22 February 2024 : The Hindu Editorial Notes PDF
The Hindu Editorial
22-February-2024
1. Electoral season and restructuring the health system.
Topic: GS2 – Social Justice – Health Critical for UPSC: Manifesto analysis illuminates policy directions, reflecting healthcare reform priorities and governance approaches, crucial for aspirants’ understanding. |
Context |
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Manifestos and Political Priorities:
- Manifestos crucial for reflecting political parties’ thinking and priorities, enabling accountability and shaping public discourse.
- 2024 manifestos anticipated to include extravagant promises amidst electoral competitiveness.
Political Outlook on Health:
- BJP and Congress manifestos in 2014 and 2019 shared commonalities
and differences in addressing health priorities.
- Congress emphasized health as a public good and citizens’ right, while BJP viewed it as a commodity with public-private partnerships.
Progressive Measures by UPA and NDA:
- UPA’s National Rural Health Mission aimed at rural healthcare delivery improvement, introducing pay-for-performance and social health insurance.
- NDA continued policies, establishing the National Medical Commission, strengthening rural health infrastructure, and expanding social health insurance.
Incremental Changes and Global Comparisons:
- Incremental changes in health policies over two decades lacked comprehensive reform of the health system architecture.
- Global comparisons highlight quicker achievements in countries like Thailand and Turkey, emphasizing public delivery systems and infrastructure development.
Challenges in Indian Health System:
- India faces challenges with weak primary and secondary health infrastructure, severe human resource shortages, and a focus on tertiary care.
- Policy shifts towards tertiary centres despite the majority of health issues being manageable at primary and secondary levels.
Importance of Resilient Primary Healthcare:
- Strengthening primary healthcare critical for integrating community surveillance, demographic data, and disease profiles for effective planning.
- Successful reform processes require deliberate, planned strategies and strong local capacity for regulation and patient care.
Thailand’s Successful UHC Strategy:
- Thailand’s Universal Health Coverage success resulted from years of strong HR policy, substantial budget allocation for provincial health infrastructure, and careful planning.
- In contrast, India’s approach relies on purchasing services from a private sector facing supply shortages and operating on a fee-for-service model.
Challenges in Reforming Indian Health System:
- Political leadership shift needed from a focus on high-end hospitals to comprehensive health system restructuring.
- Reform involves changes in medical curriculum, equitable admission policies, banning dual practice, and building outcome-based health systems.
The Path Ahead:
- Designing a system “fit for purpose” requires political will, decentralization, operational flexibilities, and accountability.
- Challenges include understanding the current healthcare system, designing reform processes, and building implementation capacity at the district level.
Conclusion:
- Manifestos must address systemic healthcare challenges, committing to comprehensive reforms for better health outcomes and reduced healthcare costs.
- The question remains whether political parties can commit to such reform processes in their manifestos.
PYQ: In order to enhance the prospects of social development, sound and adequate health care policies are needed particularly in the fields of geriatric and maternal health care. Discuss. (150 words/10m) (UPSC CSE (M) GS-2 2020) |
Practice Question: To what extent have past healthcare policies and reforms in India addressed the challenges in the health system? Analyze the impact and suggest potential areas for improvement. (150 words/10 m) |
2. Workplaces must ensure fair treatment of women employees.
Topic: GS1 – Society – Social empowerment GS2 – Social Justice – Vulnerable sections Critical for UPSC: Highlights gender discrimination, legal judgments, and the imperative for workplace transformation, aligning with governance and societal challenges. |
Context |
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Supreme Court’s Gender Equality Stand:
- The Supreme Court of India criticizes rules penalizing women employees for marriage, deeming them unconstitutional and a form of gender discrimination.
- The court emphasizes that terminating employment based on marriage is a violation of human dignity, the right to non-discrimination, and fair treatment.
Case of Selina John:
- Selina John, a former lieutenant in the Military Nursing Service, was discharged in 1988 for getting married, facing gender-biased employment rules.
- The Supreme Court upholds Ms. John’s rights, directing the Union Government to compensate her with ₹60 lakh within eight weeks.
Patriarchal Employment Practices:
- The court deems the dismissal of women employees for marriage as “wrong and illegal,” noting that such rules applied only to women nursing officers.
- Women in the Army faced historical gender disparities; permanent commission granted post-2020 and 2021 judgments.
Challenges in Civilian Workforce:
- Civilian workplaces exhibit gender biases, with women facing uncomfortable personal questions in job interviews related to marriage and motherhood.
- Barriers to women’s education, employment, and opportunities hinder increased labor participation, reflected in the low 19.9% workforce representation in India.
Gender Disparities in Education:
- Economic and sanitation issues lead many girls, especially from poor backgrounds, to drop out of school, hindering their educational and career prospects.
Global Gender Parity Concerns:
- The UN’s Gender Snapshot 2023 highlights global gender disparities, indicating the need for corrective measures to prevent the next generation of women from disproportionate domestic duties.
- Schemes for girls and women lack impact if constrained by restrictive social and cultural norms.
Call for Workplace Transformation:
- The Supreme Court’s stance underscores the unconstitutionality of rules linking marriage and domestic involvement to employment entitlements.
- Organizations urged to heed the court’s message, transforming workplaces into enablers of gender equality, breaking societal barriers.
Conclusion:
- The Supreme Court’s condemnation of gender-discriminatory employment rules signals a crucial step towards workplace transformation.
- Selina John’s case underscores the need for dismantling societal barriers, fostering gender equality, and empowering women in all spheres.
Barriers to women’s education, employment in India |
Challenges:
Way Forward:
By addressing these challenges and implementing effective solutions, India can create a more equitable environment where women have equal access to education and employment opportunities, contributing to their overall empowerment and societal progress. |
PYQ: What are the continued challenges for women in India against time and space? (250 words/15m) (UPSC CSE (M) GS-1 2019) |
Practice Question: How do recent Supreme Court rulings on gender discrimination in employment impact the need for workplace transformation? Discuss with examples (150 words/10 m) |
For Enquiry
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