Topic – Issues relating to development and management of Social Sector/Services relating to Health
4) India spends abysmally low on healthcare and there is a need to increase expenditure on the preventive healthcare front. Analyze.(250 words)
Why this question
The article breaks down India’s healthcare expenditure and compares it with some other countries. It also provides us useful insights into the preventive healthcare spending in India.
Analyze-here we have to examine methodically the structure or nature of the topic by separating it into component parts, and present them as a whole in a summary.
Key demand of the question.
The question wants us to dig deep into the issue of low healthcare spending by India and bring out the need to increase resource allocation towards health sector in general and preventive healthcare in particular.
Structure of the answer
Introduction– write a few introductory lines about India’s Healthcare spending. E.g At present, India’s health spending is only 1.15-1.5% of GDP.
- discuss about the health expenditure of India in detail. E.g
- Despite several innovations in the healthcare sector in recent times, in line with India’s relentless pursuit of reforms, the government remains woefully short of its ambition to increase public health spending to 2.5% of GDP.
- According to the National Health Profile of 2018, public per capita expenditure on health increased from ₹621 in 2009-10 to ₹1,112 in 2015-16.
- Despite the doubling of per capita expenditure on health over six years, the figure is still abysmal.
- U.S.’s health expenditure is 18% of GDP, while India’s is still under 1.5%. I
- The ₹6,400 crore allocation to Ayushman Bharat-PMJAY in the Interim Budget will help reduce out-of-pocket expenditure on health, which is at a massive 67%.
- bring out the need to increase our expenditure on health specially on preventive Healthcare. E.g
- A focused approach in adding tax on tobacco and alcohol, to fund non-communicable disease prevention strategies at health and wellness centres, should be considered.
- Cancer screening and prevention are not covered. There is no resource allocation for preventive oncology, diabetes and hypertension.
- Prevention of chronic kidney disease, which affects 15-17% of the population, is not appropriately addressed.
- Due to lack of focus in preventive oncology in India, over 70% of cancers are diagnosed in stages III or IV. The reverse is true in developed countries. Consequently, the cure rate is low, the death rate is high, and treatment of advanced cancer costs three-four times more than treatment of early cancer.
Conclusion– based on your discussion, form a fair and a balanced conclusion on the given issue.