Health Infrastructure and inadequate spending
The 15th Finance Commission has mooted a greater role for public private partnerships to ramp up health infrastructure and scale up public spending on health from 0.95% of the GDP to 2.5% by 2024.
- While public outlays should focus on primary health care at the panchayat and municipality levels, private players should be relied on for specialty healthcare.
- Fix the skewed availability of healthcare across India as poorer States have the worst facilities.
- Substantial improvements in the working conditions for doctors in government hospitals, many of whom are hired on a contract basis by the States, and the creation of an Indian Medical Service cadre as envisaged in the Civil Services Act, 1951.
- The total spending of around 0.95% of GDP is not adequate both in relation to our peer groups, and in relation to the commitments under the National Health Policy of 2017.
- There is no doubt that public spending, both by the Centre and the States, needs to go up very significantly. The endeavour must be to raise public spending from 0.95% of GDP to 2.5% of GDP by 2024.
- While India does not have adequate health infrastructure, the picture is “exceedingly skewed” among the States with the poorest of them having the worst health infrastructure.
- Seeking greater attention on the role of paramedics and frontline health workers in countering the pandemic.
- On the proposal to constitute an All India Medical Service, no action had been taken on the issue till date.
- To achieve better healthcare parameters, public private partnerships must be considered “in a holistic way” instead of the current situation where the government only turned to the private sector in times of emergency.
- Trust deficit : For that, a working relationship is needed and this relationship can be built only if, first and foremost, the trust deficit that exists [between industry and government] now is bridged.
- Private sector investment in health has an exceedingly important role to play, needs tobe encouraged.