Consider the following statements: Statement-I: India’s public sector

Consider the following statements:

Statement-I: India’s public sector health care system largely focuses on curative care with limited preventive, promotive and rehabilitative care.

Statement-II: Under India’s decentralized approach to health care delivery, the States are primarily responsible for organizing health services.

Which one of the following is correct in respect of the above statements?

Both Statement-I and Statement-II are correct and Statement-II is the correct explanation for Statement-I
Both Statement-I and Statement-II are correct and Statement-II is not the correct explanation for Statement-I
Statement-I is correct but Statement-II is incorrect
Statement-I is incorrect but Statement-II is correct
This question was previously asked in
UPSC IAS – 2023
Both Statement-I and Statement-II are correct individually, but Statement-II is not the correct explanation for Statement-I. India’s public healthcare system does have a predominant focus on curative care, and health is indeed a State subject. However, the State being primarily responsible for health services doesn’t inherently lead to a focus on curative care; this focus stems from historical development, resource allocation patterns, disease burden, and infrastructure priorities.
– Statement I is correct: India’s public health system has historically prioritized and invested more in curative care (treating illnesses) through hospitals and clinics, compared to robust preventive, promotive, and rehabilitative health services, although efforts are being made to change this focus.
– Statement II is correct: Under India’s federal structure, Public Health and Sanitation is listed in the State List of the Seventh Schedule of the Constitution, making States primarily responsible for organizing and delivering health services.
– The decentralization of health as a State subject provides states autonomy but doesn’t explain the *reason* for the focus on curative care. This focus is driven by historical context, disease profile, infrastructure development priorities, and resource constraints.
Improving the balance between curative, preventive, promotive, and rehabilitative care is a key goal of India’s National Health Policy. The focus on strengthening primary healthcare, including wellness centres and public health initiatives, aims to shift the balance towards prevention and promotion.