Such shortfalls can be attributed to flawed design of the

Fix the public healthcare system

moncler sale The recent tragic and unacceptable deaths of children in the BRD Medical College in Gorakhpur has angered many across the country. In part, what further inflamed the popular mood was the inability of the governments both at the Centre and in the State to grasp the difference between natural deaths and those caused by negligence. moncler sale

cheap moncler coats Instead of showing remorse and quickly acting to sort out issues of blame and matters of medical emergency, the political managers of the Bharatiya Janata Party and its phalanx of ministers spoke in contradictory voices and proffered conflicting explanations. Questions about the lack of oxygen, the failure to pay bills in time, a cover up effort with a police raid and a certain air of arrogance, all that added up to complicate the tragic deaths and the grief overwhelming the hospital wards in Gorakhpur. cheap moncler coats

moncler jackets outlet The most striking observation from the children deaths in Gorakhpur, however, is that an inherited policy failure turned into a political liability moncler outlet for the otherwise smug BJP government. The politics of death is always fatal cheap moncler coats for any ruling dispensation and Gorakhpur might not be an exception unless, politics is quickly redeployed and reoriented to correct flawed policy. moncler jackets outlet

cheap moncler jackets sale What happened in Gorakhpur was shocking, but not without precedent. New born children and infants routinely die at hospitals around the country for reasons that are systemic and rooted in years of neglect of public health. cheap moncler jackets sale

cheap moncler Children deaths have become mere statistics cheap moncler

moncler jacket sale Malkangiri, Odisha: Nearly 100 children died of Japanese encephalitis in October November last year. That means an average Chinese gets 10 times more than an Indian does in government spending on health. The numbers for developed countries like the US and the UK are even higher. moncler jacket sale

moncler outlet jackets Government spending in healthcare in India is split 2:1 between the states and the Centre. Given the states ability to raise new revenues are limited, the onus of any significant growth in public health spending rests largely on the Centre. It is worrying moncler outlet online that the Centre health spending has remained largely unchanged in real terms at around Rs 15,000 crore annually for the past seven years, as a recent study published in the Economic Political Weekly showed. Yet, finance ministers keep announcing new schemes year after year, cheap moncler letting populism overtake real concerns around the state of healthcare. moncler outlet jackets

moncler outlet uk Worse, a high and rising proportion of budgetary allocations goes unspent every year. Between 2011 12 and 2015 16, actual spending was about Rs 21,000 crore, or 12%, less than what was allocated in annual budgets during this five year period. Such shortfalls can be attributed to flawed design of the health plans, inflexible rules and bureaucratic red tape, all of which were at play in the context of Gorakhpur. moncler outlet uk

moncler outlet sale A bigger concern relating to the trend in public health spending stems from a rising share of salaries and cheap moncler jackets campaigns at the cost of supply of medicines and in patient treatment. According to former union health secretary K Sujatha Rao, the moncler sale share cheap moncler outlet of salaries in what all the states spent on health increased from 47% in 2007 08 to 55% in 2011 12. The combined share of medicine supplies, equipment, hospital infrastructure moncler outlet and maintenance fell from 20% to 15% during the same period. moncler outlet sale

moncler outlet online It would be safe to assume buy moncler jackets the share of salaries has risen further, following the implementation of the Pay Commission report, and moncler mens jackets that the resources for subsidised medicines and in patient treatment have shrunk monlcer down jackets through these years. At this rate, we aren far from a situation when government hospitals will run out of medicines, equipment or facilities to treat patients. The Gorakhpur tragedy was perhaps the strongest warning in this respect. moncler outlet online

moncler outlet store Fixing the public healthcare system needs nothing short of a war cry. Ignoring it, or being in denial, will have serious consequences for India economic ambitions. For hundreds of millions of Indians living on the margins, falling sick is a double whammy. They lose wages, a loss that is compounded by healthcare costs that a dysfunctional public healthcare system fails to take care of. A 2010 research study estimated moncler sale outlet at least 6% of India population falling below the poverty line because of the impoverishing effect of the expenditure they incurred on account of healthcare. moncler outlet store

cheap moncler jackets At 70%, the share of out of pocket (OOP) health spending in India is one of the highest in the world. OOP expenses are what an individual spends on his own to get treated. Its rising share in the moncler outlet sale Indian context also brings into focus the danger of mixing populism with blatant privatisation. As the public healthcare system slipped from bad to worse, the business of health has flourished during the same period, making India private healthcare industry among the most profitable and fastest growing in recent years. It, however, caters to the interests of only a privileged few, while impoverishing millions who can afford the cost cheap moncler sale but have nowhere else to go. cheap moncler jackets

moncler outlet It is time policy makers and political parties stopped treating public spending on health as just welfarism. For India, spending on healthcare should be more about investing in growth moncler outlet.

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