{"id":31225,"date":"2018-10-27T12:36:21","date_gmt":"2018-10-27T07:06:21","guid":{"rendered":"https:\/\/blog.forumias.com\/?p=31225"},"modified":"2018-10-27T12:36:21","modified_gmt":"2018-10-27T07:06:21","slug":"case-histories","status":"publish","type":"post","link":"https:\/\/forumias.com\/blog\/case-histories\/","title":{"rendered":"Case histories"},"content":{"rendered":"<p><a href=\"http:\/\/www.thehindu.com\/todays-paper\/tp-opinion\/case-histories\/article22779512.ece\"><b>Case histories<\/b><\/a><\/p>\n<p><strong>Context:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The government\u2019s intention to launch the world\u2019s largest health insurance programme, the National Health Protection Scheme, raises an important issue.<\/span><\/li>\n<\/ul>\n<p><strong>Issues:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">1-<\/span><span style=\"font-weight: 400;\"> \u00a0<\/span> <span style=\"font-weight: 400;\">Should the focus be on the demand side of health-care finance when the supply side, the public health infrastructure, is in a shambles?<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Experience with insurance schemes, such as the Centre\u2019s Rashtriya Swasthya Bima Yojana and Andhra Pradesh\u2019s Rajiv Aarogyasri, show how demand side interventions can miss the mark.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">The RSBY and Aarogyasri failed to reach the most vulnerable sections. At times they led to unnecessary medical procedures and increased out-of-pocket expenditure for poor people, both of which are undesirable outcomes.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">These showed that unless the public health system can compete with the private in utilising funds from such insurance schemes, medical care will remain elusive for those who need it most.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"> \u00a0<\/span><span style=\"font-weight: 400;\">Both RSBY and Aarogyasri are cashless hospitalisation schemes.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\"> \u00a0<\/span><span style=\"font-weight: 400;\">Both benefited people living below the poverty line, over-reliance on private hospitals and poor monitoring watered down their impact.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Scheduled Tribe and rural households typically missed out, while richer quintiles of the population benefited.<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Case histories Context: The government\u2019s intention to launch the world\u2019s largest health insurance programme, the National Health Protection Scheme, raises an important issue. Issues: 1- \u00a0 Should the focus be on the demand side of health-care finance when the supply side, the public health infrastructure, is in a shambles? Experience with insurance schemes, such as&hellip; <a class=\"more-link\" href=\"https:\/\/forumias.com\/blog\/case-histories\/\">Continue reading <span class=\"screen-reader-text\">Case histories<\/span><\/a><\/p>\n","protected":false},"author":61,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"categories":[555],"tags":[],"class_list":["post-31225","post","type-post","status-publish","format-standard","hentry","category-test-1","entry"],"jetpack_featured_media_url":"","views":{"total":1,"cached_at":"","cached_date":1700136261},"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/31225","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/users\/61"}],"replies":[{"embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/comments?post=31225"}],"version-history":[{"count":0,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/posts\/31225\/revisions"}],"wp:attachment":[{"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/media?parent=31225"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/categories?post=31225"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/forumias.com\/blog\/wp-json\/wp\/v2\/tags?post=31225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}