Reconnect public health with people’s needs

This opinion piece critiques recent Indian public health initiatives, arguing that government policies like the Ayushman Bharat Health and Wellness Centres have prioritized branding over actual improvements in healthcare access. The author contends that these policies fail to address the deteriorating quality of public health infrastructure and the rising costs of private care.
Why it matters
It raises critical questions about the efficacy of large-scale public health reforms and the gap between policy branding and grassroots service delivery.
Public health policies, like other public policies, are crucial in determining the overall health of the population and are an important contributor to a nation seeking to reap the benefits of its demographic dividend. One of the major claims of health policies in recent years has been the achievement of universal health coverage (UHC), a novel idea that seeks to ensure that every individual has access to needed health services without suffering financial hardship. Yet, populist ideas often dominate public policy despite evidence to the contrary, as seen in the case of publicly funded health insurance schemes. The changing nature of public health policy in recent years is particularly concerning, not only because it has often failed to be evidence-based, but also because of its inability to guarantee even minimal health benefits to the population.
The article adopts a critical stance toward government policy, focusing on systemic failures and the inadequacy of current public health strategies.
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