1st Edition
Federalism and Public Health in India Dissonant Discourses
The interface of public health and federalism are increasingly gaining scholarly attention in the fields of comparative federalism and welfare state studies. This volume looks into various facets of public health and governance in India from a legal, institutional and policy perspective.
The volume explores the regulatory architecture around healthcare in federal systems of governance; public finance and insurance; private sector in medical care and the tussle for power between the union and the states. A multidisciplinary volume with essays from scholars working in public health, economics, political science and legal studies, the book critically evaluates India’s public policy apparatus dealing with health crises, inequity and the lack of health infrastructure and resources among other challenges. It also looks at the impact of the Covid-19 pandemic on federalism and democratic structures as well as the role of institutions such as the NITI Aayog and other central agencies in policy formulation and implementation within the broader framework of intergovernmental relations in a federal system.
The book will be of interest to students and researchers of public health, public policy, health administration, medical sociology, constitutional law and political science, as well as of federalism.
List of Figures. List of Tables. List of Contributors. Acknowledgements 1. Introduction: Public Health and Federalism: Where we are and where do we need to go? PART I: THE FEDERAL CONTEXT 2. Public Health in the Constituent Assembly 3. What’s Ailing Federalism? Health Policy and Strains in Intergovernmental Relations Louise Tillin 4. Towards a Legal Framework for Public Health Emergencies in India 5. Inter-State Variations in the Growth of the Private Sector in Medical Care PART II: UNEQUAL STATES 6. Responding to The Rising Burden of Non-Communicable Diseases in A Federal Polity 7. Public Health Infrastructure and Human Resources with Focus on Primary Health Care PART III: REGULATORY ARCHITECTURE 8. Drug Regulation and Federalism in India 9. Federalism and Regulation of Private Healthcare in India Unfolding Contradictions between Centre, States and People in Times of Authoritarian Neoliberalism 10. Ensuring Availability of Pharmaceutical Products: A Critical Evaluation of the Role of the Central Government PART FOUR: QUEST FOR SECURITY 11. Health Federalism and Women’s Health Outcomes in India’s ‘Backward’ States 12. Meddling with Food Security: Political Undercurrents Affecting the Scientific Logic of Food Adequacy 13. Federal Polity in the Control of Communicable Diseases in India: Reviewing the First 75 years 14. Surviving Covid in a General Ward of a Public Hospital: A Personal Narrative 15. Centre-State Fiscal Relationship in the Light of the National Health Mission: Is Centralization the Answer? 16. Decentralizing the Delivery of Healthcare: The Need of the Hour. Index.
Biography
• Balveer Arora - Chairman, Centre for Multilevel Federalism, Institute of social Sciences, New Delhi.. • Mohan Rao - a medical doctor, specialized in public health and taught for many years at the Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi.
