type="text" aria-required="true" size="30"
                   value=""
                   name="commenterName" id="commenterName" required="true">
        </p>
        <p class="comment-form-email">
            <label for="commenterEmail">Email</label> <span class="required">*</span>
            <input aria-required="true" size="30" name="commenterEmail" id="commenterEmail" type="email"
                   value=""
                   required="true">
        </p>
        <p class="comment-form-contact">
            <label for="commenterPh">Contact No.</label>
            <input type="text" size="30"
                   value=""
                   name="commenterPh" id="commenterPh">
        </p>
        <p class="comment-form-comment">
            <label for="comment">Comment</label>
            <textarea aria-required="true" required="true" rows="8" cols="45" name="comment"
                      id="comment"></textarea>
        </p>
        <p class="comment-form-comment">
            <label for="comment">Type the characters you see in the image below <span class="required">*</span><br><img
                        class="captchaImg"
                        src="https://im4change.in/securimage_show_art.php?tk=1020552036" alt="captcha"/>
            </label>
        </p>
        <input type="text" name="vrcode" required="true"/>

        <p class="form-submit" style="width: 200px;">
            <input type="submit" value="Post Comment" id="submit" name="submit">
        </p></form>
</div>
<style>
    .ui-widget-content {
        height: auto !important;
    }
</style>
<div id="share-modal"></div>
<style>
    .middleContent a{
        background-color: rgba(108,172,228,.2);
    }
    .middleContent a:hover{
        background-color: #418fde;
        border-color: #418fde;
        color: #000;
        }
</style>
<script>
    function shareArticle(article_id) {
        var options = {
            modal: true,
            height: 'auto',
            width: 600 + 'px'
        };
        $('#share-modal').html("");
        $('#share-modal').load('https://im4change.in/share_article?article_id=' + article_id).dialog(options).dialog('open');
    }

    function postShare() {
        var param = 'article_id=' + $("#article_id").val();
        param = param + '&y_name=' + $("#y_name").val();
        param = param + '&y_email=' + $("#y_email").val();
        param = param + '&f_name=' + $("#f_name").val();
        param = param + '&f_email=' + $("#f_email").val();
        param = param + '&y_msg=' + $("#y_msg").val();

        $.ajax({
            type: "POST",
            url: 'https://im4change.in/post_share_article',
            data: param,
            success: function (response) {
                $('#share-modal').html("Thank You, Your message posted to ");
            }
        });
        return false;
    }
</script>                </div>
            </div>
            <!-- Right Side Section Start -->
<!-- MAP Section START -->
<aside class="sidebar indexMarg">
    <div class="ad-cell">
        <a href="https://im4change.in/statemap.php" title="">
            <img src="https://im4change.in/images/map_new_version.png?1582080666" alt="India State Map" class="indiamap" width="232" height="252"/>        </a>
        <div class="rightmapbox">
            <div id="sideOne" class="docltitle"><a href="https://im4change.in/state-report/india/36" target="_blank">DOCUMENTS/
                    REPORTS</a></div>
            <div id="sideTwo" class="statetitle"><a href="https://im4change.in/states.php"target="_blank">STATE DATA/
                    HDRs.</a></div>
        </div>
        <div class="widget widgePadTop"></div>
    </div>
</aside>
<!-- MAP Section END -->
<aside class="sidebar sidePadbottom">
    <div class="rightsmlbox1" >
        <a href="https://im4change.in/knowledge_gateway" target="_blank" style="color: #035588;
    font-size: 17px;">
            KNOWLEDGE GATEWAY
        </a>
    </div>
    <div class="rightsmlbox1">

        <div>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/newsletter" target="_blank">
                    NEWSLETTER
                </a>
            </p>
        </div>
    </div>
        <div class="rightsmlbox1" style="height: 325px;">
        <div>
            <p class="rightsmlbox1_title">
                Interview with Prof. Ravi Srivastava
            </p>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/video/interview-with-prof-ravi-srivastava-on-current-economic-crisis">
                <img width="250" height="200" src="/images/interview_video_home.jpg" alt="Interview with Prof. Ravi Srivastava"/>
                </a>
                <!--
                <iframe width="250" height="200" src="https://www.youtube.com/embed/MmaTlntk-wc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe>-->
               
            </p>
            <a href="https://im4change.in/videogallery" class="more-link CatArchalAnch1" target="_blank">
                                More videos
                            </a>
        </div>
    </div>
    
        <div class="rightsmlbox1">
        <div>
            <!--div id="sstory" class="rightboxicons"></div--->
            <p class="rightsmlbox1_title"><a href="https://im4change.in/list-success-stories"  target="_blank">Success Stories</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
                        href="https://im4change.in/interviews"  target="_blank">Interviews</a>
            </p>
        </div>
    </div>

    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a href="https://www.commoncause.in/page.php?id=10" >Donate</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
        href="https://im4change.in/marquee"
        class="isf_link more-link" title="India Focus?" style="border: 4px solid #fdd922;width: 90%;background-color: #fdd922;text-align: center;color: #000000;font-size:18px"  target="_blank">India Focus</a></p>        </div>
    </div>

    <div class="rightsmlbox1" style="height: 104px !important;">
        <a href="https://im4change.in/quarterly_reports.php" target="_blank">
            Quarterly Reports on Effect of Economic Slowdown on Employment in India (2008 - 2015)
        </a>
    </div>
    
<!--     <div class="rightsmlbox1">
        <a href="https://play.google.com/store/apps/details?id=com.im4.im4change" target="_blank">
            
        </a></div> -->
    <!-- <section class="cat-box recent-box secMarg">
        <h2 class="cat-box-title">Most Visited</h2>
    </section> -->
    <!-- accordion Starts here -->
    <!-- <div id="accordion" class="accordMarg">
            </div> -->
    <!-- accordion ends here -->
    <!-- Widget Tag Cloud Starts here -->
    <div id="tag_cloud-2" class="widget widget_tag_cloud">
        <section class="cat-box recent-box secMarg">
                <h2 class="cat-box-title">MOST VISITED TAGS</h2>
            </section>
        <div class="widget-top wiPdTp">
           
            <div class="stripe-line"></div>
        </div>
        <div class="widget-container">
            <div class="tagcloud">
                                    <a href="https://im4change.in/search?qryStr=Agriculture"
                       target="_blank" class="tag-link-4 font4">Agriculture</a>
                                        <a href="https://im4change.in/search?qryStr=Food Security"
                       target="_blank" class="tag-link-4 font4">Food Security</a>
                                        <a href="https://im4change.in/search?qryStr=Law and Justice"
                       target="_blank" class="tag-link-4 font4">Law and Justice</a>
                                        <a href="https://im4change.in/search?qryStr=Health"
                       target="_blank" class="tag-link-4 font4">Health</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Food"
                       target="_blank" class="tag-link-4 font4">Right to Food</a>
                                        <a href="https://im4change.in/search?qryStr=Corruption"
                       target="_blank" class="tag-link-4 font4">Corruption</a>
                                        <a href="https://im4change.in/search?qryStr=farming"
                       target="_blank" class="tag-link-4 font4">farming</a>
                                        <a href="https://im4change.in/search?qryStr=Environment"
                       target="_blank" class="tag-link-4 font4">Environment</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Information"
                       target="_blank" class="tag-link-4 font4">Right to Information</a>
                                        <a href="https://im4change.in/search?qryStr=NREGS"
                       target="_blank" class="tag-link-4 font4">NREGS</a>
                                        <a href="https://im4change.in/search?qryStr=Human Rights"
                       target="_blank" class="tag-link-4 font4">Human Rights</a>
                                        <a href="https://im4change.in/search?qryStr=Governance"
                       target="_blank" class="tag-link-4 font4">Governance</a>
                                        <a href="https://im4change.in/search?qryStr=PDS"
                       target="_blank" class="tag-link-4 font4">PDS</a>
                                        <a href="https://im4change.in/search?qryStr=COVID-19"
                       target="_blank" class="tag-link-4 font4">COVID-19</a>
                                        <a href="https://im4change.in/search?qryStr=Land Acquisition"
                       target="_blank" class="tag-link-4 font4">Land Acquisition</a>
                                        <a href="https://im4change.in/search?qryStr=mgnrega"
                       target="_blank" class="tag-link-4 font4">mgnrega</a>
                                        <a href="https://im4change.in/search?qryStr=Farmers"
                       target="_blank" class="tag-link-4 font4">Farmers</a>
                                        <a href="https://im4change.in/search?qryStr=transparency"
                       target="_blank" class="tag-link-4 font4">transparency</a>
                                        <a href="https://im4change.in/search?qryStr=Gender"
                       target="_blank" class="tag-link-4 font4">Gender</a>
                                        <a href="https://im4change.in/search?qryStr=Poverty"
                       target="_blank" class="tag-link-4 font4">Poverty</a>
                                    
                                <a href="https://im4change.in/search?qryStr=Farm Laws" target="_blank" class="tag-link-4 font4">Farm Laws
                </a>
                <a href="https://im4change.in/search?qryStr=Citizenship Amendment Act" target="_blank" class="tag-link-4 font4">Citizenship Amendment Act
                </a>
                <a href="https://im4change.in/search?qryStr=CAA NPR NRIC" target="_blank" class="tag-link-4 font4">CAA NPR NRIC
                </a>
                <a href="https://im4change.in/search?qryStr=Job Losses" target="_blank" class="tag-link-4 font4">Job Losses
                </a>
                <a href="https://im4change.in/search?qryStr=Migrant Workers" target="_blank" class="tag-link-4 font4">Migrant Workers
                </a>
                <a href="https://im4change.in/search?qryStr=Unemployment" target="_blank" class="tag-link-4 font4">Unemployment
                </a>
                <a href="https://im4change.in/search?qryStr=PMGKAY" target="_blank" class="tag-link-4 font4">PMGKAY
                </a>
                <a href="https://im4change.in/search?qryStr=PM-KISAN" target="_blank" class="tag-link-4 font4">PM-KISAN
                </a>
                <a href="https://im4change.in/search?qryStr=PM-CARES" target="_blank" class="tag-link-4 font4">PM-CARES
                </a>
                <a href="https://im4change.in/search?qryStr=LFPR" target="_blank" class="tag-link-4 font4">LFPR
                </a>
                
            </div>
        </div>
    </div>
    <!-- Widget Tag Cloud Ends here -->
</aside>
<!-- Right Side Section End -->
        </div>
        <section class="cat-box cats-review-box footerSec">
    <h2 class="cat-box-title vSec CatArcha">Video
        Archives</h2>
    <h2 class="cat-box-title CatArchaTitle">Archives</h2>
    <div class="cat-box-content">
        <div class="reviews-cat">
            <div class="CatArchaDiv1">
                <div class="CatArchaDiv2">
                    <ul>
                                                    <li>
                                <a href="https://im4change.in/news-alerts-57/moving-upstream-luni-fellowship.html"  target="_blank">
                                     Moving Upstream: Luni – Fellowship                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"  target="_blank">
                                     135 Million Indians Exited “Multidimensional" Poverty as per Government...                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/explainer-why-are-tomato-prices-on-fire.html"  target="_blank">
                                     Explainer: Why are Tomato Prices on Fire?                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/nsso-survey-only-39-1-of-all-households-have-drinking-water-within-dwelling-46-7-of-rural-households-use-firewood-for-cooking.html"  target="_blank">
                                     NSSO Survey: Only 39.1% of all Households have Drinking...                                </a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/news-alerts-57"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
                                    <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/I51LYnP8BOk/1.jpg"
                             alt=" Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Short-Video-on-im4change-Hindi-website-Inclusive-Media-for-Change"  target="_blank">
                                 Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/kNqha-SwfIY/1.jpg"
                             alt=" "Session 1: Scope of IDEA and AgriStack" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-1- Scope-of-IDEA-and-AgriStack-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 1: Scope of IDEA and AgriStack" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/6kIVjlgZItk/1.jpg"
                             alt=" "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-2-Farmer-Centric-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/2BeHTu0y7xc/1.jpg"
                             alt=" "Session 3: Future of Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-3-Future-of-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 3: Future of Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                    


                <div class="divWidth">
                    <ul class="divWidthMarg">
                                                    <li>
                                <a href="https://im4change.in/video/Public-Spending-on-Agriculture-in-India-Source-Foundation-for-Agrarian-Studies"
                                   title="Public Spending on Agriculture in India (Source: Foundation for Agrarian Studies)"  target="_blank">
                                     Public Spending on Agriculture in India (Source: Foundation for...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Agrarian-Change-Seminar-Protests-against-the-New-Farm-Laws-in-India-by-Prof-Vikas-Rawal-JNU-Source-Journal-Of-Agrarian-Change"
                                   title="Agrarian Change Seminar: 'Protests against the New Farm Laws in India' by Prof. Vikas Rawal, JNU (Source: Journal Of Agrarian Change) "  target="_blank">
                                     Agrarian Change Seminar: 'Protests against the New Farm Laws...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Webinar-Ramrao-The-Story-of-India-Farm-Crisis-Source-Azim-Premji-University"
                                   title="Webinar: Ramrao - The Story of India's Farm Crisis (Source: Azim Premji University)"  target="_blank">
                                     Webinar: Ramrao - The Story of India's Farm Crisis...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/water-and-agricultural-transformation-in-India"
                                   title="Water and Agricultural Transformation in India: A Symbiotic Relationship (Source: IGIDR)"  target="_blank">
                                     Water and Agricultural Transformation in India: A Symbiotic Relationship...</a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/videogallery"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
            </div>
        </div>
    </div>
</section>    </div>
    <div class="clear"></div>
    <!-- Footer option Starts here -->
    <div class="footer-bottom fade-in animated4">
        <div class="container">
            <div class="social-icons icon_flat">
                <p class="SocialMargTop"> Website Developed by <a target="_blank" title="Web Development"
                                                                  class="wot right"
                                                                  href="http://www.ravinderkhurana.com/" rel="nofollow">
                                                                  RAVINDErkHURANA.com</a></p>
            </div>
            <div class="alignleft">
                <a
     target="_blank" href="https://im4change.in/objectives-8.html"
    class="link"
    title="Objectives">Objectives</a> | <a
     target="_blank" href="https://im4change.in/about-us-9.html"
    class="link" title="About Us">About Us</a> | <a
     target="_blank" href="https://im4change.in/media-workshops.php"
    class="ucwords">Workshops</a> | <a
     target="_blank" href="https://im4change.in/disclaimer/disclaimer-149.html"
    title="Disclaimer">Disclaimer</a>            </div>
        </div>
    </div>
    <!-- Footer option ends here -->
</div>
<div id="connect">
    <a target="_blank"
       href="http://www.facebook.com/sharer.php?u=https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html"
       title="Share on Facebook">
        <img src="https://im4change.in/images/Facebook.png?1582080640" alt="share on Facebook" class="ImgBorder"/>
    </a><br/>
    <a target="_blank"
       href="http://twitter.com/share?text=Im4change&amp;url=https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html"
       title="Share on Twitter">
        <img src="https://im4change.in/images/twitter.png?1582080632" alt="Twitter" class="ImgBorder"/>    </a>
    <br/>
    <a href="/feeds" title="RSS Feed" target="_blank">
        <img src="https://im4change.in/images/rss.png?1582080632" alt="RSS" class="ImgBorder"/>
    </a>
    <br/>
    <a class="feedback-link" id="feedbackFormLink" href="#">
        <img src="https://im4change.in/images/feedback.png?1582080630" alt="Feedback" class="ImgBorder"/>
    </a> <br/>
    <a href="javascript:function iprl5(){var d=document,z=d.createElement('scr'+'ipt'),b=d.body,l=d.location;try{if(!b)throw(0);d.title='(Saving...) '+d.title;z.setAttribute('src',l.protocol+'//www.instapaper.com/j/WKrH3R7ORD5p?u='+encodeURIComponent(l.href)+'&amp;t='+(new Date().getTime()));b.appendChild(z);}catch(e){alert('Please wait until the page has loaded.');}}iprl5();void(0)"
       class="bookmarklet" onclick="return explain_bookmarklet();">
        <img src="https://im4change.in/images/read-it-later.png?1582080632" alt="Read Later" class="ImgBorder"/>    </a>
</div>
<!-- Feedback form Starts here -->
<div id="feedbackForm" class="overlay_form" class="ImgBorder">
    <h2>Contact Form</h2>
    <div id="contactform1">
        <div id="formleft">
            <form id="submitform" action="/contactus.php" method="post">
                <input type="hidden" name="submitform" value="submitform"/>
                <input type="hidden" name="salt_key" value="a0e0f2c6a0644a70e57ad2c96829709a"/>
                <input type="hidden" name="ref" value="feedback"/>
                <fieldset>
                    <label>Name :</label>
                    <input type="text" name="name" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Email :</label>
                    <input type="text" name="email" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Message :</label>
                    <textarea rows="5" cols="20" name="message" required></textarea>
                </fieldset>
                <fieldset>
                    Please enter security code
                    <div class="clear"></div>
                    <input type="text" name="vrcode" class="tbox"/>
                </fieldset>
                <fieldset>
                    <input type="submit" class="button" value="Submit"/>
                    &nbsp; &nbsp; &nbsp; <a href="#" id="closefeedbakcformLink">Close</a>
                </fieldset>
            </form>
        </div>
        <div class="clearfix"></div>
    </div>
</div>
<div id="donate_popup" class="modal" style="max-width: 800px;">
    <table width="100%" border="1">
        <tr>
            <td colspan="2" align="center">
                <b>Support im4change</b>
            </td>
        </tr>
        <tr>
            <td width="25%" valign="middle">
                <img src="https://im4change.in/images/logo2.jpg?1582080632" alt="" width="100%"/>            </td>
            <td style="padding-left:10px;padding-top:10px;">
                <form action="https://im4change.in/donate" method="get">
                    <table width="100%" cellpadding="2" cellspacing="2">
                        <tr>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                10
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                100
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                1000
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                50
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                500
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                <input type="text" name="price" placeholder="?" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3" align="right">
                                <input type="button" name="Pay" value="Pay"
                                       style="width: 200px;background-color: rgb(205, 35, 36);color: #ffffff;"/>
                            </td>
                        </tr>
                    </table>
                </form>
            </td>
        </tr>
    </table>
</div><script type='text/javascript'>

    /* <![CDATA[ */

    var tievar = {'go_to': 'Go to...'};

    /* ]]> */

</script>
<script src="/js/tie-scripts.js?1575549704"></script><script src="/js/bootstrap.js?1575549704"></script><script src="/js/jquery.modal.min.js?1578284310"></script><script>
    $(document).ready(function() {
        // tell the autocomplete function to get its data from our php script
        $('#s').autocomplete({
            source: "/autocomplete"
        });
    });
</script>
<script src="/vj-main-sw-register.js" async></script>

<script>function init(){var imgDefer=document.getElementsByTagName('img');for(var i=0;i<imgDefer.length;i++){if(imgDefer[i].getAttribute('data-src')){imgDefer[i].setAttribute('src',imgDefer[i].getAttribute('data-src'))}}}
window.onload=init;</script>
</body>
</html>'

}
$maxBufferLength = (int) 8192
$file = '/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php'
$line = (int) 853
$message = 'Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853'
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 48
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 148]
Code Context
            $response->getStatusCode(),

            ($reasonPhrase ? ' ' . $reasonPhrase : '')

        ));
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html>
<!--[if lt IE 7 ]>
<html class="ie ie6" lang='en'> <![endif]-->
<!--[if IE 7 ]>
<html class="ie ie7" lang='en'> <![endif]-->
<!--[if IE 8 ]>
<html class="ie ie8" lang='en'> <![endif]-->
<!--[if (gte IE 9)|!(IE)]><!-->
<html lang='en'>
<!--<![endif]-->
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8">
    
    <title>
        LATEST NEWS UPDATES | Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh    </title>
    <meta name="description" content="
-The Hindu Business Line

The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority

Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the..."/>
    <meta name="keywords" content="Rashtriya Swasthya Bima Yojana,Health Insurance,NITI Aayog,National Health Mission,Out-of-pocket health expenditure,public expenditure on health,Public Health"/>
    <meta name="news_keywords" content="Rashtriya Swasthya Bima Yojana,Health Insurance,NITI Aayog,National Health Mission,Out-of-pocket health expenditure,public expenditure on health,Public Health">
   
    <link rel="alternate" type="application/rss+xml" title="ROR" href="/ror.xml"/>
    <link rel="alternate" type="application/rss+xml" title="RSS 2.0" href="/feeds/"/>
    <link rel="stylesheet" href="/css/bootstrap.min.css?1697864993"/>    <link rel="stylesheet" href="/css/style.css?v=1.1.2"/>    <link rel="stylesheet" href="/css/style-inner.css?1577045210"/>    <link rel="stylesheet" id="Oswald-css"
          href="https://fonts.googleapis.com/css?family=Oswald%3Aregular%2C700&amp;ver=3.8.1" type="text/css"
          media="all">
    <link rel="stylesheet" href="/css/jquery.modal.min.css?1578285302"/>    <script src="/js/jquery-1.10.2.js?1575549704"></script>    <script src="/js/jquery-migrate.min.js?1575549704"></script>    <link rel="shortcut icon" href="/favicon.ico" title="Favicon">
    <link rel="stylesheet" href="/css/jquery-ui.css?1580720609"/>    <script src="/js/jquery-ui.js?1575549704"></script>    <link rel="preload" as="style" href="https://www.im4change.org/css/custom.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery.modal.min.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery-ui.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/li-scroller.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<!-- <link rel="preload" as="style" href="https://www.im4change.org/css/style.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous"> -->
<link rel="preload" as="style" href="https://www.im4change.org/css/style-inner.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">

<link rel='dns-prefetch' href="//im4change.org/css/custom.css" crossorigin >

<link rel="preload" as="script" href="https://www.im4change.org/js/bootstrap.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.li-scroller.1.0.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.modal.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.ui.totop.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-1.10.2.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-migrate.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-ui.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/setting.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/tie-scripts.js">
    <!--[if IE]>
    <script type="text/javascript">jQuery(document).ready(function () {
        jQuery(".menu-item").has("ul").children("a").attr("aria-haspopup", "true");
    });</script>
    <![endif]-->
    <!--[if lt IE 9]>
    <script src="/js/html5.js"></script>
    <script src="/js/selectivizr-min.js"></script>
    <![endif]-->
    <!--[if IE 8]>
    <link rel="stylesheet" type="text/css" media="all" href="/css/ie8.css"/>
    <![endif]-->
    <meta property="og:title" content="LATEST NEWS UPDATES | Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh" />
     <meta property="og:url" content="https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html" />
     <meta property="og:type" content="article" />
     <meta property="og:description" content="
-The Hindu Business Line

The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority

Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the..." />
     <meta property="og:image" content="" />
      <meta property="fb:app_id" content="0" />
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">

       <link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://im4change.in/images/apple1.png">
    <link rel="apple-touch-icon-precomposed" sizes="120x120" href="https://im4change.in/images/apple2.png">
    <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://im4change.in/images/apple3.png">
    <link rel="apple-touch-icon-precomposed" href="https://im4change.in/images/apple4.png">

    <style>
    .gsc-results-wrapper-overlay{
        top: 38% !important;
        height: 50% !important;
    }
    .gsc-search-button-v2{
        border-color: #035588 !important;
        background-color: #035588 !important;
    }

   .gsib_a{
        height: 30px !important;
          padding: 2px 8px 1px 6px !important;
    }

   
    .gsc-search-button-v2{
        height: 41px !important;
    }
    input.gsc-input{
        background: none !important;
    }
    @media only screen and (max-width: 600px) {
        .gsc-results-wrapper-overlay{
            top: 11% !important;
            width: 87% !important;
            left: 9% !important;
            height: 43% !important;
        }

        .gsc-search-button-v2{
            padding: 10px 10px !important;
        
        }
        .gsc-input-box{
            height: 28px !important;
        }
       /* .gsib_a {
            padding: 0px 9px 4px 9px !important;
        }*/
    }
    @media only screen and (min-width: 1200px) and (max-width: 1920px) {
        table.gsc-search-box{
            width: 15% !important;
            float: right !important;
            margin-top: -118px !important;
        }

        .gsc-search-button-v2 {
            
            padding: 6px !important;
           
        }
    }


</style>

    <script>
        $(function () {
            $("#accordion").accordion({
                event: "click hoverintent"
            });
        });

        /*
         * hoverIntent | Copyright 2011 Brian Cherne
         * http://cherne.net/brian/resources/jquery.hoverIntent.html
         * modified by the jQuery UI team
         */
        $.event.special.hoverintent = {
            setup: function () {
                $(this).bind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            teardown: function () {
                $(this).unbind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            handler: function (event) {
                var currentX, currentY, timeout,
                    args = arguments,
                    target = $(event.target),
                    previousX = event.pageX,
                    previousY = event.pageY;

                function track(event) {
                    currentX = event.pageX;
                    currentY = event.pageY;
                }
                ;

                function clear() {
                    target
                        .unbind("mousemove", track)
                        .unbind("mouseout", clear);
                    clearTimeout(timeout);
                }

                function handler() {
                    var prop,
                        orig = event;
                    if ((Math.abs(previousX - currentX) +
                        Math.abs(previousY - currentY)) < 7) {
                        clear();
                        event = $.Event("hoverintent");
                        for (prop in orig) {
                            if (!(prop in event)) {
                                event[prop] = orig[prop];
                            }
                        }
                        // Prevent accessing the original event since the new event
                        // is fired asynchronously and the old event is no longer
                        // usable (#6028)
                        delete event.originalEvent;
                        target.trigger(event);
                    } else {
                        previousX = currentX;
                        previousY = currentY;
                        timeout = setTimeout(handler, 100);
                    }
                }

                timeout = setTimeout(handler, 100);
                target.bind({
                    mousemove: track,
                    mouseout: clear
                });
            }
        };
    </script>
    <script type="text/javascript">
        var _gaq = _gaq || [];
        _gaq.push(['_setAccount', 'UA-472075-3']);
        _gaq.push(['_trackPageview']);

        (function () {
            var ga = document.createElement('script');
            ga.type = 'text/javascript';
            ga.async = true;
            ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
            var s = document.getElementsByTagName('script')[0];
            s.parentNode.insertBefore(ga, s);
        })();
    </script>
    <link rel="stylesheet" href="/css/custom.css?v=1.16"/>    <script src="/js/jquery.ui.totop.js?1575549704"></script>    <script src="/js/setting.js?1575549704"></script>    <link rel="manifest" href="/manifest.json">
    <meta name="theme-color" content="#616163" />
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-title" content="im4change">
    <link rel="apple-touch-icon" href="/icons/logo-192x192.png">
</head>
<body id="top" class="home inner blog">
<div class="background-cover"></div>
<div class="wrapper animated">
    <header id="theme-header" class="header_inner" style="position: relative;">
        <div class="logo inner_logo" style="left:20px !important">
                <a title="Home" href="https://im4change.in/">
                    <img src="https://im4change.in/images/logo2.jpg?1582080632" class="logo_image" alt="im4change"/>                </a>
        </div>
        <div class="langhindi" style="color: #000;display:none;"
             href="https://im4change.in/">
            <a class="more-link" href="https://im4change.in/">Home</a>
                        <a href="https://im4change.in/hindi/" class="langbutton ">हिन्दी</a>
                    </div>
        <nav class="fade-in animated2" id="main-nav">
            <div class="container">
                <div class="main-menu">
    <ul class="menu" id="menu-main">
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            style="left: -40px;"><a
                 target="_blank" href="https://im4change.in/">Home</a>
        </li>
        <li class="menu-item mega-menu menu-item-type-taxonomy mega-menu menu-item-object-category mega-menu menu-item-has-children parent-list"
            style=" margin-left: -40px;"><a href="#">KNOWLEDGE GATEWAY <span class="sub-indicator"></span>
            </a>
            <div class="mega-menu-block background_menu" style="padding-top:25px;">
                <div class="container">
                    <div class="mega-menu-content">
                                                                   <div class="mega-menu-item">
                                                 <h3><b>Farm Crisis</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/farmers039-suicides-14.html"
                                                       class="left postionrel">Farm Suicides                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/unemployment-30.html"
                                                       class="left postionrel">Unemployment                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/rural-distress-70.html"
                                                       class="left postionrel">Rural distress                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/migration-34.html"
                                                       class="left postionrel">Migration                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/key-facts-72.html"
                                                       class="left postionrel">Key Facts                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/debt-trap-15.html"
                                                       class="left postionrel">Debt Trap                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Empowerment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/union-budget-73.html"
                                                       class="left postionrel">Union Budget And Other Economic Policies                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/forest-and-tribal-rights-61.html"
                                                       class="left postionrel">Forest and Tribal Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-education-60.html"
                                                       class="left postionrel">Right to Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-food-59.html"
                                                       class="left postionrel">Right to Food                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/displacement-3279.html"
                                                       class="left postionrel">Displacement                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-work-mg-nrega-39.html"
                                                       class="left postionrel">Right to Work (MG-NREGA)                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/gender-3280.html"
                                                       class="left postionrel">GENDER                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-information-58.html"
                                                       class="left postionrel">Right to Information                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/social-audit-48.html"
                                                       class="left postionrel">Social Audit                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Hunger / HDI</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/poverty-and-inequality-20499.html"
                                                       class="left postionrel">Poverty and inequality                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/malnutrition-41.html"
                                                       class="left postionrel">Malnutrition                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/public-health-51.html"
                                                       class="left postionrel">Public Health                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/education-50.html"
                                                       class="left postionrel">Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hunger-overview-40.html"
                                                       class="left postionrel">Hunger Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hdi-overview-45.html"
                                                       class="left postionrel">HDI Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/pds-ration-food-security-42.html"
                                                       class="left postionrel">PDS/ Ration/ Food Security                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/sdgs-113.html"
                                                       class="left postionrel">SDGs                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/mid-day-meal-scheme-mdms-53.html"
                                                       class="left postionrel">Mid Day Meal Scheme (MDMS)                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Environment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/time-bomb-ticking-52.html"
                                                       class="left postionrel">Time Bomb Ticking                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/water-and-sanitation-55.html"
                                                       class="left postionrel">Water and Sanitation                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/impact-on-agriculture-54.html"
                                                       class="left postionrel">Impact on Agriculture                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Law & Justice</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/social-justice-20500.html"
                                                       class="left postionrel">Social Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/access-to-justice-47.html"
                                                       class="left postionrel">Access to Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/human-rights-56.html"
                                                       class="left postionrel">Human Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/corruption-35.html"
                                                       class="left postionrel">Corruption                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/general-insecurity-46.html"
                                                       class="left postionrel">General Insecurity                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/disaster-relief-49.html"
                                                       class="left postionrel">Disaster &amp; Relief                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        
                    </div>
                </div>
            </div>
        </li>
        <li class="menu-item  menu-item-type-post_type  menu-item-object-page "><a  target="_blank" href="https://im4change.in/nceus_reports.php">NCEUS reports</a>
            
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children parent-list ">
            <a  target="_blank" href="https://im4change.in/about-us-9.html">About Us <span
                    class="sub-indicator"></span></a>
            <ul class="sub-menu aboutmenu">
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                        target="_blank" href="https://im4change.in/objectives-8.html">Objectives</a>
                </li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/contactus.php">Contact
                        Us</a></li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/about-us-9.html">About
                        Us</a></li>
            </ul>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children ">
            <a  target="_blank" href="https://im4change.in/fellowships.php" title="Fellowships">Fellowships</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/media-workshops.php">Workshops</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/research.php">Research</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children   "><a
                 target="_blank" href="https://im4change.in/links-64">Partners</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            id="menu-item-539"><a  target="_blank" href="https://im4change.in/hindi/"
                                  class="langbutton langlinkfont17">हिन्दी</a></li>
    </ul>
</div>            </div>


                        <!--  <div style="float: right;">
                            <script async src="https://cse.google.com/cse.js?cx=18b4f2e0f11bed3dd"></script>
                            <div class="gcse-search"></div>
                        </div> -->
                       
            <div class="search-block" style=" margin-left: 8px; margin-right: 7px;">
                <form method="get" id="searchform" name="searchform"
                      action="https://im4change.in/search"
                      onsubmit="return searchvalidate();">
                    <button class="search-button" type="submit" value="Search"></button>
                    <input type="text" id="s" name="qryStr" value=""
                           onfocus="if (this.value == 'Search...') {this.value = '';}"
                           onblur="if (this.value == '') {this.value = 'Search...';}">
                </form>
            </div>
        </nav>
    </header>
    <div class="container">
        <div id="main-content" class=" main1 container fade-in animated3 sidebar-narrow-left">
            <div class="content-wrap">
                <div class="content" style="width: 900px;min-height: 500px;">
                    <section class="cat-box recent-box innerCatRecent">
    <h1 class="cat-box-title">Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh</h1>
    <a href="JavaScript:void(0);" onclick="return shareArticle(31075);">
        <img src="https://im4change.in/images/email.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>    </a>

    <a href="https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142/print"
       rel="nofollow">
        <img src="https://im4change.in/images/icon-print.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>
    </a>
</section>
<section class="recent-box innerCatRecent">
    <small class="pb-1"><span class="dateIcn">
    	<img src="https://im4change.in/images/published.svg?1582080666" alt="published"/> 
		 Published on</span><span class="text-date"> Apr 18, 2016</span>
        &nbsp; <span
                class="dateIcn">
		 	<img src="https://im4change.in/images/modified.svg?1582080666" alt="modified"/>    	 Modified on </span><span class="text-date"> Apr 18, 2016</span>
    </small>
</section>
<div class="clear"></div>
<div style="padding-top: 10px;">
    <div class="innerLineHeight">
        <div class="middleContent innerInput latest-news-updates">
            <table>
                <tr>
                    <td>
                                                <div>
                            <div align="justify">-The Hindu Business Line<br /><br /><em>The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority<br /></em><br />Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the principle for public expenditure policies, particularly for the social sectors.<br /><br />Arvind Panagariya, the vice-chairperson of the NITI Aayog, suggests that &ldquo;for just three-quarters of a per cent of the GDP&rdquo;, 0.76 per cent to be precise, &ldquo;the government can provide at least a modest healthcare cover for the bottom half of the population&rdquo; after which &ldquo;there does not remain a case for additionally free provision of the service by the government&rdquo;.<br /><br />Such perceptions form the basis of an alternative for an eventual obliteration of the public services and in the process, lowering further the already low public spending in health.<br /><br />The budgetary allocation for health and allied reveals a much wider hold of such perceptions as articulated by Panagariya.<br /><br />The stage is set for a more concerted effort in that direction. This is not surprising as the word &lsquo;subsidy&rsquo; has been given a negative connotation when to the poor but when offered to the medical industry it becomes an &lsquo;investment&rsquo;.<br /><br /><em>Misplaced priorities<br /></em><br />The projected 13 per cent increase of total allocation on health for 2016-17 over previous year&rsquo;s spending of Rs. 33,841 crore amounts to a nominal increase by Rs. 4,365 crore.<br /><br />Using CPI-IW as deflator and assuming that inflation will stay at this year&rsquo;s rate of 5.9 per cent, we estimate in real terms an erosion of Rs. 2,000 crore. So, in real terms, the increase in 2016-17 amounts to a mere 6.6 per cent.<br /><br />This is especially meagre if we consider the fact that last year&rsquo;s health expenditure (revised estimates) had declined in real terms from actual spending of 2014-15. In proportion to GDP, this year&rsquo;s total allocation on health has reduced to 0.254 per cent compared to actual spending of 0.256 per cent in 2014-15.<br /><br />There are serious issues of misplaced priorities as well within the health budget itself. To illustrate this, we look at the budget in real terms (estimating expenditures at 2016-17 projected prices for previous years), as well as the proportion of different components within the health budget.<br /><br />While drawing comparisons with the previous years, we are careful of the rearrangements and re-classification of budget heads for this year.<br /><br />One of the major concerns is the gradual weakening of the National Health Mission (NHM) whose main components are public health care infrastructure other than tertiary care, programmes for prevention of communicable diseases like TB, vector-borne diseases, etc. The share of NHM in total health budget has been gradually reduced during the last three years from 56.2 per cent in 2014-15 to 54.1 per cent in 2015-16 to this year&rsquo;s allocation of 49.8 per cent.<br /><br />There is a consistent decline in real terms as well. With a 5.9 per cent inflation rate, expenditure of 2015-16 in real terms had declined from 2014-15 levels and there is a further reduction of allocation now (assuming same level of inflation) in NHM for 2016-17.<br /><br />Another significant reduction is in Family Welfare Scheme whose allocation this year is less than half of 2015-16 expenditures or less than one-third of expenditures in 2014-15. The budget is primarily for promoting, procuring and distributing contraceptives and other materials and for information, education and communication (IEC).<br /><br /><em>Where&rsquo;s welfare?<br /></em><br />It is evident from the tragic deaths of women in Bilaspur sterilisation camp in November 2015 (in a private set-up), that the IEC without infrastructure and welfare services means nothing. The maternal health and welfare component of family welfare has borne the brunt of cuts. Thus, instead of welfare, the budget is tuned to population control!<br /><br />Medical care institutions, primarily in the tertiary care sector, see a boost of 18 per cent over 2015-16 at the cost of primary and secondary healthcare institutions. The majority of the population lags in access at that level. What this policy programming indicates is that while the majority of the population has been left to its own devices, the state has become a protector of the medico-industrial complex catering only to the rich.<br /><br />Allocation on insurance &mdash; CGHS and RSBY/RSSY &mdash; has increased to 9.5 per cent of total allocation on health from 7.3 per cent of expenditure in 2014-15. Health insurance for protection from catastrophic expenditures, splitting financing and provisioning into public and private, cannot be a substitute to a well functioning state-run public health-care system. Splintered state-led insurance run by private providers and insurance companies are pushing up costs.<br /><br />Allocation in human resources in health and medical education &mdash; which is for establishing new medical colleges (by upgrading district hospitals), upgrading/strengthening of nursing services, pharmacy schools/college, paramedical institutions etc, is another grey area. There is a sharp increase in allocation compared to the previous years.<br /><br />However, given the acute shortage of healthcare personnel, an allocation of Rs. 600 crore is still meagre. Second, given the emphasis on medical care, especially tertiary care, it is doubtful how much of it will go to training primary level workers. Allocation in health research has increased by 6.8 per cent in real terms but the total allocation of Rs. 1,145 crore is inadequate to expand research into critical areas of public health.<br /><br /><em>Neglect of allied sectors<br /></em><br />People&rsquo;s health is dependent upon allocation of allied sectors such as food subsidy and ICDS, and these have declined in real terms. Water and sanitation, which had faced significant budget cuts in 2015-16, have been allocated just the amount incurred as expenditure for 2014-15 in real terms. Allocation in MGNREGS &mdash; an important scheme to boost rural employment and wages &mdash; has also declined in real terms from the revised estimates of expenditure for 2015-16, even without considering the Rs. 6,000-crore pending payments. As a percentage of GDP, allocation in food subsidy, MGNREGS and ICDS have declined compared to 2015-16 and 2014-15, while that of water and sanitation have reduced vis-&agrave;-vis 2014-15.<br /><br />This budget, thus, is not only about rearranging subheads to inflate and deflate allocations without an overhaul of public expenditure in health, it is also about transforming the core of public health and health sector planning.<br /><br />Mere reallocation of resources from the primary care sector to the tertiary with paltry health coverage for a small section of the population through health insurance is grossly inadequate. The substance of the latest Budget for health is that it promotes not universal health coverage but the medical care market.<br /><em><br />Qadeer headed the department of social medicine and community health at JNU and is visiting faculty at the Council for Social Development (CSD); Ghosh is a research consultant with CSD </em><br /></div>                                                           
                        </div>
                    </td>
                </tr>
            </table>
        </div>
    </div>
</div>
<div class="clear"></div>
    <br><a href="http://www.thehindubusinessline.com/opinion/public-healths-in-the-infirmary/article8486437.ece?homepage=true" class="re" target="_blank">The Hindu Business Line, 17 April, 2016, http://www.thehindubusinessline.com/opinion/public-healths-in-the-infirmary/article8486437.ece?homepage=true</a><div class="clear"></div>
    <div style="padding-top: 18px;">
        <p class="post-tag">Tagged with:
                            <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Rashtriya Swasthya Bima Yojana"
                   title="Rashtriya Swasthya Bima Yojana">
                    Rashtriya Swasthya Bima Yojana                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Health Insurance"
                   title="Health Insurance">
                    Health Insurance                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=NITI Aayog"
                   title="NITI Aayog">
                    NITI Aayog                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=National Health Mission"
                   title="National Health Mission">
                    National Health Mission                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Out-of-pocket health expenditure"
                   title="Out-of-pocket health expenditure">
                    Out-of-pocket health expenditure                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=public expenditure on health"
                   title="public expenditure on health">
                    public expenditure on health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Public Health"
                   title="Public Health">
                    Public Health                </a>
                        </p>
    </div>
<div class="clear"></div>
    <br><br>
    <div class="widget-top">
        <h4>Related Articles</h4>
        <div class="stripe-line"></div>
    </div>
    <div class="widget-container">
        <ul id="recentcomments">
                            <li class="recentcomments">
                    <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"
                       title="135 Million Indians Exited “Multidimensional" Poverty as per Government Figures. Is that the same as Poverty Reduction?">
                        135 Million Indians Exited “Multidimensional" Poverty as per Government Figures. Is that the same as Poverty Reduction?                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/niti-aayog-says-20-79-crore-indians-are-multidimensionally-poor-banjot-kaur.html"
                       title="Niti Aayog says 20.79 Crore Indians Are 'Multidimensionally Poor' - Banjot Kaur">
                        Niti Aayog says 20.79 Crore Indians Are 'Multidimensionally Poor' - Banjot Kaur                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/a-peek-into-the-modi-government-s-likely-budget-2023-cnes-infosphere.html"
                       title="A peek into the Modi government's (likely) budget 2023 - CNES Infosphere">
                        A peek into the Modi government's (likely) budget 2023 - CNES Infosphere                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/the-importance-of-affordable-healthcare-for-all-and-other-key-lessons-from-the-pandemic-chapal-mehra-lancelot-pinto.html"
                       title="The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto">
                        The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/we-did-not-manage-to-double-the-income-of-indian-farmers-himanshu.html"
                       title="We did not manage to double the income of Indian farmers -Himanshu">
                        We did not manage to double the income of Indian farmers -Himanshu                    </a>
                </li>
                
        </ul>
    </div>
    <div class="comment-respond" id="respond">
    <a name="commentbox">&nbsp;</a>
    <h3 class="comment-reply-title" id="reply-title">Write Comments</h3>
    <form method="post" accept-charset="utf-8" role="form" action="/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>    <form class="comment-form" id="commentform" method="post" action="#commentbox" onSubmit="return validate()"
          name="cmtform">
        <input type="hidden" name="cmttype" value="articlecmt"/>
        <input type="hidden" name="article_id" value="31075"/>
        <p class="comment-notes">Your email address will not be published. Required fields are marked <span
                    class="required">*</span></p>
                <p class="comment-form-author">
            <label for="commenterName">Name</label>
            <span class="required">*</span>
            <input type="text" aria-required="true" size="30"
                   value=""
                   name="commenterName" id="commenterName" required="true">
        </p>
        <p class="comment-form-email">
            <label for="commenterEmail">Email</label> <span class="required">*</span>
            <input aria-required="true" size="30" name="commenterEmail" id="commenterEmail" type="email"
                   value=""
                   required="true">
        </p>
        <p class="comment-form-contact">
            <label for="commenterPh">Contact No.</label>
            <input type="text" size="30"
                   value=""
                   name="commenterPh" id="commenterPh">
        </p>
        <p class="comment-form-comment">
            <label for="comment">Comment</label>
            <textarea aria-required="true" required="true" rows="8" cols="45" name="comment"
                      id="comment"></textarea>
        </p>
        <p class="comment-form-comment">
            <label for="comment">Type the characters you see in the image below <span class="required">*</span><br><img
                        class="captchaImg"
                        src="https://im4change.in/securimage_show_art.php?tk=1020552036" alt="captcha"/>
            </label>
        </p>
        <input type="text" name="vrcode" required="true"/>

        <p class="form-submit" style="width: 200px;">
            <input type="submit" value="Post Comment" id="submit" name="submit">
        </p></form>
</div>
<style>
    .ui-widget-content {
        height: auto !important;
    }
</style>
<div id="share-modal"></div>
<style>
    .middleContent a{
        background-color: rgba(108,172,228,.2);
    }
    .middleContent a:hover{
        background-color: #418fde;
        border-color: #418fde;
        color: #000;
        }
</style>
<script>
    function shareArticle(article_id) {
        var options = {
            modal: true,
            height: 'auto',
            width: 600 + 'px'
        };
        $('#share-modal').html("");
        $('#share-modal').load('https://im4change.in/share_article?article_id=' + article_id).dialog(options).dialog('open');
    }

    function postShare() {
        var param = 'article_id=' + $("#article_id").val();
        param = param + '&y_name=' + $("#y_name").val();
        param = param + '&y_email=' + $("#y_email").val();
        param = param + '&f_name=' + $("#f_name").val();
        param = param + '&f_email=' + $("#f_email").val();
        param = param + '&y_msg=' + $("#y_msg").val();

        $.ajax({
            type: "POST",
            url: 'https://im4change.in/post_share_article',
            data: param,
            success: function (response) {
                $('#share-modal').html("Thank You, Your message posted to ");
            }
        });
        return false;
    }
</script>                </div>
            </div>
            <!-- Right Side Section Start -->
<!-- MAP Section START -->
<aside class="sidebar indexMarg">
    <div class="ad-cell">
        <a href="https://im4change.in/statemap.php" title="">
            <img src="https://im4change.in/images/map_new_version.png?1582080666" alt="India State Map" class="indiamap" width="232" height="252"/>        </a>
        <div class="rightmapbox">
            <div id="sideOne" class="docltitle"><a href="https://im4change.in/state-report/india/36" target="_blank">DOCUMENTS/
                    REPORTS</a></div>
            <div id="sideTwo" class="statetitle"><a href="https://im4change.in/states.php"target="_blank">STATE DATA/
                    HDRs.</a></div>
        </div>
        <div class="widget widgePadTop"></div>
    </div>
</aside>
<!-- MAP Section END -->
<aside class="sidebar sidePadbottom">
    <div class="rightsmlbox1" >
        <a href="https://im4change.in/knowledge_gateway" target="_blank" style="color: #035588;
    font-size: 17px;">
            KNOWLEDGE GATEWAY
        </a>
    </div>
    <div class="rightsmlbox1">

        <div>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/newsletter" target="_blank">
                    NEWSLETTER
                </a>
            </p>
        </div>
    </div>
        <div class="rightsmlbox1" style="height: 325px;">
        <div>
            <p class="rightsmlbox1_title">
                Interview with Prof. Ravi Srivastava
            </p>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/video/interview-with-prof-ravi-srivastava-on-current-economic-crisis">
                <img width="250" height="200" src="/images/interview_video_home.jpg" alt="Interview with Prof. Ravi Srivastava"/>
                </a>
                <!--
                <iframe width="250" height="200" src="https://www.youtube.com/embed/MmaTlntk-wc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe>-->
               
            </p>
            <a href="https://im4change.in/videogallery" class="more-link CatArchalAnch1" target="_blank">
                                More videos
                            </a>
        </div>
    </div>
    
        <div class="rightsmlbox1">
        <div>
            <!--div id="sstory" class="rightboxicons"></div--->
            <p class="rightsmlbox1_title"><a href="https://im4change.in/list-success-stories"  target="_blank">Success Stories</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
                        href="https://im4change.in/interviews"  target="_blank">Interviews</a>
            </p>
        </div>
    </div>

    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a href="https://www.commoncause.in/page.php?id=10" >Donate</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
        href="https://im4change.in/marquee"
        class="isf_link more-link" title="India Focus?" style="border: 4px solid #fdd922;width: 90%;background-color: #fdd922;text-align: center;color: #000000;font-size:18px"  target="_blank">India Focus</a></p>        </div>
    </div>

    <div class="rightsmlbox1" style="height: 104px !important;">
        <a href="https://im4change.in/quarterly_reports.php" target="_blank">
            Quarterly Reports on Effect of Economic Slowdown on Employment in India (2008 - 2015)
        </a>
    </div>
    
<!--     <div class="rightsmlbox1">
        <a href="https://play.google.com/store/apps/details?id=com.im4.im4change" target="_blank">
            
        </a></div> -->
    <!-- <section class="cat-box recent-box secMarg">
        <h2 class="cat-box-title">Most Visited</h2>
    </section> -->
    <!-- accordion Starts here -->
    <!-- <div id="accordion" class="accordMarg">
            </div> -->
    <!-- accordion ends here -->
    <!-- Widget Tag Cloud Starts here -->
    <div id="tag_cloud-2" class="widget widget_tag_cloud">
        <section class="cat-box recent-box secMarg">
                <h2 class="cat-box-title">MOST VISITED TAGS</h2>
            </section>
        <div class="widget-top wiPdTp">
           
            <div class="stripe-line"></div>
        </div>
        <div class="widget-container">
            <div class="tagcloud">
                                    <a href="https://im4change.in/search?qryStr=Agriculture"
                       target="_blank" class="tag-link-4 font4">Agriculture</a>
                                        <a href="https://im4change.in/search?qryStr=Food Security"
                       target="_blank" class="tag-link-4 font4">Food Security</a>
                                        <a href="https://im4change.in/search?qryStr=Law and Justice"
                       target="_blank" class="tag-link-4 font4">Law and Justice</a>
                                        <a href="https://im4change.in/search?qryStr=Health"
                       target="_blank" class="tag-link-4 font4">Health</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Food"
                       target="_blank" class="tag-link-4 font4">Right to Food</a>
                                        <a href="https://im4change.in/search?qryStr=Corruption"
                       target="_blank" class="tag-link-4 font4">Corruption</a>
                                        <a href="https://im4change.in/search?qryStr=farming"
                       target="_blank" class="tag-link-4 font4">farming</a>
                                        <a href="https://im4change.in/search?qryStr=Environment"
                       target="_blank" class="tag-link-4 font4">Environment</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Information"
                       target="_blank" class="tag-link-4 font4">Right to Information</a>
                                        <a href="https://im4change.in/search?qryStr=NREGS"
                       target="_blank" class="tag-link-4 font4">NREGS</a>
                                        <a href="https://im4change.in/search?qryStr=Human Rights"
                       target="_blank" class="tag-link-4 font4">Human Rights</a>
                                        <a href="https://im4change.in/search?qryStr=Governance"
                       target="_blank" class="tag-link-4 font4">Governance</a>
                                        <a href="https://im4change.in/search?qryStr=PDS"
                       target="_blank" class="tag-link-4 font4">PDS</a>
                                        <a href="https://im4change.in/search?qryStr=COVID-19"
                       target="_blank" class="tag-link-4 font4">COVID-19</a>
                                        <a href="https://im4change.in/search?qryStr=Land Acquisition"
                       target="_blank" class="tag-link-4 font4">Land Acquisition</a>
                                        <a href="https://im4change.in/search?qryStr=mgnrega"
                       target="_blank" class="tag-link-4 font4">mgnrega</a>
                                        <a href="https://im4change.in/search?qryStr=Farmers"
                       target="_blank" class="tag-link-4 font4">Farmers</a>
                                        <a href="https://im4change.in/search?qryStr=transparency"
                       target="_blank" class="tag-link-4 font4">transparency</a>
                                        <a href="https://im4change.in/search?qryStr=Gender"
                       target="_blank" class="tag-link-4 font4">Gender</a>
                                        <a href="https://im4change.in/search?qryStr=Poverty"
                       target="_blank" class="tag-link-4 font4">Poverty</a>
                                    
                                <a href="https://im4change.in/search?qryStr=Farm Laws" target="_blank" class="tag-link-4 font4">Farm Laws
                </a>
                <a href="https://im4change.in/search?qryStr=Citizenship Amendment Act" target="_blank" class="tag-link-4 font4">Citizenship Amendment Act
                </a>
                <a href="https://im4change.in/search?qryStr=CAA NPR NRIC" target="_blank" class="tag-link-4 font4">CAA NPR NRIC
                </a>
                <a href="https://im4change.in/search?qryStr=Job Losses" target="_blank" class="tag-link-4 font4">Job Losses
                </a>
                <a href="https://im4change.in/search?qryStr=Migrant Workers" target="_blank" class="tag-link-4 font4">Migrant Workers
                </a>
                <a href="https://im4change.in/search?qryStr=Unemployment" target="_blank" class="tag-link-4 font4">Unemployment
                </a>
                <a href="https://im4change.in/search?qryStr=PMGKAY" target="_blank" class="tag-link-4 font4">PMGKAY
                </a>
                <a href="https://im4change.in/search?qryStr=PM-KISAN" target="_blank" class="tag-link-4 font4">PM-KISAN
                </a>
                <a href="https://im4change.in/search?qryStr=PM-CARES" target="_blank" class="tag-link-4 font4">PM-CARES
                </a>
                <a href="https://im4change.in/search?qryStr=LFPR" target="_blank" class="tag-link-4 font4">LFPR
                </a>
                
            </div>
        </div>
    </div>
    <!-- Widget Tag Cloud Ends here -->
</aside>
<!-- Right Side Section End -->
        </div>
        <section class="cat-box cats-review-box footerSec">
    <h2 class="cat-box-title vSec CatArcha">Video
        Archives</h2>
    <h2 class="cat-box-title CatArchaTitle">Archives</h2>
    <div class="cat-box-content">
        <div class="reviews-cat">
            <div class="CatArchaDiv1">
                <div class="CatArchaDiv2">
                    <ul>
                                                    <li>
                                <a href="https://im4change.in/news-alerts-57/moving-upstream-luni-fellowship.html"  target="_blank">
                                     Moving Upstream: Luni – Fellowship                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"  target="_blank">
                                     135 Million Indians Exited “Multidimensional" Poverty as per Government...                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/explainer-why-are-tomato-prices-on-fire.html"  target="_blank">
                                     Explainer: Why are Tomato Prices on Fire?                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/nsso-survey-only-39-1-of-all-households-have-drinking-water-within-dwelling-46-7-of-rural-households-use-firewood-for-cooking.html"  target="_blank">
                                     NSSO Survey: Only 39.1% of all Households have Drinking...                                </a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/news-alerts-57"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
                                    <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/I51LYnP8BOk/1.jpg"
                             alt=" Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Short-Video-on-im4change-Hindi-website-Inclusive-Media-for-Change"  target="_blank">
                                 Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/kNqha-SwfIY/1.jpg"
                             alt=" "Session 1: Scope of IDEA and AgriStack" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-1- Scope-of-IDEA-and-AgriStack-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 1: Scope of IDEA and AgriStack" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/6kIVjlgZItk/1.jpg"
                             alt=" "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-2-Farmer-Centric-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/2BeHTu0y7xc/1.jpg"
                             alt=" "Session 3: Future of Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-3-Future-of-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 3: Future of Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                    


                <div class="divWidth">
                    <ul class="divWidthMarg">
                                                    <li>
                                <a href="https://im4change.in/video/Public-Spending-on-Agriculture-in-India-Source-Foundation-for-Agrarian-Studies"
                                   title="Public Spending on Agriculture in India (Source: Foundation for Agrarian Studies)"  target="_blank">
                                     Public Spending on Agriculture in India (Source: Foundation for...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Agrarian-Change-Seminar-Protests-against-the-New-Farm-Laws-in-India-by-Prof-Vikas-Rawal-JNU-Source-Journal-Of-Agrarian-Change"
                                   title="Agrarian Change Seminar: 'Protests against the New Farm Laws in India' by Prof. Vikas Rawal, JNU (Source: Journal Of Agrarian Change) "  target="_blank">
                                     Agrarian Change Seminar: 'Protests against the New Farm Laws...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Webinar-Ramrao-The-Story-of-India-Farm-Crisis-Source-Azim-Premji-University"
                                   title="Webinar: Ramrao - The Story of India's Farm Crisis (Source: Azim Premji University)"  target="_blank">
                                     Webinar: Ramrao - The Story of India's Farm Crisis...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/water-and-agricultural-transformation-in-India"
                                   title="Water and Agricultural Transformation in India: A Symbiotic Relationship (Source: IGIDR)"  target="_blank">
                                     Water and Agricultural Transformation in India: A Symbiotic Relationship...</a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/videogallery"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
            </div>
        </div>
    </div>
</section>    </div>
    <div class="clear"></div>
    <!-- Footer option Starts here -->
    <div class="footer-bottom fade-in animated4">
        <div class="container">
            <div class="social-icons icon_flat">
                <p class="SocialMargTop"> Website Developed by <a target="_blank" title="Web Development"
                                                                  class="wot right"
                                                                  href="http://www.ravinderkhurana.com/" rel="nofollow">
                                                                  RAVINDErkHURANA.com</a></p>
            </div>
            <div class="alignleft">
                <a
     target="_blank" href="https://im4change.in/objectives-8.html"
    class="link"
    title="Objectives">Objectives</a> | <a
     target="_blank" href="https://im4change.in/about-us-9.html"
    class="link" title="About Us">About Us</a> | <a
     target="_blank" href="https://im4change.in/media-workshops.php"
    class="ucwords">Workshops</a> | <a
     target="_blank" href="https://im4change.in/disclaimer/disclaimer-149.html"
    title="Disclaimer">Disclaimer</a>            </div>
        </div>
    </div>
    <!-- Footer option ends here -->
</div>
<div id="connect">
    <a target="_blank"
       href="http://www.facebook.com/sharer.php?u=https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html"
       title="Share on Facebook">
        <img src="https://im4change.in/images/Facebook.png?1582080640" alt="share on Facebook" class="ImgBorder"/>
    </a><br/>
    <a target="_blank"
       href="http://twitter.com/share?text=Im4change&amp;url=https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html"
       title="Share on Twitter">
        <img src="https://im4change.in/images/twitter.png?1582080632" alt="Twitter" class="ImgBorder"/>    </a>
    <br/>
    <a href="/feeds" title="RSS Feed" target="_blank">
        <img src="https://im4change.in/images/rss.png?1582080632" alt="RSS" class="ImgBorder"/>
    </a>
    <br/>
    <a class="feedback-link" id="feedbackFormLink" href="#">
        <img src="https://im4change.in/images/feedback.png?1582080630" alt="Feedback" class="ImgBorder"/>
    </a> <br/>
    <a href="javascript:function iprl5(){var d=document,z=d.createElement('scr'+'ipt'),b=d.body,l=d.location;try{if(!b)throw(0);d.title='(Saving...) '+d.title;z.setAttribute('src',l.protocol+'//www.instapaper.com/j/WKrH3R7ORD5p?u='+encodeURIComponent(l.href)+'&amp;t='+(new Date().getTime()));b.appendChild(z);}catch(e){alert('Please wait until the page has loaded.');}}iprl5();void(0)"
       class="bookmarklet" onclick="return explain_bookmarklet();">
        <img src="https://im4change.in/images/read-it-later.png?1582080632" alt="Read Later" class="ImgBorder"/>    </a>
</div>
<!-- Feedback form Starts here -->
<div id="feedbackForm" class="overlay_form" class="ImgBorder">
    <h2>Contact Form</h2>
    <div id="contactform1">
        <div id="formleft">
            <form id="submitform" action="/contactus.php" method="post">
                <input type="hidden" name="submitform" value="submitform"/>
                <input type="hidden" name="salt_key" value="a0e0f2c6a0644a70e57ad2c96829709a"/>
                <input type="hidden" name="ref" value="feedback"/>
                <fieldset>
                    <label>Name :</label>
                    <input type="text" name="name" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Email :</label>
                    <input type="text" name="email" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Message :</label>
                    <textarea rows="5" cols="20" name="message" required></textarea>
                </fieldset>
                <fieldset>
                    Please enter security code
                    <div class="clear"></div>
                    <input type="text" name="vrcode" class="tbox"/>
                </fieldset>
                <fieldset>
                    <input type="submit" class="button" value="Submit"/>
                    &nbsp; &nbsp; &nbsp; <a href="#" id="closefeedbakcformLink">Close</a>
                </fieldset>
            </form>
        </div>
        <div class="clearfix"></div>
    </div>
</div>
<div id="donate_popup" class="modal" style="max-width: 800px;">
    <table width="100%" border="1">
        <tr>
            <td colspan="2" align="center">
                <b>Support im4change</b>
            </td>
        </tr>
        <tr>
            <td width="25%" valign="middle">
                <img src="https://im4change.in/images/logo2.jpg?1582080632" alt="" width="100%"/>            </td>
            <td style="padding-left:10px;padding-top:10px;">
                <form action="https://im4change.in/donate" method="get">
                    <table width="100%" cellpadding="2" cellspacing="2">
                        <tr>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                10
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                100
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                1000
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                50
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                500
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                <input type="text" name="price" placeholder="?" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3" align="right">
                                <input type="button" name="Pay" value="Pay"
                                       style="width: 200px;background-color: rgb(205, 35, 36);color: #ffffff;"/>
                            </td>
                        </tr>
                    </table>
                </form>
            </td>
        </tr>
    </table>
</div><script type='text/javascript'>

    /* <![CDATA[ */

    var tievar = {'go_to': 'Go to...'};

    /* ]]> */

</script>
<script src="/js/tie-scripts.js?1575549704"></script><script src="/js/bootstrap.js?1575549704"></script><script src="/js/jquery.modal.min.js?1578284310"></script><script>
    $(document).ready(function() {
        // tell the autocomplete function to get its data from our php script
        $('#s').autocomplete({
            source: "/autocomplete"
        });
    });
</script>
<script src="/vj-main-sw-register.js" async></script>

<script>function init(){var imgDefer=document.getElementsByTagName('img');for(var i=0;i<imgDefer.length;i++){if(imgDefer[i].getAttribute('data-src')){imgDefer[i].setAttribute('src',imgDefer[i].getAttribute('data-src'))}}}
window.onload=init;</script>
</body>
</html>'

}
$reasonPhrase = 'OK'
header - [internal], line ??
Cake\Http\ResponseEmitter::emitStatusLine() - CORE/src/Http/ResponseEmitter.php, line 148
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 54
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Warning (2): Cannot modify header information - headers already sent by (output started at /home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php:853) [CORE/src/Http/ResponseEmitter.php, line 181]
Code Context
                    $value

                ), $first);

                $first = false;
$response = object(Cake\Http\Response) {

	'status' => (int) 200,
	'contentType' => 'text/html',
	'headers' => [
		'Content-Type' => [
			[maximum depth reached]
		]
	],
	'file' => null,
	'fileRange' => [],
	'cookies' => object(Cake\Http\Cookie\CookieCollection) {},
	'cacheDirectives' => [],
	'body' => '<!DOCTYPE html>
<!--[if lt IE 7 ]>
<html class="ie ie6" lang='en'> <![endif]-->
<!--[if IE 7 ]>
<html class="ie ie7" lang='en'> <![endif]-->
<!--[if IE 8 ]>
<html class="ie ie8" lang='en'> <![endif]-->
<!--[if (gte IE 9)|!(IE)]><!-->
<html lang='en'>
<!--<![endif]-->
<head><meta http-equiv="Content-Type" content="text/html; charset=utf-8">
    
    <title>
        LATEST NEWS UPDATES | Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh    </title>
    <meta name="description" content="
-The Hindu Business Line

The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority

Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the..."/>
    <meta name="keywords" content="Rashtriya Swasthya Bima Yojana,Health Insurance,NITI Aayog,National Health Mission,Out-of-pocket health expenditure,public expenditure on health,Public Health"/>
    <meta name="news_keywords" content="Rashtriya Swasthya Bima Yojana,Health Insurance,NITI Aayog,National Health Mission,Out-of-pocket health expenditure,public expenditure on health,Public Health">
   
    <link rel="alternate" type="application/rss+xml" title="ROR" href="/ror.xml"/>
    <link rel="alternate" type="application/rss+xml" title="RSS 2.0" href="/feeds/"/>
    <link rel="stylesheet" href="/css/bootstrap.min.css?1697864993"/>    <link rel="stylesheet" href="/css/style.css?v=1.1.2"/>    <link rel="stylesheet" href="/css/style-inner.css?1577045210"/>    <link rel="stylesheet" id="Oswald-css"
          href="https://fonts.googleapis.com/css?family=Oswald%3Aregular%2C700&amp;ver=3.8.1" type="text/css"
          media="all">
    <link rel="stylesheet" href="/css/jquery.modal.min.css?1578285302"/>    <script src="/js/jquery-1.10.2.js?1575549704"></script>    <script src="/js/jquery-migrate.min.js?1575549704"></script>    <link rel="shortcut icon" href="/favicon.ico" title="Favicon">
    <link rel="stylesheet" href="/css/jquery-ui.css?1580720609"/>    <script src="/js/jquery-ui.js?1575549704"></script>    <link rel="preload" as="style" href="https://www.im4change.org/css/custom.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery.modal.min.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/jquery-ui.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<link rel="preload" as="style" href="https://www.im4change.org/css/li-scroller.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">
<!-- <link rel="preload" as="style" href="https://www.im4change.org/css/style.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous"> -->
<link rel="preload" as="style" href="https://www.im4change.org/css/style-inner.css" onload="this.rel='stylesheet'" media="all" crossorigin="anonymous">

<link rel='dns-prefetch' href="//im4change.org/css/custom.css" crossorigin >

<link rel="preload" as="script" href="https://www.im4change.org/js/bootstrap.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.li-scroller.1.0.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.modal.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery.ui.totop.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-1.10.2.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-migrate.min.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/jquery-ui.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/setting.js">
<link rel="preload" as="script" href="https://www.im4change.org/js/tie-scripts.js">
    <!--[if IE]>
    <script type="text/javascript">jQuery(document).ready(function () {
        jQuery(".menu-item").has("ul").children("a").attr("aria-haspopup", "true");
    });</script>
    <![endif]-->
    <!--[if lt IE 9]>
    <script src="/js/html5.js"></script>
    <script src="/js/selectivizr-min.js"></script>
    <![endif]-->
    <!--[if IE 8]>
    <link rel="stylesheet" type="text/css" media="all" href="/css/ie8.css"/>
    <![endif]-->
    <meta property="og:title" content="LATEST NEWS UPDATES | Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh" />
     <meta property="og:url" content="https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html" />
     <meta property="og:type" content="article" />
     <meta property="og:description" content="
-The Hindu Business Line

The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority

Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the..." />
     <meta property="og:image" content="" />
      <meta property="fb:app_id" content="0" />
    <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1, user-scalable=no">

       <link rel="apple-touch-icon-precomposed" sizes="144x144" href="https://im4change.in/images/apple1.png">
    <link rel="apple-touch-icon-precomposed" sizes="120x120" href="https://im4change.in/images/apple2.png">
    <link rel="apple-touch-icon-precomposed" sizes="72x72" href="https://im4change.in/images/apple3.png">
    <link rel="apple-touch-icon-precomposed" href="https://im4change.in/images/apple4.png">

    <style>
    .gsc-results-wrapper-overlay{
        top: 38% !important;
        height: 50% !important;
    }
    .gsc-search-button-v2{
        border-color: #035588 !important;
        background-color: #035588 !important;
    }

   .gsib_a{
        height: 30px !important;
          padding: 2px 8px 1px 6px !important;
    }

   
    .gsc-search-button-v2{
        height: 41px !important;
    }
    input.gsc-input{
        background: none !important;
    }
    @media only screen and (max-width: 600px) {
        .gsc-results-wrapper-overlay{
            top: 11% !important;
            width: 87% !important;
            left: 9% !important;
            height: 43% !important;
        }

        .gsc-search-button-v2{
            padding: 10px 10px !important;
        
        }
        .gsc-input-box{
            height: 28px !important;
        }
       /* .gsib_a {
            padding: 0px 9px 4px 9px !important;
        }*/
    }
    @media only screen and (min-width: 1200px) and (max-width: 1920px) {
        table.gsc-search-box{
            width: 15% !important;
            float: right !important;
            margin-top: -118px !important;
        }

        .gsc-search-button-v2 {
            
            padding: 6px !important;
           
        }
    }


</style>

    <script>
        $(function () {
            $("#accordion").accordion({
                event: "click hoverintent"
            });
        });

        /*
         * hoverIntent | Copyright 2011 Brian Cherne
         * http://cherne.net/brian/resources/jquery.hoverIntent.html
         * modified by the jQuery UI team
         */
        $.event.special.hoverintent = {
            setup: function () {
                $(this).bind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            teardown: function () {
                $(this).unbind("mouseover", jQuery.event.special.hoverintent.handler);
            },
            handler: function (event) {
                var currentX, currentY, timeout,
                    args = arguments,
                    target = $(event.target),
                    previousX = event.pageX,
                    previousY = event.pageY;

                function track(event) {
                    currentX = event.pageX;
                    currentY = event.pageY;
                }
                ;

                function clear() {
                    target
                        .unbind("mousemove", track)
                        .unbind("mouseout", clear);
                    clearTimeout(timeout);
                }

                function handler() {
                    var prop,
                        orig = event;
                    if ((Math.abs(previousX - currentX) +
                        Math.abs(previousY - currentY)) < 7) {
                        clear();
                        event = $.Event("hoverintent");
                        for (prop in orig) {
                            if (!(prop in event)) {
                                event[prop] = orig[prop];
                            }
                        }
                        // Prevent accessing the original event since the new event
                        // is fired asynchronously and the old event is no longer
                        // usable (#6028)
                        delete event.originalEvent;
                        target.trigger(event);
                    } else {
                        previousX = currentX;
                        previousY = currentY;
                        timeout = setTimeout(handler, 100);
                    }
                }

                timeout = setTimeout(handler, 100);
                target.bind({
                    mousemove: track,
                    mouseout: clear
                });
            }
        };
    </script>
    <script type="text/javascript">
        var _gaq = _gaq || [];
        _gaq.push(['_setAccount', 'UA-472075-3']);
        _gaq.push(['_trackPageview']);

        (function () {
            var ga = document.createElement('script');
            ga.type = 'text/javascript';
            ga.async = true;
            ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js';
            var s = document.getElementsByTagName('script')[0];
            s.parentNode.insertBefore(ga, s);
        })();
    </script>
    <link rel="stylesheet" href="/css/custom.css?v=1.16"/>    <script src="/js/jquery.ui.totop.js?1575549704"></script>    <script src="/js/setting.js?1575549704"></script>    <link rel="manifest" href="/manifest.json">
    <meta name="theme-color" content="#616163" />
    <meta name="apple-mobile-web-app-capable" content="yes">
    <meta name="apple-mobile-web-app-status-bar-style" content="black">
    <meta name="apple-mobile-web-app-title" content="im4change">
    <link rel="apple-touch-icon" href="/icons/logo-192x192.png">
</head>
<body id="top" class="home inner blog">
<div class="background-cover"></div>
<div class="wrapper animated">
    <header id="theme-header" class="header_inner" style="position: relative;">
        <div class="logo inner_logo" style="left:20px !important">
                <a title="Home" href="https://im4change.in/">
                    <img src="https://im4change.in/images/logo2.jpg?1582080632" class="logo_image" alt="im4change"/>                </a>
        </div>
        <div class="langhindi" style="color: #000;display:none;"
             href="https://im4change.in/">
            <a class="more-link" href="https://im4change.in/">Home</a>
                        <a href="https://im4change.in/hindi/" class="langbutton ">हिन्दी</a>
                    </div>
        <nav class="fade-in animated2" id="main-nav">
            <div class="container">
                <div class="main-menu">
    <ul class="menu" id="menu-main">
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            style="left: -40px;"><a
                 target="_blank" href="https://im4change.in/">Home</a>
        </li>
        <li class="menu-item mega-menu menu-item-type-taxonomy mega-menu menu-item-object-category mega-menu menu-item-has-children parent-list"
            style=" margin-left: -40px;"><a href="#">KNOWLEDGE GATEWAY <span class="sub-indicator"></span>
            </a>
            <div class="mega-menu-block background_menu" style="padding-top:25px;">
                <div class="container">
                    <div class="mega-menu-content">
                                                                   <div class="mega-menu-item">
                                                 <h3><b>Farm Crisis</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/farmers039-suicides-14.html"
                                                       class="left postionrel">Farm Suicides                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/unemployment-30.html"
                                                       class="left postionrel">Unemployment                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/rural-distress-70.html"
                                                       class="left postionrel">Rural distress                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/migration-34.html"
                                                       class="left postionrel">Migration                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/key-facts-72.html"
                                                       class="left postionrel">Key Facts                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/farm-crisis/debt-trap-15.html"
                                                       class="left postionrel">Debt Trap                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Empowerment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/union-budget-73.html"
                                                       class="left postionrel">Union Budget And Other Economic Policies                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/forest-and-tribal-rights-61.html"
                                                       class="left postionrel">Forest and Tribal Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-education-60.html"
                                                       class="left postionrel">Right to Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-food-59.html"
                                                       class="left postionrel">Right to Food                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/displacement-3279.html"
                                                       class="left postionrel">Displacement                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-work-mg-nrega-39.html"
                                                       class="left postionrel">Right to Work (MG-NREGA)                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/gender-3280.html"
                                                       class="left postionrel">GENDER                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/right-to-information-58.html"
                                                       class="left postionrel">Right to Information                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/empowerment/social-audit-48.html"
                                                       class="left postionrel">Social Audit                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Hunger / HDI</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/poverty-and-inequality-20499.html"
                                                       class="left postionrel">Poverty and inequality                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/malnutrition-41.html"
                                                       class="left postionrel">Malnutrition                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/public-health-51.html"
                                                       class="left postionrel">Public Health                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/education-50.html"
                                                       class="left postionrel">Education                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hunger-overview-40.html"
                                                       class="left postionrel">Hunger Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/hdi-overview-45.html"
                                                       class="left postionrel">HDI Overview                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/pds-ration-food-security-42.html"
                                                       class="left postionrel">PDS/ Ration/ Food Security                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/sdgs-113.html"
                                                       class="left postionrel">SDGs                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/hunger-hdi/mid-day-meal-scheme-mdms-53.html"
                                                       class="left postionrel">Mid Day Meal Scheme (MDMS)                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Environment</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/time-bomb-ticking-52.html"
                                                       class="left postionrel">Time Bomb Ticking                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/water-and-sanitation-55.html"
                                                       class="left postionrel">Water and Sanitation                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/environment/impact-on-agriculture-54.html"
                                                       class="left postionrel">Impact on Agriculture                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        <div class="mega-menu-item">
                                                 <h3><b>Law & Justice</b></h3>
                                                                                                    <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/social-justice-20500.html"
                                                       class="left postionrel">Social Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/access-to-justice-47.html"
                                                       class="left postionrel">Access to Justice                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/human-rights-56.html"
                                                       class="left postionrel">Human Rights                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/corruption-35.html"
                                                       class="left postionrel">Corruption                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/general-insecurity-46.html"
                                                       class="left postionrel">General Insecurity                                                       </a>
                                                </p>
                                                                                                        <p style="padding-left:5px;">
                                                    <a  target="_blank" href="https://im4change.in/law-justice/disaster-relief-49.html"
                                                       class="left postionrel">Disaster &amp; Relief                                                       </a>
                                                </p>
                                                                                                
                                              </div> 
                                            
                                                                                        
                    </div>
                </div>
            </div>
        </li>
        <li class="menu-item  menu-item-type-post_type  menu-item-object-page "><a  target="_blank" href="https://im4change.in/nceus_reports.php">NCEUS reports</a>
            
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children parent-list ">
            <a  target="_blank" href="https://im4change.in/about-us-9.html">About Us <span
                    class="sub-indicator"></span></a>
            <ul class="sub-menu aboutmenu">
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                        target="_blank" href="https://im4change.in/objectives-8.html">Objectives</a>
                </li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/contactus.php">Contact
                        Us</a></li>
                <li class="menu-item  menu-item-type-post_type  menu-item-object-page"><a
                         target="_blank" href="https://im4change.in/about-us-9.html">About
                        Us</a></li>
            </ul>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children ">
            <a  target="_blank" href="https://im4change.in/fellowships.php" title="Fellowships">Fellowships</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/media-workshops.php">Workshops</a>
        </li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children  "><a
                 target="_blank" href="https://im4change.in/research.php">Research</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children   "><a
                 target="_blank" href="https://im4change.in/links-64">Partners</a></li>
        <li class="menu-item  menu-item-type-custom  menu-item-object-custom  menu-item-has-children"
            id="menu-item-539"><a  target="_blank" href="https://im4change.in/hindi/"
                                  class="langbutton langlinkfont17">हिन्दी</a></li>
    </ul>
</div>            </div>


                        <!--  <div style="float: right;">
                            <script async src="https://cse.google.com/cse.js?cx=18b4f2e0f11bed3dd"></script>
                            <div class="gcse-search"></div>
                        </div> -->
                       
            <div class="search-block" style=" margin-left: 8px; margin-right: 7px;">
                <form method="get" id="searchform" name="searchform"
                      action="https://im4change.in/search"
                      onsubmit="return searchvalidate();">
                    <button class="search-button" type="submit" value="Search"></button>
                    <input type="text" id="s" name="qryStr" value=""
                           onfocus="if (this.value == 'Search...') {this.value = '';}"
                           onblur="if (this.value == '') {this.value = 'Search...';}">
                </form>
            </div>
        </nav>
    </header>
    <div class="container">
        <div id="main-content" class=" main1 container fade-in animated3 sidebar-narrow-left">
            <div class="content-wrap">
                <div class="content" style="width: 900px;min-height: 500px;">
                    <section class="cat-box recent-box innerCatRecent">
    <h1 class="cat-box-title">Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh</h1>
    <a href="JavaScript:void(0);" onclick="return shareArticle(31075);">
        <img src="https://im4change.in/images/email.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>    </a>

    <a href="https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142/print"
       rel="nofollow">
        <img src="https://im4change.in/images/icon-print.png?1582080630" border="0" width="24" align="right" alt="Share this article"/>
    </a>
</section>
<section class="recent-box innerCatRecent">
    <small class="pb-1"><span class="dateIcn">
    	<img src="https://im4change.in/images/published.svg?1582080666" alt="published"/> 
		 Published on</span><span class="text-date"> Apr 18, 2016</span>
        &nbsp; <span
                class="dateIcn">
		 	<img src="https://im4change.in/images/modified.svg?1582080666" alt="modified"/>    	 Modified on </span><span class="text-date"> Apr 18, 2016</span>
    </small>
</section>
<div class="clear"></div>
<div style="padding-top: 10px;">
    <div class="innerLineHeight">
        <div class="middleContent innerInput latest-news-updates">
            <table>
                <tr>
                    <td>
                                                <div>
                            <div align="justify">-The Hindu Business Line<br /><br /><em>The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority<br /></em><br />Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the principle for public expenditure policies, particularly for the social sectors.<br /><br />Arvind Panagariya, the vice-chairperson of the NITI Aayog, suggests that &ldquo;for just three-quarters of a per cent of the GDP&rdquo;, 0.76 per cent to be precise, &ldquo;the government can provide at least a modest healthcare cover for the bottom half of the population&rdquo; after which &ldquo;there does not remain a case for additionally free provision of the service by the government&rdquo;.<br /><br />Such perceptions form the basis of an alternative for an eventual obliteration of the public services and in the process, lowering further the already low public spending in health.<br /><br />The budgetary allocation for health and allied reveals a much wider hold of such perceptions as articulated by Panagariya.<br /><br />The stage is set for a more concerted effort in that direction. This is not surprising as the word &lsquo;subsidy&rsquo; has been given a negative connotation when to the poor but when offered to the medical industry it becomes an &lsquo;investment&rsquo;.<br /><br /><em>Misplaced priorities<br /></em><br />The projected 13 per cent increase of total allocation on health for 2016-17 over previous year&rsquo;s spending of Rs. 33,841 crore amounts to a nominal increase by Rs. 4,365 crore.<br /><br />Using CPI-IW as deflator and assuming that inflation will stay at this year&rsquo;s rate of 5.9 per cent, we estimate in real terms an erosion of Rs. 2,000 crore. So, in real terms, the increase in 2016-17 amounts to a mere 6.6 per cent.<br /><br />This is especially meagre if we consider the fact that last year&rsquo;s health expenditure (revised estimates) had declined in real terms from actual spending of 2014-15. In proportion to GDP, this year&rsquo;s total allocation on health has reduced to 0.254 per cent compared to actual spending of 0.256 per cent in 2014-15.<br /><br />There are serious issues of misplaced priorities as well within the health budget itself. To illustrate this, we look at the budget in real terms (estimating expenditures at 2016-17 projected prices for previous years), as well as the proportion of different components within the health budget.<br /><br />While drawing comparisons with the previous years, we are careful of the rearrangements and re-classification of budget heads for this year.<br /><br />One of the major concerns is the gradual weakening of the National Health Mission (NHM) whose main components are public health care infrastructure other than tertiary care, programmes for prevention of communicable diseases like TB, vector-borne diseases, etc. The share of NHM in total health budget has been gradually reduced during the last three years from 56.2 per cent in 2014-15 to 54.1 per cent in 2015-16 to this year&rsquo;s allocation of 49.8 per cent.<br /><br />There is a consistent decline in real terms as well. With a 5.9 per cent inflation rate, expenditure of 2015-16 in real terms had declined from 2014-15 levels and there is a further reduction of allocation now (assuming same level of inflation) in NHM for 2016-17.<br /><br />Another significant reduction is in Family Welfare Scheme whose allocation this year is less than half of 2015-16 expenditures or less than one-third of expenditures in 2014-15. The budget is primarily for promoting, procuring and distributing contraceptives and other materials and for information, education and communication (IEC).<br /><br /><em>Where&rsquo;s welfare?<br /></em><br />It is evident from the tragic deaths of women in Bilaspur sterilisation camp in November 2015 (in a private set-up), that the IEC without infrastructure and welfare services means nothing. The maternal health and welfare component of family welfare has borne the brunt of cuts. Thus, instead of welfare, the budget is tuned to population control!<br /><br />Medical care institutions, primarily in the tertiary care sector, see a boost of 18 per cent over 2015-16 at the cost of primary and secondary healthcare institutions. The majority of the population lags in access at that level. What this policy programming indicates is that while the majority of the population has been left to its own devices, the state has become a protector of the medico-industrial complex catering only to the rich.<br /><br />Allocation on insurance &mdash; CGHS and RSBY/RSSY &mdash; has increased to 9.5 per cent of total allocation on health from 7.3 per cent of expenditure in 2014-15. Health insurance for protection from catastrophic expenditures, splitting financing and provisioning into public and private, cannot be a substitute to a well functioning state-run public health-care system. Splintered state-led insurance run by private providers and insurance companies are pushing up costs.<br /><br />Allocation in human resources in health and medical education &mdash; which is for establishing new medical colleges (by upgrading district hospitals), upgrading/strengthening of nursing services, pharmacy schools/college, paramedical institutions etc, is another grey area. There is a sharp increase in allocation compared to the previous years.<br /><br />However, given the acute shortage of healthcare personnel, an allocation of Rs. 600 crore is still meagre. Second, given the emphasis on medical care, especially tertiary care, it is doubtful how much of it will go to training primary level workers. Allocation in health research has increased by 6.8 per cent in real terms but the total allocation of Rs. 1,145 crore is inadequate to expand research into critical areas of public health.<br /><br /><em>Neglect of allied sectors<br /></em><br />People&rsquo;s health is dependent upon allocation of allied sectors such as food subsidy and ICDS, and these have declined in real terms. Water and sanitation, which had faced significant budget cuts in 2015-16, have been allocated just the amount incurred as expenditure for 2014-15 in real terms. Allocation in MGNREGS &mdash; an important scheme to boost rural employment and wages &mdash; has also declined in real terms from the revised estimates of expenditure for 2015-16, even without considering the Rs. 6,000-crore pending payments. As a percentage of GDP, allocation in food subsidy, MGNREGS and ICDS have declined compared to 2015-16 and 2014-15, while that of water and sanitation have reduced vis-&agrave;-vis 2014-15.<br /><br />This budget, thus, is not only about rearranging subheads to inflate and deflate allocations without an overhaul of public expenditure in health, it is also about transforming the core of public health and health sector planning.<br /><br />Mere reallocation of resources from the primary care sector to the tertiary with paltry health coverage for a small section of the population through health insurance is grossly inadequate. The substance of the latest Budget for health is that it promotes not universal health coverage but the medical care market.<br /><em><br />Qadeer headed the department of social medicine and community health at JNU and is visiting faculty at the Council for Social Development (CSD); Ghosh is a research consultant with CSD </em><br /></div>                                                           
                        </div>
                    </td>
                </tr>
            </table>
        </div>
    </div>
</div>
<div class="clear"></div>
    <br><a href="http://www.thehindubusinessline.com/opinion/public-healths-in-the-infirmary/article8486437.ece?homepage=true" class="re" target="_blank">The Hindu Business Line, 17 April, 2016, http://www.thehindubusinessline.com/opinion/public-healths-in-the-infirmary/article8486437.ece?homepage=true</a><div class="clear"></div>
    <div style="padding-top: 18px;">
        <p class="post-tag">Tagged with:
                            <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Rashtriya Swasthya Bima Yojana"
                   title="Rashtriya Swasthya Bima Yojana">
                    Rashtriya Swasthya Bima Yojana                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Health Insurance"
                   title="Health Insurance">
                    Health Insurance                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=NITI Aayog"
                   title="NITI Aayog">
                    NITI Aayog                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=National Health Mission"
                   title="National Health Mission">
                    National Health Mission                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Out-of-pocket health expenditure"
                   title="Out-of-pocket health expenditure">
                    Out-of-pocket health expenditure                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=public expenditure on health"
                   title="public expenditure on health">
                    public expenditure on health                </a>
                                <a class="tagcloud5"
                   href="https://im4change.in/search?qryStr=Public Health"
                   title="Public Health">
                    Public Health                </a>
                        </p>
    </div>
<div class="clear"></div>
    <br><br>
    <div class="widget-top">
        <h4>Related Articles</h4>
        <div class="stripe-line"></div>
    </div>
    <div class="widget-container">
        <ul id="recentcomments">
                            <li class="recentcomments">
                    <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"
                       title="135 Million Indians Exited “Multidimensional" Poverty as per Government Figures. Is that the same as Poverty Reduction?">
                        135 Million Indians Exited “Multidimensional" Poverty as per Government Figures. Is that the same as Poverty Reduction?                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/niti-aayog-says-20-79-crore-indians-are-multidimensionally-poor-banjot-kaur.html"
                       title="Niti Aayog says 20.79 Crore Indians Are 'Multidimensionally Poor' - Banjot Kaur">
                        Niti Aayog says 20.79 Crore Indians Are 'Multidimensionally Poor' - Banjot Kaur                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/a-peek-into-the-modi-government-s-likely-budget-2023-cnes-infosphere.html"
                       title="A peek into the Modi government's (likely) budget 2023 - CNES Infosphere">
                        A peek into the Modi government's (likely) budget 2023 - CNES Infosphere                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/the-importance-of-affordable-healthcare-for-all-and-other-key-lessons-from-the-pandemic-chapal-mehra-lancelot-pinto.html"
                       title="The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto">
                        The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra  & Lancelot Pinto                    </a>
                </li>
                                <li class="recentcomments">
                    <a href="https://im4change.in/latest-news-updates/we-did-not-manage-to-double-the-income-of-indian-farmers-himanshu.html"
                       title="We did not manage to double the income of Indian farmers -Himanshu">
                        We did not manage to double the income of Indian farmers -Himanshu                    </a>
                </li>
                
        </ul>
    </div>
    <div class="comment-respond" id="respond">
    <a name="commentbox">&nbsp;</a>
    <h3 class="comment-reply-title" id="reply-title">Write Comments</h3>
    <form method="post" accept-charset="utf-8" role="form" action="/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html"><div style="display:none;"><input type="hidden" name="_method" value="POST"/></div>    <form class="comment-form" id="commentform" method="post" action="#commentbox" onSubmit="return validate()"
          name="cmtform">
        <input type="hidden" name="cmttype" value="articlecmt"/>
        <input type="hidden" name="article_id" value="31075"/>
        <p class="comment-notes">Your email address will not be published. Required fields are marked <span
                    class="required">*</span></p>
                <p class="comment-form-author">
            <label for="commenterName">Name</label>
            <span class="required">*</span>
            <input type="text" aria-required="true" size="30"
                   value=""
                   name="commenterName" id="commenterName" required="true">
        </p>
        <p class="comment-form-email">
            <label for="commenterEmail">Email</label> <span class="required">*</span>
            <input aria-required="true" size="30" name="commenterEmail" id="commenterEmail" type="email"
                   value=""
                   required="true">
        </p>
        <p class="comment-form-contact">
            <label for="commenterPh">Contact No.</label>
            <input type="text" size="30"
                   value=""
                   name="commenterPh" id="commenterPh">
        </p>
        <p class="comment-form-comment">
            <label for="comment">Comment</label>
            <textarea aria-required="true" required="true" rows="8" cols="45" name="comment"
                      id="comment"></textarea>
        </p>
        <p class="comment-form-comment">
            <label for="comment">Type the characters you see in the image below <span class="required">*</span><br><img
                        class="captchaImg"
                        src="https://im4change.in/securimage_show_art.php?tk=1020552036" alt="captcha"/>
            </label>
        </p>
        <input type="text" name="vrcode" required="true"/>

        <p class="form-submit" style="width: 200px;">
            <input type="submit" value="Post Comment" id="submit" name="submit">
        </p></form>
</div>
<style>
    .ui-widget-content {
        height: auto !important;
    }
</style>
<div id="share-modal"></div>
<style>
    .middleContent a{
        background-color: rgba(108,172,228,.2);
    }
    .middleContent a:hover{
        background-color: #418fde;
        border-color: #418fde;
        color: #000;
        }
</style>
<script>
    function shareArticle(article_id) {
        var options = {
            modal: true,
            height: 'auto',
            width: 600 + 'px'
        };
        $('#share-modal').html("");
        $('#share-modal').load('https://im4change.in/share_article?article_id=' + article_id).dialog(options).dialog('open');
    }

    function postShare() {
        var param = 'article_id=' + $("#article_id").val();
        param = param + '&y_name=' + $("#y_name").val();
        param = param + '&y_email=' + $("#y_email").val();
        param = param + '&f_name=' + $("#f_name").val();
        param = param + '&f_email=' + $("#f_email").val();
        param = param + '&y_msg=' + $("#y_msg").val();

        $.ajax({
            type: "POST",
            url: 'https://im4change.in/post_share_article',
            data: param,
            success: function (response) {
                $('#share-modal').html("Thank You, Your message posted to ");
            }
        });
        return false;
    }
</script>                </div>
            </div>
            <!-- Right Side Section Start -->
<!-- MAP Section START -->
<aside class="sidebar indexMarg">
    <div class="ad-cell">
        <a href="https://im4change.in/statemap.php" title="">
            <img src="https://im4change.in/images/map_new_version.png?1582080666" alt="India State Map" class="indiamap" width="232" height="252"/>        </a>
        <div class="rightmapbox">
            <div id="sideOne" class="docltitle"><a href="https://im4change.in/state-report/india/36" target="_blank">DOCUMENTS/
                    REPORTS</a></div>
            <div id="sideTwo" class="statetitle"><a href="https://im4change.in/states.php"target="_blank">STATE DATA/
                    HDRs.</a></div>
        </div>
        <div class="widget widgePadTop"></div>
    </div>
</aside>
<!-- MAP Section END -->
<aside class="sidebar sidePadbottom">
    <div class="rightsmlbox1" >
        <a href="https://im4change.in/knowledge_gateway" target="_blank" style="color: #035588;
    font-size: 17px;">
            KNOWLEDGE GATEWAY
        </a>
    </div>
    <div class="rightsmlbox1">

        <div>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/newsletter" target="_blank">
                    NEWSLETTER
                </a>
            </p>
        </div>
    </div>
        <div class="rightsmlbox1" style="height: 325px;">
        <div>
            <p class="rightsmlbox1_title">
                Interview with Prof. Ravi Srivastava
            </p>
            <p class="rightsmlbox1_title">
                <a href="https://im4change.in/video/interview-with-prof-ravi-srivastava-on-current-economic-crisis">
                <img width="250" height="200" src="/images/interview_video_home.jpg" alt="Interview with Prof. Ravi Srivastava"/>
                </a>
                <!--
                <iframe width="250" height="200" src="https://www.youtube.com/embed/MmaTlntk-wc" frameborder="0" allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen=""></iframe>-->
               
            </p>
            <a href="https://im4change.in/videogallery" class="more-link CatArchalAnch1" target="_blank">
                                More videos
                            </a>
        </div>
    </div>
    
        <div class="rightsmlbox1">
        <div>
            <!--div id="sstory" class="rightboxicons"></div--->
            <p class="rightsmlbox1_title"><a href="https://im4change.in/list-success-stories"  target="_blank">Success Stories</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
                        href="https://im4change.in/interviews"  target="_blank">Interviews</a>
            </p>
        </div>
    </div>

    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a href="https://www.commoncause.in/page.php?id=10" >Donate</a></p>
        </div>
    </div>
    <div class="rightsmlbox1">
        <div>
            <p class="rightsmlbox1_title"><a
        href="https://im4change.in/marquee"
        class="isf_link more-link" title="India Focus?" style="border: 4px solid #fdd922;width: 90%;background-color: #fdd922;text-align: center;color: #000000;font-size:18px"  target="_blank">India Focus</a></p>        </div>
    </div>

    <div class="rightsmlbox1" style="height: 104px !important;">
        <a href="https://im4change.in/quarterly_reports.php" target="_blank">
            Quarterly Reports on Effect of Economic Slowdown on Employment in India (2008 - 2015)
        </a>
    </div>
    
<!--     <div class="rightsmlbox1">
        <a href="https://play.google.com/store/apps/details?id=com.im4.im4change" target="_blank">
            
        </a></div> -->
    <!-- <section class="cat-box recent-box secMarg">
        <h2 class="cat-box-title">Most Visited</h2>
    </section> -->
    <!-- accordion Starts here -->
    <!-- <div id="accordion" class="accordMarg">
            </div> -->
    <!-- accordion ends here -->
    <!-- Widget Tag Cloud Starts here -->
    <div id="tag_cloud-2" class="widget widget_tag_cloud">
        <section class="cat-box recent-box secMarg">
                <h2 class="cat-box-title">MOST VISITED TAGS</h2>
            </section>
        <div class="widget-top wiPdTp">
           
            <div class="stripe-line"></div>
        </div>
        <div class="widget-container">
            <div class="tagcloud">
                                    <a href="https://im4change.in/search?qryStr=Agriculture"
                       target="_blank" class="tag-link-4 font4">Agriculture</a>
                                        <a href="https://im4change.in/search?qryStr=Food Security"
                       target="_blank" class="tag-link-4 font4">Food Security</a>
                                        <a href="https://im4change.in/search?qryStr=Law and Justice"
                       target="_blank" class="tag-link-4 font4">Law and Justice</a>
                                        <a href="https://im4change.in/search?qryStr=Health"
                       target="_blank" class="tag-link-4 font4">Health</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Food"
                       target="_blank" class="tag-link-4 font4">Right to Food</a>
                                        <a href="https://im4change.in/search?qryStr=Corruption"
                       target="_blank" class="tag-link-4 font4">Corruption</a>
                                        <a href="https://im4change.in/search?qryStr=farming"
                       target="_blank" class="tag-link-4 font4">farming</a>
                                        <a href="https://im4change.in/search?qryStr=Environment"
                       target="_blank" class="tag-link-4 font4">Environment</a>
                                        <a href="https://im4change.in/search?qryStr=Right to Information"
                       target="_blank" class="tag-link-4 font4">Right to Information</a>
                                        <a href="https://im4change.in/search?qryStr=NREGS"
                       target="_blank" class="tag-link-4 font4">NREGS</a>
                                        <a href="https://im4change.in/search?qryStr=Human Rights"
                       target="_blank" class="tag-link-4 font4">Human Rights</a>
                                        <a href="https://im4change.in/search?qryStr=Governance"
                       target="_blank" class="tag-link-4 font4">Governance</a>
                                        <a href="https://im4change.in/search?qryStr=PDS"
                       target="_blank" class="tag-link-4 font4">PDS</a>
                                        <a href="https://im4change.in/search?qryStr=COVID-19"
                       target="_blank" class="tag-link-4 font4">COVID-19</a>
                                        <a href="https://im4change.in/search?qryStr=Land Acquisition"
                       target="_blank" class="tag-link-4 font4">Land Acquisition</a>
                                        <a href="https://im4change.in/search?qryStr=mgnrega"
                       target="_blank" class="tag-link-4 font4">mgnrega</a>
                                        <a href="https://im4change.in/search?qryStr=Farmers"
                       target="_blank" class="tag-link-4 font4">Farmers</a>
                                        <a href="https://im4change.in/search?qryStr=transparency"
                       target="_blank" class="tag-link-4 font4">transparency</a>
                                        <a href="https://im4change.in/search?qryStr=Gender"
                       target="_blank" class="tag-link-4 font4">Gender</a>
                                        <a href="https://im4change.in/search?qryStr=Poverty"
                       target="_blank" class="tag-link-4 font4">Poverty</a>
                                    
                                <a href="https://im4change.in/search?qryStr=Farm Laws" target="_blank" class="tag-link-4 font4">Farm Laws
                </a>
                <a href="https://im4change.in/search?qryStr=Citizenship Amendment Act" target="_blank" class="tag-link-4 font4">Citizenship Amendment Act
                </a>
                <a href="https://im4change.in/search?qryStr=CAA NPR NRIC" target="_blank" class="tag-link-4 font4">CAA NPR NRIC
                </a>
                <a href="https://im4change.in/search?qryStr=Job Losses" target="_blank" class="tag-link-4 font4">Job Losses
                </a>
                <a href="https://im4change.in/search?qryStr=Migrant Workers" target="_blank" class="tag-link-4 font4">Migrant Workers
                </a>
                <a href="https://im4change.in/search?qryStr=Unemployment" target="_blank" class="tag-link-4 font4">Unemployment
                </a>
                <a href="https://im4change.in/search?qryStr=PMGKAY" target="_blank" class="tag-link-4 font4">PMGKAY
                </a>
                <a href="https://im4change.in/search?qryStr=PM-KISAN" target="_blank" class="tag-link-4 font4">PM-KISAN
                </a>
                <a href="https://im4change.in/search?qryStr=PM-CARES" target="_blank" class="tag-link-4 font4">PM-CARES
                </a>
                <a href="https://im4change.in/search?qryStr=LFPR" target="_blank" class="tag-link-4 font4">LFPR
                </a>
                
            </div>
        </div>
    </div>
    <!-- Widget Tag Cloud Ends here -->
</aside>
<!-- Right Side Section End -->
        </div>
        <section class="cat-box cats-review-box footerSec">
    <h2 class="cat-box-title vSec CatArcha">Video
        Archives</h2>
    <h2 class="cat-box-title CatArchaTitle">Archives</h2>
    <div class="cat-box-content">
        <div class="reviews-cat">
            <div class="CatArchaDiv1">
                <div class="CatArchaDiv2">
                    <ul>
                                                    <li>
                                <a href="https://im4change.in/news-alerts-57/moving-upstream-luni-fellowship.html"  target="_blank">
                                     Moving Upstream: Luni – Fellowship                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/135-million-indians-exited-multidimensional-poverty-as-per-government-figures-is-that-the-same-as-poverty-reduction.html"  target="_blank">
                                     135 Million Indians Exited “Multidimensional" Poverty as per Government...                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/explainer-why-are-tomato-prices-on-fire.html"  target="_blank">
                                     Explainer: Why are Tomato Prices on Fire?                                </a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/news-alerts-57/nsso-survey-only-39-1-of-all-households-have-drinking-water-within-dwelling-46-7-of-rural-households-use-firewood-for-cooking.html"  target="_blank">
                                     NSSO Survey: Only 39.1% of all Households have Drinking...                                </a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/news-alerts-57"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
                                    <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/I51LYnP8BOk/1.jpg"
                             alt=" Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Short-Video-on-im4change-Hindi-website-Inclusive-Media-for-Change"  target="_blank">
                                 Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/kNqha-SwfIY/1.jpg"
                             alt=" "Session 1: Scope of IDEA and AgriStack" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-1- Scope-of-IDEA-and-AgriStack-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 1: Scope of IDEA and AgriStack" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/6kIVjlgZItk/1.jpg"
                             alt=" "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-2-Farmer-Centric-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                                        <div class="CatArchaWidth">
                        <img class="CatArchaImg"
                             src="https://img.youtube.com/vi/2BeHTu0y7xc/1.jpg"
                             alt=" "Session 3: Future of Digitalisation in Agriculture" in Exploring...">
                        <p class="CatArchaPPad">
                            <a href="https://im4change.in/video/Session-3-Future-of-Digitalisation-in-Agriculture-in-Exploring-Digitalisation-in-Agriculture-29-April-2022"  target="_blank">
                                 "Session 3: Future of Digitalisation in Agriculture" in Exploring...                            </a>
                        </p>
                    </div>
                    


                <div class="divWidth">
                    <ul class="divWidthMarg">
                                                    <li>
                                <a href="https://im4change.in/video/Public-Spending-on-Agriculture-in-India-Source-Foundation-for-Agrarian-Studies"
                                   title="Public Spending on Agriculture in India (Source: Foundation for Agrarian Studies)"  target="_blank">
                                     Public Spending on Agriculture in India (Source: Foundation for...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Agrarian-Change-Seminar-Protests-against-the-New-Farm-Laws-in-India-by-Prof-Vikas-Rawal-JNU-Source-Journal-Of-Agrarian-Change"
                                   title="Agrarian Change Seminar: 'Protests against the New Farm Laws in India' by Prof. Vikas Rawal, JNU (Source: Journal Of Agrarian Change) "  target="_blank">
                                     Agrarian Change Seminar: 'Protests against the New Farm Laws...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/Webinar-Ramrao-The-Story-of-India-Farm-Crisis-Source-Azim-Premji-University"
                                   title="Webinar: Ramrao - The Story of India's Farm Crisis (Source: Azim Premji University)"  target="_blank">
                                     Webinar: Ramrao - The Story of India's Farm Crisis...</a>
                            </li>
                                                        <li>
                                <a href="https://im4change.in/video/water-and-agricultural-transformation-in-India"
                                   title="Water and Agricultural Transformation in India: A Symbiotic Relationship (Source: IGIDR)"  target="_blank">
                                     Water and Agricultural Transformation in India: A Symbiotic Relationship...</a>
                            </li>
                                                    <li class="CatArchalLi1">
                            <a href="https://im4change.in/videogallery"
                               class="more-link CatArchalAnch1"  target="_blank">
                                More...
                            </a>
                        </li>
                    </ul>
                </div>
            </div>
        </div>
    </div>
</section>    </div>
    <div class="clear"></div>
    <!-- Footer option Starts here -->
    <div class="footer-bottom fade-in animated4">
        <div class="container">
            <div class="social-icons icon_flat">
                <p class="SocialMargTop"> Website Developed by <a target="_blank" title="Web Development"
                                                                  class="wot right"
                                                                  href="http://www.ravinderkhurana.com/" rel="nofollow">
                                                                  RAVINDErkHURANA.com</a></p>
            </div>
            <div class="alignleft">
                <a
     target="_blank" href="https://im4change.in/objectives-8.html"
    class="link"
    title="Objectives">Objectives</a> | <a
     target="_blank" href="https://im4change.in/about-us-9.html"
    class="link" title="About Us">About Us</a> | <a
     target="_blank" href="https://im4change.in/media-workshops.php"
    class="ucwords">Workshops</a> | <a
     target="_blank" href="https://im4change.in/disclaimer/disclaimer-149.html"
    title="Disclaimer">Disclaimer</a>            </div>
        </div>
    </div>
    <!-- Footer option ends here -->
</div>
<div id="connect">
    <a target="_blank"
       href="http://www.facebook.com/sharer.php?u=https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html"
       title="Share on Facebook">
        <img src="https://im4change.in/images/Facebook.png?1582080640" alt="share on Facebook" class="ImgBorder"/>
    </a><br/>
    <a target="_blank"
       href="http://twitter.com/share?text=Im4change&amp;url=https://im4change.in/latest-news-updates/public-healths-in-the-infirmary-imrana-qadeer-and-sourindra-mohan-ghosh-4679142.html"
       title="Share on Twitter">
        <img src="https://im4change.in/images/twitter.png?1582080632" alt="Twitter" class="ImgBorder"/>    </a>
    <br/>
    <a href="/feeds" title="RSS Feed" target="_blank">
        <img src="https://im4change.in/images/rss.png?1582080632" alt="RSS" class="ImgBorder"/>
    </a>
    <br/>
    <a class="feedback-link" id="feedbackFormLink" href="#">
        <img src="https://im4change.in/images/feedback.png?1582080630" alt="Feedback" class="ImgBorder"/>
    </a> <br/>
    <a href="javascript:function iprl5(){var d=document,z=d.createElement('scr'+'ipt'),b=d.body,l=d.location;try{if(!b)throw(0);d.title='(Saving...) '+d.title;z.setAttribute('src',l.protocol+'//www.instapaper.com/j/WKrH3R7ORD5p?u='+encodeURIComponent(l.href)+'&amp;t='+(new Date().getTime()));b.appendChild(z);}catch(e){alert('Please wait until the page has loaded.');}}iprl5();void(0)"
       class="bookmarklet" onclick="return explain_bookmarklet();">
        <img src="https://im4change.in/images/read-it-later.png?1582080632" alt="Read Later" class="ImgBorder"/>    </a>
</div>
<!-- Feedback form Starts here -->
<div id="feedbackForm" class="overlay_form" class="ImgBorder">
    <h2>Contact Form</h2>
    <div id="contactform1">
        <div id="formleft">
            <form id="submitform" action="/contactus.php" method="post">
                <input type="hidden" name="submitform" value="submitform"/>
                <input type="hidden" name="salt_key" value="a0e0f2c6a0644a70e57ad2c96829709a"/>
                <input type="hidden" name="ref" value="feedback"/>
                <fieldset>
                    <label>Name :</label>
                    <input type="text" name="name" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Email :</label>
                    <input type="text" name="email" class="tbox" required/>
                </fieldset>
                <fieldset>
                    <label>Message :</label>
                    <textarea rows="5" cols="20" name="message" required></textarea>
                </fieldset>
                <fieldset>
                    Please enter security code
                    <div class="clear"></div>
                    <input type="text" name="vrcode" class="tbox"/>
                </fieldset>
                <fieldset>
                    <input type="submit" class="button" value="Submit"/>
                    &nbsp; &nbsp; &nbsp; <a href="#" id="closefeedbakcformLink">Close</a>
                </fieldset>
            </form>
        </div>
        <div class="clearfix"></div>
    </div>
</div>
<div id="donate_popup" class="modal" style="max-width: 800px;">
    <table width="100%" border="1">
        <tr>
            <td colspan="2" align="center">
                <b>Support im4change</b>
            </td>
        </tr>
        <tr>
            <td width="25%" valign="middle">
                <img src="https://im4change.in/images/logo2.jpg?1582080632" alt="" width="100%"/>            </td>
            <td style="padding-left:10px;padding-top:10px;">
                <form action="https://im4change.in/donate" method="get">
                    <table width="100%" cellpadding="2" cellspacing="2">
                        <tr>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                10
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                100
                            </td>
                            <td width="33%" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                1000
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                50
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                500
                            </td>
                            <td  style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                                <input type="text" name="price" placeholder="?" style="font-family: 'Script Font', cursive, Arial;font-size: 20px;font-weight: 700;">
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3">
                                &nbsp;
                            </td>
                        </tr>
                        <tr>
                            <td colspan="3" align="right">
                                <input type="button" name="Pay" value="Pay"
                                       style="width: 200px;background-color: rgb(205, 35, 36);color: #ffffff;"/>
                            </td>
                        </tr>
                    </table>
                </form>
            </td>
        </tr>
    </table>
</div><script type='text/javascript'>

    /* <![CDATA[ */

    var tievar = {'go_to': 'Go to...'};

    /* ]]> */

</script>
<script src="/js/tie-scripts.js?1575549704"></script><script src="/js/bootstrap.js?1575549704"></script><script src="/js/jquery.modal.min.js?1578284310"></script><script>
    $(document).ready(function() {
        // tell the autocomplete function to get its data from our php script
        $('#s').autocomplete({
            source: "/autocomplete"
        });
    });
</script>
<script src="/vj-main-sw-register.js" async></script>

<script>function init(){var imgDefer=document.getElementsByTagName('img');for(var i=0;i<imgDefer.length;i++){if(imgDefer[i].getAttribute('data-src')){imgDefer[i].setAttribute('src',imgDefer[i].getAttribute('data-src'))}}}
window.onload=init;</script>
</body>
</html>'

}
$cookies = []
$values = [
	(int) 0 => 'text/html; charset=UTF-8'
]
$name = 'Content-Type'
$first = true
$value = 'text/html; charset=UTF-8'
header - [internal], line ??
Cake\Http\ResponseEmitter::emitHeaders() - CORE/src/Http/ResponseEmitter.php, line 181
Cake\Http\ResponseEmitter::emit() - CORE/src/Http/ResponseEmitter.php, line 55
Cake\Http\Server::emit() - CORE/src/Http/Server.php, line 141
[main] - ROOT/webroot/index.php, line 39

Home हिन्दी

Public health’s in the infirmary -Imrana Qadeer and Sourindra Mohan Ghosh

Published on Apr 18, 2016   Modified on Apr 18, 2016

-The Hindu Business Line The priority for this government is to promote the medical care market, not ensure universal healthcare for the majority Those at the helm of policymaking in the country have been, for some time, strongly advocating austerity as the principle for public expenditure policies, particularly for the social sectors. Arvind Panagariya, the vice-chairperson of the NITI Aayog, suggests that “for just three-quarters of a per cent of the GDP”, 0.76 per cent to be precise, “the government can provide at least a modest healthcare cover for the bottom half of the population” after which “there does not remain a case for additionally free provision of the service by the government”. Such perceptions form the basis of an alternative for an eventual obliteration of the public services and in the process, lowering further the already low public spending in health. The budgetary allocation for health and allied reveals a much wider hold of such perceptions as articulated by Panagariya. The stage is set for a more concerted effort in that direction. This is not surprising as the word ‘subsidy’ has been given a negative connotation when to the poor but when offered to the medical industry it becomes an ‘investment’. Misplaced priorities The projected 13 per cent increase of total allocation on health for 2016-17 over previous year’s spending of Rs. 33,841 crore amounts to a nominal increase by Rs. 4,365 crore. Using CPI-IW as deflator and assuming that inflation will stay at this year’s rate of 5.9 per cent, we estimate in real terms an erosion of Rs. 2,000 crore. So, in real terms, the increase in 2016-17 amounts to a mere 6.6 per cent. This is especially meagre if we consider the fact that last year’s health expenditure (revised estimates) had declined in real terms from actual spending of 2014-15. In proportion to GDP, this year’s total allocation on health has reduced to 0.254 per cent compared to actual spending of 0.256 per cent in 2014-15. There are serious issues of misplaced priorities as well within the health budget itself. To illustrate this, we look at the budget in real terms (estimating expenditures at 2016-17 projected prices for previous years), as well as the proportion of different components within the health budget. While drawing comparisons with the previous years, we are careful of the rearrangements and re-classification of budget heads for this year. One of the major concerns is the gradual weakening of the National Health Mission (NHM) whose main components are public health care infrastructure other than tertiary care, programmes for prevention of communicable diseases like TB, vector-borne diseases, etc. The share of NHM in total health budget has been gradually reduced during the last three years from 56.2 per cent in 2014-15 to 54.1 per cent in 2015-16 to this year’s allocation of 49.8 per cent. There is a consistent decline in real terms as well. With a 5.9 per cent inflation rate, expenditure of 2015-16 in real terms had declined from 2014-15 levels and there is a further reduction of allocation now (assuming same level of inflation) in NHM for 2016-17. Another significant reduction is in Family Welfare Scheme whose allocation this year is less than half of 2015-16 expenditures or less than one-third of expenditures in 2014-15. The budget is primarily for promoting, procuring and distributing contraceptives and other materials and for information, education and communication (IEC). Where’s welfare? It is evident from the tragic deaths of women in Bilaspur sterilisation camp in November 2015 (in a private set-up), that the IEC without infrastructure and welfare services means nothing. The maternal health and welfare component of family welfare has borne the brunt of cuts. Thus, instead of welfare, the budget is tuned to population control! Medical care institutions, primarily in the tertiary care sector, see a boost of 18 per cent over 2015-16 at the cost of primary and secondary healthcare institutions. The majority of the population lags in access at that level. What this policy programming indicates is that while the majority of the population has been left to its own devices, the state has become a protector of the medico-industrial complex catering only to the rich. Allocation on insurance — CGHS and RSBY/RSSY — has increased to 9.5 per cent of total allocation on health from 7.3 per cent of expenditure in 2014-15. Health insurance for protection from catastrophic expenditures, splitting financing and provisioning into public and private, cannot be a substitute to a well functioning state-run public health-care system. Splintered state-led insurance run by private providers and insurance companies are pushing up costs. Allocation in human resources in health and medical education — which is for establishing new medical colleges (by upgrading district hospitals), upgrading/strengthening of nursing services, pharmacy schools/college, paramedical institutions etc, is another grey area. There is a sharp increase in allocation compared to the previous years. However, given the acute shortage of healthcare personnel, an allocation of Rs. 600 crore is still meagre. Second, given the emphasis on medical care, especially tertiary care, it is doubtful how much of it will go to training primary level workers. Allocation in health research has increased by 6.8 per cent in real terms but the total allocation of Rs. 1,145 crore is inadequate to expand research into critical areas of public health. Neglect of allied sectors People’s health is dependent upon allocation of allied sectors such as food subsidy and ICDS, and these have declined in real terms. Water and sanitation, which had faced significant budget cuts in 2015-16, have been allocated just the amount incurred as expenditure for 2014-15 in real terms. Allocation in MGNREGS — an important scheme to boost rural employment and wages — has also declined in real terms from the revised estimates of expenditure for 2015-16, even without considering the Rs. 6,000-crore pending payments. As a percentage of GDP, allocation in food subsidy, MGNREGS and ICDS have declined compared to 2015-16 and 2014-15, while that of water and sanitation have reduced vis-à-vis 2014-15. This budget, thus, is not only about rearranging subheads to inflate and deflate allocations without an overhaul of public expenditure in health, it is also about transforming the core of public health and health sector planning. Mere reallocation of resources from the primary care sector to the tertiary with paltry health coverage for a small section of the population through health insurance is grossly inadequate. The substance of the latest Budget for health is that it promotes not universal health coverage but the medical care market. Qadeer headed the department of social medicine and community health at JNU and is visiting faculty at the Council for Social Development (CSD); Ghosh is a research consultant with CSD

The Hindu Business Line, 17 April, 2016, http://www.thehindubusinessline.com/opinion/public-healths-in-the-infirmary/article8486437.ece?homepage=true

Tagged with: Rashtriya Swasthya Bima Yojana Health Insurance NITI Aayog National Health Mission Out-of-pocket health expenditure public expenditure on health Public Health

Related Articles

• 135 Million Indians Exited “Multidimensional" Poverty as per Government Figures. Is that the same as Poverty Reduction?
• Niti Aayog says 20.79 Crore Indians Are 'Multidimensionally Poor' - Banjot Kaur
• A peek into the Modi government's (likely) budget 2023 - CNES Infosphere
• The importance of affordable healthcare for all and other key lessons from the pandemic -Chapal Mehra & Lancelot Pinto
• We did not manage to double the income of Indian farmers -Himanshu

 

Write Comments

Your email address will not be published. Required fields are marked *

Name *

Email *

Contact No.

Comment

Type the characters you see in the image below *

Video Archives

Archives

• Moving Upstream: Luni – Fellowship
• 135 Million Indians Exited “Multidimensional" Poverty as per Government...
• Explainer: Why are Tomato Prices on Fire?
• NSSO Survey: Only 39.1% of all Households have Drinking...
• More...

Im4Change.org हिंदी वेबसाइट का परिचय. Short Video on im4change.org...

"Session 1: Scope of IDEA and AgriStack" in Exploring...

"Session 2: Farmer Centric Digitalisation in Agriculture" in Exploring...

"Session 3: Future of Digitalisation in Agriculture" in Exploring...

• Public Spending on Agriculture in India (Source: Foundation for...
• Agrarian Change Seminar: 'Protests against the New Farm Laws...
• Webinar: Ramrao - The Story of India's Farm Crisis...
• Water and Agricultural Transformation in India: A Symbiotic Relationship...
• More...

Website Developed by RAVINDErkHURANA.com

Objectives | About Us | Workshops | Disclaimer

Support im4change
	10 100 1000   50 500