Extention of Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY). The Hindu Editorial Explanation 13th September 2024.

Introduction

The Indian government has decided to make a big change to the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB PM-JAY). This scheme will now offer free health coverage to people over 70 years old, no matter how much money they have. This is great news because it means that around 60 million elderly people will get help with their health expenses up to ₹0.5 million per year.

Why Is This Good?

  1. Helps Many People: Health costs in India are very high. So, providing free health coverage to such a large group of people is definitely a positive step. It will help many elderly people who might otherwise struggle with expensive medical bills.

What’s Not So Good?

  1. Limited Coverage: The scheme only covers costs if someone has to be hospitalized for serious health issues. It doesn’t cover:
  • Visits to doctors for check-ups or minor health problems (outpatient care).
  • Tests and scans to diagnose health problems.
  • Medicines and treatments for long-term diseases. For elderly people who often have chronic diseases (long-lasting health problems), this is a big issue. Many of their healthcare needs, like regular doctor visits and medicine, won’t be covered.
  1. Not Reaching Everyone: Since it started in 2018, the scheme hasn’t reached many people in smaller cities and towns. In these places, public healthcare services (like government hospitals and clinics) are often not very good.
  2. Need for Better Primary Healthcare: To make this scheme work better, India needs strong basic healthcare services (like regular check-ups and preventive care). Countries like Thailand have focused on building and improving these basic services to help everyone. In contrast, the U.S. relies a lot on insurance, which has made healthcare very expensive there.
  3. More Money Going to Private Hospitals: A lot of the money from the scheme is going to private hospitals rather than public ones. This could lead to private hospitals getting more business while public healthcare facilities remain weak.

Summary

The extension of this health coverage is a positive step, especially for elderly people. However, the scheme has some limitations and needs to be improved. It’s important to address these issues to make sure that the elderly get the comprehensive healthcare they need, not just in hospitals but also for regular check-ups, medicines, and other important health services.

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