SHOULD HEALTHCARE BE PRIVATISED ?

Population Growth

India is the worlds second most populous country

Significant population growth between 1970 - 2000 Total

Indian Population Count (mn)

With a billion plus population the need for healthcare is universal for both Urban and Rural India. With an increasing incidence of life style diseases (approx. 33 percent of the total pie) and a growing geriatric and pediatric population, there is an emphasis on the need for specialty care
AntiDerma Diabetic 6% 5% Antiinfectives 21%

1,600 1,400 1,200 1,000 800 600 400 200

60 yrs & above

Neuro/ CNS 6%
Gynaec 6%

6 yrs & below

Vitamins/ minerals/ Nutrients 10% Pain/ Analgesic 10%

Gastrointestinal 13%

7 - 14 yrs 15 - 59 yrs

Respiratory 11%

Cardiac 12%

Public Healthcare

There has been a significant increase in public infrastructure over the years. While in 1947 the number of hospital beds was 3.2 per 10,000, the present number of 9 per 10,000 is commendable, but still far behind that of other developing countries The governments share in the healthcare delivery market is only 20 percent.
Country

Head Beds/ 10000 141 73 57 40 32 29 18 9 National Rural Health Mission Institutes like AIIMS in Tier II cities AYUSH Rashtriya Swasthya Bima Yojana (RSBY) Medical education for OBC National Programme for Prevention and Control of Deafness (NPPCD) Other heads Total

The current NHP aims to increase the government contribution to healthcare to touch 2 percent of the GDP by the end of the five year tenure, an increase from the present contribution of 0.9 percent. Government Initiatives like NRHM, NUHM and RSBY are working towards better healthcare for the poor.

Budget FY10
INR Cr

Japan France Switzerland Australia United States of America Thailand Malaysia India
3

14,127 1,448 734

350 100 10 4,344 21,113

Private Healthcare

India has one of the highest private spending in healthcare as compared to other countries. Nearly 80% of the total spend. In India, Out of pocket spending is one of the highest, constituting 94% of the total spend in the private health industry. Extensive landscape of private players with multi & super specialty hospitals, innovative rural models. Increasing Private Equity investment into the sector, with an affinity towards innovative rural models and super specialty care. Private healthcare is on a high growth path.
No. of Beds

8000 7000 6000 5000 4000 3000 2000 1000 0

4

Apollo

Fortis Kolkilaben Ambani Hospital CARE Hospitals

Narayana Hrudayalaya

Dr. Trehan's MediCity

Max

Need for privatisation

It is a known fact in our country the innovations are done by the corporates not the govt entities. In most of the government hospitals, the presence of doctors has become a joke. They can be on strike any time. Eg: Rajasthan doctors went on strike which caused hundreds of life. There are long queues, In AIIMS for a simple appendix operation we have prestigious 1 month queue. The patient will die before his turn comes. Government hospitals lack basic amenities like beds, blankets etc.

With the growing population and diseases their is a need for increased as well as improved facility.
Government hospitals does not have proper infrastructure and health staff to treat the patients. The facilities provided by the government hospitals are below par. Unavailability of latest technology and research.

Advantages

Good Infrastructure with increased curing rate. Better hygiene and technology. Research and Development facilities. Rapid development in medical field. Better hospitals play a pivotal role in attracting medical tourists indirectly helping our economy as Most of them take medical packages which includes tourism in India, so adding up taxes. Any time Service.

Disadvantages

The private sector hospitals are behaving like Money Foxes with an endless appetite. Even for small cough they prescribe costly medicines. Health care has become like business to the doctors. Monopoly leads to bad service. When we enter for one problem they will create another problem to the patient and suck his money like blood sucked by mosquito. " Health is wealth", but the saying slightly changed to Healthier. Lack of social objective. It does not reach the remote areas where the poor people are found, hence segregate those areas where majority are poor, running away from loss.
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"wealthier is

Possible way
Running away from a problem is not the solution of that problem. We know that there are some defects in medical facilities provided by the government, but making it privatization will not help. We have to point out that defects and with the help of government and social organization tackle that problem and solve it. In India nearly 30% of people lies below poverty lines, they don't have sufficient food to eat how can they afford the bill of private hospital. The main objective of private hospitals is to make profit by extracting as much amount of money from the patient as possible. There should be a regulatory authority governing their function and pricing of services as we have NPPA (National Pharmaceuticals Pricing Authority) for governing the MRP of Medicine. There should be regular check by competent authority like Medical Council of India (MCI).
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THANK YOU