Rs. 1200 Crore allocated for 1.5 Lakh health and wellness Centres
National health protection Scheme to provide Hospitalisation cover to over 10 Crore poor and vulnerable families
The Government today announced two major initiatives in health sector , as part of Ayushman Bharat programme. The Union Minister for Finance and Corporate Affairs, Shri Arun Jaitely while presenting the General Budget 2018-19 in Parliament here today said that this was aimed at making path breaking interventions to address health holistically, in primary, secondary and tertiary care systems, covering both prevention and health promotion.
The initiatives are as follows:-
(i) Health and Wellness Centre:- The National Health Policy, 2017 has envisioned Health and Wellness Centres as the foundation of India’s health system. Under this 1.5 lakh centres will bring health care system closer to the homes of people. These centres will provide comprehensive health care, including for non-communicable diseases and maternal and child health services. These centres will also provide free essential drugs and diagnostic services. The Budget has allocated Rs.1200 crore for this flagship programme. Contribution of private sector through CSR and philanthropic institutions in adopting these centres is also envisaged.
(ii) NationalHealth Protection Scheme:- The second flagship programme under Ayushman Bharat is National Health Protection Scheme, which will cover over 10 crore poor and vulnerable families (approximately 50 crore beneficiaries) providing coverage upto 5 lakh rupees per family per year for secondary and tertiary care hospitalization. This will be the world’s largest government funded health care programme. Adequate funds will be provided for smooth implementation of this programme.
The Finance Minister further said, that these two health sector initiatives under Ayushman Bharat Programme will build a New India 2022 and ensure enhanced productivity, well being and avert wage loss and impoverishment. These Schemes will also generate lakhs of jobs, particularly for women.
Now what does this mean for the common man in India:
Rs. 1200 Crore allocated for 1.5 Lakh health and wellness Centre..…If we do the maths, for each centre it works out to 80000 Rs. What type of centre would this be?
According to the Government, These centres will provide comprehensive health care, including for non-communicable diseases and maternal and child health services. These centres will also provide free essential drugs and diagnostic services.
The question is, who is paying? You and me, tax paying citizens of course!
I hope the Government would provide us the basic requirements for good health, just the basics, instead of wasting tax payers money on expensive “health care” centres.
A rupee spent in prevention is worth millions in treatment.
My question to the Government is: Can the Government provide fresh, non polluted air to breathe? Can it provide clean drinking water?
There comes a time in every persons life when they know the end is near, and the most common wish is to die with dignity and with as less of pain as possible.
Yet often at times like these, it is the near and dear ones who become the decision makers, and they may not understand what to do best in these situations.
To better understand this, from the medical point of view, this is what usually happens if the relatives with to for no intensive care for their terminally ill relatives.
Doctors explain that the relatives sign a DNR request, which means Do Not Resuscitate.
The EMFI, a Christian Healthcare Network in India, has long promoted the use of a better alternative, called AND, which simply means Allow Natural Death.
There was an interesting article published recently which said that “More family members choose to “allow natural death” for patients”
How doctors frame the patient’s situation can also affect the decisions made by their family. Researchers in the United States examined if the family members of a critically ill patient will go for cardiopulmonary resuscitation (CPR) when doctors change how the situation is conveyed. 60% of the participants chose to allow the patient receive CPR if their heart stops, instead of the “Do Not Resuscitate” (DNR) order. However, it decreased to 49% when doctors framed DNR as “allow natural death”. The researchers noted that phrasing the choice as “allowing natural death” might reduce the family’s feelings of guilt, as DNR might invoke a sense of taking something away from the patient by not choosing to act.
Despite the availability of healthcare information online, most patients still rely on healthcare professionals to explain their health condition. The words that the healthcare professionals use, and the social norms invoked by their words, do have subtle influence on how people perceive a situation. Thus, healthcare professionals should take note of the words they use, especially when it is a life-or-death decision. [http://www.upmc.com/media/NewsReleases/2013/Pages/doctors-choice-of-words-influence-cpr-decision.aspx]
We at Shalom Life care believe that every human being is created in the image of God, and is worthy of respect and dignity till the very end of life. We support the use of AND and involve relatives in the care of their near and dear ones till the very end.
We also believe that there is a life after death, for which this life is but a preparation. Are you prepared?
I’m writing this as events are unfolding in India which were unheard of. Violence against healthcare workers has witnessed an increase which has left many including doctors confused and angry.
There have been many discussions all across about the what, why, whom and how to tackle this problem which has led to a complete shut down of all Medical OPD and routine services in the entire state of Maharashtra fur the second day today.
Violence seen against doctors comes from a desire to get something. Justice perhaps? Or as an outburst from within, an anger that cannot be controlled.
What is causing this rage, these outbursts of violence?
The unwritten reason, I feel, is a lack of peace within.
Peace is a term derived from Shalom. But the English language fails to convey the full meaning of the word Shalom.
We may say that India and Pakistan are not at war, so we are at peace. But that is not the peace we want, especially in the context of a relationship between the healthcare worker and the patient!
Peace in the sense of Shalom is not just an absence of conflict, it’s a positive relationship of mutual trust, respect, love and concern.
This peace can only come when you are at peace in your heart. In your relationships. With yourselves, with your creator, and with others.
This is not a peace which can be obtained by observing certain rules like in diet or habits. It is not a peace that can be self generated, no matter what breathing technique or mantra you use. It is not a peace that can be enforced by legislation or increasing security in the workplace! These methods have been tried fur centuries, but have failed miserably.
It comes in your heart when you realise that you are a forgiven sinner. And that, I believe, is a realisation that comes mysteriously.
Only those who realise who they are, and what the Lord has done for them, can really experience Shalom.
It can be difficult to accept this fact about your identity, for various reasons. Pride or tradition could be the a reason. Or your heart may not like to hear the truth.
Let God be the judge. He knows you, and yet loves you. The Bible says he hates sin but loves the sinner so much that he took the punishment due on the sinner on himself.
So dear reader, violence against doctors, police, and others will only cease when each and every person experiences Shalom, true peace. That is a picture of heaven on earth, isn’t it?
Relationships and good health the key to happiness, not income
Most human misery is due not to economic factors but to failed relationships [with God and one another] and physical and mental illness. Eliminating depression and anxiety would reduce misery by 20% while eliminating poverty would reduce it by 5%. And on top of that, reducing mental illness would involve no net cost to the public purse.
These are among the findings presented at a landmark conference on wellbeing this week at the London School of Economics (LSE), co-organised with the Organisation for Economic Co-operation and Development (OECD) and other leading institutions.
Experts from around the world will assess the research evidence on wellbeing over the life course – and the policy implications for how best to reduce misery and promote wellbeing. Lord Richard Layard and his LSE team at the Centre for Economic Performance (CEP) presented for the first time the results of their monumental study of the Origins of Happiness, analysing survey data from four countries.
Among the findings on the key determinants of people’s life satisfaction:
Income inequality explains only 1% of the variation in happiness in the community, while mental health differences explain over 4%. Education has a very small effect on life satisfaction, compared with, for example, having a partner.
When people evaluate their income or education, they generally measure it against the locally prevailing norm. As a result, overall increases in income or education have little effect on the overall happiness of the population: if my relative income rises, someone else’s must fall, and the average is unchanged. This helps to explain why in Australia, Britain, Germany and the United States, average happiness has failed to rise since records began, despite massive increases in living standards.
The strongest factor predicting a happy adult life is not children’s qualifications but their emotional health. There is also powerful evidence that schools have a big impact on children’s emotional health, and which school a child goes to will affect their emotional well being as much as it affects their exam performance.
Lord Layard said:
“The evidence shows that the things that matter most for our happiness and for our misery are our social relationships and our mental and physical health. This demands a new role for the state – not ‘wealth creation’ but ‘wellbeing creation’.’
“In the past, the state has successively taken on poverty, unemployment, education and physical health. But equally important now are domestic violence, alcoholism, depression and anxiety conditions, alienated youth, exam-mania and much else. These should become centre stage.’
This week’s conference featured presentations by Mari Kiviniemi, Deputy Secretary General of the OECD; Professor Jeffrey Sachs, co-editor of the World Happiness Report; and Professor Alan Krueger, former Chairman of the US Council of Economic Advisers and a wellbeing expert. Separate papers were presented on wellbeing in Australia, Denmark, France, Germany, Norway, Sweden and United States.
In addition Professor Paul Frijters, now of LSE, launched a World Wellbeing Panel providing monthly comments on world events from a wellbeing perspective.
Nancy Hey, director of What Works Centre for Wellbeing, says:
‘Most people are convinced that improving wellbeing is important and that there is a need to act. What is trickier is understanding what organisations – government, business, communities – can do.
“This world-leading research helps us understand what really supports people to live better lives. These findings can be used to inform policy and spending decisions, and I hope will lead to trials that continue to build the global evidence base of what works to improve wellbeing”
The conference on 12-13 December 2016 was jointly organised by the OECD, the Centre for Economic Performance of the London School of Economics, and the CEPREMAP Wellbeing Observatory of the Paris School of Economics, in conjunction with the What Works Centre for Wellbeing.
Shalom Lifecare promotes an integral approach to life and happiness. We are glad t partner with organisations and individuals doing ground breaking research, unlocking the mysteries of the human being.
Ashok One Hospital is a new Hospital being built as a Medical Surgical ICU Hospital managed by Shalom Lifecare at Dahisar East.
The services provided are Medical and Surgical OPD consultation, indoor admission facilities, intensive care, operation theatre for major surgery, Pharmacy and other diagnostic and therapeutic modes of patient care.
Shalom Lifecare has been formed with a very specific vision, to provide the best possible medical care with the highest levels of integrity and compassion in line with the beliefs of its founders.
Trust has been riding in the medical field and the partners having made a deep study of this phenomenon based on their personal experience and in depth analysis of the developments in this field.
Our model is based on treating each patient with the dignity they are worthy of and which is God given.
My name is Mathew S Peedikayil, Dr. S. P. Mathew is how I am known by friends and colleagues. Here I will present three models of Healthcare that we have in the World today.
Modern Scientific Medicine: The scientific reductionist model
I have done my MBBS and MD in General Medicine from KEM Hospital and Seth GS Medical College, the premier Medical College in Mumbai.
As a Medical student and then a Physician, I have been always trained in Medicine in a particular way, which I never got around to questioning or examining, assuming that was the way Medicine is and ought to be practiced.
As I entered private practice, as a Physician, it soon became apparent to me that while Modern Medicine does know a lot, there is a lot more that it does not know or know how to address.
For example, I would treat a patient with Hypertension, but would be left wondering what to do with the person sitting in front of me narrating about the anxiety in his life that caused the Hypertension to persist.
That is when I realised that the system of Medicine called Western or Allopathic Medicine is not equipped to deal with the person as a whole, but only with his physical problems.
I realised that this is because Western or Allopathic Medicine is based on the Scientific reductionist approach. Now what is this?
Simply put, it is a system of breaking down or reducing a complex subject into its basic observable components to enable scientists to study it more thoroughly.
Inadvertently what well meaning scientists had done was assuming that man is no more than a collection of atoms and molecules, and thus they made the cardinal error of reducing man, made in the image of God [Genesis 1] into something quite ordinary.
In doing so they redefined not only the identity of a human being, but also redefined cure in similar reductionist terms. As a result, while it has resulted in remarkable advances in Medicine and surgery, because it is scientifically tested and validated, it left unaddressed a big part of human life. So a cure for a Doctor would mean the elimination of bacteria for example, or the physical mending of a broken bone.
But humans are not just atoms and molecules! We have a spirit and a soul, with yearnings and desires that go way beyond the physical! We long for significance, meaning and value in our life, we long for love, fellowship, someone to share life with, and much more, which scientific allopathic medicine is blind to, perhaps because so called science thinks within a narrow box of what is physically testable, partly because of its foundations in Darwinian models of evolution.
The result has been the second model…
2. The pseudo scientific spiritual model
People longed for something more than just a physical cure. They wanted something that would address the deeper needs of the soul and spirit.This resulted in the emergence of the second model of Healthcare, that which tries to address the issues of the soul and spirit. There are several alternative healing ‘pathies’ here, like Homeopathy, Chinese Medicine with the concept of Yin-Yang, etc.
Unfortunately, all of them are of questionable benefit and they do not have any scientific basis at all. Yet people try these remedies because they are desperate.
3. Shalom in Health care
The best model of Healthcare is one which truly recognises that we as human beings are made in the image of God, and our value comes not from the way we look, the money we make or the family we belong to, but from the fact that we are made in the image of the God who created the entire universe. The God of Shalom.
You are much much more than just a collection of atoms and molecules!
This model recognises and uses the best of Modern Scientific medicine and integrates it into an approach that can be described as Integral person Care, addressing the whole person with dignity, respect and unconditional [agape] love.
It aims to bring the Shalom of God into the lives of people. It reconnects humans who have rebelled against God and are doing what their self desires, into a restored relationship with God the creator through the finished work of Jesus Christ His Son.
Selfishness leads us to destruction, and indeed the world is headed that way. The one who created us knows what is best for us, doesn’t He?
Shalom to you…..may you find the Shalom of God and the God of Shalom.
To bring Shalom, which is the presence and peace of God, into the lives of people coming to and influenced by us. It includes providing the best possible medical care including preventive, diagnostic and therapeutic interventions.
To carry out the business of providing the best possible Service in all fields of Medicine and Health including Prevention, Counselling, Rehabilitation, Diagnosis, Research, Advocacy, Knowledge dissemination, Education, Treatment both therapeutic and palliative, and to generate opportunities to develop further centres in other places and other related activities in the name and style of M/s SHALOM LIFECARE as partnership concern.
That the business aim of the firm shall be to provide the best possible Service in all fields of Medicine and Health including but not limited to Prevention, Counselling, Rehabilitation, Diagnosis, Research, Advocacy, Knowledge dissemination, Education and Treatment both therapeutic and palliative.
May the Shalom of the living God and the God of Shalom be with you.