November30, 2017 (C) Ravinder Singh firstname.lastname@example.org
Kerala & Punjab rank 1st & 2nd in ‘Public Plus Private Health Spend Per Capita’, Gujarat ranks 15th ahead of Jharkhand, Bihar, Assam, MP and Rajasthan.
Kerala & Punjab also rank 1st & 2nd in Private Health Expenditure Per Capita, Gujarat ranks 18th Just Ahead of Assam and Jharkhand.
While TOI took note of HP Public Expenditure On Health Per Capita to be 6 times of Bihar, twice of Gujarat among 20 states with over 1 crore population not including UT and special category states.
Private and Public health expenditure points Private Prosperityand States Priority in addressing critical health issues.
Ravinder Singh, Inventor & Consultant, INNOVATIVE TECHNOLOGIES AND PROJECTS
Y-77, Hauz Khas, ND -110016, India. Ph: 091- 8826415770, 9871056471, 9650421857
Ravinder Singh* is a WIPO awarded inventor specializing in Power, Transportation,
Smart Cities, Water, Energy Saving, Agriculture, Manufacturing, Technologies and Projects
Health: Govts spending less force people to fork out more
Per Capita Healthcare Spend In HP 6 Times As Much As In Bihar
The government spent more than Rs.2,000 per person per year on health in Himachal Pradesh while in Bihar per capita government spending was just Rs.338, about one-sixth as much. This wide disparity in government spending between states also results in a corresponding variation in how much people are forced to spend from their own pockets.
Government spending includes what’s spent by all levels of government, but about two-thirds of the total nationally is by the states. These facts emerge from the National Health Accounts 2014-15 just uploaded on the union health ministry’s website.
In Himachal, people had to pay only about half the total health expenditure from out of their own pockets, while in Bihar their share was 82%. The national average for households’ share of the total spending was less than two-thirds.
The pattern of low government spending leading to a very high share of the burden of health expenditure being borne by the people is clear in the case of states where government share of spending was the smallest. As a share of the total health spend, Andhra Pradesh had the lowest, 15.4%, leaving people to shoulder 78%. In Bihar, the government’s share was just 16.5%. Shockingly, in Punjab, considered one of the most prosperous states, government spending was just 17% of the total health expenditure, while people spent 79.3% from their own pockets.
The two figures do not add up to 100% because total health expenditure also includes private or government-funded health insurance, spending by NGOs and by external donors. Thus, in some states, despite a low share of government in total health spend, the share of households is not too high. For instance, while in Maharashtra the government spends only 17% of the total, the households’ share is only about 60%, the remaining 27% being accounted for largely by insurance.
So where is all this money going? According to the NHA, private hospitals (26%) and private clinics (5%) accounted for almost a third of the total health spending, while pharmacies raked in another 29%. The share of government hospitals and clinics was just over 20%. Diagnostic labs and patient transport accounted for about 5% each. Inpatient care was 35% and outpatient care about 16% of the total health expenditure, while medicines and medical products accounted for almost 30%.
Another revealing statistic that emerges from the NHA is that a mere 5.3% of the total was spent on preventive healthcare.