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\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

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


        trigger_error($message, E_USER_DEPRECATED);

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

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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Why has India chosen the path of expanding medical insurance instead of a more comprehensive approach to health?

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                            <div align="justify">-TheWire.in<br /><br /><em>Why has India chosen the path of expanding medical insurance instead of a more comprehensive approach to health?<br /></em><br />The concern with rising inequities in access to medical care, rising out-of-pocket expenditures and unmet treatment needs have been addressed with yet another targeted medical insurance scheme for poor households. The idea of a targeted medical insurance is not new. Several southern states like Andhra Pradesh and Karnataka had introduced such schemes many years ago. In 2008, the previous government launched the Rashtriya Swasthya Bima Yojana (RSBY) that covered poor families for hospitalisation. The present government renamed and continued with the same scheme.<br /><br />The announcement of a National Health Protection Scheme (NHPS) in this year&rsquo;s Budget is a clear signal that the focus is on universal health coverage through targeted public insurance schemes. The Budget has allocated more towards the NHPS than for strengthening public health services. In effect, these schemes will support the expansion of private insurance and hospital industries.<br /><br />A leading business newspaper described this scheme as &lsquo;Modicare&rsquo;, since it is designed along the lines of the American Medicare programme. The homework for &lsquo;Modicare&rsquo; has been going on for more than two years within the Ministry of Health, with technical support from the World Bank. Most commentators on the Budget have hailed this move by the government, but some have expressed their caution and reservation.<br /><br />There is much to be learned from the American experience regarding the design and implementation of the history of Medicare. The history of Medicare is closely linked to the war on poverty of the 1960s in the US. During this period, there was a strong move for a universal public insurance scheme akin to the Canadians.<br /><br />The private insurance companies and the hospital industry actively opposed this. As a result, the government settled for a targeted insurance scheme for the poor and the elderly. This demand-side financing led to public subsidies for the expansion of the supply side through private provisioning.<br /><br />Over the years, the experience of these schemes showed irrational overuse of medical interventions, which had an inflationary impact. In order to address rising costs, several measures to reduce scope and depth were introduced. This resulted in an increase in the uninsured and underinsured among those entitled for Medicare and Medicaid. Several efforts to correct this by the Bill Clinton and Barack Obama administrations met with resistance from the insurance, pharmaceutical and hospital industries.<br /><br />An important lesson from the American model of healthcare is that spending on medical care alone does not improve health outcomes. The US has the highest expenditure on medical care, but does not compare well in terms of health outcomes and equity in access when compared with other developed countries.<br /><br />Please <a href="https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/" title="https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/">click here</a> to read more. <br /></div>                                                           
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    <br><a href="https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/" class="re" target="_blank">TheWire.in, 4 February, 2018, https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/</a><div class="clear"></div>
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    <h1 class="cat-box-title">What the US Health Insurance Programme Can Teach India -Rama V Baru</h1>
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                            <div align="justify">-TheWire.in<br /><br /><em>Why has India chosen the path of expanding medical insurance instead of a more comprehensive approach to health?<br /></em><br />The concern with rising inequities in access to medical care, rising out-of-pocket expenditures and unmet treatment needs have been addressed with yet another targeted medical insurance scheme for poor households. The idea of a targeted medical insurance is not new. Several southern states like Andhra Pradesh and Karnataka had introduced such schemes many years ago. In 2008, the previous government launched the Rashtriya Swasthya Bima Yojana (RSBY) that covered poor families for hospitalisation. The present government renamed and continued with the same scheme.<br /><br />The announcement of a National Health Protection Scheme (NHPS) in this year&rsquo;s Budget is a clear signal that the focus is on universal health coverage through targeted public insurance schemes. The Budget has allocated more towards the NHPS than for strengthening public health services. In effect, these schemes will support the expansion of private insurance and hospital industries.<br /><br />A leading business newspaper described this scheme as &lsquo;Modicare&rsquo;, since it is designed along the lines of the American Medicare programme. The homework for &lsquo;Modicare&rsquo; has been going on for more than two years within the Ministry of Health, with technical support from the World Bank. Most commentators on the Budget have hailed this move by the government, but some have expressed their caution and reservation.<br /><br />There is much to be learned from the American experience regarding the design and implementation of the history of Medicare. The history of Medicare is closely linked to the war on poverty of the 1960s in the US. During this period, there was a strong move for a universal public insurance scheme akin to the Canadians.<br /><br />The private insurance companies and the hospital industry actively opposed this. As a result, the government settled for a targeted insurance scheme for the poor and the elderly. This demand-side financing led to public subsidies for the expansion of the supply side through private provisioning.<br /><br />Over the years, the experience of these schemes showed irrational overuse of medical interventions, which had an inflationary impact. In order to address rising costs, several measures to reduce scope and depth were introduced. This resulted in an increase in the uninsured and underinsured among those entitled for Medicare and Medicaid. Several efforts to correct this by the Bill Clinton and Barack Obama administrations met with resistance from the insurance, pharmaceutical and hospital industries.<br /><br />An important lesson from the American model of healthcare is that spending on medical care alone does not improve health outcomes. The US has the highest expenditure on medical care, but does not compare well in terms of health outcomes and equity in access when compared with other developed countries.<br /><br />Please <a href="https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/" title="https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/">click here</a> to read more. <br /></div>                                                           
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    <br><a href="https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/" class="re" target="_blank">TheWire.in, 4 February, 2018, https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/</a><div class="clear"></div>
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Why has India chosen the path of expanding medical insurance instead of a more comprehensive approach to health?

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-TheWire.in

Why has India chosen the path of expanding medical insurance instead of a more comprehensive approach to health?

The concern with rising inequities in access to medical care, rising out-of-pocket expenditures and unmet treatment needs have been addressed with yet another..." />
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    <h1 class="cat-box-title">What the US Health Insurance Programme Can Teach India -Rama V Baru</h1>
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                            <div align="justify">-TheWire.in<br /><br /><em>Why has India chosen the path of expanding medical insurance instead of a more comprehensive approach to health?<br /></em><br />The concern with rising inequities in access to medical care, rising out-of-pocket expenditures and unmet treatment needs have been addressed with yet another targeted medical insurance scheme for poor households. The idea of a targeted medical insurance is not new. Several southern states like Andhra Pradesh and Karnataka had introduced such schemes many years ago. In 2008, the previous government launched the Rashtriya Swasthya Bima Yojana (RSBY) that covered poor families for hospitalisation. The present government renamed and continued with the same scheme.<br /><br />The announcement of a National Health Protection Scheme (NHPS) in this year&rsquo;s Budget is a clear signal that the focus is on universal health coverage through targeted public insurance schemes. The Budget has allocated more towards the NHPS than for strengthening public health services. In effect, these schemes will support the expansion of private insurance and hospital industries.<br /><br />A leading business newspaper described this scheme as &lsquo;Modicare&rsquo;, since it is designed along the lines of the American Medicare programme. The homework for &lsquo;Modicare&rsquo; has been going on for more than two years within the Ministry of Health, with technical support from the World Bank. Most commentators on the Budget have hailed this move by the government, but some have expressed their caution and reservation.<br /><br />There is much to be learned from the American experience regarding the design and implementation of the history of Medicare. The history of Medicare is closely linked to the war on poverty of the 1960s in the US. During this period, there was a strong move for a universal public insurance scheme akin to the Canadians.<br /><br />The private insurance companies and the hospital industry actively opposed this. As a result, the government settled for a targeted insurance scheme for the poor and the elderly. This demand-side financing led to public subsidies for the expansion of the supply side through private provisioning.<br /><br />Over the years, the experience of these schemes showed irrational overuse of medical interventions, which had an inflationary impact. In order to address rising costs, several measures to reduce scope and depth were introduced. This resulted in an increase in the uninsured and underinsured among those entitled for Medicare and Medicaid. Several efforts to correct this by the Bill Clinton and Barack Obama administrations met with resistance from the insurance, pharmaceutical and hospital industries.<br /><br />An important lesson from the American model of healthcare is that spending on medical care alone does not improve health outcomes. The US has the highest expenditure on medical care, but does not compare well in terms of health outcomes and equity in access when compared with other developed countries.<br /><br />Please <a href="https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/" title="https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/">click here</a> to read more. <br /></div>                                                           
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    <br><a href="https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/" class="re" target="_blank">TheWire.in, 4 February, 2018, https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/</a><div class="clear"></div>
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What the US Health Insurance Programme Can Teach India -Rama V Baru

Published on Feb 5, 2018   Modified on Feb 5, 2018

-TheWire.in Why has India chosen the path of expanding medical insurance instead of a more comprehensive approach to health? The concern with rising inequities in access to medical care, rising out-of-pocket expenditures and unmet treatment needs have been addressed with yet another targeted medical insurance scheme for poor households. The idea of a targeted medical insurance is not new. Several southern states like Andhra Pradesh and Karnataka had introduced such schemes many years ago. In 2008, the previous government launched the Rashtriya Swasthya Bima Yojana (RSBY) that covered poor families for hospitalisation. The present government renamed and continued with the same scheme. The announcement of a National Health Protection Scheme (NHPS) in this year’s Budget is a clear signal that the focus is on universal health coverage through targeted public insurance schemes. The Budget has allocated more towards the NHPS than for strengthening public health services. In effect, these schemes will support the expansion of private insurance and hospital industries. A leading business newspaper described this scheme as ‘Modicare’, since it is designed along the lines of the American Medicare programme. The homework for ‘Modicare’ has been going on for more than two years within the Ministry of Health, with technical support from the World Bank. Most commentators on the Budget have hailed this move by the government, but some have expressed their caution and reservation. There is much to be learned from the American experience regarding the design and implementation of the history of Medicare. The history of Medicare is closely linked to the war on poverty of the 1960s in the US. During this period, there was a strong move for a universal public insurance scheme akin to the Canadians. The private insurance companies and the hospital industry actively opposed this. As a result, the government settled for a targeted insurance scheme for the poor and the elderly. This demand-side financing led to public subsidies for the expansion of the supply side through private provisioning. Over the years, the experience of these schemes showed irrational overuse of medical interventions, which had an inflationary impact. In order to address rising costs, several measures to reduce scope and depth were introduced. This resulted in an increase in the uninsured and underinsured among those entitled for Medicare and Medicaid. Several efforts to correct this by the Bill Clinton and Barack Obama administrations met with resistance from the insurance, pharmaceutical and hospital industries. An important lesson from the American model of healthcare is that spending on medical care alone does not improve health outcomes. The US has the highest expenditure on medical care, but does not compare well in terms of health outcomes and equity in access when compared with other developed countries. Please click here to read more.

TheWire.in, 4 February, 2018, https://thewire.in/220933/nhps-budget-2018-universal-health-coverage/

Tagged with: public expenditure on health Out-of-pocket health expenditure Public Health Health Insurance Universal Health Coverage

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