Hospital cost capped, but Covid can cripple 80% of families
NEW DELHI: Responding to growing anger over the high cost of Covid treatment, most states have capped Covid treatment charges. Yet, more than 80% of families would be financially crippled by a single member undergoing Covid treatment. That’s because even at the capped charges, bills for even ten days of treatment work out to several times their monthly expenditure, an analysis of the charges and official data on monthly expenditures shows.
For instance, according to the latest household expenditure report of 2017-18 put out by the National Statistical Office, in Delhi, which has among the highest monthly per capita expenditures in the country, for 80% of the population monthly spend per person is below Rs 5,000 or Rs 25,000 for a family of five. The lowest priced isolation bed in a non-accredited hospital in the Capital would cost Rs 80,000 for ten days of treatment, more than three times the monthly spending of 80% of the population. For a patient with severe Covid in ICU care with ventilator support, the bill could be several lakh as the treatment could stretch for two to three weeks or more.
TOI put together the capped prices for isolation beds, ICU beds without ventilator and those with ventilator in 20 states and compared the cost of ten days’ treatment with the latest report on monthly per capita expenditure in each state. It shows that even with price caps, the treatment is unaffordable for 80% of the population. In all states, the treatment is free of cost in go nment hospitals. However, even in non-Covid times, the go nment share of inpatients in the country is at best about 42%. With reports of poor conditions in go nments hospitals running to full capacity and wide publicity regarding bureaucrats and politicians choosing private hospitals for Covid treatment, there was a greater clamour for beds in private hospitals.
In many states like Gujarat, West Bengal and Kerala, the fixed rates are for patients referred by the go nment or for those covered by go nment health schemes, where the go nment picks up the tab. Typically, only people with connections get referred through the go nment to private hospitals, while others do not have a choice. In states like Karnataka, Odisha and Telangana, the price caps are applicable to all patients going to private hospitals. Despite the price caps, there are exclusions which differ from state to state, such as PPE cost, high-end investigations like CT and MRI, drugs, or specialist charges. Private hospitals have also come up with ways to evade price cap such as charging rack rates for the days before a person is confirmed as Covid positive and doing the same for the days after the person tests negative but remains admitted for post-Covid complications. In many states like Delhi, there is no mechanism to ensure implementation of the caps despite a large number of complaints of overcharging.
One of the UN’s sustainable development goals is to prevent “catastrophic spending” on health, which can impoverish families. If the share of health expenditure in the total annual household expenditure is more than 10% to 25%, it is considered catastrophic. In all states, just treatment for moderate Covid in isolation beds for 10 days with the capped rates is well above the 25% threshold for 80% of households. While in states like Delhi, Kerala and Punjab with high household monthly expenditure, ICU treatment for severe Covid could be 50%-80% of annual household spend, in most other states it could be equivalent to an entire year’s household expenditure, or even double what a family would spend in two years.
译文来源：三泰虎 http://www.santaihu.com/p/51037.html 译者：Jessica.Wu
Subha Narayan Mishra
Reality is,doctors becoming dacoits and medicals as well as staffs becoming irresponsible,arrogant and greedy.
I lost my father by the cold blooded murder executed by medicos in pvt hospitals and now ashamed that,earlier I was believing them to be corona warriors.all looters.
The only way to teach these greedy leeches a lesson is to burn down a couple of hospitals, everyone else will fall in line..
the fault is with our go nment.
Centre and State Governments are doing nothing to stop this loot. They could have taken complete control under disaster management Act to stop this looting.
Only BJP govt would spend money (8000 CR) on VVIP airplane than using it for helping treatment for poor families.. Their brainless decisions will hurt India the most.. All other countries are spending money for Covid..
It's a joke. 1.5 laks for 10 days?
More than 80% of the families were crippled by Modi Government before beginning of 2020 . Those families are now starving . And out of remaining 20 % majority of the families have been crippled by Covid and immature lockdown . And remaining may be less than 1%.have become more wealthy .
Subba Iyer Mani
Healthcare is only for govt propaganda and ‘Mann ki baat’. No one can afford covid treatment.
Private hospitals Mafia and Politicians from all the political parties are minting money since COVID arrived in India .
Indian go nment has grossly neglected heathcare since beginning so private healthcare has flourished. Government should form system like NHS of uk. Nothing can be free, every household should make give 1percent of their income for healthcare schemes so these schemes can be made viable.
I will prefer to die at home rather than going to hospital... save my family financially
what ET is pointing out is the pathetic condition of our health care system. An already moribund system has got a rude shock by Covid. No wonder that people don't want to report infection . If you go to govt hospitals chances of survival very low and if you go to private hospital then risk of wiping out lives savings.
No one including doctors know anything about Corona.There is no medicine.hospitalization is not required.If one stays isolated for ten days everything is back to normal.Those who are exploiting in the name of Corona must be shot dead.
Capping of Covid treatment cost is a big lie by both the Centre and State Government. Private hospitals are looting people. In Faridabad Haryana, I had to pay one lac advance despite having insurance policy.
truth is bitter
Government to take full control of few private hospital till pandemic is over....treatment be free of patient..
Citizen welfare desk
Ground reality is the problem with the govt. Modi had promised to provide world class great health care system in India for everyone's avail, but when that will be translated into action, it seems a mirage now. Whatever is good the govt is not doing anything. Only sound is there but no action.
50 crore poor people are already covered under National Health Scheme. they should not suffer.
Doctors will become multimillionares by end of this pandemic.