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

Rashtriya Swasthya Bima YojanaSubscribe to Rashtriya Swasthya Bima Yojana

From RSBY to PMJAY

Healthcare for India’s Poor: The Health Insurance Way by Sonalini Khetrapal, New Delhi, Gurugram: Academic Foundation, 2019; pp 192, ` 1,195.

Credibility and Portability?

Examining the Centralised Online Real-time Electronic Public Distribution System reforms introduced by the Government of Chhattisgarh to understand the processes and conditions under which such reforms strengthen accountability and affect the delivery of public services, it is found that while earlier reforms have been successful, the contribution of CORE PDS has been useful but limited. A significant finding was that technological fixes for social protection programmes are only feasible insofar as they work within the political logic of the context in question. CORE PDS reforms could not address the issues of power imbalances between shop owners and cardholders which continue to shape interactions between them. Introducing transparency, accountability and quasi-market reforms in this context offered limited possibilities in what they could achieve.

A Crisis of Plenty

The poor in India have access to surgeries but not basic healthcare.

Too Little, Too Late

While the union government announced its plan to extend the Rashtriya Swasthya Bima Yojana to the unorganised working class poor like rickshaw-pullers, ragpickers, mineworkers, sanitation workers, etc, the Government of Maharashtra has decided to scrap RSBY and replace it with the Rajiv Gandhi Jeevandayee Arogya Yojana. This article analyses the conditions of waste pickers and argues not to pit one type of healthcare against another and not to scrap schemes like the RSBY that have come anyway too late.
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