Healthcare

1. Access and Affordibility

1.1. Primary health centers (Phc's) are not present in many villages and wherever present they are severely undermanned

1.2. This deeply impacts prevention and early detection.

2. Causes/Challenges

2.1. Nearly 70% of healthcare delivery is through private players which are largely unregulated.

2.2. With excesses in some places and shortages at other across the country,thereby affecting program effectiveness

2.3. There is no public procurement in India. It is just governed by the set of guidelines..

2.4. The lack of quality and assured healthcare in the country is emerging as a major concerns.especially among India's youth.

2.5. Unethical and irrational practices of unnecessary procedures

2.5.1. Commercial motive

2.5.1.1. Connection between physician and pharma companies (Prescriptions/referrals)

2.5.1.1.1. Collusion

2.5.1.2. Hospital admissions or diagnostic tests.

2.5.1.3. Illicit billing for insurance payments.

3. Quality

3.1. Inadequate health records leads to ineffective healthcare.

3.2. Inadequate pharma sales record leading to overbilling and health insurance scams.

4. Quantity

4.1. India spends only about 1.5% GDP on public healthcare, whereas other developed countries spends two or more times that number.

4.2. This allocation impacts infrastructure supply of critical equipment ,the number of hospitals and doctors,specialists,nurses and assistant.