Global Trade in Health Care

Paper Summary:

This paper provides an overview of the nature of trade in health services in India. The paper also discusses the possible implications on the national health services affecting equity, efficiency and access to health services. The paper then discusses the current Indian health scenario. Next, the paper analyzes the future trends and scope for foreign collaborations as well as policy responses required in the prevailing international and national health environment. A discussion on how to meet the challenges which are likely to be faced by India is also included. The paper contains many graphs and figures.

Table of Contents:
Abstract
Overview of Global Healthcare Trade
Implications of Trade in Healthcare
The Current Indian Health Scenario
Future Trends, Scope of Foreign Collaboration and Policy Environment

From the Paper:

"Increasing trade in health care is almost certain to create dual structures-one catering to the rich segment of the population and the foreigners and the other to the people who can not afford high costs of out-of-pocket treatment or even a private health insurance. Hence, for the latter category, India needs to cover maximum population under some form of pre-payment system i.e. Community Health Insurance and Social Health Insurance. The challenge before the country is to ensure harmonious co-existence of the systems. A lot of thinking on creating political rewards and institutional sustaining of redistributive allocations is needed in the face of increasing healthcare commercialization. This is true whether or not the allocation process was regressive before healthcare market liberalization."

Sample of Sources Used:

• Medico Friend Circle Bulletin, August-September 2005; LOCOST, Vadodara.
• WHO 2000 report; World Development Report, 2001; Mckinsey analysis Ministry of Health & Family Welfare, Annual Report, 1993-94, New Delhi.
• "Healthcare in India: The Road Ahead", CII - Mac Kinsey & Company, 2001.
• WHO Report, 1994 as cited in ILO & ISSA Publication 1999: "Modelling in healrhcare finance--A Compendium of quantitative techniques in health care financing".
• National Accounts Statistics, 2001India Business Guide-Medical Sector, http://www.hollandinindia.org/indiabusinessguide/medicalsector.htm accessed on 01/21/2008

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