I often hear that in India poor people are being pushed deeper into poverty when they have to pay out of their own pockets for healthcare, especially when they avail of private healthcare.
We also often hear about the “high cost of healthcare” in the private sector in India which services 70% of India’s healthcare needs.
What are the solutions we hear being proposed by almost every stakeholder?
- Universal Medical Insurance
- Increased Government spending on Healthcare
Let me try to explain why these are definitely not the best things that could happen to Indian healthcare @drspmathew.com
Whats wrong with Universal Medical Insurance [UMI]?
If there is one thing we know for sure from the experience of other countries, it is this: Universal Medical Insurance ensures in the long run that no middle class or poor person will be able to afford medical care without Medical Insurance. In a sense, UMI does everything to ensure its own survival!
Why does that happen? There are several factors:
When people do not have to pay for their own healthcare: Have you thought through the way people approach their own health when they know they are covered by Medical Insurance and they believe they need not worry about taking care of their own health, especially in terms of the non communicable diseases NCD’s which are the leading causes of death? worldwide? http://www.who.int/mediacentre/factsheets/fs310/en/index3.html
When people have medical insurance and do not have to spend for their own healthcare, it encourages a very casual approach to their own health, which is fueled by the media hype about how medical technology is able to treat every known disease on earth. So, the common attitude is, I have insurance, so no problem. If I fall sick, I am covered by insurance, and medical technology will make me alright. Wrong thinking, friend!
The incidence of NCD’s have skyrocketed in all developed countries and increasing even in the developing countries. There are multiple reasons for this rise but behavioral or lifestyle disorders are so called for a reason: Bad behavior causes bad health, and the false sense of security that insured persons have is a major cause for this behavior according to me.
As a result of this increasing burden of NCD’s, Insurance companies keep increasing the premiums, and the overall burden on healthcare increases dramatically.
Where do you think Insurance companies get the money to pay your Medical bills?
[Read more on The Relation between Universal Health Insurance and Cost Control http://www.nejm.org/doi/full/10.1056/NEJM199503163321111 ]
Disruption of Free Market economics:
Mediclaim and other forms of Medical Insurance try to dictate pricing based not on actual costing studies but on a collective bargaining with providers. Paradoxically this has been shown to raise healthcare costs and lower healthcare quality, rather than bring them down as one would have hoped.
On the other hand, when people do not have medical insurance and must spend on healthcare out of their own pockets, they take all steps possible to avoid getting sick in the first place. They also behave more responsibly to take care of their own health and are very cost conscious.
This cost consciousness enables enabling free market economy forces in the private healthcare sector to keep costs low without unnecessary bureaucratic intervention. This is what has been happening till now in India to a large extent.
Whats wrong with Increased Government spending on Healthcare?
What really happens when the Government tries to step in to provide Healthcare?
The US spends 17% of its GDP on Healthcare. India barely 4%. Per capita annual Healthcare spending in the US is 8600 US Dollars which equals 551195.50 Indian Rupees, while in India and other such countries, annual average healthcare spending is 88 US Dollars which equals 5641.23 Indian Rupees.
In the real world, healthcare costs skyrocket when the Government and Medical Insurance companies step in. All that they are concerned about is their own survival.
When left to the economies of the free market as with any other industry or business, the price of healthcare will remain reasonable, access and quality will be determined by market forces, and there will be no opportunity for corrupt Governmental agencies to dictate their own often selfish agendas. I am not denying that there are several good people in the Government who sincerely believe that they are trying to do good, but the vast majority do not understand the realities and complexities of the healthcare system.
The Government, instead of wasting tax payers money in areas which are not its core competencies, should rather focus on providing basic things needed for health, starting with good infrastructure and a lot more! In these areas the Indian Government can do well to learn from the developed world!
Poverty and sickness:
But why do poor people in India find healthcare expensive?
Poverty is a big problem everywhere but more so in India. Is the healthcare industry responsible for poverty? A better question would be to ask, why are these people poor? And why are they falling sick?
Many poor people in India fall sick and die, because the environment and infrastructure essential for good health were not adequately provided for by the government and other agencies responsible for the same.
The Government also did not provide a conducive environment for businesses to function transparently and efficiently, resulting in corruption and low wages for the workers. Of course there are diverse reasons for low wages, each of which is equally responsible for the poor person not being able to pay for healthcare.
The result: Poor people living in unhygienic conditions, getting underpaid for whatever work they do.
And when they fall sick, where do they go? Government healthcare, if available, is crowded and not free either. They lose days waiting in line, losing what little income they earned. So what alternative do they have? Private healthcare, that is fast, efficient, and much cheaper than any healthcare anywhere in the world. Why? Because when the pricing of healthcare is left to market forces, competition keeps costs low as in any business in the free market economy.
If this poor person cannot afford the fees at a private healthcare setup, something is drastically wrong in the economics. The poor person is not being paid adequately or unable to save enough.
So, who is really to blame for the poor sick man being pushed into poverty due to sickness? Who is responsible for him falling sick in the first place?
Is it not the Government, which has not provided him basic needs for good health like clean air, pure drinking water and good sanitation? Which has not ensured that he gets adequate opportunities to earn his reasonable livelihood?
Every person in India has a right to claim that the taxes he pays are adequately utilized, not to line the pockets of corrupt politicians through short sighted mega projects in ‘Government healthcare’, but to ensure a life of dignity to the poorest, with the basic needs for good health provided to every citizen of the land.
The WHO definition of Health is “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”
The Government can do much more for the health of India if it focusses on what it is paid to do, govern impartially and without corruption, rather than try to enter into Healthcare and muddle it up. In that way it would be doing a great favor to the health of its citizens.
The Government can mess up Healthcare even if it is relatively non-corrupt like in the developed nations. So one can only guess what is going to happen to Healthcare in India once the Government tries to do anything.
Private Healthcare Providers and the responsible Free Market:
I must salute the private healthcare provider, who despite the odds, is providing a reasonable level of service to large segments of society at a fraction of the cost worldwide. No doubt there are black sheep here also but the model is one that has a hope for a better future, bringing about Shalom Healing to people.
Let us stop blaming those who are trying to do good, and focus on the real culprits. The people get the Government they deserve, an old saying goes.
I hope I have made myself clear. Neither increased Governmental spending on healthcare nor Universal Medical Insurance is the answer dear friend.
Instead, if it really cares for the health of its people, let our Government take serious steps to improve the basic essentials for good health. Let it restore and improve the quality of our air, water, food and soil.
Let the Government eradicate corruption and red tape within itself, help honest businesses to establish and grow, thus providing people with a reasonable standard of living. This will help to not only improve the health of our nation, but to transform India into a world class nation. Hope better sense prevails in our country. Please pass this on to those who care. Jai Hind!
I was shocked to see two men from a roadside garage burning wires made of copper and insulated with PVC, apparently to extract the copper.
As a citizen of Mumbai and a medical doctor, I am very concerned about the quality of air we breathe. The Hindustan Times reported today that the city continued to have poor air for the second day in a row.The pollutant-measuring indicator air quality index (AQI) fell from 224 on Monday morning to 220 by the evening, both falling under the ‘poor’ category. There was no change in minimum temperatures from Sunday, which was 4.5 degrees Celsius below normal.
The System for Air Quality Weather Forecasting and Research (SAFAR) predicted an AQI of 220 for Tuesday as well. An AQI between 101 and 200 falls under the ‘moderate’ category, while that between 201 and 300 is ‘poor’ and beyond 301 falls into the ‘very poor’ category.
The Santacruz weather station, representative of Mumbai, recorded the night temperature at 16.4 degrees Celsius, similar to Monday and November 11, which has been the lowest November night temperature since 2012. The night temperature at Colaba, representative of south Mumbai was recorded at 22 degrees Celsius, a degree Celsius below normal.
Officials from the weather bureau said the current wind pattern over the city has led to cool temperatures and a decline in air quality. “From late Saturday night onwards, cool winds from the north-western parts of the country has led to a cooling effect,” said KS Hosalikar, deputy director general, western region, India Meteorological Department. “As a result, due to the process of inversion, cool temperatures have allowed pollutant particles to settle close to the surface. We expect these conditions to continue till Wednesday.”
Meanwhile, day temperatures were more than 2 degrees Celsius above normal as Colaba and Santacruz, both recorded 35.6 degrees Celsius as the maximum temperature. “During the day, the winds are not strong and this has allowed temperatures to rise. However, cool winds during the night are leading to a fall in temperatures,” said Shubhangi Bhute, director, Regional Meteorological Centre, IMD. “The gap between day and night temperatures can lead to health issues such as cough, cold and fever,” Bhute added.
On Monday, Malad was the most polluted location with an AQI of 307 (very poor), followed by Navi Mumbai at 303 (very poor). While majority of the locations in Mumbai recorded ‘poor’ air quality, Borivli had the cleanest air with an AQI of 132 (moderate).
As part of a citizens Forum called the New Link Road Residents Forum, http://www.newlinkroad.wordpress.com we have been pro active to ensure that Borivali and its near by areas are free from man made sources of pollution. We wish that more readers would be encouraged to take steps to combat this menace.
If someone were to suggest to you that the solution to your headache would be to shoot your head off, how would that sound? I know it can sound absurd, but to me this whole debate about the solution being offered for the woman who is pregnant but does not wish to become a mother, the solution that the Medical fraternity is only too eager to offer in India especially, of aborting the life she is carrying, doesn’t sound too different.
What wrong did that unborn child do to be prematurely killed when it is in the most dependent state of its life?
Justice K. Kannan who is a former judge of the Punjab and Haryana High Court wrote an interesting article in the Hindu recently questioning the way abortion is fast being offered as a solution to myraid cases of pregnancy: The fundamental question is: what makes killing a human being wrong? We may then consider whether these characteristics, whatever they might be, apply to the earliest stages of human life in the womb. Explanations that have roots in religion include the traditional Christian doctrines such as that all humans are made in the image of God or that all humans have an immortal soul.
Apart from the point of view of health and avoidance of disability, with modern notions of individual liberty, many a pregnant woman believes that apart from her, no one else will have a right to decide about what she wishes to do with the foetus.
It is also suggested that an alternative for parents faced with the decision to terminate their pregnancy is a perinatal hospice. A perinatal hospice recognizes the value of bringing these infants to term by treating them as beings conceived with a tangible future. This alternative is preferred because of post-termination psychological distress and because biblical teachings emphasise the dignity and worth of each foetus.
In response to this, a few well educated people from India including female Medical Doctors wrote about choice: [http://m.thehindu.com/opinion/op-ed/abortion-womens-rights-and-human-rights/article8969843.ece]
“According to international human rights law, a person is vested with human rights only at birth; an unborn foetus is not an entity with human rights. The ethical issues here are not just of the rights of the foetus. The foetus is not an independent entity and depends completely on the welfare of the woman. Without her well-being, one cannot talk about the well-being of the foetus. We also need to consider the fact that the woman herself is a living human being in the here and now — the pregnancy takes place within her body and has profound effects on her health, mental well-being and life. Thus, how she wants to deal with this pregnancy must be a decision she and she alone can make.”
What even a school child understands is that there is life inside the bulging tummy of the pregnant woman.
The PCPTND act which forbids disclosure of the sex of the fetus in India, designed to thwart the warped sex ration in the country due to selective female foeticide over the ages, recognizes that there is life in the womb! Then what is the confusion?
I am reminded of a phrase: We have educated ourselves into imbecility. No wonder educated people can write such responses to the article written by Justice Kannan.
Perhaps this last image sums up my message:
I would also like to add, the men who caused the pregnancy must learn to take responsibility for taking care of the outcome equally if not more.
I hope you would say Amen. Even if you do not, remember, the King who created you, and loves you, decides what is right and what is wrong, not me and not you. His Kingdom is advancing swiftly.
On which side would you be, my friend?
If only Yoga lived up to even 1% of its claimed benefits, what a different nation India would have been….many tourists to India have often wondered. And for good reason, as you will discover.
But for now, here is something that will surely pique your curiosity!
United Nations General Assembly has declared 21st of June as an International Yoga Day on 11th of December in 2014.
The declaration was done after the call by the Indian Prime Minister, Narendra Modi to the United Nations General Assembly on 27th of September in 2014 during his address to the UN General Assembly. He called the United Nations General Assembly for adopting 21st of June as an International Yoga Day to get all the benefits of yoga for the people all around the world. [http://www.indiacelebrating.com/events/international-day-of-yoga/]
Narendra Modi has said during his address to the UN General Assembly that “Yoga is an invaluable gift of India’s ancient tradition. It embodies unity of mind and body; thought and action; restraint and fulfilment; harmony between man and nature; a holistic approach to health and well-being. It is not about exercise but to discover the sense of oneness with yourself, the world and the nature.
A look at India would make us wonder, how on earth does he have the guts to make such tall claims?
Restraint and fulfillment? Harmony between man and nature? Yoga has been practised for centuries in India. Where rivers are treated as dumping grounds for all sorts of garbage, sewage and even dead bodies. Where forests are being destroyed, mangroves reclaimed, the air and water polluted.
So what is this Yoga?
Derived from the Sanskrit word yuj, Yoga means union of the individual consciousness or soul with the Universal Consciousness or Spirit.
There are many more people making tall claims for Yoga.
A renowned Hindu Guru Sri Sri Ravi Shankar, from India, says “Yoga is not just a physical exercise or asanas. Yoga is a complete science. It unites the body, mind, spirit and the universe. Yoga brings that much needed peace in every individual. It also makes a big difference in one’s behavior, thought pattern and attitude. I would say yoga is almost indispensible. If you want to be sane, sensitive, sensible, strong and intuitive you have to follow yoga.”
Now think of the state of the majority of the people in the world. Does he mean to say that they are not sane, sensitive, sensible, strong or intuitive?
Or let us take the other side of this.
What has Yoga done for India?
How many would look at India, the place where Yoga was founded, and say Indians have that much needed peace, and exemplary behaviour, thought patterns and attitudes?
India is one of the most corrupt countries in the world, and also considered backward in hygiene, health, equal rights to minorities, women and children, and even in sports. A mere look at the Olympic Medal tally of India will reveal what this so called Yoga has done to help Indians achieve superior physical strength, stamina or health.
So in terms of peace of mind, values, ethics, or in the more measurable physical health, yoga has not been of any use practically to the countless millions of Indians.
Then why is it being propagated?
That is a good question, that the Prime Minister and the present right wing Indian government should be answering.
I believe there are deeper spiritual reasons why Yoga is being propagated.
Yoga promotes the pantheistic world view that everything and everyone is god, and the aim of Yoga is union with this so-called force or god. Is this logically, scientifically and factually true? Ofcourse not! The Creator, whom we would call God, is not a force without any personality or feelings! He is a person, and that is why He made us humans in His image, and He shows us His love. A force or the god consciousness to which Yoga proponents would have you unite, it cannot and never will love you!
The Judaeo-Christian world view clearly states that God is the creator and everybody and everything else is created by Him and distinct from God. The very first temptation faced by humans [Genesis 2-3] was to be like God himself, the very same thing offered by Yoga. Of Course, God was displeased by this heresy and had to punish Adam and Eve, but He [out of His immense love for us] also made a way for us humans to be restored back to a relationship with Him, through repentance and faith in the finished work and atoning sacrifice of Jesus Christ, God who became a man to take on Himself the punishment due to us for our sins.
Yoga and its spiritual philosophy tries to deny that we humans are sinners, separated form the God who created us. This is nothing but the lie that satan used in the garden with our very first parents.
Another area of concern in yoga is the concept of emptying the mind, which is contradictory to what Christianity teaches. As Laurette explained, “We are transformed by the renewing of our minds, not the emptying.” Emptying the mind leaves it open to other spirits to take control of the person’s mind, and that is what often happens.
So please be wise before accepting anything. There can be dangers far worse that you could have imagined.
For more reading, please visit these sites:
http://www.praisemoves.com/ offers excellent and spiritually safe exercises without exposing you to mind emptying spiritual dangers.