The future of social careBMJ 2019; 364 doi: https://doi.org/10.1136/bmj.l252 (Published 18 January 2019) Cite this as: BMJ 2019;364:l252
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In reference to the article about “The future of social care.” According to this article, the long-term plans for the NHS are to improve health care of the population of England. The success of this agenda depends on tackling growing staff shortage and the government’s future decisions on the education, training, budget, funding for public health as well as social care. It is always expected that general practitioners respond immediately in crises. The challenges are raising the health care demand from aging population and more financial pressure on local government which is responsible for publicly funded social care. Social cost depends on the aging population. To minimize this challenge requires changes in social funding. So, the result is that publicly funded social care has become safety for poor people. The insurance market has failed to offer that much cost and people have to pay for their own health. In the coming future, attention will focus on the government’s next step for social care. A sustainable solution should be proposed for the purpose of funding of social care for disabled old and young people. The settlement would be paid by public spending fund through increased tax and national insurance.
We realize that health is the human right for all without any discrimination including refugees. Health should be available and provided to all in a cost-effective manner. In the Indian scenario the main challenges in health care financing are expensive medicine and treatment. Access and entry into hospitals depends on gender, socioeconomic status, education, wealth and urban versus rural. Furthermore, inequalities in financing healthcare and distance from healthcare facilities are barriers to access. Additionally, there is a lack of sufficient infrastructure in areas with high concentrations of poor individuals. So recently the government of India has launched a new scheme in 2018 called Ayushman Bharat Yojna. This scheme will cover over 10 crore poor and approx 50 crore beneficiaries proving coverage up to 5 lac rupees per family per year for secondary and tertiary care hospitalization and cashless treatment from any public and private hospital across the country.
Insurance companies do not provide health cover to those who are elderly, unemployed and poor. Other than that technology promotion and shortage of medical institution are also challenges in India. So the government launched DIGITAL India programme for standardization, storage and exchange of electronic health records. There is a pseudo cozy relationship between the insured, the insurance company and the healthcare provider. The government should work with the insurance market to come up with a cost-effective scheme for poor and old people, such as health policies with low premium for old and poor people.
In India, health systems are grappling with the effects of existing communicable and non-communicable disease. Attention is needed not only in the healthcare sector but also improving sanitation facilities that will be useful to reduce the number of communicable diseases. Similarly improving life style related risk factors might reduce the burden of disease due to non-communicable disease. The future plans of the health care system of India are to control communicable diseases like malaria, HIV/AIDS as well as non-communicable disease like cancer, CVD.
No single solution is enough to improve healthcare facilities as well as healthcare finance, so multiple solutions like government intervention, improving facilities, large budgets and alternative fundraising methods will be helpful to achieve the goal. Monitoring and evaluation is required to strengthen the health care system and knowing the loopholes in the scheme and policies.
Competing interests: No competing interests
Health is the Human Right for All without any Discrimination
Health is state of complete physical, mental ,social, intellectual , environmental, economical and spiritual well being and productivity of life. It is
not merely the absence of disease or infirmity.
So health should be available and provided to all in a cost-effective manner, irrespective of the people 's race, religions, casts and of their socio-economic and migration status , in each and every countries without any discrimination including as refugees
Competing interests: No competing interests