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Events and Issues
Environmental Outlook: RECOVERY PACKAGE CRITICAL,By Dhurjati Mukherjee, 21 April 2021 |
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Open
Forum
New Delhi, 21 April 2021
Environmental Outlook
RECOVERY PACKAGE CRITICAL
By Dhurjati Mukherjee
Last year was meant to be a landmark year in
climate ambition with around nine years left for Agenda 2030, Instead it turned
out to be the year of Covid-19. International climate governance was stalled as
several governments started announcing emergency stimulus packages to rescue
their economies. Besides, the United Nations Climate Change Conference, which was
supposed to give a practical shape to the Paris agreement, got deferred.
Last month, American President Joe Biden announced
the hosting of 40 world leaders, including Narendra Modi at a virtual summit on
April 22 (World Earth Day). The changed approach of the US, to return to the
Paris Agreement, is no doubt a welcome change, as it is the world’s biggest
emitter. The Summit will underscore the urgency – and the economic
benefits – of stronger climate action, says the US. Moreso, as in recent years,
scientists have underscored the need to limit planetary warming to 1.5 degrees
Celsius in order to stave off the worst impacts of climate change.
The Summit, is expected to highlight examples of how enhanced climate
ambition will create good paying jobs, advance innovative technologies, and
help vulnerable countries adapt to climate impacts. By the time of the Summit,the
US will announce an ambitious 2030 emissions target as its new Nationally
Determined Contribution under the Paris Agreement and Biden has urged leaders
to use the Summit as an opportunity to outline how their countries also will
contribute to stronger climate ambition.
Perhaps, the pandemic offered an opportunity
to plan sustainable pathways in the run-up to Agenda 2030. Obviously, sustainability
needs adequate attention at this juncture. An ecological transition is
necessary and the process has already started by a shift from fossils to
renewables for faster economic recovery. However, recovery packages calls for
mobilising funds for achieving sustainable pathways. In this context, the
COP26, now scheduled to take place in November in Glasgow, is crucial.
Though the US has taken interest on
environmental issues, after Biden came to power, environmental groups and scientistsare
calling on him to set a target that would cut US greenhouse gas emissions by at
least 50 per cent below 2005 levels by 2030.While there is a big question mark
on whether Biden will oblige, the Summit has on its agenda to highlight
examples of how enhanced climate ambition will create good paying jobs, advance
innovative technologies, and help vulnerable countries adapt to climate impacts
in the backdrop that the global outlook doesn’t look quite encouraging. The US
and China are top two emitters. while India is placed in the fourth position
and this is unlikely to change in the coming two-three years.
However, it is encouraging to note a
framework adopted by the UN Statistical Commission would ensure that ‘natural
capital’ – forests, wetlands and other ecosystems – are counted in reporting
wealth of countries. A school of economists has for sometime argued that
environmental capital be considered a factor of production just like labour and
capital. They said if environmental degradation is measured, the ‘real growth’
of a country would be apparent.
Though India, China, UK, France, Germany and
many other European countries have already made some progress in implementing
the System of Environmental Economic Accounting (SEEA), the adoption of new framework
will push the others, including the US, towards figuring out worth of their
natural ecosystem and including it in accounting process.
The new framework goes beyond the commonly
used statistics of GDP in economic reporting. It means the countries’ wealth
will reflect dependence of the economy on nature or its impact on it, such as
the deterioration of water quality or the loss of a forest. Similarly,
restoration or conservation may be a ‘credit’ that lessens the loss of GDP.
India has already taken a step towards
measuring values of nature when it figured out economic valuation of 16 tiger
reserves as part of a conservation plan in two phases in 2013-19. The study
indicated that the monetary value of flow benefits from the selected 10 tiger
reserves range from Rs 5094 to Rs 16,202 crore annually.
As regards carbon footprint, India has been
consistently increasing in sync with its development needs but the country will
eventually exceed what it had voluntarily pledged to the UN climate body with
respect to its pre-2020 commitments. In its third biennial update report
(BUR-III), submitted to the UN Framework Convention on Climate Change (UNFCC)
recently, India declared that its emission intensity (per unit of GDP) had
reduced by 24 per cent between 2005 and 2016. Therefore, it was on track to
meet its voluntary declaration to reduce the emission intensity of GDP by 20-25
per cent from 2005 levels by 2020. But experts are of the opinion that this may
not be enough to tackle global warming.
Though there has been some decline in the
agriculture sector, it remains the main source of methane (CH4) and nitrous
oxide (N2O) emissions. Methane emissions occur from this sector mainly due to
livestock rearing (enteric fermentation and manure management) and paddy
cultivation while N2O is principally emitted due to the application of
fertilizers to agricultural soils. In the energy sector, electricity production
was the single largest source, accounting for about 40 per cent of national GHG
emissions in 2016 while manufacturing industries and construction together
emitted over 18% of total emissions.
Seven family conglomerates – Reliance, Adani,
Tate, Aditya Birla, Mahindra, Jindal and Vedanta – are responsible for emitting
at least 539 million tonnes of CO2 annually. This is equivalent to 22 per cent
of India’s total CO2 emissions. In 2019-20, these seven groups operated 25 per
cent of India’s coal based power plants (50,000 MW), produced 39 per cent of
India’s steel (43 million tonnes), 27% of India’s cement (91 million tonnes)
and 22 per cent of India’s passenger and commercial vehicles (0.92 million).
To avert a crisis like climate change,
forward thinking and long term planning is required, for which the value of
committed visionary leadership cannot be underestimated. As family
conglomerates are organised around visionaries, if they sincerely act on the
climate crisis, which appears quite doubtful. the climate situation may not
improve to the desired extent.
Meanwhile, the global picture is somewhat
confusing with rich people the worldover still enjoying 79 per cent of their
energy from fossil fuels. However, it needs to be pointed out that climate
policies harm the developing world. As recently pointed out by President of the
Copenhagen Consensus Center: “The Paris Agreement will force more people into
poverty by 2030 than otherwise would’ve happened”. If we aim for 20 C or 1.50
C, a recent peer reviewed study showed it will mean 80 million more poor and
180 million more starving by mid-century. But warming may be more and thus more
poor people are expected to be affected in various ways, specially through
cyclones, floods, heat waves etc.
While experts have rightly suggested targets
must be enforced, India need not panic and yield to world pressure as it has
already met its pre-2020 voluntary targets. Moreover, with a per capita income
of just Rs 2000, the country should follow a conservative approach in any
climate negotiations as it would be risky to place big bets on clean tech. As
recently pointed out by the country’s environment minister, the rich nations
should first fulfill the targets which they had promised and also help
demerging economies with financial and technological support to meet their
mitigation and adaptation goals. Indeed, set an example they should.---INFA
(Copyright, India
News & Feature Alliance)
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Poll Promises: MADE, NOT DELIVERED, By Dhurjati Mukherjee, 14 April 2021 |
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Open Forum
New Delhi, 14 April
2021
Poll Promises
MADE, NOT DELIVERED
By Dhurjati Mukherjee
Poll promises as
usual pour down during elections, be it the State assemblies or Parliament. However,
these are tall promises made by political parties in their manifestos, which
realistically cannot be implemented fully and even 50 per cent of these seeing
light of day is rather rare. Worse, those doling out assurances have no qualms
as public memory turns out to be short and those not so educated tend to believe
in some of these.
At least the Madras
High Court has taken cognisance of the trickery being unleashed. Dealing with a
PIL recently in the matter, the two-judge bench observed political parties
should be prohibited or prevented from giving election promises, which are
capable of adding burden on the public exchequer. It also drew the Election
Commission’s attention by inquiring how many manifestos it has vetted since
2014, what action was being taken against political parties for not
implementing promises and whether the Central Government has taken any steps to
bring legislation covering the issue of political manifestos, especially
freebies promised in the election manifestos and governing the political
parties
Undoubtedly, the
court’s observations have countrywide resonance. That ‘the freebie culture
makes people lazy, vitiates purity of elections, and must be viewed as a
corrupt practice’, is an observation which must acted upon. Why not, the court asked
“de-recognise elected political parties, who fail to implement their political
promises based on which the voters are lured and the parties are elected to
form the Government?”
Every political party,
it observed, “is bound to make promises to voters giving their social policies
and plans for improving the standard of living of the people by providing clean
governance, infrastructure, especially, providing basic amenities like, water,
transportation and health, which are expected in every democracy. However, the
election promises made by the political parties are aimed at clinching power.”
So very apt this
election season too. States such as Tamil Nadu, West Bengal, Kerala and Assam,
have witnessed a shower of poll promises by all parties. The BJP particularly
is going all out to woo the voters with star campaigners, Prime Minister Modi
and Home Minister Amit Shah having addressed massive rallies. The party
desperately seeks to dislodge the Trinamool Congress in Bengal while in Assam it
wants to get re-elected and make inroads into Tamil Nadu. And while development
issues have found mention in the manifestos, West Bengal has stood out in the
attention it has garnered so far.
The focus has shifted
to corruption of TMC and its leaders as also the violence it has spread in the
rural areas. The BJP harks on it, and TMC hits back whichever way. Much of the
promises made appear to have got relegated to the background, but worth a
mention. The TMC has promised more jobs, industries and MSMEs and uplifting
annual per capita income for people below the poverty line. It has also assured
Rs 10,000 per acre per annum to small and marginal farmers. The BJP has assured
one job per family, which appears unrealistic, given the sluggishness in
manufacturing activities, at least in the State and that the country is
witnessing the worst unemployment rate in four decades with economists
predicting not much improvement this year and the next.
It would be worth
referring to JNU Professor Santosh Mehrotra, who edited a recent book, Revising Jobs: An Agenda for Growth,
which points out that the unemployment rate rose from 2.32% in 2011-12 to 6.1%
in 2017-18 and this may be around 8 to 10% presently. He attributed this to
several factors including decline in private investment, household savings
dropping to a record low of 17% and no increase in government’s spending in the
social sector, where funds benefit the poor and impoverished sections of
society.
Clearly, job creation
will remain stressed throughout the country and specially in Eastern States,
which includes Bengal and Assam. Thus, the promise has little meaning though the
voter may believe that if the BJP comes to power in Bengal, lot of Central
investment may be forthcoming in future.
Given that the TMC has
done much for girls’ education, the BJP announced free education for girl child
from KG to post-graduate level. But this may is not realistic as the budget
allocation for school and higher education has been reduced in this fiscal to a
little over Rs 93,000 crore from Rs 99,311 crore in 2020-21. What is required
is that drop-outs are monitored and the government ensure girls continue to study
at least till Class XII.
Then there is the
health sector, which has got into the list of promises. The BJP has promised
three AIIMS, one each in North Bengal, Sunderbans and Jungle Mahal area, and a
medical college in every district. Plus, it announced that in the first Cabinet
meeting it would focus on Pradhan Mantri Jan Aarogya Yojana, which offers up to
Rs 5 lakhs in hospital expenses every year to poor households, and health and
wellness centres offering free primary care, diagnostics and essential
medicines. Interestingly, the TMC government hasn’t implemented PMJAY and instead
introduced Swastha Sathi scheme and assured doubling health spending from 0.83%
to 1.5% of the state GDP and establishing of medical college-cum-super
speciality hospitals in 23 district headquarters.
Such promises are
oft-heard and welcome, but it certainly isn’t going to happen overnight and may
only get to see the light of day in next five years, provided more funds are
allocated. While infrastructure has been built in States to fight the corona
virus, lot more funding is necessary. If at least 1.5% of GDP is allocated to
health sector – much less than what 2.5% of GDP that the National Health Policy
2017 had stated -- lot more can be accomplished in rural areas where medical
facilities are most needed.
According to Prof.
Indranil Mukhopadhyay of O.P. Jindal Global University it would take around Rs
9400 crores per annum to support health and wellness centres. However, the
proposed budget for health in the current fiscal is a mere Rs 1900 crores. Even
if additional Rs 150 crores is given, it would be much less than what is
required for 50,000 centres to offer entire range of services.
So instead of
comparing promises, efforts must be made by civic society to raise awareness
among the people about these and whether these on the basis of facts can be
delivered. This would put pressure on the politicians to deliver and not be
allowed to get away with their forked tongues. Plus, a more educated electorate
would be in a position to comprehend and demand as has been seen in Tamil Nadu
and Kerala in comparison to West Bengal, which is marred in political violence
and corruption.
The big question which
needs to be addressed at election time is not which political party will win
but whether its manifesto is realistic and people’s needs and demands will be
victorious. The electorate must separate the wheat from chaff and keep in mind
the Madras High Court’s observation: “Voters are lured to cast votes in their
favour by these magical promises. Once in 5 years, this tamasha is being continued for decades together. Promises have
always remained as promises...”---INFA
(Copyright, India
News & Feature Alliance)
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Eroding Democratic Rights: INDIA’S PLURALITY AT STAKE?, By Dhurjati Mukherjee, 7 April 2021 |
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Open Forum
New Delhi, 7 April
2021
Eroding Democratic Rights
INDIA’S PLURALITY AT STAKE?
By Dhurjati Mukherjee
Lately reports by
independent and reputed agencies batting for democracy and civil rights have downgraded
India’s status claiming it is gradually turning into an illiberal democracy and
can be counted among the 10 autocratising countries! While the BJP-led NDA
government, under fire, has rubbished all such reports, its actions as brought
out by these reports and other authorities only heighten the growing concern over
blatant attempts to stifle dissent in the country. Rather than ignoring or
discounting criticism, the government would do well to view it as ‘constructive
criticism’ and work earnestly towards changing its image.
The V-Dem (Varieties
of Democracy) Institute, an independent research organisation based in Sweden, says
in ‘Autocratisation Turns Viral: Democracy Report 2021’, the ‘world’s largest
democracy has turned into an electoral autocracy. India’s autocratisation
process has largely followed the typical pattern for countries in the “Third
Wave” over the 10 years: a gradual deterioration where freedom of media,
academia, and civil society were curtailed first and to the greatest extent India
has turned into an “electoral autocracy.”
Narendra Modi-led BJP
to victory in India’s 2014 elections and most of the decline occurred following
BJP’s victory and promotion of a Hindu-nationalist agenda, says the report, released
last month in the presence of Sweden’s Deputy Foreign Minister Robert Rydberg. ‘India’s
level of liberal democracy registered at 0.34 by 2020-end after a steep decline
since its high at 0.57 in 2013. This makes it one of the most dramatic shifts
among all countries in the world over the past 10 years, alongside autocratising
countries like Brazil, Hungary, and Turkey.’
While it said that
the ‘overall freedom and fairness of elections also was hard hit, with the last
elections held under Modi’s reign in 2019, yet, the diminishing of freedom of
expression, the media, and civil society have gone the furthest.’ The Indian
government rarely, if ever, used to exercise censorship as evidenced by its
score of 3.5 out of 4 before Modi became Prime Minister. By 2020, this score is
close to 1.5 meaning that censorship efforts are becoming routine and no longer
even restricted to sensitive (to the government) issues. India is, in this
aspect, now as autocratic as is Pakistan, and worse than both its neighbours
Bangladesh and Nepal.
In general, it says, the
Modi-led government has used laws on sedition, defamation, and counter-terrorism
to silence critics. For example, over 7,000 people have been charged with
sedition after the BJP assumed power and most of the accused are critics of the
ruling party.’ The law on defamation has been used frequently to silence
journalists and news outlets that take exception to the government’s policies,
punishments for which range from two years in prison to life imprisonment for
“words, spoken or written, or signs or visible representation that can cause
“hatred or contempt, or excites or attempts to excite disaffection” toward the
government.
“Modi and his party
have also placed constraints on civil society and have gone against the
constitution’s commitment to secularism. Recently, the UAPA is being used to
harass, intimidate, and imprison political opponents, as well as people mobilising
to protest government policies.” In addition it is being used to “silence
dissent in academia. Universities and authorities have also punished students
and activists in universities engaging in protests against the CAA. Civil
society is also being muzzled in the autocratization process.”
The development comes
just after democracy watchdog, Freedom House, mostly funded by the US
government, dropped India from the list of ‘free’ countries and designated it
as ‘partly free’. It said: “While India is a multiparty democracy, the
government led by Prime Minister Narendra Modi and his Hindu nationalist BJP has
presided over discriminatory policies and increased violence affecting the
Muslim population. The Constitution guarantees civil liberties including
freedom of expression and freedom of religion, but harassment of journalists, NGOs,
and other government critics has increased significantly under Modi.”
The private media, it
said are vigorous and diverse, and investigations and scrutiny of politicians
do occur. However, attacks on press freedom have escalated dramatically under
the Modi government, and reporting has become significantly less ambitious in
recent years. Authorities have used security, defamation, sedition, and hate
speech laws, as well as contempt-of-court charges, to quiet critical voices in
the media. Hindu nationalist campaigns aimed at discouraging forms of
expression deemed “anti-national” have exacerbated self-censorship. Online
disinformation from inauthentic sources is ubiquitous in the run-up to
elections. Separately, revelations of close relationships between politicians,
business executives, and lobbyists, on one hand, and leading media
personalities and owners of media outlets, on the other, have dented public
confidence in the press.”
A wide variety of
NGOs operate, says the report but some, particularly those involved in the
investigation of human rights abuses, continue to face threats, legal
harassment, excessive police force, and occasionally lethal violence. Since
2015, the government has deregistered nearly 15,000 associations under the FCRA,
amendments to which were passed in 2020, without consulting civil society
groups and tightened restrictions on foreign funding.
It also said “Academic
freedom has significantly weakened in recent years, as intimidation of
professors, students, and institutions over political and religious issues has
increased. Members of student wing of RSS have engaged in violence on campuses
across the country, including attacks on students/professors. Academics face
pressure not to discuss topics deemed sensitive by the BJP government, etc.
Again, India was
derided as the ‘world’s largest illiberal democracy’ under Modi during a
festival of ideas organised by The Financial Times in London, watched in
over 100 countries. The comment was made during an exchange between Edward Luce
once the FT’s South Asian Bureau Chief and author and journalist Fareed
Zakaria, recipient of Padma Bhushan in 2010. Luce said the world’s 10 leading
liberal democracies, including the US, “would have to criticise it (Modi
government) for turning non-Hindu citizens gradually into second class
citizens.” Zakaria pointed out: “what we’re mostly seeing is the degradation of
democracy from within – what is happening in Hungary, what is happening in
Turkey, what happened in Russia...And what do you do in India (when it) is one
of the key perpetrators of the problem rather than a solution to it?”
To a certain extent,
the judiciary has been somewhat been critical of government decisions.
Recently, the Supreme Court, while quashing the FIR registered against The Shillong Times Editor Patricia
Mukhim, stated that free speech cannot be stifled by implicating people in
criminal cases. Further, it observed: “Disapprobation of governmental inaction
cannot be branded as an attempt to promote hatred between the different
communities”, and noted that “India is a plural and multicultural society. The
promise of liberty, enunciated in the Preamble, manifests itself in various
provisions which outline each citizen’s rights”.
In the academic
realm, the situation is far more distressing as has been manifest by the
resignation of two renowned scholars -- Pratap Bhanu Mehta and Arvind
Subramanian, from Ashoka University. “My public writing in support of a
politics that tries to honour constitutional values of freedom and equal
respect for all citizens, is perceived to carry risks for the university,” said
Mehta in his resignation letter. Adding “It is clear it is time for me to leave
Ashoka. A liberal university will need a liberal political and social context
to flourish. I hope the university will play a role in securing that
environment. Nietzsche once said that ‘no living for truth is possible in a
university.’ I hope that prophecy does not come true.” It is understood that
around 90 faculty members expressed solidarity. Worse, 150 academics from
Harvard, Yale, Columbia, LSE, MIT questioned Ashoka’s commitment to freedom.
Recall a report way
back in 2017 of Pew Research Centre survey which showed 55% Indians support a
‘strongman’ unchecked by Parliament and judiciary and almost half i.e. 53% said
military rule would be a good thing. Today, as seen various factors are
creating even more apathy towards democracy. When populist nationalism reigns
supreme and rulers shower sops and freebies at election time, who cares about
democracy and holding leaders accountable? Also when public life is intensely
polarised, it is almost impossible to build a consensus on what constitutes
danger to freedom.
Unfortunately, Indians
don’t usually punish political parties for violating democratic rights. In 1977
elections after Emergency, Indira Gandhi was defeated in North but she got 34.5%
vote share in the south. Likewise, Modi government’s crackdown on dissent
scarcely seems to influence voters. A national lockdown, announced at 4-hour
notice, forcing millions of migrant workers to walk hundreds of miles home, did
not affect the BJP’s electoral prospects, as Bihar Assembly elections showed.
In such a precarious
situation, while political parties need to think of the country, various
stakeholders such as academics, civil society organisations should put additional
pressure on the government, both internally and globally. Unless the situation
changes, the character, strength of India’s democracy and its social bonding
and stratification will get further eroded.---INFA
(Copyright, India
News & Feature Alliance)
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Budgetary Allocations: NEGLECT OF POOR INEVITABLE!, By Dhurjati Mukherjee, 31 March 2021 |
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Open Forum
New Delhi, 31 March
2021
Budgetary Allocations
NEGLECT OF
POOR INEVITABLE!
By
Dhurjati Mukherjee
Budgetary allocations
are broadly made on the basis of expected revenue mobilisation for the year. Obviously,
the criteria in making such allocations are decided by the ruling government in
consultation with economists and industry leaders. If one examines the budget
for the last 10 years or so, it will be clearly manifest that the bias is for
the urban sector and pro-industry where a small segment of the of the
population lives.
As is well known, the
majority of the population, around 28 to 30 per cent, lives in villages and
adjoining areas, but their per capita benefit in every budget is very negligible.
The reason for the discrepancy is that funds being limited, allocations have to
be made in sectors like defence, space research, railways, higher education
etc. Another reason is that life has to be made comfortable for urban living
where the upper echelons of society live and work.
India’s late
President A. P. J. Kalam though written off as a visionary was also a
pragmatist and felt very much for the ordinary, specially students. He talked
of PURA (providing urban facilities in rural areas) but this was not possible
due to resource constraints as also the mindset of politician and planners. This
perhaps cannot be implemented in the coming few years as investing heavily in
rural infrastructure is difficult at this juncture.
Thus the dichotomy
will remain prevalent in the coming decade or so. The emphasis on technology,
on mechanised systems, on largescale automated manufacturing neglected labour
intensive small-scale manufacturing, not modernising agriculture – all these
may increase GDP but widen inequality among people and further dent the incomes
of the impoverished and marginalised sections. Moreover, it is wrong to believe
that higher revenues will go the poor; these will be used for projects where
the Indian mass will not be benefited by even one per cent.
In the rural and
semi-urban areas of the country, the shopkeeper, the small farmer or trader,
the fisher folk, and even the thekedar(contractor) will continue to
suffer in the coming years. The sudden lockdown due to the pandemic last
year brought untold suffering to the poor and the situation is unlikely to
improve this year or even in 2022 though the rich will continue to prosper.
One may refer here to
a study released recently by the Washington based non-profit Pew Research which
stated that India’s number of poor is expected to have reached 134 million,
more than double the 59 million estimated during the recession. Also the
country’s middle class is estimated to have shrunk by a third in and the number
of the country’s poor more than doubled due to the pandemic triggered recession.
As a result of the downturn, India’s middle class shrank by over 32 million
from the number it may have reached if there was no pandemic. This accounts for
60 per cent of the global retreat in the number of people in the middle income
tier with daily incomes between $10 and $20 or Rs 725 and Rs 140.
While even the number
also, according to Pew, is now estimated to be near 66 million, the number of
poor in India (with daily incomes of $2 or less i.e. Rs 145 or less) is
estimated to have jumped by 75 million due to the Covid-induced recession. This
too accounts for nearly 60 per cent of the global increase in poverty. The
report also pointed out that the demand for work under the Mahatma Gandhi
National Rural Employment Guarantee Scheme has been the highest since its
inception. But budgetary constraints have reduced its allocation for MGNREGS
for 2021-22 though the requirement in this scheme cannot be denied.
All this clearly points
to the deprivation of the rural poor, which has been happening for several
years. The induction of technology has motivated the planners to grow
faster without examining how to frame a strategy for the economically weaker
sections. The assurance of doubling farmers’ income has remained a jargon and
even the ruling dispensation is not agreeable to make MSP mandatory for which
farmers’ agitation has been continuing and attracted global attention.
Recently, a so-called
educationist, writing in one of the biggest national newspapers said the need
for labelling school education ‘not-for-profit’ should be changed. And the
justification given was that the income generated by schools would help improve
the condition of government schools and their functioning. Though the private
sector wants to grab the money of the rural mass, as because of the grass-root
need, the government should not allow this as social infrastructure remains its
critical responsibility.
The disinvestment
strategy may be understandable to raise resources to meet the budgetary deficit
but the private partner has to outline the plan for increasing efficiency and
modernisation through technology upgradation. But while selecting this partner,
why is not a strategic plan being called for plans to increase capacity and
expand, thereby creating jobs. Only then such disinvestment decisions would
become acceptable and laudable.
The government’s
resource crunch is understandable but for that the masses should not be made to
suffer. Though the government is giving number of doles to various segments of
the population, there is no target of job creation and in which sectors. One
may mention here that incentives are being given for purchase of solar lights,
electric vehicles etc. but no incentive for micro units, cottage industries or
even agro-industries. Should not the government think seriously in this regard
and evolve effective plans accordingly?
The whole exercise of
budget creation by successive governments with much fanfare, introduction of
various schemes – sometimes renaming previous schemes – has not been of much
help to the marginalised sections. The debate and discussion goes on every year
as those who are involved in this exercise are from the upper echelons of
society and mostly belong to urban areas. But such fruitless exercise is
just hoodwinking the people whose deprivation and squalor continues. And this
is very much evident since April last year due to the pandemic and lockdown,
all of which affecting the poor due to loss of livelihood options.
The country may not
be facing a dark future but definitely the income divide will continue and the
rural sector and its population will continue to be neglected. Just changing
the name of Planning Commission to Niti Aayog has not altered the structure and
mechanism of planning and allocation of budgetary resources. But a change is
imperative and only time will tell when, if at all, this will be accomplished.
But for a transformation to becoming a reality, a change in the mindset of our
political leaders as also bureaucrats is imperative. ---INFA
(Copyright, India
News & Feature Alliance)
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Medical Education:CAN PPP MODEL DELIVER?, By Dr. Oishee Mukherjee, 24 March 2021 |
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Open Forum
New
Delhi, 24 March 2021
Medical
Education
CAN PPP MODEL DELIVER?
By Dr. Oishee Mukherjee
It
is an unfortunate and well-known fact that the country suffers from an acute
shortage of doctors and nurses. Specialists are rarely found in sub-divisions,
few are located in small towns and most are concentrated in big cities.
Obviously, this sends out a terse message to our policy planners the urgent need
to expand health infrastructure and in fact medical education so that it can
partially meet the requirements. The Centre as well as State governments have
over the years decided that district hospitals should henceforth be set up with
public-private participation, meaning in real terms that the private sector take
over these health centres.
It
is therefore pertinent and prudent to analyse what does it cost to become a
doctor and the charges that those wanting to do MBBS entail. As per available
data, about 28 per cent of such seats cost over Rs 10 lakh officially but
around Rs 50 lakh unofficially. The high fees, obviously, makes these seats a
quota for the rich, even larger than those for the SC (15 per cent), ST (7.5
per cent) or OBC (27 per cent).
In
fact, about half the seats in private colleges are in the management quota or
NRI quota. For all these seats, the total official amount, approved by the
Medical Council of India (MCI) or the Dental Council of India (DCI) almost
triples for candidates who are enrolled. Even entrance examinations, which are
held in medical and dental colleges, are manipulated and those giving the extra
amounts find their names in the final list. States like Karnataka, Rajasthan
and West Bengal charge heavy premiums, sometimes going up to Rs 80 lakhs.
Even
some government colleges, mostly in Rajasthan and Gujarat have management
seats. These quota seats range above Rs 10 lakhs, going up to Rs 20 lakhs per
annum. In fact, some other States are also planning to introduce management
quota to meet their expenses as the official support is meager. Apart from
these costs, one must also consider hostel charges and other attendant
expenses.
If
one considers that 80 per cent of Indian families earned around Rs 10,000 per
month, the educational charges for private medical and dental colleges are affordable
for the rich and the upper middle class and others would have to take recourse
to bank loans. At the same time, having spent a high amount for education in
private medical colleges, the doctors would concentrate on recovering the
amount by opting for big hospitals in cities and not have the commitment to serve
the poor and impoverished.
The
other problem of medical education is the need for its spread and this can only
happen if many more such hospitals with medical colleges are set up in
districts and sub-divisions. However, the PPP model wouldn’t work well as again
the private sector would be looking at making profit. So the question is will
private medical colleges look into the larger interest of serving the society
and offer options for lower income groups.
Besides,
a close look at the recent budget is necessary, where health has been allocated
Rs 2.23 lakh crore for ‘health and well-being.’ But this amount includes
outlays for drinking water and sanitation (Rs 60,030 crore), nutrition (Rs 2700
crore), Covid-19 vaccine related allocation (Rs 35,000 crore) and Finance
Commission’s grants (Rs 48,214 crore for health and water and sanitation). The
allocations reveal that the budget for health and family welfare has decreased
in absolute terms by Rs 8349 crore from 2020-21 (from Rs 85,251 crore and
revised estimates Rs 76,902 in 29021-22). The government’s flagship programme,
Ayushman Bharat has not seen much increase while the National Health Mission
(NHM) in rural and urban areas has been increased by a paltry amount.
The
only silver lining is that the PM Atmanirbhar Swasth Bharat Yojana shall have
an outlay of over Rs 64,000 crore over a period of six years to upgrade
primary, secondary and tertiary care facilities, strengthen existing heal
institutions, building new institutions for research etc. However, all these
are at the announcement stage with no reflected in the budget document.
In
such a situation, the government has virtually no plans or programmes to set up
hospitals to impart medical education on a bigger scale. The need for medical
education being within the reach of the lower segments of society is what it
needs to ponder over. This also brings to the fore the bigger challenge of various
health facilities being made available to the marginalised sections.
The
elitist character of successive governments, and including the NDA, sadly has
not given the health sector the attention it deserves so that prevalent communicable
and non-communicable diseases are brought under control. Moreover, if students
from low income groups of rural and semi-urban areas get medical education, the
shortage of doctors in the countryside will no longer be a problem and adequate
health facilities could in the near future in rural health centres may become a
reality.
It
is indeed tragic that while we boast of being an emerging economy, the
allocation towards health has been much less than most countries in spite of
repeated promises. Even in the recent Economic Survey it has been pointed out
that India should increase its spending on health from an average of 1 per cent
to 2.5 per cent of GDP, as aspired in the National Health Policy of 2017.
Earlier also, during the last decade or so, experts have repeatedly pointed out
that at least 2 per cent of GDP should be allotted towards health but this has
never been dome.
There
is also no sustained action plan about the geographical spread of diseases and
the need to set up health centres in rural areas and hospitals in blocks of
backward regions. Though figures are dished out regarding shortage of doctors
and nurses, precious little has been done, except privatising medical education
and facilities that help the upper middle class. For a country of India’s
stature, the scenario speaks very poorly of the political leadership and its reluctance
to go all out to a lot more as desired.
The
government must ask itself whether it really wants that the lower echelons of
society to enter the field of medical education as also ensuring that these are
not deprived of their rightful due. The elitist and pro-capitalist outlook needs
to change so that the silent majority can enter the mainstream of life and
activity and ensure a healthy and robust society, at every level. ---INFA
(Copyright, India
News & Feature Alliance)
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More...
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Rising Ultra Rich: NO JOBS, SOCIAL CHAOS LIKELY, By Dhurjati Mukherjee, 17 March 2021
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People’s Representatives: SCORNED AT, GROWING CYNICISM?, By Dhurjati Mukherjee, 10 March 2021
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Urban Regeneration: AFFORDABLE HOUSING CRITICAL, By Dhurjati Mukherjee, 3 March 2021
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Wages for Housework: SOLUTION FOR SOCIALPROBLEM?, Dr.S.Saraswathi, 25 February 2021
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