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The Hindu : Making NHPM work: On Ayushman Bharat
Prime Minister Narendra Modi’s announcement on Independence Day that Ayushman Bharat, or the National Health Protection Mission, will be launched formally on September 25 sends out the signal that the government is finally recognising the linkages between health care and economic development. Political parties have not yet made the right to health a campaign issue, and the National Health Policy does not recommend such a right since it cannot be fulfilled. But there is increasing awareness that it is unsustainable for a country of 1.3 billion people to rely on household savings to pay for health care. The NHPM is an ambitious initiative, providing a coverage of 5 lakh per family a year to 10 crore families chosen through the Socio-Economic Caste Census, mainly rural poor and identified urban workers. State governments, which will administer it through their own agency, will have to purchase care from a variety of players, including in the private sector, at predetermined rates. Reaching a consensus on treatment costs through a transparent consultative process is vital for a smooth and steady rollout. A large-scale Information Technology network for cashless treatment should be set up and validated. Since a majority of the families will be rural, and the secondary and tertiary public hospital infrastructure suffers from severe efficiency and accountability problems, State governments should upgrade the administrative systems.
National schemes on health provide an overarching framework, but the responsibility of executing them falls on the State governments. It is widely recognised that there are “nations with the nation” in India, given the population sizes, disease burdens and the development levels of different regions. Clearly, the NHPM has a problem with the distribution of hospitals, the capacity of human resources, and the finances available for cost-sharing. Addressing these through the planned increase in public health spending to touch 2.5% of GDP, and 8% of State budgets, is the immediate challenge. With steady economic growth, meeting that policy commitment through higher investments will be a test of political will. Yet, it is also an opportunity to tap into a large labour pool for the new jobs that will be created, and to raise skill levels. Reducing the cost of universal health coverage is imperative, and it requires parallel investments in the neglected public sector. Private insurance can only be a short-term option, and it clearly has limitations. Less ethical institutions have been found ordering unnecessary treatments to claim insurance compensation. An ombudsman to deal with complaints from NHPM users should, therefore, be a priority. The Centre should extend the scheme to all children and senior citizens, and cover outpatient consultation and essential drugs to sharply reduce out-of-pocket spending.
1. Linkage ( Noun ) : जोड़ने का साधन
Meaning : the action of linking or the state of being linked.
Synonym : connection , similarity , kindred , affiliation
Antonym : difference , disconnection , disunion
Usage : The accountants noticed a linkage between the two supposedly independent companies
2. Unsustainable ( Adjective ) :अरक्षणीय
Meaning : not able to be maintained at the current rate or level.
Synonym : unsuitable , brief , unfeasible , implausible
Antonym : suitable , tenable , feasible
Usage : They have already seen their total debts spiral back towards unsustainable levels.
3. Ambitious ( Adjective ) :अभिलाषी
Meaning : having or showing a strong desire and determination to succeed
Synonym : aggressive , ardent , goal-oriented , determined
Antonym : lethargic , content , facile
Usage : He’s a very ambitious lad and he wants to play at the highest level.
4. Consensus ( Noun ) :अनुकूलता
Meaning : a general agreement
Synonym : accord , harmony , consent
Antonym : denial , dissention , refusal
Usage : The question of when the troops should leave would be decided by consensus.
5. Accountability ( Noun ) :उत्तरदायित्व
Meaning : the fact or condition of being accountable; responsibility
Synonym : liability , answerability
Antonym : irresponsible , unreliable , unaccountable
Usage : The Government has accountability of its work towards the public.
6. Overarching ( Adjective ) :अति महत्वपूर्ण
Meaning : comprehensive or all-embracing
Synonym : overall , throughout , including , surrounding
Antonym : insignificant , narrow , trivial
Usage : The overarching question seems to be what happens when the U.S. pulls out?
7. Executing ( Verb ) :कार्यान्वयन
Meaning : put (a plan, order, or course of action) into effect
Synonym : behead , assassinate , accomplishing
Antonym : keep , maintain , abandon
Usage : No one else would be capable of executing the dramatic capture of my nemesis and the lovely child as well.
8. Imperative ( Adjective ) :अनिवार्यता
Meaning : of vital importance; crucial.
Synonym : important , critical , vital , acute
Antonym : optional , trivial , free
Usage : It was imperative that everyone understood the rules so that this would not happen again.
9. Ombudsman ( Noun ) :लोकपाल
Meaning : an official appointed to investigate individuals’ complaints against a company or organization, especially a public authority.
Synonym : authority , appraiser , reconciler , intermediary
Antonym : no antonym as such
Usage : The leaflet explains how to complain to the banking ombudsman
10. Priority ( Noun ) : प्राथमिकता
Meaning : the fact or condition of being regarded or treated as more important than others.
Synonym : preference , superiority , precedence , supremacy
Antonym : subservience , inferiority , unimportance
Usage : The government’s priority is to build more power plants.
