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Exercises · Q17

Q.Discuss the main drawbacks of our health care system.

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Drawbacks: low public spending, inadequate/ill-equipped facilities, wide rural-urban and poor-rich gaps, an unregulated private sector, and neglect of women's health.

The main drawbacks of India's health-care system are:

  1. Low public expenditure. Government spending on health is very low — about 8.2 per cent of total government spending and only 3.9 per cent of GDP — abysmally low compared with other countries.
  2. Inadequate and under-equipped public facilities. Less than 20 per cent of the population uses public health facilities; only 38 per cent of PHCs have the required number of doctors and only 30 per cent have enough medicines, and rural PHCs often lack even X-ray or blood-testing facilities.
  3. A sharp rural-urban divide. Though about 70 per cent of people live in rural areas, only a fifth of hospitals are rural; there are just 0.36 hospitals per lakh people in rural areas against 3.6 in urban areas, and villagers lack specialised care. …

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