Modi first Indian PM to prioritise UHC; Rahul yet to match 'Modicare': The Lancet

A noted UK-based medical journal has said Narendra Modi is India's first prime minister to prioritise universal health coverage (UHC) as part of his political platform under the 'Ayushman Bharat' scheme, even as it added that Congress chief Rahul Gandhi was "yet to match Modicare".

Richard Horton, editor-in-chief of the 'The Lancet', said the prime minister has grasped the importance of health not only as a natural right of citizens, but also as a political instrument to meet the growing expectations of the emerging middle class of India, which is engulfed in a "swirling epidemic of non-communicable diseases".

"Rahul Gandhi seeking to resurrect the Congress and prove that India's greatest political dynasty still has something to offer, despite his promises to help lower castes, tribal communities and rural poor, is yet to match Modicare," Horton said in an article published in the journal.

The Lancet editor-in-chief asserted that health will be a decisive issue in next year's general election in the country.

With reference to five India-specific disease burden studies on non-communicable diseases published in The Lancet group of journals on Wednesday, Horton said, "...as the BJP and Congress set out competing and contrasting visions for India's future, health will rightly become a decisive issue in next year's general election".

Referring to Gandhi's statement of 'There is a full-blown crisis in India' at the London School of Economics last month, The Lancet editor-in-chief said the Congress president was referring to a "job crisis", but the five papers published across three Lancet specialty journals have revealed that there was also a "health crisis" in India.

"After years of neglect, the Indian Government has at last recognised the perils of public discontent about health. Under a new initiative called Ayushman Bharat launched this year, Prime Minister Modi has implemented two new flagship programmes.

"Ayushman Bharat has two pillars -- the creation of 1,50,000 health and wellness centres across the country to provide a spine of primary care facilities to deliver universal health coverage; and the National Health Protection Mission (NHPM), a health insurance aimed at providing coverage of Rs 5 lakh per family annually, thus benefiting more than 10 crore poor families," said the article.

"Together, these twin programmes should improve access to quality health services and reduce out-of-pocket health expenditures," it said.

Horton in the article said Modi's stated goal is to build a new India by 2022.

"Rahul Gandhi has spoken about a 'modernising impulse' in India and the possibility of 'a transformation of 13 billion people'. Modi has grasped the importance of health not only as a natural right for India's citizens, but also as a political instrument to meet the growing expectations of India's emerging middle class.

"Modi is the first Indian Prime Minister to prioritise universal health coverage as part of his political platform. Rahul Gandhi, despite his promises to help lower castes, tribal communities, and the rural poor, has yet to match Modicare," the article said.

Horton said the five Lancet papers have also revealed a dangerously rapid epidemiological transition with Ischaemic heart disease being the leading individual cause of disease burden in India, while the contribution of cardiovascular diseases to total deaths has almost doubled since 1990.

"While India is engulfed in this swirling epidemic of non-communicable diseases, the country is also in the grip of a mental health emergency. India could claim 18 per cent of the world's population in 2016, yet it accounted for 37 per cent of global suicide deaths among women and 24 per cent among men," the article added.