As the country awaits another central government Budget, there is a growing demand for more financial muscle on several fronts. But, is throwing money at complex problems really a solution? A look at the progress of a crucial program of the government, the National Rural Health Mission (NRHM), indicates that money can’t buy everything. One of the biggest bottlenecks facing policy-makers is that of medical personnel. Recently released data by...

In the debate on development paradigm Jawaharlal Nehru is frequently presented predominantly as a strong advocate of heavy industry, large dams and big machines - someone who placed big hopes in modern technology. However, a more careful reading of several of his writings presents a different picture of a thoughtful mind troubled by several aspects of modern technology and industrial society, a mind which was prepared to go back hundreds...

Civil society organisations have demanded the speedy passage and implementation of the proposed National Health Bill, 2009, but with certain changes that ensure health as a universal entitlement to all sections of society. Srinath Reddy, president of the Public Health Foundation of India, sought a National Health Act to ensure equitable distribution of medical facilities across the population. “The National Health Act should be on the lines of the Right to...

The government needs to allocate more funds for public health. The mismatch between the declared objective of universal healthcare through the public health system and the actual level of expenditure remains serious.  One of the three most important planks on which Barak Obama won the U.S. presidential election was the country’s healthcare system, which he promised to fix. Indeed, the most important legislative measure initiated by Mr. Obama so far...

Insufficiency and prescribing medicines from outside continues  CRM draws attention to ‘irrational’ use and non-availability of essential medicines Supplies are mostly top-down, based on availability instead of being demand-based No State provides free medicines to below the poverty line (BPL) patients under the National Rural Health Mission (NRHM). “The insufficiency of drugs and thereby the imperative of prescribing medicines from outside continue widely. This could also be linked to insufficiency of understanding...