USA vs EU Healthcare model, What is best for India? Insurance or Universal Healthcare for all model?



hi everyone this is Veronica and today we are going to discuss a very important topic that is related to health sector in India so we are going to talk about the US versus Europe model in India and which model is better for our country or we need some customized model so all this will discuss in detail for my video updates you can follow me on Instagram and Facebook this is a channel study I keep you preparing for any comment exam or pen drive and tablet courses are also available for additional information you can call us on our numbers here and up you can visit our website – the PDF will be available on our website which will be available in both the languages Hindi and English now let's talk about its relevance if we talk from your PC perspective it is important in your manes paper to health and education it will be covered here at objective level it is not much important but when we are talking about health sector so you should know all the government schemes which are relevant in this sector for example Ayushmann bharat scheme was their national health mission was there so they become very important from your problems point of view and then its objective level a robust and sustainable health policy is the need after are so now wills also before going forward there is a question for you healthcare sector in India what are the challenges and opportunities so you can write in the comment box what are the challenges our country is facing in the healthcare sector and what are the opportunities we have and even you can talk about the way forward for the challenges that we will talk about now the context here as you know the elections are going to take place in our country now and there is a swinging point in India's health system story and this swinging point comes between us model of health sector and UK model of health sector or you can say the European model but there are three pillars which remains same for both the models one is how affordable the treatment is healthcare system is to the people how accessible it is and how equal it is for the citizens of the country now see there are different approaches divergent roaches though health is never a political priority in our country even if we talk about the two main parties in a country BJP and Congress we have never seen we have always seen health takes a backseat right so here however this time two visions of the future health policy seem to be clearly emerging now one espoused by BJP there is a centralized Hospital insurance driven health system designed on the Medicare model of USA right you know about that so they're totally believe in the insurance system of the health system and other of the Congress calling for guaranteeing every citizen with access to essential health services which resemble the UK and European model now both these approaches are very divergent in nature but yet there are three pillars to the health system which are equal to them one is accessibility quality and affordability which cannot be compromised in both the models now we'll talk about few concerns here see India's given the India's economic condition which is very fragile so economic system being fragile and there are multiple demands in the country which are not vet standing India being the second fastest growing economy though for your second fastest growing economy in the world but still we need a sustainable health care system in our country now the two thought streams as I told you one by the BJP that is they want a US model then the Congress they want a UK model so they are embedded in there there's a reflection of two value systems so if I talk about us first it is individual liberty and personal responsibility while Europe and countries like Japan are driven by ideas of social responsibility and state accountability so we will talk in detail about these two models let's first cover the u.s. model see the u.s. confined it to subsidized care for poor so in its health system there are subsidies like for example there is an expenditure of 100 rupees that means 40 or maybe how how much has been decided with the government will be paid by the government but it remains limited towards the poor people and senior citizens and even us regulate stringently for quality and allows financial incentives like profits because they want to encourage and boost the technological invention in the healthcare system in their country but there is a consequence to this it has over 20 million of its population without access despite us spends 18 percent of its GDP on hair so we'll talk about European model now see the UK and Europe on the other hand they believe and they have a different principle here they believe and the collective responsibility ensuring every individual inherent right to health and well-being there were thereby making state developed financial and regulatory system so here they depend more on straight givin driven policies for the health care system rather than relying on the personal responsibility and insurance system so hair the hair caste our health care services and products there is equal access to the individuals that is what the European model believes it so these countries spend an average 10 percent of GDP on health with far better outcomes than us so this has been shown showed by different research programs also so now if you talk about equality versus Liberty now try to understand this point that when India won independence from the British shores so we inherited the values of European values of equality but our social strata was very stratified social society was are stratified we have caste as them in our country so we could not imbibe all the qualities of equality though there were some where we found the success for example in the affirmative action and over the years however the economic and social models trended more along the values of individual liberty rather than the social equality which was inherited then by the European system of government now moreover we see a degrading health standards in our country also disparities have widened to such an extent that latest data seems to suggest that one percent of India's population enjoys 70% of its wealth so how in fact is unfair it is we are seeing that the divide between the rich people and our poor people is growing widening day by day the disparities between the rural population and the urban population is growing day by day while an Indian is among the 10 richest of the world we also account for the world's poorest over 36 percent of children stunted due to chronic malnutrition and half of the population defecating in the open and nearly 3/4 without access to the tap water so the rising burden of disease in India is but a reflection of such deprivation of essential and basic social goods and vide in inequalities so what kind of inequalities are there in a country for example we see the discrimination across the regions on the basis of castes on the basis of gender and other on the basis of age also now there are many challenges in the building sustainable healthy blocks so this is a very important point to understand here like what what is the way forward you will get it here suppose for a health care system in a country like India there are different building blocks and this is the foundation so the foundation is primary health care but in India from past few years we are focusing on the above blocks but if the foundation is weak these blocks will perish right so therefore we need to concentrate on the primary health care system of India because starter gets an incremental and systematic building of health system blocks for example there are countries like Thailand and Turkey they're very powerful lobbies of health industry because they support a narrow agenda of hospital insurance program all these countries usually they boost the insurance programs but insurance programs are the above blocks of health care system you need to understand here the foundation is primary health care system and moreover the countries I'm talking about here these lobbies have support of us-based foundations and donors World Bank is there then there are medical associations companies related to health insurance data aggregation etc but the public health approach that seeks to prioritize comprehensive primary care as an entitlement of every citizen it is clearly numbed out and would require people's movements and participation now this is critical as with the meager resources of 1.1 percent of GDP choices are being made so obviously we need to increase the percentage of GDP spend on the health care system that could be one another way forward so here we discussed the two way forwards one is definitely I live in conclusion we cannot even criticize this hospital insurance thing because no one would argue that hospital insurance is a wrong policy but then that only primary care should be the focus that is wrong but there should be a system hanging on hospitals without the foundation of primary care is a sure recipe for disaster as it is clearly unaffordable and unsustainable so definitely here we can talk about the hospital insurance system but for that we need to keep the base very strong and the base as the foundation of primary health care now see effective primary care not only reduces one third of hospitalization but by prioritizing well-being over sickness it removes the casual factors to diseases and illness now it is important here to retaliate the importance of these issues at the last budget showed a 300 percent increase for health insurance now what will happen over the time with the revision of hospital rates the cost of the health insurance program will also double and this will continue to rise so in the absence of as this increase in health budgets the price will be paid by large structures of poor people middle classes because if they are only focusing on the this particular insurance system so over the period of time you need to connect it here the hospital rates will increase then the budget the whole a responsibility whole burden will come over the poor people and the middle-class people so its absence here in the absence we need to strengthen the foundation that is the primary health care because its absence is responsible for the proportionately higher number of premature deaths one quarter of global TB burden and a million dying just of want of clean air so her primary health care is something that we need to focus upon rather than focusing upon the above factors obviously we need to bring in insurance but as I again and again I am Telling You primary health care is the most important so this is the today's this is all about today's lecture if you have any query you can contact me on my social media others thank you hi everyone

9 Comments

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  2. Tysm ms.vironika

  3. Indian Constitution is ideal. Insurance (Health) is a Union List subject which it should be because a person can travel & work anywhere in India and fall sick there. Health is a State Subject because health-profile of different states is likely to be different. Medical Education & Research are in Concurrent List to ensure uniformity & prevent duplication.

    Neither US or EU model. India has to develop its own model by using full potential of existing facilities. Present healthcare delivery is done mainly by following institutions:-

    1. Medical College Hospitals : Nearly 450 medical colleges over half of them private.

    2. Public sector hospitals : of Central Govt, State Govt & municipalities

    3. Public Trust Hospitals : Most corporate & charity hospitals are public trust.

    4. Private stand alone Nursing Homes (small hospitals) & diagnostic centers

    5. Charitable OPDs & diagnostic centers: mostly in cities

    6. PHCs in rural areas with some hospitals in semi-urban areas.

    Enormous funds have been spent since independence to create above assets which remain under-performing assets. Public sector institutions have poor outcomes & are shunned by the people while Public Trust & Private Sector institutions are costly, selective and unregulated.

    Every individual must have choice of hospitals & doctors – Affording patients through their own Health Insurance and poor through state funding like the “Ayushman Scheme”. Insurance ensures automatic standardization of healthcare facilities for accreditation to the Insurance Company including accreditation to “Ayushman”. Teaching Hospitals, Public Trust hospitals & Charity Centers can get accreditation only when they fulfill requisite intake of indigent patients of state funding schemes like “Ayushman”.
    "Ayushman" will have advantage over any state funding scheme because of its portability across India.

  4. clearly understood

  5. I agree to disagree with Conclusion part.

  6. EU model this the best ! US model sucks

  7. mam 2018 ke sare games ki game vise video bana dijiye

  8. Very informative Ma'am .
    Thank you.

  9. Mam hindi Mai bhi pdhaiye

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