Tag: Health

  • What Might be Leading to the Rise of Conflict in Man-Woman Relationship

    What Might be Leading to the Rise of Conflict in Man-Woman Relationship

    Today due to the educational, economic and social changes, the erstwhile restricted spaces in terms of exclusive residential habitations and private caste-determined spaces are not functional any more. As a result, interactions between different caste and religious groups have indeed changed and increased.

    During recent times the collective conscience of civil society and the public, in general, has been severely shaken due to the occurrence of a number of bone-chilling incidents wherein husbands, boyfriends, or live-in male partners have brutally killed the women they cohabited with. These incidents have not just been plain killings but have led to the ruthless dismembering of the bodies of the women killed. The killers have done various things post the killings from refrigerating the dismembered pieces to throwing them into a tandoor. One wonders if apartment buildings have aided in providing privacy and anonymity that would not have been possible otherwise to indulge in such acts.

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  • Responsible Decision-making in the Face of Corona – A Need for a Metric

    Responsible Decision-making in the Face of Corona – A Need for a Metric

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    Abstract

    The asymmetry of the human mind in treating the information that is currently available and the information we do not have is remarkable. During the Covid-19 pandemic, many people have been conscious to take precautions to prevent contracting the virus oneself or their family members. However, the consequences of a person infecting another are not consciously considered by everyone while going on about their ‘new normal’ life making daily transactions that involve the labour of a multitude of people. Nobody pauses to wonder whether anyone in the supply chain of the product or service consumed by an individual has contracted the virus or died due to the virus in the process of its production. This is because that information is unavailable to us in a tangible form for our minds to perceive and hence it chooses to ignore it. Although the number of cases increases with every wave, people have started accepting it or rather have become desensitised to the number of lives lost to Covid-19, mainly because these deaths are unseen. This article explores whether such a pondering – number of people infected and consequently lives compromised – would be a consideration in the decision-making in the production and consumption of products and services. If so, is there a need to develop a metric to inform us of this number? Would it be feasible to have such a metric? This article attempts to quantify these unseen deaths, so as to sensitise people to the consequences of a person getting infected.

    Introduction:

    Now, two years after the onset of the Covid-19 pandemic, most people reading this would have lost one or more relatives, friends, colleagues or an acquaintance due to the infection. I am no exception. But the trigger for this article is the death of a couple, Razia and Nasir (names changed) that happened in the summer of 2021. Their small fruits and vegetable outlet, by a synergic arrangement, was situated within the spacious premises of another outlet – a cold storage that dispenses meat, poultry and fish for the upwardly mobile residents living in a posh locality of Bangalore. 

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    Featured Image Credit: OSORIOartist

  • The Gated Republic: India’s Public Policy Failures and Private Solutions

    The Gated Republic: India’s Public Policy Failures and Private Solutions

    Book Review
     
    The Gated Republic: India’s Public Policy Failures and Private Solutions
    Author: Shankkar Aiyar
    Publisher:  Harper Collins India
    Date: 01 September 2020
     

    India has always been statist. All its political parties are Statist in one way or the other; from Jawaharlal Nehru to Narendra Modi, the State has been thought of as the most important player in economic and social affairs. However, even with all this undue importance, the Indian State has failed to deliver even basic goods to its citizens in more than seventy years since independence. Political journalist and author Shankkar Aiyar analyses these government failures and explores the private solutions offered for such problems in his new book The Gated Republic: India’s Public Policy Failures and Private Solutions.

    Without engaging in the debate on how small or big a government should be, the author asserts that providing basic amenities is a moral obligation of the State to its citizens. The basic amenities namely Water, Health, Education, Power and Security are the titles of the chapters where he analyses issues surrounding each one of them individually. The issues are well researched, and every argument is substantiated with facts, so much so that one might find the sheer number of facts overwhelming.

    Shankkar Aiyar, however, does not stop with just facts, he gives us anecdotal stories on how failed government policies affect real people. And disproportionately such affected people are poor. Aiyar argues that this is because ‘those who can find solutions- where they find them and when they can pay for them- have already migrated to private solutions. Two conclusions can be deduced from this analysis. One, the poor are left out without even basic amenities of life, thereby increasing inequality. And two, the people who can pay for private solutions are ‘paying for services they have already been taxed for’. Either way, the author argues that the government has let down its citizenry.

    The fact that there is a rationed hourly quota for water in Mawsynram, the region of the highest rainfall in India and that even after seventy-three years after independence, less than 50% of class V students can read class II level text is a testament to the magnitude of the failures of the government.

    The State is, however, not ignorant of these issues. ‘Every decade saw a new committee’ and Aiyar lists out all of them from various sectors, sometimes even from the British period. In public policy, it is said that what gets measured gets managed but even with so many committees, there have not been desirable improvements. The fact that there is a rationed hourly quota for water in Mawsynram, the region of the highest rainfall in India and that even after seventy-three years after independence, less than 50% of class V students can read class II level text is a testament to the magnitude of the failures of the government. It is not that the government is not doing anything, but this dire situation is the result of sloth-like bureaucracy and something Aiyar calls the ‘announcement approach’ of the politicians. Aiyar argues that successive governments have stopped themselves with lucrative announcements and rebranding of old schemes with new slogans instead of rectifying ill-thought-out policies. For example, he talks about the Accelerated Rural Water Supply Program (ARWSP) which was introduced in 1973. Through the years it has gone through different transitions from being included in the twenty point program during the emergency to Technology Mission on Drinking Water in 1986, Rajiv Gandhi National Drinking Water Mission in 1992, becoming a separate Department of Drinking Water under Ministry of Rural Development in 1999, morphing into the Department of Drinking Water and Sanitation in 2010 and finally becoming Drinking Water and Sanitation Ministry in 2011. Now the ministry is renamed as the Ministry of Jal Shakthi. Even after all these measures, clean piped water is still a distant dream to many Indians.

    In a democracy, incompetent policies and politicians should be punished in the polls but Aiyar argues that there is a ‘divorce of authority from accountability’. He does not dwell too deep into why such a gap between government failures and electoral politics exists because the question, although imminent to understand this state of affairs, is beyond the scope of the book. However, he points out at various places in the book where such a gap exists and how ‘normal’ it has come to be. For example, the use of tanker lorries by the governments to ferry and provide water to its citizens is a shift from the actual problem of the lack of capacity to provide piped water. And the fact that water tankers are a ‘normal’ in reality is a testament to how public policy failures are divorced from electoral politics.

    Although people have not kept the State accountable, they have come up with solutions to address government failures on their own. There is an opinion echoed by many others that in India that problems are solved not by the government but despite the government. Aiyar explores so many places where the above statement holds. We get to know about ‘Bisleri’, the first bottled water and how its name evolved, the story of Apollo group of hospitals, many budget private schools and teaching fellowships, the ubiquity of inverters, private security firms who grossly outnumber police force 83:17 and so on. Each private solution is the result of incompetent government services and inefficient public policies. Aiyar dives deep into how the solutions came to be and how it has helped normal people. Take, for example, the power sector. Even though India is the world’s third-largest electricity producer, not every household has electricity. And inverters, diesel and battery, have made a huge impact on households. So much so that, in 2011, the sixty-eighth National Sample Survey (NSS) report created a new entry for inverters in household consumption of goods and services. Aiyar discusses many other problems and their private solutions in the book.

    What is interesting is that people, even poor people, prefer private solutions though it is costlier. For example, the author points out that about ‘78% of rural and 81% of urban Indians’ preferred private hospitals. This shows a lack of faith in government services. These are the symptoms of decades of ill-thought-out public policies that do not address the root cause of the issue.

    What is even more interesting is that now, these private solutions are rebranded as government initiatives. The Adoption of water purifiers and dispensers in government offices and public places is an example of such rebranding. More recently, NEET coaching classes by government schools in Tamilnadu can also be boxed into that category. While both measures are desirable, they are only short-time fixes that address the symptoms of government failure. Through these measures, the author argues that the tragedy of the issue is lost, and the irony is ignored.

    the book paints a rather gloomy picture of the state of affairs where people are exiting from government services for private solutions. Although this ‘exodus’ is natural for rich people, abject government failures are pushing everyone into private solutions irrespective of affordability.

    To summarize, the book paints a rather gloomy picture of the state of affairs where people are exiting from government services for private solutions. Although this ‘exodus’ is natural for rich people, abject government failures are pushing everyone into private solutions irrespective of affordability. The book argues that people are assembling themselves into gated communities where these failures of government policies are taken care of by private solutions. The author has accomplished what he has set out to do- to show us in a platter, the sorry state of public policies and the many failures that it begot. It remains for the civil servants, politicians and the voting citizens on what their line of action will be.

  • COVID-19: Fighting CoronaVirus

    COVID-19: Fighting CoronaVirus

    At the end of December, public health officials from China informed the World Health Organization that they had a problem: an unknown, new virus was causing pneumonia-like illness in the city of Wuhan in Hubei province. They quickly determined that it was a coronavirus and that it was rapidly spreading through and outside of Wuhan.

    Today, the entire world is seized with the menace of CoronaVirus (COVID-19) believed to have originated in China. The first reported case was on 31 December 2019 and now 188 countries are affected. The World Health Organisation (WHO) declared it a pandemic on 11 March 2020. Although China has now reported that it controlled and contained the epidemic, the virus has spread rapidly to cover almost the entire globe. The new hotspots are USA, Italy, and Spain, with Italy and Spain reporting  10779 and 7340 deaths respectively while the USA accounts for 2489 deaths; compared to China’s 3304 deaths . India as on 30 Mar 2020 had reported 1100 cases with a death toll of 29.   Till date 735,015 cases are reported and the numbers are rising. 34,804 people have died and 156,122 have recovered. A total of 544,089 cases are still active and about 5% of these are critical. Of the closed cases, 18% have been reported to have died. Worst affected is Italy. India has  reported 1100 cases as on 30th March 2020 and in the last two days more than 200 cases have been added to the affected number. In this connection, the alarming aspect is that while it took 40 days for the first fifty cases to come up, the next 50 were reported within a day , despite the Janata Curfew on 22 March. This makes the situation critical and though India may not be  in Stage III (community spread) as yet, it looks like that we are close to it. According to media reports on 23 March 2020, Kerala and Bhilwara in Rajasthan have probably descended to Stage-III. Dr Ramanan Laxminarayanan, Director of Center for Disease, Economics and Policy has warned that India could be dealing with a tsunami of COVID-19. As per his estimate, India could be dealing with as many as 300 million cases of which 4-5 million could be serious. India needs to take a note of this rate criticality. As the Prime Minister in his address to the nation stated, the situation is grave,  serious and every Indian needs to act responsibly to fight the menace with determination and show utmost discipline in personal conduct.

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