"It's as if the poor have no right to healthcare."
Poor public infrastructure, unaffordable private medical care, and limited access to the state health insurance scheme are pushing Covid patients and their families into long-term debt in Marathwada. 🧵
The thought of the hospital bill, nearly double the family's annual income, was overwhelming to Ramling Sanap (40). In the wee hours, he walked out of the Covid ward and hanged himself in the hospital corridor.
Ravi Morale says he took his uncle Ramling Sanap to a private hospital in Beed because there were no beds in the Civil Hospital. The second wave of #covid19 has highlighted the poor public healthcare infrastructure in rural India-Beed has only 2 govt hospitals for 26 lac people
The family went straight to the superintendent of police and complained that the hospital had triggered Ramling’s death by asking him for money. His tragic demise was due to the hospital’s carelessness, they said, since no hospital staff was present in the ward at that time.
The government of Maharashtra has capped private hospital charges to ensure that Covid patients don’t lose all their savings. The hospitals aren't allowed to charge more than ₹4,000/day for a general ward bed, ₹7,500 for a bed in ICU and ₹9,000 for an ICU bed with ventilator
Suresh Gangawane fought against the hospital's exorbitant charges when his brother was refused treatment under MJPJAY.
MJPJAY's CEO, Dr. Sudhakar Shinde, says, “Several cases of malpractice and irregularities by private hospitals have been found. We're looking into it.”
Osmanabad’s DM Kaustubh Diwegaonkar, is addressing the issue of overcharging by private hospitals by cancelling their empanelment. But the owners counter that package costs have risen since 2012 and barely been updated and so the scheme is untenable.
“Our primary health centers are grossly short-staffed, so people don’t get decent services” Public healthcare must be improved so that we don’t have to go to private hospitals, says Aniket Lohiya of Manavlok, a rural development organisation.
The common man continues to suffer.
Since public hospitals have been overflowing with Covid patients, people have had to turn to private hospitals even though they can't afford them.
For many, a one-time emergency has turned into long-term debt reports @parthpunter
‘Who knew the lack of rain could kill my art?’ (a thread)
Three decades ago, no one wanted to teach a young Sanjay Kamble how to work with bamboo.
Today, when he wants to teach everyone his dying craft, no one wants to learn.
“It’s ironic how times have changed,” the 50-year-old says.
With the bamboo that grows in his one-acre field, Kamble mainly crafts irlas – a kind of raincoat used by paddy farmers in this region in western Maharashtra.
“My lungs feel like stone. I can barely walk,” says Manik Sardar.
In November, 2022, the 55-year-old was diagnosed with silicosis – an incurable pulmonary disease. “I have no interest in the upcoming elections,” he continues,
“I am only worried about my family’s condition.”
Naba Kumar Mandal is also a patient of silicosis. He adds, “elections are about false promises. For us, voting is a routine task. No matter who comes to power, things will not change for us.”
“I reach here by 8:45 a.m. and we start work by nine. By the time I am home, it is 7-7:30 in the evening,” says Madan Pal. ‘Here,’ is the tiny carrom board factory in Suraj Kund Sports Colony in Meerut city, Uttar Pradesh.
Karan, 32, who has been working here for 10 years, inspects each stick of wood and segregates those that are damaged and will be returned.
“It is not difficult to make a board, but it is not easy to make the coins glide on the playing surface.”
Lenindhasan, or Lenin– as he is called – and his friends, are trying to replace modern rice varieties and resist mono-cropping. Their plan is to restore lost diversity. And to germinate a rice revolution.
It's a different kind of revolution, led by another kind of Lenin.
Lenin cultivates 30 varieties of rice. He sells another 15 raised by fellow farmers. And he conserves 80 types of paddy seeds. All this, in his family’s six-acre farm in Tamil Nadu’s Tiruvanamalai district.
It seems as if he’s been farming and selling paddy for decades. But it’s only been six years.
Before he became a farmer, Lenin was a corporate employee in Chennai, with two degrees and a good salary.
Life has only become harder in the last 10 years (A thread)
India's poorest homes continue to rely on minor forest produce like mahua and tendu leaves, along with the assured Mahatma Gandhi National Rural Employment Guarantee (MGNREGA) programme.
As they prepare for voting today in the General Elections 2024, Adivasi villagers here in Arattondi village say their lives have only become harder in the last 10 years...