Topic – Issues relating to development and management of Social Sector/Services relating to Health, Education, Human Resources.
3) Is Ayushman Bharat going to enlarge the role of the private sector in healthcare? Analyze. (250 words)
Why this question
Ayushman Bharat scheme is a landmark healthcare scheme which provides medical insurance to crores of poor families in India. However the scheme has been criticized for relying on private sector to deliver on its aims. In this context it is important to analyze whether the scheme will enlarge the role of private sector in healthcare.
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 Ayushman Bharat scheme and bring out whether it will enlarge the role of private sector in India’s healthcare sector.
Structure of the answer
Introduction– write a few introductory lines about the Ayushman Bharat scheme. E.g
DIscuss in points how the scheme will enlarge the role of private sector in healthcare. E.g
- The question is tautological as India’s health system is already one of the most privatised in the world, with three quarters of out-patient treatment and two thirds of in-patient treatment being provided by the private sector.
- In any case, it is unrealistic to expect it to be otherwise. The health sector always had — and will continue to have — private participation. Its nature is what should concern us – one that is changing, and has gained a huge momentum with the introduction of Ayushman Bharat.
- Discuss the role of NHA.
- It is learnt that the pricing of services, a contentious issue between the hospitals and the NHA, has been or is proposed to be outsourced to a commercial firm.
- A similar concern arises on the proposal to outsource monitoring, empanelment, settling of claims, grievance redressal – all vital functions of a government body —to commercial companies.
- The detailed guidelines with the contract agreement to hand over large portions of district hospitals to private investors to establish the supply of specified services – cardiac, cancers, respiratory etc. — suggests a hybrid model that has no precedence, not even in the U.S.
- This is a brainwave of The United States Agency for International Development (USAID)-Niti Aayog initiative: it is apprehended and with justification, that it will destroy the public hospital system in India and deepen the control of the private sector and create monopolies rather than a competitive environment, adversely impacting the cost of care.
Conclusion– based on your discussion, form a fair and a balanced conclusion on the given issue.