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


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::index() - APP/Controller/ArtileDetailController.php, line 150
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Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
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Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
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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);

    }
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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')) {

                trigger_error($message, E_USER_WARNING);

            } else {
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        LATEST NEWS UPDATES | Unhealthy Budget: Tokenism in the name of catastrophe -Indranil Mukhopadhyay    </title>
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-The Hindu Business Line

The proposed investment in healthcare is inadequate

Budget 2015 was catastrophic for health, as investments tanked to a historic low. Against that backdrop, when the Finance Minister talks about measures to tackle catastrophic health events, there&rsquo;s bound to..."/>
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The proposed investment in healthcare is inadequate

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                            <div align="justify">-The Hindu Business Line<br /><br /><em>The proposed investment in healthcare is inadequate<br /></em><br />Budget 2015 was catastrophic for health, as investments tanked to a historic low. Against that backdrop, when the Finance Minister talks about measures to tackle catastrophic health events, there&rsquo;s bound to be some scepticism.<br /></div><div align="justify">&nbsp;</div><div align="justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Health1.jpg" alt="Health1" width="205" height="91" /> <br /></div><div align="justify">&nbsp;</div><div align="justify">And that deepens on hearing the plan for a  1 lakh insurance to address catastrophes. Yes, impoverishment due to out-of-pocket expenditure on health is a major issue. But insurance can&rsquo;t be the answer to impoverishment of 55 million people. Around 34 million are impoverished because they purchase medicines from the market and for a large majority, it is the outpatient care that causes impoverishment. Insurance, which caters to inpatient care, constitutes but a small part of health spending.</div><div align="justify">&nbsp;</div><div align="justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Health2.jpg" alt="Health2" width="243" height="141" /> <br /></div><div align="justify">&nbsp;</div><div align="justify">Further, the proposed investment of 1,500 crore is clearly inadequate. There are about 11 crore families in India below the poverty line. The average premium under the earlier RSBY scheme was about  400-450, including administrative expenses. And the total amount required to provide an insurance cover up to 30,000 (under RSBY) was  5,000-5,500 crore. If the coverage has to increase to 1 lakh, the premium has to also increase. Even if the premium doubles to 900 per family, around 10,000crore would be required. Against this requirement, only 1,500crore has been allocated, which is only 15 per cent of the required amount.<br /><br />There is much evidence to show that insurance schemes in India fail to protect from out-of-pocket expenditure. The Prime Minister has been promising to provide free medicines and diagnostics for last two years since taking office.<br /><br />But what emerges is an expansion of Jan Aushadhi (JA) stores to sell cheaper generic medicines. The impact of JA has remained limited, because who prescribes generic medicines for patients? Previous researches show that in many states even the public sector doctors are not willing to write generic medicines. Given the extent of irrational prescriptions &mdash; purchasing generic medicines when a prescription lists a branded drug is too much to expect from a consumer.<br /><br />JA can no way substitute a Tamil Nadu model where standard quality medicines are procured cheap, effectively delivered to public facilities, prescribed by doctors by their generic (chemical) names and distributed free of cost to patients. The advantage of reaching your nadir is you can&rsquo;t be pushed further down. And so is the case of the Budget on healthcare spending. If Budget 2015-16 saw the worst in the last three decades, it is natural that this would appear to improve in this Budget.<br /><br />In the past few years, the government&rsquo;s spending on health has been virtually stagnant. Every year, a fraction of the Budget allocation gets spent in actual terms.<br /><br />There is no doubt that public spending on health has to improve in order to address the catastrophic effects of health care payment. But mere tinkering with insurance programmes will not suffice. A resilient health system needs to be built on the grounds of equity, quality and universality. States like Tamil Nadu have demonstrated that it is possible to do.<br /><em><br />(The writer is a researcher at the Public Health Foundation of India. The views expressed are personal.)</em></div>                                                           
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    <br><a href="http://www.thehindubusinessline.com/specials/pulse/unhealthy-budget-tokenism-in-the-name-of-catastrophe/article8314736.ece?homepage=true" class="re" target="_blank">The Hindu Business Line, 4 March, 2016, http://www.thehindubusinessline.com/specials/pulse/unhealthy-budget-tokenism-in-the-name-of-catastrophe/article8314736.ece?homepage=true</a><div class="clear"></div>
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    <h1 class="cat-box-title">Unhealthy Budget: Tokenism in the name of catastrophe -Indranil Mukhopadhyay</h1>
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                            <div align="justify">-The Hindu Business Line<br /><br /><em>The proposed investment in healthcare is inadequate<br /></em><br />Budget 2015 was catastrophic for health, as investments tanked to a historic low. Against that backdrop, when the Finance Minister talks about measures to tackle catastrophic health events, there&rsquo;s bound to be some scepticism.<br /></div><div align="justify">&nbsp;</div><div align="justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Health1.jpg" alt="Health1" width="205" height="91" /> <br /></div><div align="justify">&nbsp;</div><div align="justify">And that deepens on hearing the plan for a  1 lakh insurance to address catastrophes. Yes, impoverishment due to out-of-pocket expenditure on health is a major issue. But insurance can&rsquo;t be the answer to impoverishment of 55 million people. Around 34 million are impoverished because they purchase medicines from the market and for a large majority, it is the outpatient care that causes impoverishment. Insurance, which caters to inpatient care, constitutes but a small part of health spending.</div><div align="justify">&nbsp;</div><div align="justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Health2.jpg" alt="Health2" width="243" height="141" /> <br /></div><div align="justify">&nbsp;</div><div align="justify">Further, the proposed investment of 1,500 crore is clearly inadequate. There are about 11 crore families in India below the poverty line. The average premium under the earlier RSBY scheme was about  400-450, including administrative expenses. And the total amount required to provide an insurance cover up to 30,000 (under RSBY) was  5,000-5,500 crore. If the coverage has to increase to 1 lakh, the premium has to also increase. Even if the premium doubles to 900 per family, around 10,000crore would be required. Against this requirement, only 1,500crore has been allocated, which is only 15 per cent of the required amount.<br /><br />There is much evidence to show that insurance schemes in India fail to protect from out-of-pocket expenditure. The Prime Minister has been promising to provide free medicines and diagnostics for last two years since taking office.<br /><br />But what emerges is an expansion of Jan Aushadhi (JA) stores to sell cheaper generic medicines. The impact of JA has remained limited, because who prescribes generic medicines for patients? Previous researches show that in many states even the public sector doctors are not willing to write generic medicines. Given the extent of irrational prescriptions &mdash; purchasing generic medicines when a prescription lists a branded drug is too much to expect from a consumer.<br /><br />JA can no way substitute a Tamil Nadu model where standard quality medicines are procured cheap, effectively delivered to public facilities, prescribed by doctors by their generic (chemical) names and distributed free of cost to patients. The advantage of reaching your nadir is you can&rsquo;t be pushed further down. And so is the case of the Budget on healthcare spending. If Budget 2015-16 saw the worst in the last three decades, it is natural that this would appear to improve in this Budget.<br /><br />In the past few years, the government&rsquo;s spending on health has been virtually stagnant. Every year, a fraction of the Budget allocation gets spent in actual terms.<br /><br />There is no doubt that public spending on health has to improve in order to address the catastrophic effects of health care payment. But mere tinkering with insurance programmes will not suffice. A resilient health system needs to be built on the grounds of equity, quality and universality. States like Tamil Nadu have demonstrated that it is possible to do.<br /><em><br />(The writer is a researcher at the Public Health Foundation of India. The views expressed are personal.)</em></div>                                                           
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    <br><a href="http://www.thehindubusinessline.com/specials/pulse/unhealthy-budget-tokenism-in-the-name-of-catastrophe/article8314736.ece?homepage=true" class="re" target="_blank">The Hindu Business Line, 4 March, 2016, http://www.thehindubusinessline.com/specials/pulse/unhealthy-budget-tokenism-in-the-name-of-catastrophe/article8314736.ece?homepage=true</a><div class="clear"></div>
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                            <div align="justify">-The Hindu Business Line<br /><br /><em>The proposed investment in healthcare is inadequate<br /></em><br />Budget 2015 was catastrophic for health, as investments tanked to a historic low. Against that backdrop, when the Finance Minister talks about measures to tackle catastrophic health events, there&rsquo;s bound to be some scepticism.<br /></div><div align="justify">&nbsp;</div><div align="justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Health1.jpg" alt="Health1" width="205" height="91" /> <br /></div><div align="justify">&nbsp;</div><div align="justify">And that deepens on hearing the plan for a  1 lakh insurance to address catastrophes. Yes, impoverishment due to out-of-pocket expenditure on health is a major issue. But insurance can&rsquo;t be the answer to impoverishment of 55 million people. Around 34 million are impoverished because they purchase medicines from the market and for a large majority, it is the outpatient care that causes impoverishment. Insurance, which caters to inpatient care, constitutes but a small part of health spending.</div><div align="justify">&nbsp;</div><div align="justify"><img src="https://im4change.in/siteadmin/tinymce/uploaded/Health2.jpg" alt="Health2" width="243" height="141" /> <br /></div><div align="justify">&nbsp;</div><div align="justify">Further, the proposed investment of 1,500 crore is clearly inadequate. There are about 11 crore families in India below the poverty line. The average premium under the earlier RSBY scheme was about  400-450, including administrative expenses. And the total amount required to provide an insurance cover up to 30,000 (under RSBY) was  5,000-5,500 crore. If the coverage has to increase to 1 lakh, the premium has to also increase. Even if the premium doubles to 900 per family, around 10,000crore would be required. Against this requirement, only 1,500crore has been allocated, which is only 15 per cent of the required amount.<br /><br />There is much evidence to show that insurance schemes in India fail to protect from out-of-pocket expenditure. The Prime Minister has been promising to provide free medicines and diagnostics for last two years since taking office.<br /><br />But what emerges is an expansion of Jan Aushadhi (JA) stores to sell cheaper generic medicines. The impact of JA has remained limited, because who prescribes generic medicines for patients? Previous researches show that in many states even the public sector doctors are not willing to write generic medicines. Given the extent of irrational prescriptions &mdash; purchasing generic medicines when a prescription lists a branded drug is too much to expect from a consumer.<br /><br />JA can no way substitute a Tamil Nadu model where standard quality medicines are procured cheap, effectively delivered to public facilities, prescribed by doctors by their generic (chemical) names and distributed free of cost to patients. The advantage of reaching your nadir is you can&rsquo;t be pushed further down. And so is the case of the Budget on healthcare spending. If Budget 2015-16 saw the worst in the last three decades, it is natural that this would appear to improve in this Budget.<br /><br />In the past few years, the government&rsquo;s spending on health has been virtually stagnant. Every year, a fraction of the Budget allocation gets spent in actual terms.<br /><br />There is no doubt that public spending on health has to improve in order to address the catastrophic effects of health care payment. But mere tinkering with insurance programmes will not suffice. A resilient health system needs to be built on the grounds of equity, quality and universality. States like Tamil Nadu have demonstrated that it is possible to do.<br /><em><br />(The writer is a researcher at the Public Health Foundation of India. The views expressed are personal.)</em></div>                                                           
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Home हिन्दी

Unhealthy Budget: Tokenism in the name of catastrophe -Indranil Mukhopadhyay

Published on Mar 5, 2016   Modified on Mar 5, 2016

-The Hindu Business Line The proposed investment in healthcare is inadequate Budget 2015 was catastrophic for health, as investments tanked to a historic low. Against that backdrop, when the Finance Minister talks about measures to tackle catastrophic health events, there’s bound to be some scepticism.     And that deepens on hearing the plan for a 1 lakh insurance to address catastrophes. Yes, impoverishment due to out-of-pocket expenditure on health is a major issue. But insurance can’t be the answer to impoverishment of 55 million people. Around 34 million are impoverished because they purchase medicines from the market and for a large majority, it is the outpatient care that causes impoverishment. Insurance, which caters to inpatient care, constitutes but a small part of health spending.     Further, the proposed investment of 1,500 crore is clearly inadequate. There are about 11 crore families in India below the poverty line. The average premium under the earlier RSBY scheme was about 400-450, including administrative expenses. And the total amount required to provide an insurance cover up to 30,000 (under RSBY) was 5,000-5,500 crore. If the coverage has to increase to 1 lakh, the premium has to also increase. Even if the premium doubles to 900 per family, around 10,000crore would be required. Against this requirement, only 1,500crore has been allocated, which is only 15 per cent of the required amount. There is much evidence to show that insurance schemes in India fail to protect from out-of-pocket expenditure. The Prime Minister has been promising to provide free medicines and diagnostics for last two years since taking office. But what emerges is an expansion of Jan Aushadhi (JA) stores to sell cheaper generic medicines. The impact of JA has remained limited, because who prescribes generic medicines for patients? Previous researches show that in many states even the public sector doctors are not willing to write generic medicines. Given the extent of irrational prescriptions — purchasing generic medicines when a prescription lists a branded drug is too much to expect from a consumer. JA can no way substitute a Tamil Nadu model where standard quality medicines are procured cheap, effectively delivered to public facilities, prescribed by doctors by their generic (chemical) names and distributed free of cost to patients. The advantage of reaching your nadir is you can’t be pushed further down. And so is the case of the Budget on healthcare spending. If Budget 2015-16 saw the worst in the last three decades, it is natural that this would appear to improve in this Budget. In the past few years, the government’s spending on health has been virtually stagnant. Every year, a fraction of the Budget allocation gets spent in actual terms. There is no doubt that public spending on health has to improve in order to address the catastrophic effects of health care payment. But mere tinkering with insurance programmes will not suffice. A resilient health system needs to be built on the grounds of equity, quality and universality. States like Tamil Nadu have demonstrated that it is possible to do. (The writer is a researcher at the Public Health Foundation of India. The views expressed are personal.)

The Hindu Business Line, 4 March, 2016, http://www.thehindubusinessline.com/specials/pulse/unhealthy-budget-tokenism-in-the-name-of-catastrophe/article8314736.ece?homepage=true

Tagged with: Access to Health Access to Healthcare public expenditure on health Health Public Health

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