Report On The High Healthcare Costs in India
Report On The High Healthcare Costs in India
Report On The High Healthcare Costs in India
Problem Statement
The burgeoning healthcare costs in developing countries present a multifaceted
challenge that has far-reaching implications for public health and social equity.
High healthcare expenditures not only deter individuals from seeking essential
medical care but also perpetuate disparities in healthcare access, leaving
marginalized communities particularly vulnerable. This problem is compounded
by the inadequacies in healthcare system infrastructure, such as a shortage of
healthcare facilities, inefficient resource allocation, and a lack of healthcare
workforce, which contribute to the overall cost burden. Additionally, the
widespread practice of out-of-pocket payments places a heavy financial strain
on individuals and households, often without the safety net of insurance
coverage or financial protection.
Understanding the intricate interplay between escalating healthcare costs,
healthcare system infrastructure deficiencies, and reliance on out-of-pocket
payments is essential to address this critical issue effectively. Research into
these dynamics will provide valuable insights into the root causes of high
healthcare expenditures, enabling the development of evidence-based strategies
to enhance healthcare affordability and equitable access for underserved
populations in developing countries. Finding sustainable solutions to lower
healthcare costs while improving healthcare quality is crucial to promoting the
overall health and well-being of these communities and achieving broader
socioeconomic development goals.
Hypothesis
"The high healthcare costs in India (and other developing countries) can be
partially attributed to a lack of efficient healthcare system infrastructure and a
heavy reliance on out-of-pocket payments, which, if addressed through targeted
reforms and increased public investment, could lead to improved healthcare
accessibility and affordability."
This hypothesis suggests that there may be a correlation between the structure
of healthcare systems, the reliance on out-of-pocket payments, and the high
healthcare costs in India. It posits that addressing these structural issues could
potentially alleviate the burden of healthcare expenses on individuals and
households, making healthcare more accessible and affordable. To test this
hypothesis, one would need to conduct empirical research, collect data on
healthcare systems, financing mechanisms, and costs, and analyse the
relationship between these variables.
An Overview
Healthcare System in India
India has a diverse healthcare system, with both public and private sectors
playing significant roles.
1. Public Healthcare: India's public healthcare system is primarily managed
by the government and includes various levels of care, from primary
health centres (PHCs) to tertiary care hospitals. The government's
flagship program for public healthcare is the National Health Mission
(NHM), which aims to provide accessible and affordable healthcare
services.
2. Private Healthcare: The private healthcare sector in India is highly
developed and offers a wide range of services, from small clinics to large
corporate hospitals. Private healthcare is often preferred for its perceived
better quality and shorter waiting times.
Financing Mechanisms:
1. Out-of-Pocket Payments: One of the significant financing mechanisms in
India's healthcare system is out-of-pocket payments (OOP). A significant
portion of healthcare expenses in India is borne directly by individuals
and households.
2. Health Insurance: Health insurance coverage in India has been growing,
but it remains relatively low compared to many developed countries.
Both public and private health insurance options are available.
3. Government Schemes: The Indian government runs various healthcare
schemes, such as the Rastriya Swasthya Bima Yojana (RSBY) and
Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY),
which aim to provide financial protection to vulnerable populations.
Methodology
Data taken from the Ministry of Health and Family Welfare for 2016-17, which
focussed on the key indicators of health financing for select 20 states. OLS
regression was performed on the total health expenditure that was incurred and
way of financing it.
Results
The data indicated that out of the total health expenditure an average of 30% of
the expenditure was financed by Govt. health expenditure and a whopping
62.6% of it was financed by out-of-pocket expenditure.
The autonomous government expenditure was 3294 crores and out of pocket
expenditure was 4547 crores, an average of the 20 states.
Conclusion
The results were in coherence with the hypothesis on the reliance of out-of-
pocket payments, and the high healthcare costs in India and low insurance and
government coverages.
Data Sources
1. MOHFW. Annual Report 2019-2020. Available at:
HealthandFamilyWelfarestatisticsinIndia201920.pdf (mohfw.gov.in)
2. Indian Health System and health care financing, from A Handbook of
Health System Costing, pp17-26, by Malkeet Singh and Gaurav Jyani