RESPONSE
Dr. ADIL RASOOL MALIK
In a recent article titled “Fixing Our Healthcare System: A Call to Action,” by Dr. Fiaz Maqbool Fazili 0n June 10, 2023 (RISING KASHMIR) raises concerns about the state of healthcare in India and advocates for a fundamental restructuring of the system towards Continuous Quality Improvement. While it is commendable that the author highlights the need for improvement, I respectfully disagree with several points made in the article and believe that significant progress has been made in the healthcare sector in recent years.
Firstly, the article portrays the healthcare system as inaccessible and unaffordable for the majority of low- and middle-income individuals. While it is true that challenges exist, it is important to acknowledge the efforts and achievements that have been made to improve accessibility and affordability. Initiatives such as the Pradhan Mantri Jan Arogya Yojana (PMJAY) and Central Government Health Scheme (CGHS) have been implemented to provide health insurance coverage to vulnerable populations, ensuring that they have access to necessary medical services. These programs have made a positive impact by reducing financial barriers and improving healthcare access for millions of people.
The article also emphasizes the issue of Out-of-Pocket Expenditure (OOPE) and claims that Indians pay more for healthcare than some of the poorest countries in the world. While it is true that OOPE remains a concern, it is crucial to recognize the significant decline in OOPE from 62.6% in 2014-15 to 47.1% in 2019-20. This decline demonstrates the progress that has been made in reducing the burden on individuals and households, resulting in improved affordability.
Furthermore, the article raises concerns about the quality and accountability of healthcare providers. It suggests that there is a lack of trust and a growing commercialization within the healthcare profession. While isolated incidents may occur, it is important to highlight the overall commitment and dedication of healthcare professionals who work tirelessly to provide quality care to their patients. Efforts have been made to enhance accountability through regulatory bodies, accreditation processes, and quality improvement programs. These initiatives have contributed to raising the standards of healthcare delivery and ensuring patient safety.
The article also advocates for a shift from the current approach of blaming healthcare providers to embracing Continuous Quality Improvement (CQI). It is important to note that CQI is not a novel concept in healthcare and has been widely adopted and implemented in various healthcare settings. Many healthcare organizations have embraced CQI methodologies and frameworks, leading to significant improvements in patient outcomes, safety, and overall quality of care. While continuous improvement is crucial, it is equally important to recognize and appreciate the progress that has already been achieved through the collective efforts of healthcare professionals, policymakers, and stakeholders.
Conclusion
While the article presents valid concerns about the healthcare system in India, it is essential to acknowledge the progress that has been made in recent years. Initiatives aimed at improving accessibility, affordability, and quality of care has yielded positive results. The healthcare sector is dynamic and evolving, and ongoing efforts are being made to address the remaining challenges. It is important to maintain a balanced perspective and continue working collaboratively to build upon the existing achievements and ensure a sustainable and effective healthcare system for all.
(Author besides being a Doctor and is very active in positive perception management of various political and social issues. He can be reached at [email protected] & twitter @drmalikadil)
