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India Aims for the World's Biggest Health Care Overhaul

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Re: India Aims for the World's Biggest Health Care Overhaul

#41

Post by onetimemanytime »

toomanybeersies wrote: post #19
sremani wrote: post #5

The beauty of (Indian) democracy is that every 5 years the year before election an innovative world saving scheme that is expensive would be implemented or started.

That sounds pretty similar to most democracies. New Zealand now has free tertiary education because of the last election. Sadly it does nothing for my $25,000 of fees I had to pay for my fancy piece of paper. That's almost half a house deposit in some parts of the country.

Sadly it does nothing for my $25,000 of fees I had to pay for my fancy piece of paper.

That's just a semester in some US schools (when you add living costs) so don't be that upset :)

Re: India Aims for the World's Biggest Health Care Overhaul

#43

Post by dmix »

thevardanian wrote: post #23
allpratik wrote: post #21

Earlier quoted context omitted.

This is totally wrong information about the current state of affairs of India. 1. Ease of doing business The Indian government had stopped LLP registrations all together for no official reason. For Pvt ltd registrations from past June 10th rejections to form a new company or even subsidiary company has skyrocketed. Source: LLP halt is reported in media, which still has some spine to stand against the government. Rega…

1. Business Ranking "India climbs global business ranking. But it's not that simple" https://money.cnn.com/2017/10/31/news/economy/india-ease-of-... 2012 - 132 2013 - 132 2014 - 134 2015 - 142 2016 - 130 2017 - 130 2018 - 100 http://www.doingbusiness.org/data/exploreeconomies/india Samsung is also opening the world's largest Mobile phone manufacturing plant in India. That's a tremendous investment from them. 2. Corru…

From the article:

> Another criticism is that countries get credit for passing laws, even if they haven't been widely implemented yet.

This would be my biggest concern with these rankings. India might sound better on paper (from a very high level abstract look comparing countries) for ease of business but that doesn't mean it has translated to day-to-day business life there.

Re: India Aims for the World's Biggest Health Care Overhaul

#44

Post by thevardanian »

dmix wrote: post #43
thevardanian wrote: post #23

Earlier quoted context omitted.

1. Business Ranking "India climbs global business ranking. But it's not that simple" https://money.cnn.com/2017/10/31/news/economy/india-ease-of-... 2012 - 132 2013 - 132 2014 - 134 2015 - 142 2016 - 130 2017 - 130 2018 - 100 http://www.doingbusiness.org/data/exploreeconomies/india Samsung is also opening the world's largest Mobile phone manufacturing plant in India. That's a tremendous investment from them. 2. Corru…

From the article: > Another criticism is that countries get credit for passing laws, even if they haven't been widely implemented yet. This would be my biggest concern with these rankings. India might sound better on paper (from a very high level abstract look comparing countries) for ease of business but that doesn't mean it has translated to day-to-day business life there.

The recent additions are not just laws, they're tangible initiatives, and infrastructure the government has built.

Creating infrastructure, and reducing friction is the only thing a government can. The government is merely a mediator, a facilitator, that lays out the field and its rules, but it's up to the citizens to independently exploit that opportunity.

Re: India Aims for the World's Biggest Health Care Overhaul

#45

Post by cyborgx7 »

thatfrenchguy wrote: post #35
petilon wrote: post #25

>> which would offer the poorest half of India health insurance to apply toward private hospitals This is a terrible idea. Did they learn nothing from the failure of Health Care in the United States? When insurance pays for everything patients stop worrying about costs, which in turn causes hospitals and drug companies to raise prices. This is what has caused Health Care to fail from a costs point of view. The soluti…

Lol « participating for costs » is a staple of American healthcare and it’s 10x more expensive than not participating for cost literally every other country :-). And then you get the usual people not going to the doctor when they’re sick (staple of american life) and infecting everyone.

Exactly "participating for costs" is exactly what is destroying the American health system. And it's what sets it appart from most other developed nations where helthcare works. The idea that this is what is missing, is one of the worst conclusions I've ever seen.

Re: India Aims for the World's Biggest Health Care Overhaul

#46

Post by modi15 »

Interesting comments here but imo India already has a pretty fantastic healthcare system. People who argue against spend some time understanding the US healthcare system and the disaster it is.

India already has health insurance by private companies but its probably not used extensively. Something like this is basically a government run insurance scheme - it will most likely be a no-frills service, offer standardized plans with fixed reimbursements and provide some tax benefits for enrollment. There is very little that can go wrong here and probably pretty good upside. This is the kind of things that make for very good politics and there is no harm in the govt. capitalising on it.

That being said most of India has access to govt. run hospitals which offer near free services. The article paints a grim picture of these facilities and that might be largely true but I frequent govt. hospitals all the time even if I can afford private. They are quick, almost free and doctors are pretty good.

Re: India Aims for the World's Biggest Health Care Overhaul

#48

Post by rahulthewall »

modi15 wrote: post #46

Interesting comments here but imo India already has a pretty fantastic healthcare system. People who argue against spend some time understanding the US healthcare system and the disaster it is. India already has health insurance by private companies but its probably not used extensively. Something like this is basically a government run insurance scheme - it will most likely be a no-frills service, offer standardized…

>That being said most of India has access to govt. run hospitals which offer near free services.

Nothing could be farther from the truth. I would recommend the following study, published in The Lancet

>In India, despite improvements in access to health care, inequalities are related to socioeconomic status, geography, and gender, and are compounded by high out-of-pocket expenditures, with more than three-quarters of the increasing financial burden of health care being met by households. Health-care expenditures exacerbate poverty, with about 39 million additional people falling into poverty every year as a result of such expenditures.

See: https://www.thelancet.com/journals/lancet/article/PIIS0140-6...

Re: India Aims for the World's Biggest Health Care Overhaul

#49

Post by pcrh »

petilon wrote: post #25

>> which would offer the poorest half of India health insurance to apply toward private hospitals This is a terrible idea. Did they learn nothing from the failure of Health Care in the United States? When insurance pays for everything patients stop worrying about costs, which in turn causes hospitals and drug companies to raise prices. This is what has caused Health Care to fail from a costs point of view. The soluti…

There is merit in having a deductible, however there are several ways in which this system is flawed.

First, employers should be out of the healthcare equation entirely, except in as far as either taxes or salaries are used to fund health costs the employee bears. After all, employers don't participate in many other common expenses people bear, from housing to educating their children.

Second, individuals are generally not capable of "shopping around" for the best value healthcare; they simply don't have sufficient knowledge to properly evaluate the various options. This is why you need some form of independent assessment of treatment costs and benefits, such as the UK's National Institute for Health and Care Excellence [1].

Insurance based systems with government oversight are the norm in most of Europe.

https://www.nice.org.uk/

Re: India Aims for the World's Biggest Health Care Overhaul

#50

Post by [deleted] »

modi15 wrote: post #46

Interesting comments here but imo India already has a pretty fantastic healthcare system. People who argue against spend some time understanding the US healthcare system and the disaster it is. India already has health insurance by private companies but its probably not used extensively. Something like this is basically a government run insurance scheme - it will most likely be a no-frills service, offer standardized…

[deleted]
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