On paper, public healthcare is free and subsidized for those who are below the so-called poverty line. The Indian public health sector encompasses 18% of total outpatient care and 44% of total inpatient care. Spends a little over 1% of GDP on public healthcare, one of the lowest levels in the world. Quality Govt-run hospitals are few and far between, primary care facilities are poor and private clinics are prohibitively expensive. Middle and upper class individuals are tactically forced to use public healthcare less than those with a lower standard of living.
Like in many states, Chhattisgarh also found that 95% of the insured who used private hospitals and 66% of the insured who went to government hospitals were still spending on treatment from their pockets. In govt hospitals, where treatment is supposed to be free, patients ended up buying consumables and medicines from private pharmacies because the hospitals deliberately do NOT stock supplies. Also, illegal payments had to be made sometimes to doctors and nurses.. saluting our world-famous desi jugaad way.
Despite employing so-called qualified Doctors from elite training institutions, India’s private healthcare system is largely unregulated, run by business profiteers, opaque and often unscrupulous. It can also overcharge with impunity, leading to increasing conflict with patients. Many believe that private facilities are actively hostile towards the poor and do not allocate enough of the mandated cheap beds for them. Private hospitals, simply tell patients that they will not provide treatment at government mandated rates and shamelessly asks for payment.