The Hindu·3 min read·hard

Why India needs a smarter healthcare margin policy

R
Rajendra Pratap Gupta
Why India needs a smarter healthcare margin policy
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The article argues that India needs a more nuanced healthcare margin policy to address the high costs of medical supplies. It suggests that a one-size-fits-all price ceiling is insufficient and calls for differential strategies based on the nature of the product.

Why it matters

Reforming healthcare pricing is critical for improving affordability and transparency in India's medical sector, particularly for patients in emergency situations.

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The MRP debate, which has been recently triggered where a hospital purchased a product for ₹11 and billed it for ₹325, is misplaced and lacks the context we need to understand the issue properly.

Hospitals rightly point out that the gap between procurement and billing is not all profit: storing supplies, maintaining sterility and ensuring availability carry costs. But patients are entitled to ask a more basic question. How did ‘maximum’ become the price they routinely pay?

MRP was designed as a ceiling to protect consumers. In healthcare, it can, however, also conceal how a price is built. The printed figure tells a family little about the manufacturer’s returns, the margins taken along the supply chain, or whether the product offers any advantage over a cheaper alternative. A patient in an emergency cannot shop around. When choice disappears, a ceiling risks becoming the default charge.

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