ISSN (Print) - 0012-9976 | ISSN (Online) - 2349-8846
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Medicare : Towards Regulation

Towards Regulation Historically, the private sector in India remained invisible to the state. Not until the mid-1980s did the state planners sit up and start taking notice of the rapidly growing health care infrastructure in the private sector. While public health services came under state regulations, private nursing homes and hospitals were expected to be registered under legislation specially enacted to cover them. Unfortunately, few states passed such laws and as a result private institutions were only registered as services places with little or no regulatory obligations. Even in the state which did pass the necessary law, such as Maharashtra, because of the absence of accompanying rules they could not be implemented. And if all these conditions were extant, there are no monitoring mechanisms to even check that all health cares institutions have indeed registered under the act. As a result even an estimation of the private sector, remains even today a good guesstimate combining the results of a variety of surveys and studies and the



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