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


        trigger_error($message, E_USER_DEPRECATED);

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

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


        trigger_error($message, E_USER_DEPRECATED);

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

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

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        LATEST NEWS UPDATES | Stopping the slide of health care in India -Satya Mohanty    </title>
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Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care

India&rsquo;s health care is a dark echo chamber. It is 70% private and 30% public in a country where 80% people..."/>
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Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care

India&rsquo;s health care is a dark echo chamber. It is 70% private and 30% public in a country where 80% people..." />
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                            <p style="text-align:justify">-The Hindu</p><p style="text-align:justify"><em>Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care</em></p><p style="text-align:justify">India&rsquo;s health care is a dark echo chamber. It is 70% private and 30% public in a country where 80% people do not have any protection for health and the out-of-pocket expense is as high as 62%. With public spending at 1.13% of GDP and a huge shortage of health-care workers particularly nurses and midwives, policy moves and plans appear like a sound in emptiness. The novel coronavirus pandemic has revealed the mismatch between the overwhelming presence of the not so well-to-do and private health care with its revenue modelling that borders more on greed and rent gouging.</p><p style="text-align:justify"><em>The system now</em></p><p style="text-align:justify">Whenever the market leaves out the majority or has an incentive to cream off, the public sector would have to step in for the allocation and production of health services. The fact is 85% of the population cannot afford high cost, corporate private health care. Where demand is created by the latter by homogenising all submarkets such as preventive, general, specialists, emergency and remedial services &mdash; where inducement is the norm &mdash; the exploitation of the unsuspecting is inevitable . While too little is being done too slowly to have any impact, private hospitals gain under the social insurance scheme in the interregnum..</p><p style="text-align:justify">Even with avowedly 12 crore card holders under Ayushman Bharat, only 1.27 crore people have taken advantage of the scheme. Private sector health care is driven by return on capital. What makes insurance and private health care an egregious combination is that the insurance backup incentivises hospitals to expand the bill but the patients do not get attended to in their best interests. The agents of the government, on the other hand, have an incentive for driving down the price of procedures; as a result, hospitals selectively offer some services and procedures (while denying some). But the ceiling level of the insurance gets claimed regardless in the interest of the hospital.</p><p style="text-align:justify">Please <a href="https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&amp;fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI" title="https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&amp;fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI">click here</a> to read more.</p>                                                           
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    <br><a href="https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI" class="re" target="_blank">The Hindu, 21 December, 2020, https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI</a><div class="clear"></div>
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Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care

India&rsquo;s health care is a dark echo chamber. It is 70% private and 30% public in a country where 80% people..."/>
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Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care

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    <h1 class="cat-box-title">Stopping the slide of health care in India -Satya Mohanty</h1>
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                            <p style="text-align:justify">-The Hindu</p><p style="text-align:justify"><em>Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care</em></p><p style="text-align:justify">India&rsquo;s health care is a dark echo chamber. It is 70% private and 30% public in a country where 80% people do not have any protection for health and the out-of-pocket expense is as high as 62%. With public spending at 1.13% of GDP and a huge shortage of health-care workers particularly nurses and midwives, policy moves and plans appear like a sound in emptiness. The novel coronavirus pandemic has revealed the mismatch between the overwhelming presence of the not so well-to-do and private health care with its revenue modelling that borders more on greed and rent gouging.</p><p style="text-align:justify"><em>The system now</em></p><p style="text-align:justify">Whenever the market leaves out the majority or has an incentive to cream off, the public sector would have to step in for the allocation and production of health services. The fact is 85% of the population cannot afford high cost, corporate private health care. Where demand is created by the latter by homogenising all submarkets such as preventive, general, specialists, emergency and remedial services &mdash; where inducement is the norm &mdash; the exploitation of the unsuspecting is inevitable . While too little is being done too slowly to have any impact, private hospitals gain under the social insurance scheme in the interregnum..</p><p style="text-align:justify">Even with avowedly 12 crore card holders under Ayushman Bharat, only 1.27 crore people have taken advantage of the scheme. Private sector health care is driven by return on capital. What makes insurance and private health care an egregious combination is that the insurance backup incentivises hospitals to expand the bill but the patients do not get attended to in their best interests. The agents of the government, on the other hand, have an incentive for driving down the price of procedures; as a result, hospitals selectively offer some services and procedures (while denying some). But the ceiling level of the insurance gets claimed regardless in the interest of the hospital.</p><p style="text-align:justify">Please <a href="https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&amp;fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI" title="https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&amp;fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI">click here</a> to read more.</p>                                                           
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    <br><a href="https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI" class="re" target="_blank">The Hindu, 21 December, 2020, https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI</a><div class="clear"></div>
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Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care

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     <meta property="og:description" content="-The Hindu

Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care

India&rsquo;s health care is a dark echo chamber. It is 70% private and 30% public in a country where 80% people..." />
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    <h1 class="cat-box-title">Stopping the slide of health care in India -Satya Mohanty</h1>
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                            <p style="text-align:justify">-The Hindu</p><p style="text-align:justify"><em>Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care</em></p><p style="text-align:justify">India&rsquo;s health care is a dark echo chamber. It is 70% private and 30% public in a country where 80% people do not have any protection for health and the out-of-pocket expense is as high as 62%. With public spending at 1.13% of GDP and a huge shortage of health-care workers particularly nurses and midwives, policy moves and plans appear like a sound in emptiness. The novel coronavirus pandemic has revealed the mismatch between the overwhelming presence of the not so well-to-do and private health care with its revenue modelling that borders more on greed and rent gouging.</p><p style="text-align:justify"><em>The system now</em></p><p style="text-align:justify">Whenever the market leaves out the majority or has an incentive to cream off, the public sector would have to step in for the allocation and production of health services. The fact is 85% of the population cannot afford high cost, corporate private health care. Where demand is created by the latter by homogenising all submarkets such as preventive, general, specialists, emergency and remedial services &mdash; where inducement is the norm &mdash; the exploitation of the unsuspecting is inevitable . While too little is being done too slowly to have any impact, private hospitals gain under the social insurance scheme in the interregnum..</p><p style="text-align:justify">Even with avowedly 12 crore card holders under Ayushman Bharat, only 1.27 crore people have taken advantage of the scheme. Private sector health care is driven by return on capital. What makes insurance and private health care an egregious combination is that the insurance backup incentivises hospitals to expand the bill but the patients do not get attended to in their best interests. The agents of the government, on the other hand, have an incentive for driving down the price of procedures; as a result, hospitals selectively offer some services and procedures (while denying some). But the ceiling level of the insurance gets claimed regardless in the interest of the hospital.</p><p style="text-align:justify">Please <a href="https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&amp;fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI" title="https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&amp;fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI">click here</a> to read more.</p>                                                           
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Home हिन्दी

Stopping the slide of health care in India -Satya Mohanty

Published on Dec 21, 2020   Modified on Dec 23, 2020

-The Hindu Policymakers need to focus on the larger picture with steps being taken to reclaim the space under public care India’s health care is a dark echo chamber. It is 70% private and 30% public in a country where 80% people do not have any protection for health and the out-of-pocket expense is as high as 62%. With public spending at 1.13% of GDP and a huge shortage of health-care workers particularly nurses and midwives, policy moves and plans appear like a sound in emptiness. The novel coronavirus pandemic has revealed the mismatch between the overwhelming presence of the not so well-to-do and private health care with its revenue modelling that borders more on greed and rent gouging. The system now Whenever the market leaves out the majority or has an incentive to cream off, the public sector would have to step in for the allocation and production of health services. The fact is 85% of the population cannot afford high cost, corporate private health care. Where demand is created by the latter by homogenising all submarkets such as preventive, general, specialists, emergency and remedial services — where inducement is the norm — the exploitation of the unsuspecting is inevitable . While too little is being done too slowly to have any impact, private hospitals gain under the social insurance scheme in the interregnum.. Even with avowedly 12 crore card holders under Ayushman Bharat, only 1.27 crore people have taken advantage of the scheme. Private sector health care is driven by return on capital. What makes insurance and private health care an egregious combination is that the insurance backup incentivises hospitals to expand the bill but the patients do not get attended to in their best interests. The agents of the government, on the other hand, have an incentive for driving down the price of procedures; as a result, hospitals selectively offer some services and procedures (while denying some). But the ceiling level of the insurance gets claimed regardless in the interest of the hospital. Please click here to read more.

The Hindu, 21 December, 2020, https://www.thehindu.com/opinion/op-ed/stopping-the-slide-of-health-care-in-india/article33379641.ece?homepage=true&fbclid=IwAR2gJmP-aNagwxyjNNtd-m7ju9n8UcU-SZkocjER7IT1SgR1n-AryR6qVUI

Tagged with: Out-of-pocket Health Expenditure Access to Healthcare Public Health Access to Medicines Ayushman Bharat Primary Health Centres

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