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Subject: Governance

Important aspects of Society

  • Employee State Insurance Scheme and Employee Provident Fund

    The idea of welfare state

    • Covid reminds us that a modern state is a welfare state as governments worldwide launched 1,600 plus new social protection programmes in 2020.
    • Sustainable social security lies in raising India’s 138th ranking in country per-capita GDP.
    • However, on the social security schemes, there is a case for three reforms to our biggest health insurance and pension schemes:
    • These schemes are the Employee State Insurance Scheme (ESIS) and Employee Provident Fund (EPF).

    Issues with ESIS

    • The Employee State Insurance Scheme (ESIS) is India’s richest and biggest health insurance scheme with 13 crore people covered and Rs 80,000 crore in cash.
    • Employers with more than 10 employees make a mandatory 4 per cent payroll deduction for employees earning up to Rs 21,000 per month.
    • Despite covering roughly 10 per cent of India’s population, a recent working paper from Dvara Research suggests high dissatisfaction.
    • The constraint is hardly resources: ESIC’s unspent reserves are larger than the Central government’s healthcare budgetary allocation.

    Issues with EPF

    • EPF is India’s biggest pension scheme with a Rs 12 lakh crore corpus and 6.5 crore contributors.
    • Employers with more than 20 employees make mandatory 24 per cent payroll deductions for employees earning up to Rs 15,000 per month.
    • It only covers 10 per cent of India’s labour force and 60 per cent of accounts and 50 per cent of registered employers are inactive.
    • EPF offers poor service and pathetic technology despite employer-funded administrative costs that make it the world’s most expensive government securities mutual fund.

    Updating the risk-sharing frameworks in society

    • In a book titled What We Owe Each Other: A New Social Contract, Nemat Shafik suggests updating the risk-sharing framework in societies.
    • This is because current structures are breaking up under the weight of changes in the role of women, longer careers, technology, globalisation, and much else.
    • She suggests a more nuanced social security redistribution across time (the piggy bank function), incomes (the Robin Hood function), and financial burden-bearing (the state, individuals, or employers).
    • In India, the answer lies in fixing the problems of EPF and ESIS.

    Solution to the EPF and ESIS problems

    • Both suffer from poor coverage, high costs, unsatisfied customers, metrics confused with goals, jail provisions, excessive corruption, low expertise, rude and unaccountable staff with no fear of falling or hope of rising, and no competition.

    Let’s look at possible solutions.

    1) Structure

    • EPF and ESIS combine the roles of policymaker, regulator, and service provider.
    • Splitting roles is a precondition for performance because goals, strategy, and skills are different.
    • An independent policymaker horrified with only 6 lakh of India’s 6.3 crore enterprises covered would create competition.
    • An independent regulator terrified by ESIS overcharging would frown on a claims ratio of less than 75 per cent.
    • An independent service provider would invest heavily in technology, customer service, and human capital.
    • Splitting roles would lead to the following benefits:
    • 1) Competition from NPS for EPF.
    • 2) Ending VIP opt-out by merging CGHS with ESIS,
    • 3) Raising enforceability by making employee provident fund contribution voluntary.
    • 4) Improving portability by de-linking accounts from employers.
    • 5) Targeting universalisation by simultaneously ending minimum employer head-count and employee salary contribution thresholds while introducing absolute contribution caps.
    • The Health and Finance Ministry would be logical homes for ESIS and EPF policy roles.

    2) Governance

    • The governing board of ESIS and EPFO have 59 and 33 members respectively.
    • Such a large group can’t have meaningful discussions, make decisions, and exercise oversight.
    • This governance deficit needs smaller boards (not more than 15), age limits, term limits, expertise, active sub-committees (HR, Investments, and technology) and real powers.

    3) Leadership

    • Health and pensions need complex skills developed over time.
    • Yet, ESIS and EPF are led by generalist bureaucrats.
    • Both organisations need professional chief executives.
    • Philosopher Isaiah Berlin’s framing of the generalist vs specialist debate as hedgehogs (who know one thing) and foxes (who know many things) is important.
    • A less generalist, non-transitory, and non-cadred chief executive would create a new tone-from-the-top around performance management, technology, and service outcomes.

    Conclusion

    Social security — not a borrowing binge that steals from our grandchildren — can blunt structural and COVID inequality when combined with complementary policies like formalisation, financialisation, urbanisation, and better government schools. But a great place to start is three flick-of-pen, non-fiscal reforms at EPF and ESIS.

  • India retains 142 of 180 spot in World Press Freedom index

    Where India stands on freedom of press

    • India is ranked at 142 out of 180 countries on the World Press Freedom Index 2021.
    • India at142th position is same as last year, after it had consistently slid down from 133 in 2016.
    • In the South Asian neighbourhood, Nepal is at 106, Sri Lanka at 127, Myanmar (before the coup) at 140, Pakistan at 145 and Bangladesh at 152.
    • The index is published by the international journalism not-for profit body, Reporters Without Borders (RSF).
    • China is ranked 177, and is only above North Korea at 179 and Turkmenistan at 178.

    What the report said about India

    • The report released on Tuesday stated that India shares the “bad” classification with Brazil, Mexico and Russia.
    • RSF has highlighted that the “campaigns are particularly violent when the targets are women”.
    • Further, it said that criminal prosecutions are meanwhile “often used to gag journalists critical of the authorities” with sections for sedition also used.
    • Speaking about the larger Asia-Pacific region, the report mentioned that “instead of drafting new repressive laws in order to impose censorship, several of the region’s countries have contented themselves with strictly applying existing legislation that was already very draconian – laws on ‘sedition,’ ‘state secrets’ and ‘national security’.”
    • The report has also highlighted throttling of freedom of expression on social media, and specifically mentioned that in India the “arbitrary nature of Twitter’s algorithms also resulted in brutal censorship”

    Measures adopted by India to improve ranking

    • The Indian government has been concerned about its low rankings in such international indices, and had last year started studying them to understand how to improve.
    • Soon after the index was released last year, Union Minister for Information and Broadcast  had tweeted on May 2: “Media in India enjoy absolute freedom.”

  • When Aadhaar-related problems lead to denial of rations and benefits: what the data show

    The Supreme Court recently asked the Centre to respond to allegations made in a Public Interest Litigation with respect to 3 crore ration cards being cancelled in the country because of the insistence on Aadhaar linkage and biometric authentication.

    Key Points

    About Aadhar Card:

    • Aadhar Card is basically a biographic and biometric data of Indian citizens that includes name, date of birth, gender, address, a photograph, and ten fingerprint and two iris scans.
    • It includes a unique 12-digit Aadhaar number.
    • The Aadhar Card is a residential proof and not a citizenship card.

  • Tackling second Covid wave

    The article suggests ways to deal with the second wave of Covid in India.

    What explains the bigger second wave

    • The size of any epidemic is a function of three things:
    • 1) The size of the pool of the susceptible population.
    • 2) The pattern of contact between the members of the population (frequency, mix, closeness and duration).
    • 3) Probability of spread during that contact (infectiousness of the agent).

    Let us have a look at these 3 factors in the current context

    • As many people have already been infected in the first wave, the pool of susceptibles should be smaller.
    • Serosurveys also support this as they found that about 25 per cent of people had already been infected nationally.
    • However, this is an average and hides significant variations by state, age and place of residence.
    • Populations with lower seroprevalence become the potential pool for the second wave.
    • Given India’s large population base, the actual number of people are sufficiently large to enable multiple waves till we achieve a more even spread of protected people.
    • The persistence of protectiveness of antibodies of those already infected and their cross-protectiveness to newer strains is not well established.
    • Vaccination would reduce the pool of susceptibles.
    • However, the current level of vaccination coverage is not sufficient to make a significant difference to this wave, given the fact that we are already riding it.
    • It is a good strategy to prevent the next wave, if we can achieve substantial coverage with it.
    • Vaccination also prevents severe disease, and hence reduces the death toll.
    • With the removal of most restrictions, the probability of contact between individuals has risen sharply.

    Way forward

    • What can and should be avoided are super-spreader events like a crowded park, the Kumbh mela, election rallies, etc.
    • A much stronger community engagement with a robust communication strategy and lesser emphasis on “criminalising” inappropriate behaviour is required.
    • A nuanced communication campaign is the need of the hour and is conspicuous by its complete absence.
    • What is urgently needed is a robust evidence-based communication campaign.
    • Such a campaign would involve proactive serial assessment of the community perceptions and concerns, testing and refining messages through an evolving campaign.
    •  A district-specific strategy of “test, trace, treat” along with containment measures (isolation and quarantine) is still the best way to deal with the situation.
    • We also need to put a stop to political bickering; it erodes public trust and confidence.

    Conclusion

    Dealing with the second wave should be based on the experience drawn from dealing with the first wave and complemented by a better communication strategy.

  • All gold jewellery to bear hallmark

    The Centre will go ahead with its plan to mandate hallmarking of gold jewellery from June 1. The plan had been delayed due to the COVID-19 pandemic.

    Note: Gold hallmarking is a purity certification and is voluntary at present.

    What is Hallmark Gold?

    • The process of certifying the purity and fineness of gold is called hallmarking.
    • Bureau of Indian Standards, the National Standards Body of India, is responsible for hallmarking gold as well as silver jewellery under the BIS Act.
    • If you see the BIS hallmark on the gold jewellery/gold coin, it means it conforms to a set of standards laid by the BIS. Hallmarking gives consumers assurance regarding the purity of the gold they bought.
    • That is, if you are buying hallmarked 18K gold jewellery, it will actually mean that 18/24 parts are gold and the rest is alloy.

    Here are the four components one must look at the time of buying gold (they are mentioned in the laser engraving of a hallmark seal):

    1. BIS Hallmark: Indicates that its purity is verified in one of its licensed laboratories
    2. Purity in carat and fineness (corresponding to given caratage KT)
      •     22K916 (91.6% Purity)
      •     18K750 (75% Purity)
      •     14K585 (58.5% Purity)
    3. Assaying & Hallmarking Centre’s mark
    4. Jeweler’s unique identification mark

    Try this PYQ from CSP 2017:

    Q. Consider the following statements:
    1. The Standard Mark of the Bureau of Indian Standards (BIS) is mandatory for automotive tyres and tubes.
    2. AGMARK is a quality Certification Mark issued by the Food and Agriculture Organisation (FAO).

    Which of the statements given above is/are correct?

    (a) 1 only

    (b) 2 only

    (c) Both 1 and 2

    (d) Neither 1 nor 2

    Why such a move now?

    • As per the new rules, if jewellery or an artefact made of 14-, 18- or 22-carat gold is sold without the BIS hallmark, the jeweller could be penalized five times the cost of the object or imprisoned for up to one year.
    • About 40% of gold jewellery is sold with a hallmark.
    • Mandatory hallmarking would protect the public against lower caratage and ensure consumers did not get cheated while buying gold ornaments and got the purity as marked on the ornaments.

  • [pib] MANAS Platform

    The MANAS App to promote wellbeing across age groups was recently launched.

    Name, acronym and the purpose; thats all. The rest of the theory is of less importance.

    MANAS Platform

    • MANAS is an acronym for Mental Health and Normalcy Augmentation System.
    • It is a comprehensive, scalable, and national digital wellbeing platform and an app developed to augment the mental well-being of Indian citizens.
    • MANAS was initiated by the Office of the Principal Scientific Adviser to the Government of India and jointly executed by NIMHANS Bengaluru, AFMC Pune and C-DAC Bengaluru.
    • It was endorsed as a national program by the Prime Minister’s Science, Technology, and Innovation Advisory Council (PM-STIAC).
    • It integrates the health and wellness efforts of various government ministries, scientifically validated indigenous tools with gamified interfaces developed/researched by various national bodies and research institutions.

  • NCAHP Bill 2020

    The article highlights the key aspects of NCAHP Bill 2020 which recognises the allied healthcare professionals and seeks to regulate and set the standards of education.

    Regulating allied health professions

    • The National Commission for Allied and Healthcare Professions Bill, 2020 (NCAHP) was passed by Parliament in March.
    • Global evidence demonstrates the vital role of allied professionals in the delivery of healthcare services.
    • They are the first to recognise the problems of the patients and serve as safety nets.
    • Their awareness of patient care accountability adds tremendous value to the healthcare team in both the public and private sectors.
    • The passage of this Bill has the potential to overhaul the entire allied health workforce by establishing institutes of excellence and regulating the scope of practice by focusing on task shifting and task-re distribution.

    What the Bill provides for

    • This legislation provides for regulation and maintenance of standards of education and services by allied and healthcare professionals and the maintenance of a central register of such professionals.
    • It recognises over 50 professions such as physiotherapists, optometrists, nutritionists, medical laboratory professionals, radiotherapy technology professionals, which had hitherto lacked a comprehensive regulatory mechanism.
    • This Bill classifies allied professionals using the International System of Classification of Occupations (ISCO code).
    • This facilitates global mobility and enables better opportunities for such professionals.
    • The Act aims to establish a central statutory body as a National Commission for Allied and Healthcare Professions.
    • The Bill has the provision for state councils to execute major functions through autonomous boards.

    Shift in perception and policy in healthcare delivery

    • There has been a paradigm shift in perception, policy, and programmatic interventions in healthcare delivery in India since 2017.
    • In the past, curative healthcare received substantially greater attention than preventive and promotive aspects.
    • Ayushman Bharat as a programmatic intervention, with its two pillars of Health and Wellness Centres (HWCs) and Pradhan Mantri Jan Arogya Yojana (PMJAY), operationalised certain critical recommendations of the National Health Policy, 2017, emphasising wellness in healthcare.
    • With PMJAY, the neediest are protected from catastrophic expenditure and India took the first step towards delivering comprehensive primary healthcare with HWCs.

    Conclusion

    Caring for patients with mental conditions, the elderly, those in need of palliative services, and enabling professional services for lifestyle change related to physical activity and diets, all require a trained, allied health workforce. The NCAHP is not only timely but critical to this changing paradigm.

  • Film Certification Appellate Tribunal (FCAT)

    The Government of India’s decision to abolish the Film Certification Appellate Tribunal (FCAT), under the Tribunal Reforms Ordinance, 2021, has triggered a wave of criticism with filmmakers.

    The FCAT was the place filmmakers walked into as a penultimate resort to challenging edits suggested to their films by the Central Board of Film Certification (CBFC).

    Plunging into crisis

    • FCAT is only one of many tribunals in the country that were either abolished or amalgamated under the Ordinance.
    • Earlier, if a filmmaker fails to clear the Examining Committee (EC) and Revising Committee (RC) hurdles of the CBFC, the FCAT was the next step of recourse, but that is no longer the case.
    • FCAT only charged a nominal fee to hold the screening for its members, and it would pass its judgment immediately.

    Fighting the system

    • FCAT’s panel is predominantly made up of members from industry veterans who arrive at a judgment after balancing both CBFC and the filmmaker’s points of view.
    • Most of CBFC’s decisions were overruled by the Tribunal and that has reassured constitutional rights under Article 19 to filmmakers to express themselves freely.
    • A judge will only look at the issue from a legal perspective, not whether a particular edit will constrict the flow of the movie.

    Re-classifying certification

    • To avoid such issues, the Government constituted the ‘Shyam Benegal Committee’ in January 2016.
    • The committee recommended regulations for film certification — a move away from the current practice adopted by CBFC, and submitted its report in April 2016.
    • According to many, a revamp of the certification system that doesn’t require censoring or cuts is the need of the hour.

  • SARTHAQ Plan

    Union Education Minister has launched ‘Students’ and Teachers’ Holistic Advancement through Quality Education (SARTHAQ), the National Education Policy (NEP) 2020 implementation plan for school education.

    SARTHAQ

    • SARTHAQ keeps in mind the concurrent nature of education and adheres to the spirit of federalism.
    • The plan delineates the roadmap for the implementation of NEP 2020 for the next 10 years.
    • States and Union Territories have been given the flexibility to adapt the plan with “local contextualization”.
    • They have been allowed to modify the plan as per their needs and requirements.

    Envisaged outcomes

    • Increase in Gross Enrolment Ratio (GER), Net Enrolment Ratio (NER), transition rate and retention rate at all levels and reduction in dropouts and out of school children.
    • Access to quality ECCE and Universal Acquisition of Foundational Literacy and Numeracy by Grade 3.
    • Improvement in Learning Outcomes at all stages with an emphasis on teaching and learning through mother tongue/local/regional languages in the early years.
    • Integration of vocational education, sports, arts, knowledge of India, 21st-century skills, values of citizenship, awareness of environment conservation, etc. in the curriculum at all stages.
    • Introduction of Experiential learning at all stages and adoption of innovative pedagogies by teachers in classroom transaction.
    • Integration of technology in educational planning and governance and availability of ICT and quality e-content in classrooms.

  • [pib]  ‘Anamaya’ Initiative

    Anamaya, the Tribal Health Collaborative was recently launched.

    Simply keep in mind, the name and purpose.

    ‘Anamaya’ Initiative

    • The Collaborative is a multi-stakeholder initiative of the Tribal Affairs Ministry supported by Piramal Foundation and Bill and Melinda Gates Foundation (BMGF).
    • It aims to build a sustainable, high-performing health eco-system to address the key health challenges faced by the tribal population of India.
    • It will converge efforts of various Government agencies and organisations to enhance the health and nutrition status of the tribal communities of India.
    • This collaborative is a unique initiative bringing together governments, philanthropists, national and international foundations, NGOs/CBOs to end all preventable deaths among the tribal communities of India.

    Terms of references

    • It will begin its operations with 50 tribal, Aspirational Districts (with more than 20% ST population) across 6 high tribal population states.
    • Over a 10-year period, the work of the THC will be extended to 177 tribal Districts as recognised by the Ministry of Tribal Affairs.