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What happens when 500 million people start to go to the few private hospitals? It looks like there could be some nice election-year “progress,” but that isn’t g
by briandear 8y ago
What happens when 500 million people start to go to the few private hospitals? It looks like there could be some nice election-year “progress,” but that isn’t going to magically make more private beds appear. Perhaps funding and fixing the public hospitals might be a higher priority otherwise, private hospital prices will increase. This plan has the potential to create some serious health cost inflation. If everyone now has $7200 to spend, that’s just going to raise the prices because long waiting lists will lead to people who are private pay being able to access care more easily if they are willing to pay higher prices. But, “health insurance for all” sounds better as an election slogan than “we are going to fix the structural issues with our public hospital systems.”
Employees not showing up to work in the public hospitals? Pay them more and fire them when they don’t show up. Medicine shortages? Then buy more as well as audit the current usages of medicines to reduce waste. Not enough beds? Buy more. Fixing the public system is going to be far more sustainable than suddenly giving everyone $7200 when there isn’t enough capacity. The math doesn’t work with 500 million people unless they expect utilization rates to stay the same — which they won’t there are probably 10s of millions that don’t use the system at all, but they sure will when they can afford it. I think this politician is making promises he knows will be impossible to keep, but will help him win an election before the people realize that it was an plan with no possibility of actually increasing availability of care.
- microcolonel 8y ago> What happens when 500 million people start to go to the few private hospitals? It looks like there could be some nice election-year “progress,” but that isn’t going to magically make more private beds appear. That seems to be the least serious issue with this. Firstly, the coverage is minimal enough (especially considering their estimates of the rate of payout) that I doubt it would have that great an effect on usage. I don't really see why the market would fail to meet new demand in this case, and certainly I don't see why you think that it would be easier or cheaper for the Indian government to fix their public hospitals (especially if you've seen their other programmes, especially public primary schools).
- intended 8y agoHahaha, we wish. Poor people will be kept in different wards, or some understanding will be reached to ensure that the status quo is maintained. Nothing in India is done just based on the rules, everything is done with the meta rules firmly in mind. As for your other ideas- these are things you do when you have the ability and personnel to do it. Huge audits and legal systems capable of prosecuting the vast back log of cases. Edit; That said, I do hope this takes off, healthcare investment in India needs to expand significantly and affordable healthcare is needed. We will definitely need state healthcare to help a lot of people.