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Lessons from Thailand: For universal health coverage, invest in public systems and human resources -T Sundararaman

-Scroll.in Thailand spends as much of its GDP on health as India, yet it offers the entire range of healthcare services to all citizens for free. Finance Minister Arun Jailtley’s Budget speech this year and the subsequent media coverage projected insurance coverage as being almost synonymous with universal health coverage. Nothing could be further from the truth. Health insurance is only a small part of ensuring universal health coverage. Besides, to...

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Another Budget, Another Year of Ignoring Binding Laws on Rights -Nikhil Dey and Aruna Roy

-TheWire.in The making of the Union Budget has been a far too secretive and hidden exercise. Social sector expenditure and allocations related to policy announcements should be matters of open ongoing debate. On December 20, 2017, a group of 60 eminent economists sent an open letter to the finance minister stating: “We are writing to draw your attention to two urgent priorities for the forthcoming budget.” The first was to increase the central...

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Making health insurance work -K Srinath Reddy

-The Hindu The National Health Protection Scheme is disconnected from primary care. It also needs to be scaled up It is unusual for a health programme to become the most prominent feature of a Union Budget. The previous government missed the bus when it failed to implement the recommendations of the High-Level Expert Group on Universal Health Coverage (2011). Yet, those recommendations resonate in the Budget of 2018, with commitment to universal...

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What the US Health Insurance Programme Can Teach India -Rama V Baru

-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...

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Political Messaging Masks Budget 2018's Actual Delivery in the Social Sector -Yamini Aiyar and Avani Kapur

-TheWire.in Even as schemes have received minimal allocations, this budget signals an important shift in the political narrative. Gone is the focus on jobs, skills, aspirations and empowerment. Arun Jaitley had a difficult choice to make this budget. Maintain fiscal prudence or respond to growing demands for public expenditure in light of growing rural distress and at the same time keeping an eye on 2019. He did this today with great panache....

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