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Healthcare Pakistan

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Healthcare Pakistan
Question: The Government of Pakistan offers health care for free or at nominal rates in public hospitals. Does this act like a health insurance? Who benefits from such a policy? Critically analyze the policy and assess if a program like Medicaid can be successfully implemented in our context; will it improve health outcomes?

The Economic Survey of Pakistan 2011-12 suggests that the federal government’s expenditure on health amounted to a measly 0.27% of the national GDP (“Pakistan”). Given that a majority of Pakistan’s population is poor and unable to afford even basic medical treatment for the frequent disease outbreaks, this contribution seems rather inadequate. Hence the question arises as to whether the government’s investment in the public provision of healthcare successfully treated its recipients, and if so, has it been available to every person in need? Thus in this paper, we analyze the state of Pakistan’s public sector healthcare system and reveal its actual beneficiaries. Our aim will be to assess whether the government has in fact insured its people from medical contingencies by assessing the factors which have led to the success or failure of current policies. We will subsequently delve in to alternate courses of action at the disposal of the government by assessing their viability in the current economic climate and their potential impact on improving the current levels of service.
Public hospitals in Pakistan currently charge a nominal fee for healthcare, which usually runs at Rs. 100 per doctor’s visit (Ali). Since they largely cater to people in the low and lower middle income groups, this at times acts as a deterrent for the vast majority of patients who cannot even afford this basic fee. Hence, even though the masses are conceptually entitled to subsidized health care, they end up borrowing to fund their medical expenditures.
According to Naya Jeevan Founder Asher Hasan, hospitals also tend to be under-resourced and overwhelmed (Kalsoom).



Cited: Akram, Muhammad, and Faheem Jehangir Khan. "Health Care Services and Government Spending in Pakistan." Pride.org.pk. PAKISTAN INSTITUTE OF DEVELOPMENT ECONOMICS ISLAMABAD, 2007. Web. 21 Dec. 2012. Ali, Adnan. "Health Care in Pakistan." Azmat Welfare Foundation RSS. N.p., 4 Jan. 2011. Web. 21 Dec. 2012. "By Population | Medicaid.gov." By Population | Medicaid.gov. N.p., n.d. Web. 22 Dec. 2012. "Facts | Cancer | Hospital | Hospitals | Imran Khan." Facts | Cancer | Hospital | Hospitals | Imran Khan. N.p., n.d. Web. 22 Dec. 2012. "FIA Arrests 3 for Misappropriating Rs10m." DAWN.COM. N.p., 29 Apr. 2012. Web. 21 Dec.2012. "HEADLINES." DAWNCOM Poverty in Pakistan Comments. N.p., n.d. Web. 22 Dec. 2012. "Health Expenditure; Public (% of GDP) in Pakistan." Health Expenditure; Public (% of GDP) in Pakistan. N.p., n.d. Web. 22 Dec. 2012. Kalsoom. "Providing Health Care for Pakistan’s Urban Poor – Q&A with Naya Jeevan Founder Asher Hasan." CHUP Changing Up Pakistan. N.p., 23 Feb. 2010. Web. 21 Dec. 2012. "Medicaid Payments per Enrollee, FY2009 - Kaiser State Health Facts." Medicaid Payments per Enrollee, FY2009 - Kaiser State Health Facts. N.p., n.d. Web. 22 Dec. 2012. "Pakistan Economic Survey 2011-2012." Onepakistan.com. Ministry of Finance Government of Pakistan, 1 June 2012. Web. 21 Dec. 2012. "Pakistan External Debt." - Economy. N.p., n.d. Web. 22 Dec. 2012. Siddiqui, Zuha. "Lack of Healthcare Provisions in a Disease-stricken Land." DAWNCOM Lack of Healthcare Provisions in a Diseasestricken Land Comments. N.p., 27 June 2012. Web. 21 Dec. 2012.

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