India, the second-most populous country in the world, faces a surprising paradox in its health care system. Though it has become a hub for high-quality medical treatment at supposedly affordable costs, health-related expenses cause as many as 63 million people in India to fall into poverty annually. As a result, it is essential that the country makes improvements to health care in India in order to improve its accessibility to those in poverty.

Fixing a Faulty Health Care System

As of 2015, prime minister Narendra Modi proposed the National Health Policy (NHP) to provide universal health care in India, regardless of socioeconomic status. This new policy also guarantees free public health care for those living below the poverty line.

This policy suggests an ambitious reform. Private practitioners continue to dominate India’s health care market. In fact, the private sector provides approximately 70% of health care.

Many more barriers come with delivering a new and improved health care program. With a severe shortage of medical professionals, financing issues and the public’s general lack of trust in the country’s ability to implement effective health care resources, India faces a problem in reforming its health care system.

This has presented a problem for citizens and the government alike. The government wastes expenditures on underutilized resources. Meanwhile, the private sector could include illegally trained doctors and possible medical malpractice, which may entail dangerous treatment and unnecessary expenditures for citizens. The prevalence of private health care partnered with poor insurance regulations results in up to 70% of medical costs from out-of-pocket expenditures, which exacerbates the economic stresses that the nation’s poor feels.

Lack of Public Trust

The driving force behind the underutilization of health care in India is public mistrust. People typically seek help from village doctors first, who are typically closer in proximity to their homes. Many citizens are also wary of poor service in public systems: many patients experience disrespect or the public systems overcharge them for various medical expenses and treatments.

Many citizens hesitate to turn to public hospitals until it is their last resort. There are cases of individuals earning less than INR 10 per day who would seek private care facilities rather than obtain government-granted medical care.

Cases like these are some in a pool of many. There are cases of mothers waiting hours before receiving help in labor, or individuals struggling to pay for necessary medications.

The expensive price tag of private practitioners makes quality care essentially inaccessible to those living in poverty. The prevalence of many low-income individuals desperate to pay high price tags for private care as opposed to visiting free, government-funded institutions presents a clear exclamation: health care in India experience reform to prioritize the trusts and needs of its residents.

Addressing the Problem

As low-income individuals face difficulty in obtaining quality health care, a number of organizations that readily seek to help continuously emerge.

HelpAge India has been around for multiple decades and has earned multiple accolades (NGO Leadership & Excellence Award, Times Social Impact Award, etc.) for its continued support of elderly populations in India. This NGO provides free medical care (cataract surgeries, cancer care, etc.) that would otherwise be unaffordable to many individuals in India.

The Smile Foundation has also focused on providing equitable medical care, especially to underprivileged families. The Smile Foundation provides easier access to health care in slums and lower-income communities and also promotes health care awareness within these communities.

The Rural Health Care Foundation also provides health care to low-income communities all across India. It provides primary care diagnoses, medications and cataract/cleft lip surgeries for those who are unable to pay for these procedures.

These organizations are a few of many seeking to improve systems of health care in India. The implementation of a new and improved health care system is ongoing. However, a combination of both newfound public optimism and institutional change is necessary to ensure health care access to everyone.

– Vanna Figueroa
Photo: Flickr