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  • Ayushman Bharat Health Infrastructure Mission

    PM has launched the Ayushman Bharat Health Infrastructure Mission (AB-HIM), one of the largest pan-India schemes for strengthening healthcare infrastructure.

    AB- Health Infrastructure Mission

    • AB-HIM is being rolled out as India’s largest scheme to scale up health infrastructure.
    • It is aimed at ensuring a robust public health infrastructure in both urban and rural areas, capable of responding to public health emergencies or disease outbreaks.

    Key features

    • Health and Wellness Centres: In a bid to increase accessibility it will provide support to 17,788 rural HWC in 10 ‘high focus’ states and establish 11,024 urban HWC across the country.
    • Exclusive Critical Care Hospital Blocks: It will ensure access to critical care services in all districts of the country with over five lakh population through ‘Exclusive Critical Care Hospital Blocks’.
    • Integrated public health labs: will also be set up in all districts, giving people access to “a full range of diagnostic services” through a network of laboratories across the country.
    • Disease surveillance system: The mission also aims to establish an IT-enabled disease surveillance system through a network of surveillance laboratories at block, district, regional and national levels.
    • Integrated Health Information Portal: All the public health labs will be connected through this Portal, which will be expanded to all states and UTs, the PMO said.

    Why is the scheme significant?

    • India has long been in need of a ubiquitous healthcare system.
    • A 2019 study has highlighted how access to public health care remained elusive to those living on the margins.
    • The study found that 70 per cent of the locations have public healthcare services.
    • However, availability was less in rural areas (65 per cent) compared to urban areas (87 per cent).
    • In 45 per cent of the surveyed locations, people could access healthcare services by walking, whereas in 43 per cent of the locations they needed to use transport.

     

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  • Mullaperiyar Dam Issue

    The Supreme Court has directed the Supervisory Committee to take an immediate and firm decision on the maximum water level that can be maintained at Mullaperiyar dam amidst torrential rains in Kerala.

    What is the news?

    • A report by United Nations has stated that the Mullaperiyar dam, situated in a seismically active area, faces the risk of failure.
    • Earlier this year, the Supreme Court warned the TN Chief Secretary against the failure to give information on the rule curve for dam which decides the discharge of excess water.

    Mullaperiyar Dam

    • It is a masonry gravity dam on the Periyar River in Kerala.
    • It is located on the Cardamom Hills of the Western Ghats in Thekkady, Idukki District.
    • It was constructed between 1887 and 1895 by John Pennycuick and also reached in an agreement to divert water eastwards to the Madras Presidency area.
    • It has a height of 53.6 m (176 ft) from the foundation, and a length of 365.7 m (1,200 ft).

    Operational issue

    • The dam is located in Kerala but is operated and maintained by Tamil Nadu.
    • The catchment area of the Mullaperiyar Dam itself lies entirely in Kerala and thus not an inter-State river.
    • In November 2014, the water level hit 142 feet for first time in 35 years.
    • The reservoir again hit the maximum limit of 142 feet in August 2018, following incessant rains in the state of Kerala.
    • Indeed, the tendency to store water to almost the full level of reservoirs is becoming a norm among water managers across States.

    The dispute: Control and safety of the dam

    • Supreme court judgment came in February 2006, has allowed Tamil Nadu to raise the level of the dam to 152 ft (46 m) after strengthening it.
    • Responding to it, the Mullaperiyar dam was declared an ‘endangered’ scheduled dam by the Kerala Government under the disputed Kerala Irrigation and Water Conservation (Amendment) Act, 2006.
    • For Tamil Nadu, the Mullaperiyar dam and the diverted Periyar waters act as a lifeline for Theni, Madurai, Sivaganga, Dindigul and Ramnad districts.
    • Tamil Nadu has insisted on exercising the unfettered colonial rights to control the dam and its waters, based on the 1886 lease agreement.

    Rule of Curve issue

    • A rule curve or rule level specifies the storage or empty space to be maintained in a reservoir during different times of the year.
    • It decides the fluctuating storage levels in a reservoir.
    • The gate opening schedule of a dam is based on the rule curve. It is part of the “core safety” mechanism in a dam.
    • The TN government often blames Kerala for delaying the finalization of the rule curve.

     

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  • Step towards more LGBTQIA+ affirmative medical curriculum doesn’t go far enough

    Context

    The National Medical Commission (NMC), the body responsible for regulating medical education in India, released an advisory regarding the LGBTQIA+ community and the necessary changes in the competencies of its competency-based medical education (CBME) curriculum.

    Exclusion of LGBTQIA+ community in medication

    • Medical education in India has focussed only on the binary of male and female, heterosexuality and cis-gendered lives, while excluding homosexuality and gender non-binary and transgender issues.
    • This results in the exclusion of the LGBTQIA+ community.
    • Even with the release of the competency-based medical curriculum in August 2019, the curriculum continues to include a queerphobic syllabus.

    About the NMC notification

    • The Transgender Persons (Protection of Rights) Act, 2019 mandates governments to take measures for the “review of medical curriculum and research for doctors to address their [transgender] specific health issues,” but no action has been taken since then.
    • In June 2021, in response to a case filed by a queer couple, the Madras High Court laid down a set of guidelines and directed the NMC to ban queerphobic practices such as conversion therapy which aims to forcibly change the sexual orientation of a person.
    • In its notification, the NMC has advised medical colleges to teach gender in a way that is not derogatory to the queer community.
    • The authors of medical textbooks have also been asked to amend the books to remove any harmful contents regarding virginity and the queer community.

    Issues with the NMC notification

    • While the NMC advisory title mentions necessary changes in the competencies of its CBME curriculum, there are no specifications on what these changes are.
    •  At the same time, the CBME curriculum itself mentions queerphobic things that are to be taught to students.
    • Certain acts are called as sexual offences even though the Supreme Court has read down Section 377. 
    •  Also, the competencies which will make a future Indian doctor respectful and empathetic in treating a queer patient are missing.

    Way forward

    • The NMC must start by recognising the flaws in its own CBME curriculum and explicitly state the changes required.
    • Specific guidelines on how to make healthcare queer-affirmative are needed.
    • The directive also needs to specify changes across several subjects and not just forensic medicine and psychiatry.
    •  For this, there needs to be a participatory stakeholder consultation towards the development of a queer-affirmative curriculum.
    • Finally, there needs to be clarity on what the NMC plans to do for tackling queerphobia in the current set of health professionals.

    Consider the question “The Transgender Persons (Protection of Rights) Act, 2019 mandates governments to take measures for the review of the medical curriculum. In light of this, discuss the changes needed in the medical curriculum regarding the LGBTQIA+ community.”

    Conclusion

    Without these changes, equitable access to healthcare for queer persons will remain a faraway dream.

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  • G7 Trade Ministers’ Digital Trade Principles

    The Group of Seven wealthy nations agreed on a joint set of principles to govern cross-border data use and digital trade.

    What are the Digital Trade Principles?

    • Open digital markets: Digital and telecommunications markets should be competitive, transparent, fair, and accessible to international trade and investment.
    • Cross-border data flows: To harness the opportunities of the digital economy and support the trade of goods and services, data should be able to flow freely across borders with trust.
    • Safeguards for workers, consumers, and businesses: Labour protections must be in place for workers who are directly engaged in or support digital trade, providing decent conditions of work.
    • Digital trading systems: To cut red tape and enable more businesses to trade, governments and industries should drive forward the digitization of trade-related documents.
    • Fair and inclusive global governance: Common rules for digital trade should be agreed and upheld at the World Trade Organization.

    About Group of Seven

    • The G-7 or ‘Group of Seven’ includes Canada, France, Germany, Italy, Japan, the United Kingdom, and the United States.
    • It is an intergovernmental organization that was formed in 1975 by the top economies of the time as an informal forum to discuss pressing world issues.
    • Initially, it was formed as an effort by the US and its allies to discuss economic issues.
    • The G-7 forum now discusses several challenges such as oil prices and many pressing issues such as financial crises, terrorism, arms control, and drug trafficking.
    • It does not have a formal constitution or a fixed headquarters. The decisions taken by leaders during annual summits are non-binding.
    • Canada joined the group in 1976, and the European Union began attending in 1977.

    Evolution of the G-7

    • When it started in 1975—with six members, Canada joining a year later—it represented about 70% of the world economy.
    • And it was a cosy club for tackling issues such as the response to oil shocks.
    • Now it accounts for about 40% of global gdp.
    • Since the global financial crisis of 2007-09 it has sometimes been overshadowed by the broader g20.
    • The G-7 became the G-8 in 1997 when Russia was invited to join.
    • In 2014, Russia was debarred after it took over Crimea.

     

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  • Internal democracy in political parties

    Context

    It is obvious that institutional intermediaries in a representative democracy must themselves be democratic. However, beyond the rhetoric, internal democracy in a political party is less straightforward.

    How democratic accountability in a political party is different from that in a country

    • Democratic accountability in a political party is qualitatively different from that in a country.
    • A political party is a collaborative platform to capture state power to achieve a certain vision for society. 
    • In a country, there are sharp differences between citizens on the vision and values themselves and the role of democracy is not just to create a framework to negotiate conflict but to ensure that the state is representative of the largest section of the electorate through periodic elections.
    • Thus, while democracy at the level of the country is a bottom-up opportunity to change direction altogether, democratic accountability in a political party exists within an ideological framework.

    Is internal elections for party leadership a solution?

    • Subversion of internal institutional process: Proponents underestimate the ability of existing repositories of power to subvert internal institutional processes to consolidate power and maintain the status quo.
    • Independence of lower level: the assumption that the lower levels would be independent and hold the higher levels of leadership to account glosses over the many ways power asserts itself.
    • Independence and quality of electorate: The outcome of internal elections is contingent on the independence and quality of the electorate.
    • In indirect elections (through delegates), the electorate would likely mirror the existing balance of power.
    • In direct elections, there is a concern of ideological dilution and/or capture through opportunistic membership.
    • It is evident that internal elections may factionalise power but cannot establish normative accountability, which extends to all members of the party along three interconnected axes of ideology, organisation and competence.
    • Normative accountability is thus rooted in a dynamic context and is necessarily a deliberative process.

    Democratic functioning in political parties is not an end in itself

    • Unlike for the state, democracy is not an end in itself for a political party.
    • The highest possible attainment of individual well-being and individual self-will through a democratic state is an end in itself.
    • The purpose of a political party is the acquisition of state power.
    • Democratic functioning may be an ideological imperative, operational choice, or legitimising tactic but it is not an end in itself for a political party.

    Way forward

    • Instead of looking at internal party processes, one way to decentralise power is by getting rid of the anti-defection law.
    • The need to canvass votes in the legislature will create room for negotiation in the party organisation too.
    • Most importantly, this reform will impose a similar burden on all political parties and may create space to change the overall political culture.

    Consider the question “Lack of internal democratic functioning in the political parties has bearing on the overall political functioning of the country. Examine the factors responsible for its lack in India and suggest measures to encourage it.”

    Conclusion

    The role of democracy is not just to create a framework to negotiate conflict but to ensure that the state is representative of the largest section of the electorate through periodic elections.

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  • Bengal can’t bar CBI, Centre tells Supreme Court

    The Union Government has told the Supreme Court West Bengal state govt does not have any “absolute” power to keep the Central Bureau of Investigation (CBI) from investigating crimes inside the State.

    What is the issue?

    • A case of post-poll violence was transferred to the CBI by the Calcutta High Court.
    • Hence the State Police is under a cloud.
    • In a response to this, the West Bengal had filed a suit against the Union of India under Article 131 of the Constitution.

    What is Article 131 of Indian Constitution?

    • Article 131 states talks about the original jurisdiction of the Supreme Court on matters subject to the provisions of Constitution between the Government of India and one or more States.
    • Thus, the Article allows a state to file a suit in the Supreme Court in case of any dispute that it may have with the central government, invoking the court’s “original jurisdiction”.

    Why WB challenged the Union govt?

    • The State has challenged the CBI’s jurisdiction to register FIRs and conduct investigations in the State in myriad cases.
    • West Bengal said it had withdrawn “general consent” to the CBI way back in 2018.
    • The State said the CBI’s actions were a direct attack on the federal structure of governance.

    What is this ‘General Consent’ about?

    • Unlike the National Investigation Agency (NIA), which is governed by its own NIA Act and has jurisdiction across the country, the CBI is governed by the Delhi Special Police Establishment Act.
    • This makes consent of a state government mandatory for conducting an investigation in that state.
    • Hence the CBI has jurisdiction only over central government departments and employees.
    • However, it can investigate a case involving state government employees or a violent crime in a given state only with the consent of state government.

    Arguments made by Centre

    • The Centre said that the CBI was an autonomous body not controlled by the Union Government.
    • Hence the suit was misplaced and should be dismissed.

    Back2Basics:

    Central Bureau of Investigation: Composition, Functions

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  • Farmers have Right to Protest, but can’t block roads: SC

    The Supreme Court has said farmers protesting at Delhi borders against the three farms laws have the right to agitate but they cannot block roads indefinitely.

    For students with Sociology optional, can someone list the differences between- Dissent, Protest, Agitation and Movement?

    What is Protest?

    • When a group, community, or even a person goes up to protest, it is usually to showcase their disapproval or demur against any action, policy, statement, etc of state or government or any organization.
    • Mostly the flow of protest is driven through political waves that also demonstrate the collective organization of people to make the government or state address their issues and take steps to overcome them.

    Issues with ongoing protest in Delhi

    • The question as to the absolute nature of the right to protest is not even a question in the true sense here.
    • We have seen the vandalism protest at Red Fort last year.
    • Hence the rights mentioned above are subject to reasonable restrictions under 19 (2) and 19 (3) on grounds such as sovereignty and integrity of India, and public order.

    Right to Protest in India

    • The right to protest is the manifestation of three FRs:
    1. Right to Freedom of Assembly
    2. Right to Freedom of Association and
    3. Right to Freedom of Speech
    • The Constitution of India provides the right of freedom, given in Article 19 with the view of guaranteeing individual rights that were considered vital by the framers of the constitution.
    • The Right to protest peacefully is enshrined in Article 19(1) (a) guarantees the freedom of speech and expression; Article 19(1) (b) assures citizens the right to assemble peaceably and without arms.

    In detail: Article 19(1)

    It states that All citizens shall have the right:

    • (a) to freedom of speech and expression;
    • (b) to assemble peaceably and without arms;
    • (c) to form associations or unions;
    • (d) to move freely throughout the territory of India;
    • (e) to reside and settle in any part of the territory of India; and
    • (f) omitted
    • (g) to practice any profession, or to carry on any occupation, trade or business

    Do you know?

    Right to Internet is a fundamental right and is an essential part of freedom of speech and expression. One might get confused if it is an FR under Article 21.

    Reasonable restrictions do exist in practice

    • Fundamental rights do not live in isolation. The right of the protester has to be balanced with the right of the commuter. They have to co-exist in mutual respect.
    • Article 19(2) imposes reasonable restrictions on this.
    • The court held it was entirely the responsibility of the administration to prevent encroachments in public spaces.

    Conclusion

    • Democracy and dissent go hand in hand, but then the demonstrations expressing dissent have to be in designated places alone.
    • The present case was not even one of the protests taking place in an undesignated area but was a blockage of a public way which caused grave inconvenience to commuters.

     

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  • Why India needs an international development cooperation agency

    Context

    Enhancing the efficacy of India’s development cooperation endeavours has been a challenging issue for the past several decades. The country, therefore, needs to expedite work on a specialised agency for proficient delivery of outcomes.

    Development assistance and lack of institutional foundation

    • In the last couple of years, India’s assistance to other developing countries has multiplied several times.
    • India’s development cooperation has converged to an all-encompassing integrated framework, a development compact that has five modalities — capacity building, concessional finance, technology sharing, grant and trade wherein duty-free and quota-free access to the Indian market is provided.
    •  India’s benevolent image does yield tremendous goodwill globally, but quality project delivery is yet to become the country’s USP.
    • On average, India provides development assistance of $6.48 billion and receives assistance of $6.09 billion annually from key partners as Official Development Assistance (ODA).
    • Under Indian Cooperation Mission (ICM) — India partners for development cooperation and does not give aid like OECD members.
    • India has been supporting the developmental endeavours of several partner countries in Africa and Asia, even before Independence.
    • However, this process lacks a firm institutional foundation.

    Efforts to form an institutional framework

    • The first effort by India to shape a framework was in 2003 with the announcement of the India Development Initiative (IDI).
    • Subsequently, the Indian Development and Economic Assistance Scheme (IDEAS) was launched in 2005 for managing credit lines.
    • The IDI was suspended in 2007 and the announcement about the setting up of the India International Development Cooperation Agency (IIDCA), which never took off.
    • Meanwhile, in 2018, China founded its international development cooperation agency.

    Changes in concessional financing

    • At this point, concessional financing in India’s development cooperation portfolio is close to 70 per cent.
    • So any major change would require alterations in the way LOCs (Line of Credit) have been working.
    • In 2015, the government made efforts to bring in operational changes in the way credit lines work.
    •  As of now, the EXIM Bank raises global resources and the Government of India absorbs the interest differential.

    Way forward

    • Countries have sovereign and non-sovereign windows for promoting infrastructure financing abroad — both have their own place.
    • A non-sovereign window would provide greater flexibility and bandwidth.
    • To become a leading strategic investor in commercially viable and financially attractive public-private partnership infrastructure projects, the fund may build an investment ecosystem in Africa with support from leading Indian firms.
    • The proposed new entity may also provide handholding to select performing Indian social enterprises to operate in other countries as well.
    • Besides making an immediate economic impact, these enterprises can facilitate development partnerships between India and other countries.
    • Post-pandemic, countries worldwide are exploring ways to reinvigorate their development cooperation efforts.
    • India’s own development experience is also evolving with programmes like the JAM trinity, Ayushman Bharat and other initiatives like Gati Shakti — the learnings from which should be absorbed in the portfolio to be shared with fellow developing countries.

    Conclusion

    It is high time India restructures its development finance apparatus for deeper and effective engagement and to address the rapidly evolving newer competitive development financing landscape.

  • Explained: Election of Deputy Speaker

    There is an ongoing row in Uttar Pradesh Assembly over the election of Dy Speaker, the post which was lying vacant for two years.

    Read each and every bit of this newscard. It can source you many MCQs.

    Constitutional mandate for Deputy Speaker

    • Article 93 talks about the election of Speaker and Deputy Speaker for Lok Sabha and the case for their vacancies.
    • Article 178 contains the corresponding position for Speaker and Deputy Speaker of the Legislative Assembly of a state.

    Is it mandatory under the Constitution to have a Deputy Speaker?

    • Constitutional experts point out that both Articles 93 and 178 use the words “shall” and “as soon as may be”.
    • This indicates that not only is the election of Speaker and Deputy Speaker mandatory, it must be held at the earliest.
    • All that the Constitution says is the election must be held as soon as possible.

    Time-frame and rules for their Election

    • Generally speaking, the practice in both Lok Sabha and the state Legislative Assemblies has been to elect the Speaker during the first session of the new House.
    • This usually falls on the third day after oath-taking and affirmations take place over the first two days.
    • The election of the Deputy Speaker usually takes place in the second session, even though there is no bar on having this election too in the first session.
    • However, the election of Deputy Speaker is generally not delayed beyond the second session without genuine and unavoidable constraints.

    Rules for the elections

    • In Lok Sabha, the election of Deputy Speaker is governed by the Rules of Procedure and Conduct of Business in Lok Sabha.
    • According to the Rule, the election “shall be held on such date as the Speaker may fix”, and the Deputy Speaker is elected once a motion proposing his name is carried.
    • There are similar provisions in the State Legislative Assembly Rules.

    Their tenure

    • Once elected, the Deputy Speaker usually continues in office until the dissolution of the House.
    • Under Article 94 (Article 179 for state legislatures), the Speaker or Dy Speaker “shall vacate his office if (S)he ceases to be a member of the House”.
    • They may also resign (to each other), or “may be removed by a resolution of the House of the People passed by a majority of all the then members of the House”.

    Do the powers of the Speaker extend to the Deputy Speaker as well?

    • Article 95(1) says: While the office of Speaker is vacant, the duties of the office shall be performed by the Deputy Speaker.
    • After the first Speaker, G V Mavalankar died, M Ananth Ayyangar officiated as Acting Speaker for the remaining tenure of the House and was then elected Speaker of the second Lok Sabha.
    • There is another such incident.
    • In general, the Deputy Speaker has the same powers as the Speaker when presiding over a sitting of the House.
    • All references to the Speaker in the Rules are deemed to be references to the Deputy Speaker when he presides.
    • It has been repeatedly held that no appeal lies to the Speaker against a ruling given by the Deputy Speaker or any person presiding over a sitting of the House in the absence of the Speaker.

    Note: UPSC has now gone person-specific in these matters. Kindly refer this PYQ:

    Consider the following statements:

    1. In India, there is no law restricting the candidates from contesting in one Lok Sabha election from three constituencies.
    2. In 1991 Lok Sabha Election, Shri Devi Lal contested from three Lok Sabha constituencies.
    3. As per the existing rules, if a candidate contests in one Lok Sabha election from many constituencies, his/her party should bear the cost of bye-elections to the constituencies vacated by him/her in the event of him/her winning in all the constituencies.

    Which of the statements given above is/are correct? (CSP 2021)

    (a) 1 only

    (b) 2 only

    (c) 1 and 3

    (d) 2 and 3

     

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    Does being Deputy Speaker protect an MP or MLA from the law of disqualification?

    Ans. No- with one specific exemption.

    • The Tenth Schedule says that a person who has been elected Speaker/ Deputy Speaker shall NOT be disqualified if he voluntarily gives up the membership of the political party to which he belonged.
    • This exemption applies to the Rajya Sabha Deputy Chairman, Chairman/ Deputy Chairman of a state Legislative Council, and Speaker/ Deputy Speaker of a state Legislative Assembly as well.

    Can courts intervene in cases of a delay in electing the Deputy Speaker?

    • In general, the courts do not intervene in the procedural conduct of Parliament.
    • Article 122(1) says: The validity of any proceedings in Parliament shall not be called in question on the ground of any alleged irregularity of procedure.
    • A petition before the Delhi High Court has argued that the delay in the election of the Lok Sabha Deputy Speaker violates Article 93 of the Constitution.
    • There is no precedent of a court forcing the legislature to elect the Deputy Speaker.
    • However, the courts do have jurisdiction to at least enquire why there has been no election to the post of Deputy Speaker since the Constitution does envisage an election “as soon as maybe”.

     

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  • Is the Indian foreign-policy ship changing course?

    Context

    India plans to host an international conference on Afghanistan in the second week of November.

    Is the Indian foreign policy changing course?

    • All signs point towards a major calibration of the foreign-policy compass in recent weeks since the tumultuous events in Kabul two months ago culminated in the formation of an interim government by the Taliban.
    • As regards the way forward in Afghanistan, India has opted to align with the Anglo-American camp in the international line-up arrayed against the Eurasian axis of Russia, China and Iran.
    • While the US has an attitude of “You’re either with us, or against us”, vis-a-vis the Taliban, Russia, China, Iran and other neighbouring states give primacy to stability and security of Afghanistan.
    • Being a discontented party, unsurprisingly, India would have more in common with the revisionist powers — the US and the UK.
    • While the stated purpose of the participating countries is marking Afghanistan, it is the future that matters, being an epochal one that would transform the geopolitics of the region.
    • Thus, Delhi has moved up to the centrestage of the Quad.
    • In turn, the US accepts that the Quad ought to be “inclusive”. Global Britain is knocking at the door.
    • On its part, Delhi has displayed its comfort level with the AUKUS.
    • The historical Western experience of the EU and NATO moving in tandem to weaken a common enemy is being replicated with Asian characteristics.
    • A dual containment strategy is unfolding against China and Russia.
    • Thus, its short-lived dalliance with Iran is losing its gravitas and India has swung to the other extreme to identify with a new quadrilateral platform in West Asia, with Israel, UAE and the US.
    • India shrugs its shoulders as its “time-tested” friend, Moscow, bemoans the Quad and AUKUS.
    • This astonishing zigzagging in India’s regional policy takes the breath away.

    Challenges for India

    • India lives in its region and the Quad and AUKUS are of no help when it comes to Afghanistan.
    • Pakistan and China are riding high in the Hindu Kush; Moscow and Beijing have moved close in Central Asia which Washington is having a hard time in dealing with.
    • India’s much-touted “influence” in Kabul has turned out to be delusional.
    • Its own capacity to shape future events is virtually nil. These are the hard realities.

    Conclusion

    With the conference where India hopes to create an equivalent of the vajrayudha of the ancient Vedas which would allow India to reclaim its rightful place in the Afghan pantheon of gods and demi-gods.

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