Today as the world stresses on economic growth, globalisation and privatisation; a silent section of the society seems to slip through all safety nets. In India, one is talking about at least 26% of the population who fit into this category. The percentage varies from state to state. In most of the northern states poverty seems to be increasing and if you further disaggregate from urban to rural, you will find that 40% of the rural population in 10 states in India are below the poverty line. If one further disaggregates the figures into schedule caste, schedule tribes, the marginalised etc., the percentages just keep on rising. So we have to accept the fact that there is a segment in our society, and we are talking about 260 million Indians, who are surviving with the burden of disease, estimated of around $ 30 billion constituting 5% of GDP.
Potential Health care industry is the world’s largest industry with total revenues of approx US$ 2.8 Trillion. In India as well, health care has emerged as one of the largest sector with maximum expenditure incurred. An astounding 60% of this is out of pocket expense. India has one of the highest proportions of private health spending, comparable only to a only few countries in the world with a recent history of major internal unrest, such as Cambodia and Myanmar. Such is the lack of trust in the public health system that not only do 80% of the wealthy seek treatment in the private sector, but a similar percentage of the poor also
goes to private practitioners, even though the treatment may be of low quality and provided by untrained practitioners.
To address this gap and in view of the crumbling public health infrastructure and unskilled/untrained medical manpower, the Government is now planning major initiatives. We have acknowledgement of the various “A”s of Healthcare