Events of CHP
Comments on Union Budget(2018-19) by Dr. Basudeb Guha Khasnobis02 Feb 2018
The Centre for Health Policy - Views on Budget:
- Govt ended policy paralysis: In health sector, no concrete step is taken to implement national health policy recommendation 2017.
- Ease of living is main focus of the Government: But is health also included in this ease of living agenda?
- Prices of more than 800 drugs were reduced: This is commendable initiative by National Pharmaceutical Pricing Authority (NPPA). Similar institutional mechanism should also be evolved to control cost of medical treatment and procedure.
- Dialysis service at subsidized cost to people across India: This is a good initiative but simultaneously, focus should also be on primary prevention of Non-Communicable Disease (NCD) which include health promotion and specific protection.
- 1 Lakh crore Rs. For higher research institution including medical research: This is commendable initiative by government. Very timely and important.
- Launch of AYUSHMAN BHARAT scheme:
A new scheme for health care with two objectives:
- Wellness Centers (1200 Crore): aiming at primary, secondary and tertiary health care – comprehensive services will be provided including Maternal and child health services and Non-communicable disease including free drugs and diagnostics:
Good initiative but the fund allocation is low and implementation without strengthening basic issues will be a challenge.
- For Indoor Hospitalization: for Poor and vulnerable with a target of reaching to 10 crore population.
Increasing Rashtriya Swasthya Bima Yozna (RSBY) to National Health Protection Scheme (NHPS):
Provision of insurance coverage of 5 lakh per family / per annum for indoor hospitalization
World's largest health insurance scheme:
CHP's View: This is welcome step by Government but certain issues and challenges remain unanswered:
- Why only poor and vulnerable is included. What about middle-class income.
- How government will implement this scheme.
- How government will control prices of health care being provided by private health sector.
- Having insurance is not full proof to protect high out of pocket expenditure, if government continue to allow the private sector to do cream skimming.
- Rs. 600 to TB patients for Nutritional supplement: although a good step but the amount is very less considering minimum 6 months treatment for TB.
- Opening of 24 New Medical Colleges by upgrading district hospitals: Good initiative but government should be conscious of quality of medical education along with increasing quantity.