Senior citizens’ care

THE recent expansion of the Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (PM-JAY) to provide health coverage to citizens aged 70 and above is a significant move in India’s public health landscape. However, the rollout on public health has sparked a public spat between the Centre and Opposition-led states, particularly Delhi and West Bengal. PM Narendra Modi has claimed that these state governments have opted out of the scheme due to “political interests”.

This tension raises a pressing question: should public health, especially for vulnerable senior citizens, be subject to political manoeuvring? Ayushman Bharat offers an annual coverage of up to Rs 5 lakh per family. It is a boon for many elderly individuals whose healthcare needs are often financially crippling. However, notably, this welfare measure differs from the ones prevailing in Western countries. Out-of-pocket expenses in India remain quite high. The scheme’s curative approach lags behind the preventive care systems seen in the west, where comprehensive, tax-funded programmes prioritise proactive health interventions.

In contrast, Delhi’s health model has garnered international praise for its accessibility and preventive care focus. However, by refusing Ayushman Bharat, states like Delhi may deny their elderly residents an additional safety net. For senior citizens facing health crises, any opportunity for comprehensive health coverage can be life-changing. The political impasse only undermines their wellbeing. Healthcare for seniors must transcend the political divide. A pragmatic approach could integrate elements from both the Delhi and Ayushman Bharat models, ensuring efficient, accountable and accessible healthcare across states. A national framework that reflects a commitment to all citizens, regardless of state politics, is needed.