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-Extension of free health coverage to all over 70 years is good, but more needs to be done
In a welcome move, the Union government’s decision to extend the coverage of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY) to senior citizens over 70 years, irrespective of their income, provides a modicum of free health coverage to nearly 60 million people. With out-of-pocket expenditure for health care in India among the highest in the world, the decision is indeed laudable. While the decision to provide free health coverage up to ₹0.5 million per year for a section of the population is noble, it will in no way fulfil the public health objectives that are much needed for the targeted beneficiaries. First and foremost, the health assurance scheme is limited to secondary (relating to a lower level of health care provided by specialists) and tertiary care hospitalisation (relating to high-level specialized medical care, usually over an extended period). The absence of coverage for outpatient care (medical services provided without hospital admission), diagnostics (procedures to identify a disease or condition) and medicines is particularly concerning as chronic diseases have increased sharply in India in the last few decades. Increased life expectancy (the average number of years a person is expected to live) and an early onset of these diseases would mean that people over 70 may very often suffer from multiple chronic diseases. Most of the health-care expenditure by the elderly will, therefore, be through outpatient care (40%-80%), which will not be covered by the scheme. Since its launch in 2018, the penetration (the extent to which something is spread or adopted) of PM-JAY into smaller cities and towns has been low in most States. Unlike in most of the southern States, primary and secondary health care in the public sector has been largely neglected and is inadequate (not good enough or too low in quality) and ill equipped (not properly prepared or provided with necessary resources) to meet the demand in other parts. Robust (strong and healthy; unlikely to fail) primary and secondary public health care will sharply cut the load on tertiary health care and hence the need for curative care; a reduced curative care load at tertiary hospitals will make the PM-JAY scheme succeed.
Thailand focused and progressively strengthened its primary health-care system, and even diverted funds earmarked for urban hospitals to build rural hospitals and health centres to attain universal health coverage. In contrast, in the U.S., banking primarily on insurance-based schemes is what led to the surging (increasing suddenly and powerfully) costs of health care. India appears to be going the U.S. way. Though there is waning (gradually decreasing or weakening) enthusiasm in the private sector due to low treatment rates and delayed payment, as per media reports, since its launch, two-thirds of the total money spent each year under the PM-JAY scheme went to private hospitals; it was 53% in the case of the southern States. Weakened (reduced in strength or effectiveness) primary and secondary health care will result in an overload in tertiary health care, which the private players will be well poised to take advantage of. This can lead to a further shrinking of the government’s commitment to strengthen the public health-care system by over-relying on the insurance modality (a particular method or procedure of doing something) which is neither affordable nor will provide appropriate health care for the needy. In its present form, PM-JAY is a measure that is essential, but is incomplete.
Upskill yourself and enhance your vocabulary knowledge. Candidates should begin learning new words daily with Hindu Editorial Vocabulary on 13th September 2024.
Here are the synonyms and antonyms of all the difficult words in Hindu Vocab Master for 13th September 2024.
Word | Synonyms | Antonyms |
Modicum | Small amount, particle, fragment, iota | Excess, abundance, whole, entirety |
Laudable | Praiseworthy, commendable, admirable, deserving | Blameworthy, discreditable, reprehensible, shameful |
Fulfil | Achieve, accomplish, satisfy, meet | Fail, neglect, ignore, disregard |
Chronic | Persistent, long-lasting, continual, enduring | Acute, temporary, brief, short-lived |
Penetration | Entry, infiltration, permeation, incursion | Blockage, exclusion, retreat, resistance |
Neglected | Disregarded, overlooked, forgotten, abandoned | Attended, cared for, maintained, nurtured |
Robust | Strong, sturdy, vigorous, resilient | Weak, fragile, frail, delicate |
Curative | Healing, therapeutic, remedial, restorative | Harmful, injurious, damaging, detrimental |
Waning | Declining, diminishing, decreasing, weakening | Growing, increasing, intensifying, rising |
Modality | Method, approach, system, procedure | Disorder, chaos, disorganization, confusion |
Appropriate | Suitable, fitting, proper, relevant | Inappropriate, unsuitable, improper, irrelevant |
Incomplete | Unfinished, partial, imperfect, deficient | Complete, finished, whole, entire |
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