NCERT Class 7 Political Science Chapter 2: Role of the Government in Health YouTube Lecture Handouts

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  • Right to health as fundamental right but provisioning is unequal

  • Democracy: Govt. to work for welfare - education, health, employment, housing or development of roads, electricity etc.

Health

  • Remain free from illness or injury

  • Adequate food

  • Clean drinking water

  • Pollution free environment

  • Without mental stress

  • From fitness to wellness

  • AYUSH mission

Healthcare in India

  • Largest medical colleges in world

  • Largest number of doctors

  • Medical tourism from many countries

  • Pharmaceutical industry is 3rd largest in volume and 14th largest in value

Issues Faced

  • TB is the biggest killer

  • Malnutrition

  • Communicable diseases

  • Plight of rural areas

(Refer Upcoming lecture on Rural Health – Kurukshetra July 2017)

Public Health Care System

  • Run by government

  • Look after health of large number of people

  • Mission Indradhanush – Vaccination

  • National Health Assurance Mission – free drug and diagnostics & insurance coverage

  • Improper healthcare facilities to people

  • Rush in OPD (Out Patient Department – people first brought in without being admitted), long queue

  • Both Rural and urban areas

  • PHC: At village level

  • District: District hospital

  • Money to run these comes from taxes paid

  • Free and low cost services

  • Prevent the spread of diseases such as TB, malaria, jaundice, cholera

  • According to UNICEF, more than 2 million children die every year in India from preventable infections

  • Safeguard the right to life

Private Health Care System

  • Doctors have private clinics

  • Rural Areas: Registered Medical Practitioners (RMPs)

  • Urban Areas: Specialized Services

  • Diagnostic services

  • Pharmaceutical shops

  • Not controlled by the government

  • Patient needs to pay more

Healthcare & Equality

  • Private sector in healthcare is increasing

  • Private sector confined to urban areas

  • Services of private sector run by profit

  • Private sector has higher cost with expensive medicines

  • Incorrect practices by private sector

  • Doctors prescribe unnecessary medicines, injections or saline bottles when tablets or simple medicines can suffice

  • Only 20% can afford medicines when ill

  • 40% admitted patients have to borrow money

  • Illness – leads to anxiety and distress for poor mainly the bread earner

  • Lack of money – no proper medical treatment

  • Tribal areas lack health centers

Resolving Issues

  • Responsibility of government

  • Equal healthcare to poor and disadvantaged

  • Health depends on basic amenities and social conditions of people

  • 1996: Kerala gave 40% budget to panchayats – water, food, development and education, anganwadis, healthcare (focus on insufficient beds and doctors)

Costa Rica: healthiest country in South America, maintains no army and uses the budget on health, education and basic needs of people – safe drinking water, sanitation, nutrition and housing

Constitution: duty of the State to raise the level of nutrition and the standard of living and to improve public health

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