Lok Sabha Question No. 949 (UNSTARRED), answered on 2015-12-04
Subject: Healthcare Expenditure
Ministry: HEALTH AND FAMILY WELFARE
Asked by: KIRTI (JHA) AZAD

## GOVERNMENT OF INDIA MINISTRY OF HEALTH AND FAMILY WELFARE DEPARTMENT OF HEALTH AND FAMILY WELFARE

## LOK SABHA UNSTARRED QUESTION NO.949 TO BE ANSWERED ON 4 TH DECEMBER, 2015

## HEALTHCARE EXPENDITU RE

## 949. SHRI KIRTI AZAD:

Will the Minister of HEALTH AND FAMILY WELFARE be pleased to state:

- (a) whether the cost of healthcare in India has inflated in double digits, thus outpaci inflation rates;
- (b) if so, the details thereof along with the steps taken by the Government to address the
- (c) whether the Government is aware that 86% of rural patients and 82% urban patients i country do not have access to employer provided or state funded insurance; and
- (d) if so, the details thereof along with the steps taken by the Government to add ress the issue?

## ANSWER THE MINISTER OF HEALTH AND FAMILY WELFARE (SHRI JAGAT PRAKASH NADDA)

- (a) & (b)  As  per  the  Publication  'Key  Indicators  of  Social  Consumption  in  India -Health', released in June, 2015 by the NSSO, the Average total medical and other related non - medical expenditure per hospitalisation in rural and urban areas are            Rs.16,9 56/ -and Rs.26,455/ -respectively and Average total medical expenditure for non -hospitalized treatment per ailing person in rural and urban areas are Rs.50 9/ - and Rs.639/ - respectively. Whereas as per the estimates published in 'Morbidity and Healthcare and the condition of the aged' (60 th Round January - June,  2004)  the  average medical  expenditure incurred per hospitalised case in and urban areas were Rs.5,695/ - and Rs.8,851/ - respectively  and the Average total medical expenditure for non - hospitalise d treatment per ailing person in rural and urban areas were   R 257/ -and Rs.306/ -respectively.

Based  on  the  Wholesale  Price  Indices  data  (base  year  2004 - 05)  published  by  the Ministry of Commerce and Industry the Annual Average Wholesale P rice Index inflation rate for the period 2004 - 05 to 2014 - 15 is 6.15% .

Contd……..

The Government of India is committed to strengthening the outreach of public hea facilities  by  expanding  public  health  infrastructure  and  service  deli very.  Under  the  National Health Mission, the Government seeks to inter - al a strengthen the health infrastructure in the primary and secondary sector by providing support to States for new construct upgradation/renovation of health care facilities, stre ngthen First Referral Units and operationalise more  24×7  facilities,  augment  human  resources  by  encouraging  States  for  engaging  hea personnel including doctors, nurses and para - medics. Financial and technical support is provided to the State/UT Governme nts to move towards Universal Health Coverage (UHC) based on the proposals  made  by  them  in  their  Programme  Implementation  Plans.  Accordingly,  support extended to the State/UT Governments through various programmes under NHM like the Janani Suraksha  Yoja na,  Janani  Shishu  Suraksha  Karyakram,  Rashtriya  Bal  Swasthya  Karyakaram (RBSK),  Universal  Immunization  Programme  (UIP)  Family  Planning  Programme,  Revised National TB Control Programme, National AIDS Control Programme, National Vector Borne Disease Control Programme etc.  to provide free healthcare for maternal &  child health  an prevention and treatment of key communicable diseases. A comprehensive  National Programm for Prevention and Control of Cancer, Diabetes, Cardiovascular diseases  and Stroke (NPCDCS) for    activities  including  health  promotion,  early  detection  and  treatment  of  Cancer,  D Cardiovascular diseases  and Stroke, has also been initiated.

(c) : As per the publication titled 'Key Indicators of Social Consumption in India Health -NSS  71st  Round    (January -June  2014)'  brought  out  by  the  National  Sample  Survey Organization  (NSSO),  Ministry  of  Statistics  and  Programme  Implementation,  86%  of  rural population  and 82%  of urban population were still not covered under any scheme of hea expenditure support.

(d) : Public  Health  being  a  State  subject,  primary  responsibility  to  provide  affor healthcare to all its citizens lies with the State Governments. However, the Government theRashtriya  Swasthya Bima Yojna ( RSBY) scheme also provide smart card based cashless health  insurance,  including  maternity  benefit,  cover  of  Rs.  30,000/ - per  annum  on  a  family floater basis to vulnerable/ BPL families (a unit of five) in the unorganized sector.

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