Abhijit Banerjee, 2019 Nobel Prize, Economics laga winner, para Narendra Modi government ke healthcare program, Ayushman Bharat nemide kushi powah kotha janaideya toh jani paise. Tai koise, duniya toh India be ekta ase sobse dangor private healthcare expenditures thaga. Manu khan toh poisa nemide value powah nai.India de total healthcare spending laga ke 60 percent opor household khan nejor laga pockets para phelai ase aro etu toh ekta dekthari ase. Narendra Modi government logote states aro municipalities toh lobo kosish kori ase healrhcare spending para manu khan poisa nemide value pabole.
India deh healthcare toh ekta political priority hoise aro etu dektha toh ektum kushi pabole laga ase. Ayushman Bharat (AB) toh Narendra Modi government laga ekta kamiyaab howah social initiatives ase. Etu toh states para Central government laga support pai kena olaise.
Hoilebe AB laga tuita pillars be society laga komchor sections ke laab debo nemide ase. PMJAY pillar deh, hotai sal 5 lakhs tak free hospital care dae aro etu toh 110 million nesana dukhiya aro vulnerable households nemide ase. Health aro wellness centres laga tusara pollar toh basic primary aro precentive care toh sob rural aro semi-urban areas deh debole laga ase. Etu para dukhiya manu khan toh besi laab pabole chance ase.
Non-poor nemide, besi phak towns aro cities deh, kon be tai khan ke pai kena thaga healthcare options toh nakora nesana ase. Tai khan be healthcare expenses nemide dukhiya hobole laga risk toh ase. Tai khan ke poisa nemide value laga issue toh ektum ase.
Nai nai koilebe 300 million manu nohoile India’s urban population laga 65 percent opor, 500 cities opor deh thakae aro population toh 100,000 nahoile etu para opor ase. Etu population laga ke non-poor be melikena ase. Tai khan informal sector deh kaam korikena income powah toh thakae. Tai khan ke limited health expenditure support ase. Hospital care nemide tai khan ke insurance company para expensice annual health insurance plans nohoile nejor laga pocket para hospital bills pay kora thakae. Out-patient (OP) care nemide, tai khan besi phak private providers deh toh private hospital laga OP department nohoile private clinics para lok pai kena ahiya thakae aro nejor laga pocket para cash deya thakae.
Urban aro rural areas deh private providers toh OP care laga dominant source ase. Dangor towns aro cities deh OP care toh sob qualified doctors para dae. Kush kotha toh, tai khan towns aro cities deh multiple, care laga qualified providers ase. Hoilebe beya part hoile ke ase koile, system toh ektum non-standardised ase. Konbah doctos para fees toh tusara para be besi lowah thakae. Konbah doctor khan consultation fee toh lok kora time deh lowah thakae aro tusara konbah doctors toh keman par lok korise koilebe pay naloi kena lok kora thakae. Konbah doctor para minimal medicine prescribe kora thakae aro tusara khan gara dawai para apuni laga pemari phal kora thakae. Konbah doctors para routinely payment receipts deya thakae aro tusara konbah para toh request korise koile he deya thakae. Konbah doctors ke toh prior appointment lakae aro tusara konbah ke toh nalakae. Konbah doctor para patient records kora aro tusara konbah para nakorae.
Patients khan OP care nemide alak alak issues lok powah thakae. Metro city deh patient khan specialist consultation nemide besi free deya thakae hoilebi etu toh tui minute para be besi last nahowah toh thakibo parae. Tai khan prior appointments thaki kena be lamba samai nemide rokhibole ola thakibo parae. Aro doctor khan be patients laga queries ke jawab debole samai toh nathaga thakae. Sitha-sith kobo, konbah doctors toh social responsibility laga sense logode tai khan laga practice jolae. Hoilebe besi phak doctors toh highly commercial-minded ase. India laga OP care market deh standardisation toh lakae.
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