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No infrastructure for universal health coverage in India, says report -Jyotsna Singh

-Down to Earth Infrastructure for primary healthcare has decreased in the past decade As India moves towards the goal of universal health coverage (UHC), its inadequate health infrastructure is going to pose major problems. In the past few years, the percentage of shortfall in basic infrastructure has increased, instead of declining, says a report released Thursday. Despite massive spending under the National Rural Health Mission, the shortfall in sub-centres increased by...

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Insurance can be bad for health -Monica Das Gupta and VR Muraleedharan

-The Indian Express International experience points to the dangers in moving towards a system of health insurance coverage. Improving government services is the answer. Last month, Union Health Minister Harsh Vardhan offered a glimpse into the new government's universal health assurance scheme, of which insurance will be an important component. Health insurance is also part of the Pradhan Mantri Jan Dhan Yojana, the NDA government's financial inclusion programme. But international experience does...

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Bitter pill to swallow -Reetika Khera

-The Indian Express Rajasthan government's decision to ‘target' free medicines and diagnostics is contrary to the recommended role of government in healthcare. In 2002-03, Abhijit Banerjee, Angus Deaton and Esther Duflo studied health facilities in rural Udaipur, Rajasthan. They found that facilities were poor and absenteeism was rampant. In 2013, we decided to revisit the same public health facilities. The motivation was to study two bold initiatives of the then Ashok Gehlot...

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Health Service System in India: Is Insurance the Way Forward? -Chhavi Sodhi and Atif Rabbani

- Economic and Political Weekly Universalising health coverage is the current goal of the health service system in India. Tax-funded insurance for poor families is the method chosen for attaining this objective. The Rashtriya Swasthya Bima Yojana was rolled out in 2008 for households below the poverty line, enabling them to access health services in the public and private sectors. However, experience from different countries shows tax-funded insurance systems work well...

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Rising burden of out-of-pocket health expenditure

A recent study published in the prestigious science journal 'PLOS One' (August 2014) shows that Central programmes like National Rural Health Mission (NRHM) and Rashtriya Swasthya Bima Yojana (RSBY), and state-level initiatives like Yeshasvini health insurance scheme (Karnataka), Vajpayee Aarogyasri health insurance scheme (Karnataka), Rajiv Aarogyasri scheme (Andhra Pradesh), Chief Minister's Insurance Scheme for Life Saving Treatment (Tamil Nadu) etc. did little to reduce the financial burden arising out of...

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