tag:blogger.com,1999:blog-5043138489010794057.post4053521960736676697..comments2024-03-27T15:57:09.192+05:30Comments on Urbanomics: Observations on the Aarogyasri programUrbanomicshttp://www.blogger.com/profile/16956198290294771298noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-5043138489010794057.post-10070545679097455422016-02-22T08:50:08.254+05:302016-02-22T08:50:08.254+05:30Great post!Great post!Anonymoushttps://www.blogger.com/profile/13198785519792717818noreply@blogger.comtag:blogger.com,1999:blog-5043138489010794057.post-83189888234174210382011-10-06T12:05:46.094+05:302011-10-06T12:05:46.094+05:30thanks sir for the comments.
you make the import...thanks sir for the comments. <br /><br />you make the important point about whether the scheme ought to cover everyone, all the more so since the BPL criterion is very loose. i agree. my guess is that this would make the program itself more efficient. <br /><br />a basic coverage, with a defined premium, can be made available for everyone. the government can pay the premium if it feels so for certain category of people. the others can have top-ups on this. for example, employees could have a top-up on this basic coverage, with an extra premium. they would be paying a part or the full amount of this premium. <br /><br />i fully agree with your assessment about the need to retain hope among citizens. further, wherever, there are inherent disadvantages (like being born poor) or there are market failures, there should be mechanisms in place to ensure that those disadvantaged for factors beyond their control are adequately cushioned. this is a basic requirement to ensure that the society remains vibrant and healthy.<br /><br />the point about "where is the risk?" is precisely the flaw in Aarogyasri as it exists now. but since the insurer bears pretty much little risk and gets paid handsomely it does not mean that government should be running the insurance program. will try to write a post on why!Urbanomicshttps://www.blogger.com/profile/16956198290294771298noreply@blogger.comtag:blogger.com,1999:blog-5043138489010794057.post-75533420319089109322011-10-06T10:23:14.840+05:302011-10-06T10:23:14.840+05:30Can u list down the contribution of the insurer in...Can u list down the contribution of the insurer in this case, ie other than making money for doing nothing.<br /><br />The scheme is managed by the trust.<br /><br />Prior approval is granted by the trust.<br /><br />Hospital empanelment is by the trust.<br /><br />In no year has expenditure crossed the premium.<br /><br />Where is risk assessment?<br /><br />Why not run this from the state budget ? Duly limiting outgo to what we feel is the essential ?Sai Prasadnoreply@blogger.comtag:blogger.com,1999:blog-5043138489010794057.post-74330254184944375652011-10-06T10:18:51.724+05:302011-10-06T10:18:51.724+05:30Some comments
1. Given that we have more poor in ...Some comments<br /><br />1. Given that we have more poor in the state than the total citizens, the scheme can be safely said to cover practically everyone. Maybe, that’s how it ought to be. <br /><br />2. Our society needs to develop into one where every citizen has hopes that he can access the best of the services and goods under certain circumstances. They should be able to hope that they can get into the best of the professions and be able to earn as well as anybody else. They should feels confident that their achievement in life should be a function of how hard they study and how hard they work rather than a function of a factor which they cannot do anything about.<br /><br />As regards access to basic services of health and education, our citizenry should feel confident of accessing the best of the same. Or, to put it better, they should feel confident of access to the level of service that most people have (99%). This confidence gives people hope that they can strike it big in life due to hard work and not due to the circumstances into which they are born.<br /><br />To this end, as a first step, we need to steer our health system in a direction where 90% of the citizenry access the same health system. Your suggestion of the need for a clear protocols-based system of referrals would be needed to integrated government hospitals into the Aarogyasri scheme. The government hospitals benefit by way of accessing more funds and thereby better diagnostic and surgical facilities. It will also help the government accommodate the massive budgetary support that is inevitable in the coming years as the scheme grows. The service delivery standards in secondary and tertiary hospitals need to improve to reflect modern advances and the empathy that we seek to convey through such interventions.Sai Prasadnoreply@blogger.com