Role of Government in Health

Role of the Government in Health - Long Answer Questions

Q1. What is 'Health'?

It means our ability to remain free of illness and injuries. But it also includes clean water, pollution-free environment, and mental well-being (stress-free).

Q2. What are the two types of healthcare services?

1. Public Health Services (Run by Government). 2. Private Health Facilities (Run by individuals/companies for profit).

Q3. Who runs the Public Health Service?

The government, using taxes paid by the public. It is a chain of health centres and hospitals linked together.

Q4. What are PHC and CHC?

PHC: Primary Health Centre (Village level). CHC: Community Health Centre (Block level).

Q5. What is the cost in Public vs Private?

Public: Low cost or free. Private: High cost, expensive medicines.

Q6. What is the story of Hakim Sheik?

A member of PBKMS (West Bengal agricultural labourers). He fell from a train and had head injuries. 8 government hospitals refused him admission (no bed/equipment). He had to go to a private hospital and spent a lot. He sued the government.

Q7. What was the court verdict in Hakim Sheik's case?

The court said Article 21 (Right to Life) implies right to health. The government failed its duty. It had to reimburse Hakim Sheik's expenses.

Q8. What is the story of Costa Rica?

Considered the healthiest country in Central America. They decided not to have an army. They spent that money on health, education, and basic needs.

Q9. What is the 'OPD'?

Out Patient Department. Where patients are first brought in a hospital before being admitted to a ward.

Q10. What are Communicable Diseases?

Diseases that spread from one person to another via water, food, or air (e.g., Diarrhoea, Worms, Hepatitis, TB, Malaria).

Q11. Why do we pay taxes?

Government uses tax money to provide public services (defense, police, judicial, highways) and developmental programmes (education, health).

Q12. What are the problems in Indian Health Care?

Urban-rural divide (doctors prefer cities). Long queues in public hospitals. Expensive private care pushes poor into poverty.

Q13. What percentage of people can afford medicines?

Only 20% of the population can afford all the medicines that they require during an illness.

Q14. What is the responsibility of the government?

To provide quality healthcare services to all its citizens, especially the poor and the disadvantaged.

Q15. compare Aman and Ranjan's experience.

Ranjan (rich) went to a private hospital (fancy, quick, expensive). Aman (poor) went to a govt hospital (long wait, dirty, cheap/free).

Q16. What causes illness besides germs?

Malnutrition (not enough food), lack of clean drinking water, unhygienic surroundings.

Q17. What are 'Generic Medicines'?

Medicines sold by chemical name, not brand name. They are much cheaper but equally effective.

Q18. What is the key difference between Public/Private motivation?

Public: Service/Welfare. Private: Profit.

Q19. What is the Kerala experience (1996)?

The state gave 40% of the budget to panchayats. They planned water, food, women's development and education effectively. Health centers improved.

Q20. What is 'Medical Tourism'?

Foreigners coming to India specifically for medical treatment at world-class hospitals for lower costs than their home country.

Role of the Government in Health - Important Facts

Fact 1

India produces the largest number of doctors.

Fact 2

Approx 30,000 new doctors qualify every year.

Fact 3

India is the fourth largest producer of medicines.

Fact 4

Half of Indian children are malnourished.

Fact 5

TB kills 5 lakh people every year.

Fact 6

Malaria cases are 2 million per year.

Fact 7

Clean drinking water prevents 21% of diseases.

Fact 8

Public health system is meant for everyone.

Fact 9

Private health facilities are not controlled by govt.

Fact 10

Private sector is dominant in India.

Fact 11

Medical Council of India Code of Ethics.

Fact 12

Prescribe generic names where possible.

Fact 13

Article 21 is Right to Life.

Fact 14

Hakim Sheik filed a case in court.

Fact 15

PBKMS stands for Paschim Banga Khet Majoor Samity.

Fact 16

Govt hospitals often face shortage of staff.

Fact 17

RMP stands for Registered Medical Practitioner (Rural).

Fact 18

Urban areas have specialized doctors.

Fact 19

Private hospitals have better labs.

Fact 20

Expensive treatment causes debt.

Fact 21

40% of admitted patients borrow money.

Fact 22

Poor people are more prone to illness.

Fact 23

Women's health is often neglected.

Fact 24

Tribal areas have few health centres.

Fact 25

Costa Rica is in Central America.

Fact 26

Costa Rica has no army.

Fact 27

Sanitation is key to health.

Fact 28

Safe housing impacts health.

Fact 29

Preventive healthcare is vaccinations.

Fact 30

Curative healthcare is treatment.

Fact 31

Mobile medical vans exist.

Fact 32

Anganwadis work as rural child care centres.

Fact 33

ASHA workers helps in village health.

Fact 34

Sub-centre covers a few villages.

Fact 35

District Hospital supervises PHCs.

Fact 36

UNICEF works for children's health.

Fact 37

WHO is World Health Organization.

Fact 38

Pulse Polio campaign eradicates polio.

Fact 39

ORS saves lives in diarrhoea.

Fact 40

Adequate nutrition is a right.

Fact 41

Water borne diseases are common.

Fact 42

Hepatitis affects the liver.

Fact 43

Chikungunya is spread by mosquitoes.

Fact 44

Dengue is spread by mosquitoes.

Fact 45

Swine flu is a viral disease.

Fact 46

Mental health is part of health.

Fact 47

Stress affects physical health.

Fact 48

Clean environment is a right.

Role of the Government in Health - Important Dates/Terms

1. 1996

Kerala decentralization budget

2. 1992

Hakim Sheik accident

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