ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846

Sunil RajpalSubscribe to Sunil Rajpal

Measuring Catastrophic Healthcare Expenditure

Catastrophic household healthcare expenditure is a prominent policy concern. The National Health Policy 2017 takes explicit cognisance of this issue and presents an empirical formulation to examine its incidence and patterns. However, the policy needs to account for household size variations to counter an implicit bias that tilts the estimates to reflect a higher concentration of catastrophic expenditure among the rich. This concern is illustrated using health data from the 71st round of the National Sample Survey. Further, a minor modification to unravel the socio-economic gradient in catastrophic healthcare expenditure has also been discussed.

On the Convergence Puzzle

While there is no disagreement that widening regional disparities is an empirical fact and a major developmental concern, the inference drawn in Prerna Sanga and Abdul Shaban (“Regional Divergence and Inequalities in India,”EPW, 7 January 2017) on convergence is misleading, and disregards conceptual underpinnings.
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