<b>Ashvin Parekh:</b> One step forward, many backward
Insurance sector has breaks all past records of tall promises failing at the implementation stage
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When we look at our record of reforms, in the context of the stated objectives, we find that there is a wide gap between the first articulation of our reforms and a big statement of promises and, thereafter, its subsequent execution. In fact, sometimes one is left wondering whether we were better off without these reforms and amendments in the first place.
The insurance sector is no exception. In fact, it breaks all past records of tall promises failing at the implementation stage.
The journey began with the opening of the sector to the domestic private sector and foreign companies. We made tall promises of a level playing field for the players, both from public and private sectors. We also made promises to empower a newly formed regulator adequately to develop and regulate the sector. All these measures, we were told, were aimed at providing the policyholders a fair deal. The benefit to the final customers: more transparency and efficient operations from public and private players by identifying and abolishing restrictive practices. In addition, deeper market penetration and widening the product and service solutions was envisaged.
Then came the reassessment of the stated objectives and a recognition that structural changes would be required to be made to the insurance statute and a few other statutes to remove some of the imperfections in the market. The original promise of allowing foreign players higher equity stake up to 49 per cent had to accompany several amendments which would go with this reform.
So in 2006-07, 248 amendments were drafted into the prevailing statute. These were aimed at, including several procedural matters, reforms in health insurance, equity increase for foreign partners of the joint ventures, the reinsurance sector and empowering the authority to conduct its work with little involvement of the government. Only a few critical areas were identified where the regulator was required to consult the government and where its approval was required.
The amendment required parliamentary acceptance, which happened after seven-eight years of debate and two successive governments. The number of amendments was also brought down from 248 to 96. The regulator, industry and policyholders accepted this diluted reform in the hope of a level playing field and reduction of some inefficiencies in future.
But things seem to be going awry still. In health insurance, we started with the objective of creating a conducive environment through disciplining the health care sector and incentivising more standalone health insurance companies by reducing the capital requirement. The new regulations are still awaited and there’s no debate around the core objective of reducing the burden of health cost and risk. Successive governments have reduced their outlays on public health from primary, secondary and tertiary sectors to below 10 per cent from a sizeable 25 per cent a decade earlier. The health insurance sector contributes a meagre four per cent to the total spend. The use of reforms to create an environment of risk pooling is blatantly missing.
The insurance sector is no exception. In fact, it breaks all past records of tall promises failing at the implementation stage.
The journey began with the opening of the sector to the domestic private sector and foreign companies. We made tall promises of a level playing field for the players, both from public and private sectors. We also made promises to empower a newly formed regulator adequately to develop and regulate the sector. All these measures, we were told, were aimed at providing the policyholders a fair deal. The benefit to the final customers: more transparency and efficient operations from public and private players by identifying and abolishing restrictive practices. In addition, deeper market penetration and widening the product and service solutions was envisaged.
Then came the reassessment of the stated objectives and a recognition that structural changes would be required to be made to the insurance statute and a few other statutes to remove some of the imperfections in the market. The original promise of allowing foreign players higher equity stake up to 49 per cent had to accompany several amendments which would go with this reform.
So in 2006-07, 248 amendments were drafted into the prevailing statute. These were aimed at, including several procedural matters, reforms in health insurance, equity increase for foreign partners of the joint ventures, the reinsurance sector and empowering the authority to conduct its work with little involvement of the government. Only a few critical areas were identified where the regulator was required to consult the government and where its approval was required.
The amendment required parliamentary acceptance, which happened after seven-eight years of debate and two successive governments. The number of amendments was also brought down from 248 to 96. The regulator, industry and policyholders accepted this diluted reform in the hope of a level playing field and reduction of some inefficiencies in future.
But things seem to be going awry still. In health insurance, we started with the objective of creating a conducive environment through disciplining the health care sector and incentivising more standalone health insurance companies by reducing the capital requirement. The new regulations are still awaited and there’s no debate around the core objective of reducing the burden of health cost and risk. Successive governments have reduced their outlays on public health from primary, secondary and tertiary sectors to below 10 per cent from a sizeable 25 per cent a decade earlier. The health insurance sector contributes a meagre four per cent to the total spend. The use of reforms to create an environment of risk pooling is blatantly missing.
Illustration: Ajaya Mohanty
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