Indian Constitution has failed over 100 children in Bihar who died for want of timely medical support. Indian democracy has ruefully demonstrated that it's a system of unaccountable governance. National silence, by and large, over deaths of children has affirmed the worst fears that apathy for poor has grown by leaps and bounds. Naked medical infrastructure in Bihar, which mirrors other states as well, is a warning to all -- citizens of the country are facing a ticking time bomb in imploding health infrastructure. Extent of undernourishment among children is a hard slap on faces of policy makers who have for years written papers on socio-economic planning of the country.
Till the last count, more than 100 children have died at one hospital in Muzaffarpur, Bihar, in a span of about a fortnight. Thick-skinned say, it's an old story, that a mystery illness kills children during the peak summer in parts of Bihar. For years, health babus have called it acute encephalitis; some even ventured to attribute deaths to toxins released by unripe Litchi. Indian Parliament found mention of the deaths, but for maligning Litchi, which is causing hardship to growers. For politicians, deaths may be mystery. But stunted policies over the years had arguably foretold these deaths.
Guess works of medical fraternity converge largely on undernourishment and lack of sanitation as principal culprits. That 44 per cent of children in Bihar are underweight lends credence to the assessments of health professionals. Spectre of filth in Bihar indeed makes the state sitting on pile of garbage. None could, thus, dispute general diagnosis that undernourishment and filth are killing the children.
But National Food Security Act (NFSA) has also completed six years in existence, guaranteeing 25 kgs of foodgrains to each family almost free. The government has been pouring over Rs 1.25 lakh crore every year, principally for the reason that the poor shouldn't suffer from undernourishment and hunger. Bihar is a state, which has been aggressively implementing the mother of all welfare programme. The obvious rationale to pump in over Rs 1.25 lakh crore each year in running the Soviet era public food distribution programme is only to fight undernourishment. Underneath, however, the programme fattens embedded vested interests, who suck the lifeblood of the country, because the political class has no spine to tell that India must stop the political business of a state funded agriculture where only few pocket gains that too in just four to five states.
Thick-skinned Bihar politicians additionally, have bared delusion that the political change in the state was just facile that only the faces changed. The dark age of 1990s had ceded the state seemingly to light at the end of the tunnel in 2005 in the state. White clad thugs hid their guns and only chanted the mantra of their castes day and night in the changed political theater of the state.
Gargantuan corruption in Panchayat and Local Bodies, the third tier of democracy, has shown an insatiable appetite for wealth. Public service, indeed, is least of their priority. That the former Union Minister Jairam Ramesh was awestruck at jewel laden 'Sarpanch and Mukhiya' at Vigyan Bhavan and former Bihar chief minister Lalu Prasad at the scale of SUVs lined up on Tughlaq Road in 2012 when he called meeting of such persons had bared that unbridled corruption rules at the Panchayati Raj, which was thought to be government's channel of delivery of services to people.
NITI Aayog is the new czar of policy making in India. Bereft of genuine talent pool from socio-economic space, the policy think tank has shown masterly hunger for private resources to deal with India's critical issues. It seeks privatisation. Heir to Planning Commission, a few of the interventions of NITI Aayog have shown that it essentially seeks quick fix solutions. And, one such stroke of genius to deal with crippling health infrastructure was Ayushman Bharat -- Rs five lakh medical insurance plan for 10 lakh people in the country.
Heavy stroke of the scheme, amplified politically, sought to to put up a facade on a dilapidated health infrastructure. It was projected as a panacea for the health needs of millions. The Centre for past two years put all efforts to popularise the scheme. That AIIMS in Patna, Bihar, and others too in various state capitals remain works progressing at snail's pace failed attention of the political leadership. That the country is acutely short of qualified doctors failed the attention of the political masters of the country. That upgradation of district hospitals has been crying needs for decades fell on deaf ears.
Policy thrusts, indeed, was to look for solutions from within private hospitals. After education majorly slipping into the private hands, health by all accounts is firmly in grips of private enterprises. And, that profiteering is the only indisputable mantra of private enterprises suggests that the political masters have thrown the public health to the wolves.
Bihar deaths are just warning. The poor have fallen first. Others too will be in the queue.
