India’s Healthcare Condition

Long before the virus invasion into India, the nation already suffered from a devastatingly poor healthcare system. With more corrupt systems in Public (government owned) hospitals where only miserable think of going while the middle or upper  middle and upper classes always seek for the genuine treatments at heavily priced private hospitals. Middle class economic sectors do end up with long term bank loans.

We’ve seen many cases in the past where private hospitals literally looted patient’s families, in some cases the patient was already dead while reaching the hospital and yet doctor’s kept the dead bodies for treatment and kept fooling the family by saying “we are doing the treatment and trying our best to save the patient”. All this was done just to add up bills for the families and friends of patient.

There’s a saying about doctors worldwide that they are a form of god who saves lives but this thought is questioned when some doctors commit the hideous sins ever known to humanity. This is happening even during the treatments of covid-19 specifically in India where many citizens are falsely reported covid positive and are admitted to expensive private medical institutes who charge hefty charges (8-12 Lakhs INR) from somebody who’s already negative from the virus contagion.

In many other cases where healthy citizens wrongly reported are admitted to hospitals and later their vital body parts viz. heart, kidneys, eyes, liver etc were removed for organ trade benefits. So how these doctors were able to do this and how still many are doing this right under the nose of government administrations. The answer comes to complete absence of investigation of each dead body, these doctors know it for sure that an alleged positive patient when claimed dead would be directly sealed into a body bag by the hospital workers. No policemen and neither family nor friends are allowed to have a sneak peek at the dead body. The dead body in a body bag is directly sent for cremation. This gives an upper hand for corruption and illegal organ trade.

Some 2.4 million Indians die of treatable conditions every year, the worst situation among 136 nations studied for a report published in The Lancet. Poor care quality leads to more deaths than insufficient access to healthcare–1.6 million Indians died due to poor quality of care in 2016, nearly twice as many as due to non-utilisation of healthcare services (838,000 persons).

“For too long, the global health discourse has been focused on improving access to care, without sufficient emphasis on high quality care,” Muhammad Pate, co-chair of the commission that produced the report, who is also chief executive of Big Win Philanthropy and former minister of state for health in Nigeria, said in a statement. “Providing health services without guaranteeing a minimum level of quality is ineffective, wasteful and unethical,” he said.

As the Indian government readies to roll out its ambitious national health protection scheme, the Ayushman Bharat Yojana, by the end of September 2018, the study’s findings are crucial.

“We need to better measure the quality of our health system as a composite entity rather than be merely content with certifying hospitals and laboratories,” said Srinath Reddy, president of the Public Health Foundation of India, a Delhi-based think tank, about the lack of mechanisms for monitoring quality in India. “Some elements of quality, mainly in maternal and child health, are being monitored under NRHM [National Rural Health Mission]. However, composite measures of the health system overall are unavailable,” he said.

Public accountability and transparency on health system performance are two ways to improve the quality of healthcare, the commission recommends.

Commonly used health metrics such as the availability of medicines, equipment and skilled attendants do not reflect quality of care and even “lead to false complacency about progress”, it says, proposing a dashboard of metrics that should be implemented by countries by 2021 to enable transparent measurement and reporting of quality care.