Ayushman Bharat: Success & Failures of India’s Healthcare Schemes | Dhruv Rathee

Friends last year in 2017, 55% of people fell below the poverty line in our country just due to one reason. and that one reason is healthcare spending. people didn’t had enough money to spend on their healthcare. 38 million people out of 55 million went below the poverty line just because they didn’t had money to buy medicines. they didn’t had money to buy essential medicines. This had been found by a research done by Public health foundation in June 2018. The actual poverty line has been considered in this research which is 1000rs per month in urban and 816rs per month in rural areas. So you can imagine the bad condition where people even dropped further than this poverty line only just for buying medicines. Namaskar Friends, today I would like to teach you about the healthcare and medicines. whys is it one of the most important factor whenever we talk about the country’s growth? What are the existing government schemes and their results and in the end I will tell you what can you do to improve the healthcare system in the country. come let’s see. Friends this story is of a family living in Orissa. Like them there are lakhs and crores of families who goes through such situation in our country. 75% of rural household in our country earns 5000rs or less than that per month. So looking at this you can see how easy it is for the poor people to slip in the poverty line just due to the health care expenditure. A 2014 survey from National survey office revealed that medicine is the biggest contributor of the healthcare expenditure. 72% of healthcare expenditure from the rural households goes towards medicines. and 68% healthcare expenditure from the urban households goes towards medicines. Our central government and state government has released many schemes related to healthcare and to make medicines affordable. some of them were successful and most of them were unsuccessful in their implementation. The biggest nationwide scheme out of these is Pradhan Mantri JanAushadi Yogna The objective of this scheme is making quality medicine available at affordable prices prices for all through exclusive outlets, Janaushadi Kendras. so as to reduce out of pocket expenses in healthcare. This scheme was made as a solution for exactly the same problem which I explained you in this video. To minimise the expenses of medicines which are out of pocket expenses for the poor people. This scheme was launched on 22 December 2014 and till date friends there are more than 3700 Jan aushadi Kendras which provides more than 700 medicines to people at cheap and affordable price. If you don’t know friends that there are two types of medicines. One is generic and the other is the brand name. Brand name is a medicine which is manufactured by a company and that company owns the patent for that. So the brand name medicines are sold very expensive. Generic medicines are like brand name but they are made by different companies and generic medicines are sold at the government stores. Quality of both the medicines are same but generic medicines are relatively cheaper. Here you can see how cheaper are these generic medicines available at the jan aushadi kendra as compared to the brand medicines available at the private pharmacies. So the intention is wonderful of this scheme but the implementation is where there’s a lot of failure. At many Jan aushadi kendras it is reported that many brand medicines are being sold at a very high place, fooling people. It is even told in many reports that the quality control of the medicine is not done properly The print reports that the agency which looks after the quality control has no one in their department for the quality control. When state government agencies did a quality control of Jan aushadi kendras medicines that time it was known that many medicines failed that quality control tests! Mahashtra state government couldn’t take out the tenders for jan aushadi Kendras for 2 years because the politicians there were encouraging their own NGOs. and the biggest problem here is that there’s not enough supply of the medicines. The supply of the medicines are not happening in the correct way. In some stores there’s just 40-50% of medicines available Some news report shows that Jan awshadi Kendra have failed completely at states like Jharkhand and Madhya Pradesh due to very big problem of supply. Now the thing is what can you do here friends to improve this situation in our country? You can do alot! First of all… here I’ve mentioned a link of the website, here you can go and check the jan aushadi kendra present near you. This you can go and tell all your poor and helpless people who can’t afford to buy medicines on their own. who can’t afford a quality healthcare themselves, tell them that there are such Jan aushadi kendra where less expensive medicines are available and guide them about its working. After that the second thing you can do is to go yourself at one of the Jan aushadi kendra and check whether all the medicines are available properly there or not and if not then you can complain at this number and at this email Id. Third thing you can do is that go to the MLA, MP or the head of Municipality of your areas local and tell them that you need to open a Jan Aushadi Kendra at your area. If no one has started in your area or if it’s less in number. This will be more effective if you go before the election time. and it will be even more effective if you take many people along with you. and all of you say the same that you need to open a Jan aushadi kendra in your area. Fourth thing you can do is whenever you go to your doctor tell him to prescribe only generic medicines and not the branded medicines whenever the option is available. Fifth thing you can do is to pressurise our Government to make healthcare a priority. The problems and failures that are happening in the Jan aushadi Kendra is due to the implementation problem of Government. It’s their systematic failure so here it’s very important to pressurise the government There’s a petition related to this which I would suggest you to sign. The link of this petition I’ve added in the description and also in the top comment. It’s a very simple demand of Right to medicine! There’s should be a right to essential medicines for the people at an affordable price. So there would be a big impact I feel if you do all these 5 things friends. Especially in the lives of those lakhs and crores of people who are below the poverty line due to unable to buy medicines Few days ago, a very ambitious schemes has been launched friends related to healthcare by our government. called as Ayushman Bharat. It is popularly known as ModiCare. It’s a wonderful scheme which a very good intention. This gives a way for health insurance to 50 crores of poor people in our country. A promise of 5 lakh rupees, per year, per family is made to provide insurance. So the intentions are very good but the things to look will be the implementation of this scheme. Will the benefits of this scheme reach the people actually? only the time will say this. Come now let’s look at such examples which have been successful in providing affordable medicines to people by different state governments. so that our central government can learn something and apply it in it’s own schemes. The very first example is of Tamil Nadu. An independent organisation was made away from the government in Tamil Nadu called as Tamil Nadu Medical Service Corporation. It’s work is to procure all the medicines that are going to be sold in the entire state. To buy medicines from the companies and sell in the state at an affordable rate. Now since this is just an organisation, it had a centralised tendering process. due to which it could buy medicine at a very cheaper rate and sell people too. Logistic as well the infrastructure was good, a very good commitment from the administration and political will was also there. so because of all these reasons this healthcare scheme from Tamil Nadu is one of the best scheme in the country. This organisation received Rajiv Gandhi’s national quality award in 1996 and even world bank appreciated it’s performance in 2004 Next example is very recent and very popular of Delhi’s Mohalla Clinics. At Mohalla Clinics you will not only get more than 100 medicines free of cost but also more than 200 free health check ups, tests and diagnostics. so this has even reached a step higher of affordable medicines. as of now there are more than 200 mohalla clinic in Delhi and it is expected that by next year more than 1000 Mohalla clinics will be established. More than 1000 clinics means that almost everyone in Delhi will be able to reach a Mohalla clinic in it’s 5km radius. This has become so successful that it has received appreciations from International Organisations and many NGOs too. Next example is of Telangana Government, who got inspired from Mohalla clinic to open Basti clinics. They started this project in Hyderabad city where they have opened 17 such clinics so far. where again medicines are free of cost and many health check ups and diagnostic tests are for free. They have started this project this year only but it’s success story can be heard already. Next example is of Kerala and the government there has thought of something different than Delhi’s Mohalla Clinic. They decided to improve the service quality and infrastructure of the existing healthcare facilities rather than making the new ones. So they chose 703 primary healthcare centers from the state and they are improving the service and infrastructure of those. The last example of successful schemes I would like to give would be of Rajasthan. Rajasthan’s government was quite inspired by Tamil Nadu’s model Like Tamil Nadu they made new independent organisation, Rajasthan Medical services corporation. It’s aim was to provide people essential medicines at affordable rates. They started a new scheme as well, Chief Minister’s Free drug distributions. and study by WHO and Public health organisation, India shows that this scheme was very successful even. 70-80% of medicine supply had been there in their clinics and in their healthcare centers. so these are few examples of successful government schemes friends. Rest of the state Governments should take inspirations from this and our central Government too should take inspiration from this that how correct implementations of scheme is done. Remember the 5 actions that I have told in the video and don’t forget to sign the petition. I’ve shared the link in the top comment. I hope that you will get a lot of new things to learn from this video. If you like my work then you can donate on patreon.com/DhruvRathee, so that I can keep making such informative videos for you. Okay, let’s meet in the next video. Thank you.

100 Replies to “Ayushman Bharat: Success & Failures of India’s Healthcare Schemes | Dhruv Rathee”

  1. Share this video and remember the 5 things, here is the link to petition – https://www.oxfamindia.org/access-to-affordable-medicines

    One Correction in the video: The 55 million figure is for year 2011-12 not 2017, I had quoted the Business Standard source which mentions it is 2017 but looking at other sources it is clear that it is 2011-12. Sorry for that.

  2. Video me correction kaun krega … Itna gali de diye aur maafi maangne me saram aata h ??? Video me likh 2011-12

    Logo ko pagal banata h sala

  3. Previously I used to look at his all videos and was his fan…now I just think he twists the fact without consulting different sources

  4. I was a great follower of your videos till I didn't realize that you are also among the rest.
    You should at least edit the mistake in the about section rather than in comments.
    Well it's your videos, your rights.
    Just for the info.
    You lost one follower today because of your agenda 😉
    Wish you good luck for your upcoming videos.

  5. You crticise current government so much.. but please make one video doing analysis on who do you think is deserving to run this counrty in the next term?
    If Rahul gandhi.. please give one good reason.. why ??
    You have so much criticism in your videos.. but not a Single solution.. if you are non- baised and dont support any party ideology.. then explain your opinion..that who is eligible to be next P.M of this country rather than just manipulating peoples mind.

  6. Constructive criticism is good but blindly criticising BJP who have done much more than any political other party in 5year.. its sad to see that you can't see that , they have done more than any government could in a span of 5yrs.
    And if at all you don't have any political association how could not appreciate the good work they have done.

  7. Health is a state subject… Centre only sponsored.. constitutionally… Nice examples of health care…. Nice job… Good video for awareness…

  8. Abe tujhe badi chinta h humare desh ki…. bhai tere pass to humare desh ki nagrikta hi nahi h…

    Yeh professional graphics nd statistics dikhane se teri har baat sahi nhi ho jaati…

    Or Ravish Kumar ki itni chamchagiri mt kr… Joote padenge tab bchane nhi aayega wo…

  9. Haters gonna hate. I know you got a lot of backlash for this video because some bhakt somewhere found a loophole. It doesn't matter that most people won't see sense no matter what people like you and aakash banerjee do. Truth is not a democracy.

  10. Fake News… It happend 2011-12.
    Read his first edited comment.
    SHAME, MR. Rathee YOU SHOULD HAVE DELETED THIS VIDEO which begins with 2017

  11. Also make video on how many people pushed themselves in other categories to avail "RESERVATION" in INDIA. I am sure this data will Shock many…

  12. Whole word,International agencies is congratulating India for Ayushmann Bharat. Ohhh one more thing even Mr.Bill gates also appreciated this scheme.
    But some of you even don’t realise how fruitful is this for the villagers and hilly areas people’s.
    Stop doing this Mr Rathi.
    Please go and get some facts from ground level not every time just google google google…..and google.

  13. Mr. Dhruv Rathi, since you have admitted your mistake. You should delete this video, remake and reupload it with correction. Editing comment won't cut it. I have been admirer of your work. So, don't let political IT cells to point finger at you. There are very few people like you who provide credible source and facts instead of rumours. For someone like you who gives credible sources and facts, staying credible is a necessary thing.

  14. Hello dhruv say one thing, how our system got corrupted, who were the maximum time rulers in this country. You please ask them. Make a viral video on this. It is not BJP that corrupted the system. System corrupted before hand. Is not it?

  15. Rani ka bacha kon= Dhruv rathee, dhruv rathee. OOPS! I misspelt the first word, but you know what it is.

    He is selling himself for money. While internally he knows he is wrong. But still selling himself. You should tie a red strap. So, that danger can be stopped.

  16. What are you talking shamless monster !! You are talking about year 2011 / 2012 …. why misleading people !! Keep your cancerous mouth shut ! You traitor

  17. Fake facts pe pura video bana Diya Bhai Kya chal Raha hai ye sab😂😂 kuch bhi bologe Matlab ab😂😂

  18. The reason of 38m people didn't had money to buy essential medicine in 2017 is 67 years of Italian people who looted the country. Sonia Gandhi is the richest politician in the world. Kaha se aya ye paisa. Vadra ko amir bnaya in salo ne. Logo ki jamin hadap kr ose kam dam mai dilvai…Ye sale gandhi bne fhirte h..ye sab jail mai jyenge jldi h..Rathi in sab sawal ke jwab de agar dam h to ???

  19. Anyone who disagrees with Dhruv gets labelled as Andhbhakt. Loving the critical thinking Rathee incited in people.

  20. Please make a video about the Nipah epidemic and the success story of people of Kerala and the state govt in tackling it.

  21. Bhai ab to ye post delete kr de kyu bejjati kra rha h hum sab ko pta h ye news 2011-2012 ki h , bhai itna kya modi se kunnash h beta fr se aa gye modi hahaha

  22. Sabake article hai par 55 million ka article apane nahi dikhaya sahi hai ya galat kaise samaj lu ki sahi hai

  23. Dhruv, I am a big fan, you should have edited the video or deleted after the blunder, it only raises the question of your credibility

  24. Dhruwji, medicines are of three types, not two. 1. Generic with Pharmaceutical name 2 Generic with Trade name and pharmaceutical name and 3. Medicines which are patented by MNCs, with pharmaceutical as well as Trade name, and India govt, due its committment to WTO cant reduce its price. you will never see this comment so better not to say further, You are trying to be Jack of all trades.

  25. Atal Aayushmaan bharat modicare Ko think tank kha h international agency ne or successful bhi h hmne khud isse benefit Liya h aasani se 10-20 minute ki documentation h patient Ko bhrti krke sb free patient Ko khana tk aata h dwai illaj sb I appreciate aayushmaan Bharat yojna

  26. Hum ak kisan h hath Mera Fracture ho gya tha humne PM Jan arogya Yojna ke tahat form bhara jis se Hume PM Jan arogya Yojna se 20,000 se 25,000 milne the 1500 Rupaye kharch huwe 4 mahina ho gya koi Ata pata nhi h ,
    Hamare yaha Sarkari hospital me to ye Hal h Siring b Dr. Bahar se magwate h Dawa to Dur h

  27. Yaha government policies kachde may ja rahi hai.. Koi question nhi puch raha.. But ek banda full research k saath youTube video bana raha uske authenticity pe doubt kar rahe hai..
    Ye banda policies nhi bana raha.. Sarkar bana rahi hai..
    Kabhi socha hai South India kyu har index may aage hai and north abhi bhi gobar may?

  28. Liar you are please stop your propaganda using lies , its the news of 2011. Was your fan before now got to know u are a liar. Stop it now and tell truth , we are not fools to believe what u say every time

  29. Very good video on a difficult topic . You should talk on healthcare system in gujarat also. Here there is school health scheme (for less than 18 yrs) , SC/ST scheme , BPL scheme , LIG scheme , which gives free treatment to approx 60%population at govt superspeciality hospitals. Moreover govt hospitals already give free treatment. For those who have craze of private hospitals now there is MAA amuratam and vatsalya yojana. MAA yojana is a pilot project of ayushmaan bharat … and is extremely successful..it is only state in country or world with free transplants (liver/kidney etc ) to 60 % population … worth replicating in other states also..

  30. Hi Dhruv I signed the petition you enclosed in the description yesterday. today I got a call from consultant of oxfamindia and she was asking for 1000 rupees per month of help. I am just asking from you that is this verified ? should I do the payment?

  31. People like you don't deserve to talk about the unfortunate. You pick and choose issues that suffice your appetite or twist it to your whims and fancy. Jail all those who prey on unfortunate people 😑

  32. hahaha political inclination everywhere you are as sick as an owaisi or a sadhvi pragya, instead of being unbiased you are all playing politics, just look at yourself in mirror and you will know the truth, hope you get mature soon

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