QUESTION 17
GS2
15 marks
In a crucial domain like the public healthcare system the Indian State should play a vital role to contain the adverse impact of marketisation of the system. Suggest some measures through which the State can enhance the reach of public healthcare at the grassroots level.
WRITE IN
11 min
250 words
What the examiner wants
Explain why the state must limit harms of a market-driven health system and suggest measures to expand grassroots public healthcare.
SuggestPropose specific, workable measures.
Demand-wise check
- 1Harms of marketisation: high out-of-pocket spending, urban concentration, over-treatment, inequity≈65 words
- 2State role: regulation (Clinical Establishments Act), price controls (NPPA), insurance (PM-JAY)≈65 words
- 3Grassroots measures: Ayushman Arogya Mandirs, ASHA, free drugs and diagnostics, telemedicine (eSanjeevani), staffing≈65 words
Open in about 30 words and close in about 30.
Answer plan
Problem with dataState roleGrassroots measuresConclusion
Where marks usually go
- Not suggesting grassroots measures
- No out-of-pocket spending data
Draw this
- Pyramid: sub-centre → PHC → CHC → district hospital
Value addition
- DataOut-of-pocket spending has fallen to about 39% of total health expenditure (2021–22) from over 60% in 2013–14.National Health Accounts Estimates 2021–22
- SchemeOver 1.7 lakh Ayushman Arogya Mandirs (health and wellness centres) offer free primary care.Ministry of Health and Family Welfare
Mapped topper copies
Reviewed public-source references related to this PYQ. Same-syllabus references are labelled separately.
- Shakti Dubey · AIR 1 · Page 38 ↗Same syllabus reference
- Aditya Srivastava · AIR 1 · Page 15 ↗Same syllabus reference
- Shakti Dubey · AIR 1 · Page 11 ↗Same syllabus reference
- Aditya Srivastava · AIR 1 · Page 5 ↗Same syllabus reference
Links open original public sources. MainsBuddy does not host these answer sheets.
Next: plan for one minute, write it in 11 minutes, then get it checked.