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The Concerns Associated With Ayushman Bharat Programme



  • GS Paper-2, Health

What is the issue?

  • Hospitals are displeased with the provisions of the Ayushman Bharat Programme.

Why the Programme is under scanner?

  • Government recently published the rates that insurance companies would pay hospitals.
  • This applies for the 1,350 procedures covered under the scheme.
  • Hospitals have criticised these rates as being arbitrary and low.
  • g. the price of Caesarean section for 5 days of hospital stay, food and consultation is Rs.9,000
  • Even government hospitals incur Rs.7,000 a day just to maintain a bed.
  • The reimbursement rates were not calculated in a scientific manner.
  • Doctors are thus concerned about the clustering of medical conditions in the rate list.
  • g. treatment for tuberculosis and HIV with complications will be reimbursed at the same rate of Rs.2,000 a day
  • Clearly, the degree of treatments for HIV and tuberculosis differ.
  • HIV complications can be relatively serious and these illnesses must be compensated differently in the scheme.
  • Ayushman Bharat relied on a study of over 100 hospitals in 60 cities.
  • But these were mostly hospitals with under 50 beds in tier-2 and tier-3 cities.
  • The cost structure of these hospitals is substantially different from tertiary-care hospitals in tier-1 cities.
  • But Ayushman Bharat rates do not account for these differences.

What is the government’s stand?

  • For now, the government is committed to the launch date of August 15.
  • But officials have acknowledged that the rates will be revised.
  • AHPI (Association for Healthcare Providers India) has been asked to submit a list of 100 key procedures.
  • Ayushman Bharat would then conduct a detailed cost study for this.
  • Until then, hospitals are asked to continue with the present rates.

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TRAI’s recommendation



  • GS Paper-3, Science and Technology, Infrastructure

Why in news?

  • Telecom Regulatory Authority of India has ruled that People should have right to their data.

What is the TRAI’s recommendation?

  • In a move with far-reaching ramifications, the Telecom Regulatory Authority of India (TRAI) said that users owned their data, while entities in the digital ecosystem storing or processing such data were mere custodians.
  • The recommendations have come at a time when there are rising concerns around privacy and safety of user data, especially through mobile apps and social media platforms.
  • The authority said it was limiting its recommendations to telecom service providers (TSPs) as the larger issues on data protection.
  • For all other sectors the issues would be addressed by the committee headed by Justice B N Srikrishna.
  • TRAI claimed that existing norms “not sufficient” to protect consumers and ruled that entities processing user data mere custodians sans primary rights
  • The regulatory authority stated that firms should disclose data breaches in public and should list actions taken for mitigation, preventing breaches
  • Apart from that consumers should be given right of consent, right to be forgotten and study should be undertaken to formulate the standards for de-identification of personal data
  • TRAI’s right to be forgotten empowers users to delete past data that they may feel is unimportant or detrimental to their present position.
  • Past data could be in terms of photographs, call records, video clippings and so on.
  • Mandatory provisions should be incorporated in devices so that users can delete pre-installed applications
  • Terms and conditions of data use should be disclosed before the sale of a device
  • Data controllers should be prohibited from using pre ticked boxes to gain user’s consent.

How can the above recommendations be implemented?

  • To ensure the privacy of users, national policy for encryption of personal data, generated and collected in the digital eco-system, should be notified by the government at the earliest.
  • Till such time a general data protection law is notified by the government, the existing rules/licence conditions applicable to service providers for protection of users’ privacy be made applicable to all the entities in the digital ecosystem.
  • For this purpose, the government should notify the policy framework for regulation of devices, operating systems, browsers, and applications.
  • It has also been proposed that privacy by design principle coupled with data minimisation should be made applicable to all the entities in the digital ecosystem.
  • These recommendations when accepted by the government will mean that entities like browsers, mobile applications, devices, operating systems and service providers, among others.
  • Such entities will not be able to share personal data with third parties without getting the consent of customers.


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