According to Forbes magazine, India spends only 4.2% of its GDP on healthcare, compared to 18% for the US. Health services are so poor that there is only one doctor per 2,000 citizens in India. Despite being the national capital, Delhi lags behind in medical facilities in comparison to international benchmarks. According to the World Health Organisation, the hospital beds per 1,000 citizens is 50% below normal. Ideally there should be 5 hospital beds/1000, but Delhi accounts for only 2.71 beds/1000 citizens, as per the 2014-15 survey.
Constitutionally, India is supposed to provide free health services to every citizen, but government medical facilities are so inadequate, insufficient and poor that 70% urban households prefer to visit private sources for medical purposes. It is to be understood that it is the poor who are the biggest sufferers of this inadequacy.
It is in this context that the AAP government, with a promise to provide quality and equitable medical services to each and all, increased the health budget by 45% after taking power in 2015. It devised a three-tier health care system with big hospitals at the top of the pyramid and
mohalla clinics at the bottom, poly clinics in the middle. The idea was to provide medical facilities at the doorstep of citizens in neighbourhoods and unburden big hospitals. But this fell victim to dirty politics. The situation became so grim that AAP MLAs had to go to the Lieutenant Governor's office on Wednesday and sit there for seven hours to make him to listen to their requests to clear
mohalla clinic files.
Mohalla clinics are the most innovative and affordable idea invented by the AAP government. According to the Delhi government, each
mohalla clinic has a built-up area of about 50-60 sq. metres, a semi-permanent structure with a doctor, nurse, pharmacist and laboratory technician where patients do not have to pay any consultation fees for doctors and medicines are provided free of cost. More than 200 kinds of tests are also done for free. Anyone can walk in. The idea is that for a routine checkup, patients don't have to visit hospitals and moreover, doctors are available at the walking distance.
Mohalla clinics, located mostly in poor neighbourhoods of Delhi, have been working towards ensuring good health of its people
The first
mohalla clinic was opened in July, 2015 in Peeragarhi in North West Delhi. With world class facilities, the
mohalla clinic was an instant hit. As of now, 162 such clinics are operational. The Washington Post and Chicago Tribune wrote that America should learn from Delhi health services' innovation. This was the time when US president Barack Obama was struggling with his own medical bill popularly known as Obamacare. Former Secretary General of UN, Kofi Annan, and the famous medical journal Lancet have also profusely praised these initiatives and French TV made a film on them.
This popularity became its biggest enemy.
Ajay Maken, the president of the Delhi unit of the Congress, made a frivolous complaint alleging misappropriation of funds which was most promptly received by the Vigilance Department that directly reports to the Lieutenant Governor; files related to
mohalla clinics were most "urgently" seized and construction work stopped. This happened last year in October. Najeeb Jung was the Lieutenant Governor then. Since
mohalla clinics caught the imagination of the people instantly and became very popular, it made the BJP and the Congress very uncomfortable. Therefore, the story of
mohalla clinics being involved in scams was concocted and an investigation was thus "justified". The Vigilance Department was roped in and the construction of clinics was stopped; the land which was to be made available by the DDA was taken back and the scheme of making 1,000 clinics by the end of 2017 came to a standstill.
This episode established two things. One, the game of conspiracy is played by the BJP and the Congress in tandem. Remember that Ajay Maken had also gone to court complaining about the AAP government spending on advertisements. On his complaint, a three-member committee of the central government erroneously slapped a fine of Rs 97 crore on AAP which of course could not stand scrutiny in court. One can ask why the local Congress leadership is playing this game. The answer is simple. Before AAP jumped into electoral politics, Delhi was a bi-polar politic played between the BJP and the Congress. AAP's entry has created an existential crisis for the Congress; after ruling the national capital for 15 years, it was reduced to 8 seats in 2013 and in 2015, it could not open its account. The Congress knows that as long as AAP is strong in Delhi, it will be difficult for to regain its position. So it has connived with the BJP to discredit AAP.
Lt. Governor of Delhi, Anil Baijal, could spare only 3 minutes, 27 seconds for 44 MLAs
Secondly, AAP's major emphasis on education and health is creating a model of development which is directly being compared with "Modi's Gujarat model" that helped him become Prime Minister. The global appreciation of
mohalla clinics has BJP strategists worried that if these projects catch the fancy of the common man, there would be a problem for the image of the Prime Minister.
AAP had assumed that after the departure of Najeeb Jung, the situation would no longer be adversarial. Anil Baijal, a career bureaucrat, has a reputation of being an efficient administrator. So it was assumed that he would not obstruct the day-to-day administration of the government. But unfortunately, this turned out to be untrue. His stand on
mohalla clinics and the evacuation orders for the AAP party office (which was overturned by Delhi High Court last week) has been baffling.
The overwhelming demand for
mohalla clinics from every constituency created a situation in which MLAs were left with no option but to directly knock on the door of the LG's office, requesting him help expedite the files. It was wrongly construed as a kind of
dharna or a siege by the people's representatives of the LG's house. The LG is the guardian of the government. The MLAs are the people's representatives. And if MLAs feel aggrieved, it is the duty of the LG to not only to listen to their woes but to find an answer.
On Wednesday, Mr Baijal could spare only 3 minutes, 27 seconds for 44 MLAs. He left the meeting abruptly while the MLAs kept requesting they be heard properly and the files for the clinics be released so that construction can begin. Finally, after seven hours, it was decided that the LG would meet Delhi Chief Minister Arvind Kejriwal. The meeting did happen the very next day and it was decided that by Tuesday next week, the LG would take a positive decision. Let me assure readers that the frivolous charges of wrongdoings in the scheme have no basis - it is the result of conspiratorial minds. Let's hope for the best. Let's hope the LG's decision brings happiness and power to the people of Delhi.
(Ashutosh joined the Aam Aadmi Party in January 2014.)Disclaimer: The opinions expressed within this article are the personal opinions of the author. The facts and opinions appearing in the article do not reflect the views of NDTV and NDTV does not assume any responsibility or liability for the same.