Continuing tale of state neglect
7 years, 7 months ago

Continuing tale of state neglect

The Hindu  

Health-care services in India at the time of Independence were a function of the socio-economic and political interests of the colonial rulers. Rise of private sector Instead of securing access to comprehensive health-care services, public health in the post-Independence period came to mean disease control programmes. The underfunding of the NHM should be seen in the light of a comment in the first draft of the new National Health Policy : “The budget received and the expenditure thereunder was only about 40 per cent of what was envisaged for a full revitalisation in the NRHM framework.” India’s reforms in the health sector have been informed by the entire gamut of neoliberal prescriptions mentioned earlier. The direction of reforms has been uncannily similar to those pursued in a number of low- and middle-income countries, including the imposition of ceilings on public health expenditure, promotion of cost recovery in public institutions, segmentation of the health-care system into “basic” care for the poor and private care for the rich and outsourcing of functions to the private sector. This vision of health care has little role for public health services, which are to be increasingly outsourced to the private sector.

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