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Subject: Governance

Important aspects of Society

  • [8 June 2024] The Hindu Op-ed: The Centre is notional, the States the real entities

    [8 June 2024] The Hindu Op-ed: The Centre is notional, the States the real entities

    PYQ Relevance:

    Mains: 
    Q) From the resolution of contentious issues regarding the distribution of legislative powers by the courts, the ‘Principle of Federal Supremacy’ and ‘Harmonious Construction’ have emerged. Explain. (UPSC CSE 2019)

    Q) Explain the rationale behind the Goods and Services Tax (Compensation to States) Act of 2017. How has COVID-19 impacted the GST compensation fund and created new federal tensions? (UPSC CSE 2020)

    Prelims:

    Q) Which one of the following in Indian polity is an essential feature that indicates that it is federal in character?​ (UPSC CSE 2021)
    (a) The independence of the judiciary is safeguarded.​
    (b) The Union Legislature has elected representatives from constituent units.​
    (c) The Union Cabinet can have elected representatives from regional parties.​
    (d) The Fundamental Rights are enforceable by Courts of Law.

    Note4Students: 

    Prelims: Co-perative federalism; NITI Aayog; GST System; 

    Mains: Federal Issues; Governance Issues; Regional Disparities; 

    Mentor comment: India is a vast and diverse country with different regions, cultures, and languages. To govern such a complex society, the Indian Constitution established a federal system of governance, dividing power between the central government and the states. This system is known as a quasi-federal system because it contains elements of both a federation and a union. Despite its importance, Indian federalism faces several challenges regional differences, centralized power, Economic insecurities for states, and communication barriers. These challenges can lead to issues like conflicts over resource allocation and decision-making.

    There is a need for the even-handed treatment of all the States by the Centre and also less friction among the rich and poor States when proportionately more resources are transferred to poor States to keep rising inequality in check. The issue of governance, both at the Centre and in the States, needs to be flagged. It determines investment productivity and the pace of development. Corruption and cronyism lead to resources being wasted and a loss of social welfare.

    Let’s learn.

    –

    Why in the News?

    The results of the 2024 general election in India have led to a surprise, with regional parties performing well and set to share space in both the ruling and opposition benches in Parliament.

    • This development is expected to strengthen federalism, which has been fraying due to contentious Centre-State relations and the dominant Centre’s attempts to impose its will on the states.

    The recent challenges faced by regional states:

    • Democratic Issues: The Opposition-ruled States have been complaining about stepmotherly treatment by the Centre. Protests have been held in Delhi and the State capitals.
      • There is a huge diversity among the States. For example, Assam is unlike Gujarat and Himachal Pradesh is very different from Tamil Nadu. A common approach is not conducive to the progress of such diverse States.
      • They need greater autonomy to address their issues in their unique ways.
    • Fiscal-Federal Issues:Kerala has complained about the inadequate transfer of resources, Karnataka about drought relief, and West Bengal about funds for the Mahatma Gandhi National Rural Employment Guarantee Scheme (MGNREGS).
      • The Supreme Court, expressing its helplessness, recently said that Centre-State issues need to be sorted out immediately. 
    About Co-operative Federalism:
    The Constitution of India does not explicitly contain the phrase ‘cooperative federalism,’ but the functioning of the governance and evolution of our Constitution implicitly resulted in building ‘cooperative federalism.’

    Significance of Cooperative Federalism:

    • Need for Robust Institutions and Mechanisms:
      • Revenue has to be raised through taxes, non-tax sources, and borrowings. The Centre has been given a predominant role in raising resources due to its efficiency in collecting taxes centrally. 
      • Among the major taxes, personal income tax (PIT), corporation tax, customs duty, and excise duty are collected by the Centre. So, the Centre controls most of the resources, and they have to be devolved to the States to enable them to fulfill their responsibilities.
    • Need for Promoting Intergovernmental Relations:
      • The Centre-State relations in India are plagued by inter-state tussles and resource disparities. The Finance Commission’s efforts to devolve funds proportionally to poorer States have been unsuccessful, leading to resentment from richer States. 
      • The Centre’s allocation of resources, including expenditures and schemes, can be used to play politics and favor certain States, undermining Federalism and Autonomy.

    Initiatives taken by the Government:

    • NITI Aayog:
      • NITI Aayog acts as the quintessential platform for the Government of India by bringing States together as ‘Team India’ to work towards the national development agenda.
      • NITI has also established models and programs for the development of infrastructure and to reignite and establish private-public partnerships, such as the Centre-state partnership model Development Support Services to States and Union Territories (DSSS) and the Sustainable Action for Transforming Human Capital (SATH) program.
    • Goods and Service Tax (GST) System:
      • The 101st Amendment to the Constitution, which introduced the GST regime, is a watershed moment in the evolution of cooperative Federalism as enshrined in the Constitution of India.
    • Before the implementation of GST, the Indian taxation system was a medley of Central, State, and Local area levies.

    Judicial Contribution for Co-operative Federalism:

    • In the case of State of Rajasthan v Union of India (1977) which some state governments brought against the Janata government’s dissolution of state legislatures, the Supreme Court upheld its right to strike down a proclamation imposing the President’s rule if the action was mala fide or irrelevant considerations.
    • It was held that the ‘maintenance of democratic norms’ could not be regarded as an irrelevant ground for the exercise of the power of proclamation. Since then, the Indian model of federalism has been predominantly ‘cooperative’ as laid down by the Supreme Court in 1977.
    Recommendations by Sarkaria Commission on Federalism (1988):

    * The Indian government constituted the Sarkaria Commission in 1983 mainly created to explore the relationship between the states and the central government.
    * The Sarkaria Commission did not favor structural changes and regarded the existing constitutional principles and arrangements relating to the instructions as sound. However, it emphasized the need for changes in the functional or operational aspects.
    * It discusses the relations between the states and the center by the 8th to 12th Finance Commissions to maintain the dependence on several funds from the center.

    Way Forward: 

    • The Sixteenth Finance Commission has begun work, aiming to strengthen federalism and address the fraying of Centre-State relations.
      • It should ensure even-handed treatment of all states, proportionate resource transfers to poorer states, and reduce Centre domination over states.
    • To reduce the domination of the Centre over the States, the devolution of resources from the Centre to the States could be raised substantially from its current level of 41%.
      • For example, the Public Distribution System or MGNREGS are joint scheme, but the Centre asserts that it be given credit. It has penalized States that have not done so.

    https://www.thehindu.com/opinion/lead/the-centre-is-notional-the-states-the-real-entities/article68264096.ece

    https://indiankanoon.org/doc/174974/

    https://www.niti.gov.in/cooperative-federalism

  • Tele MANAS cell for Armed Forces

    Why in the News?

    • The Ministry of Health and Family Welfare (MoHFW) and the Ministry of Defence (MoD) have entered into a Memorandum of Understanding (MoU) to foster collaboration in operating a special cell of Tele MANAS.
      • This collaboration, spanning two years, aims to establish a pilot project at the Armed Forces Medical College in Pune.

    Suicides and Fratricides in Armed Forces: A Global Issue

    • As per information given in Parliament in April 2022, there were two cases of fratricide each year from 2019 to 2021 and one case in 2021.
    • In an older reply in Rajya Sabha on suspected suicide cases in the Army, the Government informed that during the years 2016 to 2018 there were 104, 75 and 80 cases, respectively.
    • A 2018 study correlated extended deployment to a 15% increased suicide risk in the U.S. military, the U.S. Department of Defence recorded 503 suicides among active-duty personnel in 2019.
    • Common reasons that forces an individual to take extreme steps are:
      • Family issues,
      • Family separation,
      • Prolonged deployment in difficult areas,
      • Continuous exposure to hazardous situations,
      • Traumas originated in Counter Insurgency or Counter Terrorism operations and
      • Wide range of Human Resource management issues.
    • Preventive Measures: The Army in its latest advisory issued in August 2023 stated that officers and religious teachers – at least one Pandit, Maulvi, Granthi or Pastor – are posted in each unit and selected other ranks are being trained on the nuances of counselling.

    What is the Tele MANAS Initiative?

    • Tele MANAS, or Tele Mental Health Assistance and Networking across States, stands as India’s National Tele Mental Health Programme.
    • It is envisioned as the digital extension of the District Mental Health Programme (DMHP).
    • Its announcement came in the Union Budget of 2022.
    • The Ministry of Health and Family Welfare (MoHFW) serves as the nodal agency overseeing its implementation.
    • The primary aim is to ensure universal access to equitable, accessible, affordable, and high-quality mental health care through round-the-clock tele-mental health services.
    • The International Institute of Information Technology, Bengaluru, serves as the technology partner.
    • The nodal centre for Tele MANAS operations is located at NIMHANS, Bengaluru.
    • The National Health Systems Resource Centre operates within the health system domain.
    • Helpline numbers for assistance are 14416 and 18008914416.
    • The implementation structure comprises two tiers:
    1. Tier 1: Consists of State Tele MANAS cells comprising trained counsellors and mental health specialists,
    2. Tier 2: Comprises resources from the District Mental Health Program (DMHP) and medical colleges.

    Reach and Impact

    • Nationwide Presence: Currently, 51 operational Tele MANAS cells operate across all 36 States and UTs, delivering services in 20 diverse languages.
    • Remarkable Response: Since its inception in October 2022, Tele MANAS has received over 10 lakh calls and manages a daily average of more than 3,500 calls.

    National Mental Health Programme (NMHP):

    • The NMHP was launched by the Government of India in 1982.
    • It was initiated to address the significant burden of mental disorders in the population.
    • Mental disorders affect approximately 6-7% of the population in India.
      • Objectives of NMHP: Ensuring the availability and accessibility of minimum mental healthcare to all, particularly the vulnerable and underprivileged sections of the population.
    • As part of NMHP, the District Mental Health Program (DMHP) was introduced in 1996 during the IX Five Year Plan based on the ‘Bellary Model’:
      • The Bellary Model emphasizes the importance of early detection, short-term training for physicians, and health worker training in identifying individuals with mental health issues.

     

    PYQ:

    [2023] Why suicide among young women is increasing in Indian society?

  • Mission Karmayogi: For civil servants who are better prepared and citizen-oriented

    Why in the news?

    The” Indian Institute of Public Administration” evaluated the impact by gathering feedback from supervisors on recently trained staff, and reported enhanced proficiency in data analytics and e-governance tools.

    Observations Assessed by the Indian Institute of Public Administration

    • Increased Proficiency: The Indian Institute of Public Administration (IIPA) observed increased proficiency in data analytics and e-governance tools among recently trained staff.
    • Skill Development: Section officers and administration assistants across the country have completed 15 lakh online learning modules on data analytics, Government e Marketplace (GeM) modules, and advanced software tools like Excel, leading to enhanced skill levels.
    • Supervisor Feedback: Feedback from supervisors indicated noticeable improvements in the capabilities and efficiency of the trained staff, reflecting the positive impact of the training programs.

    About Mission Karmayogi and Gati Shakti

    • Mission Karmayogi: Launched by Prime Minister Narendra Modi, this initiative aims to transform India’s three million civil servants into citizen-centric, future-ready, and result-oriented professionals. It includes digital training courses and the use of an online learning portal, iGOT Karmayogi Bharat.
    • Capacity Building Commission (CBC): Constituted in 2021, the CBC provides policy guidance and tools to enhance the capabilities of all levels of India’s civil services, collaborating with various ministries and training institutions.
    • PM Gati Shakti: This platform integrates legal and geographic layers to plan and execute mega infrastructure projects efficiently. It promotes a “whole of government” approach for de-siloed, harmonized national priorities.
    • Training and Certification: Over 24,000 officials have completed PM Gati Shakti learning modules, and over 3,88,000 personnel have been certified in emerging technologies through iGOT Karmayogi Bharat.

    Issues and challenges 

    • Resistance to Change: Bureaucracy often resists change due to a preference for the status quo, which can hinder the adoption of new approaches and technologies.
    • Shift from Generalist to Specialist Approach: Moving from generalist to specialist roles can encounter resistance despite the need for domain expertise, which may slow down the development of specialized skills.
    • Technical Governance Demands: Effective governance today requires technical proficiency, necessitating skilled personnel. The lack of such skills can hinder the effective implementation of the mission

    What is Needed to Achieve the $30 Trillion Economy by 2047?

    • Improved Governance: Efficient and competent civil services are essential for achieving India’s ambitions. Civil servants must be trained to be citizen-centric, future-ready, and result-oriented.
    • Infrastructure Development: Speed up the construction of mega infrastructure projects such as railways and highways.Overcome delays caused by inter-ministerial permissions through integrated planning.
    • Skill Development and Training: Equip civil servants with skills in emerging technologies like AI, IoT, and Big Data. Ensure continuous learning and skill enhancement for civil servants through platforms like iGOT Karmayogi Bharat.
    • Citizen-Centric Approaches: Promote citizen-centric approaches among civil servants to improve public service delivery.Enhance the capacity of police personnel and other frontline workers to address citizen concerns effectively.
    • State and Municipal Roles: Strengthen the role of state governments and municipal corporations in delivering services and infrastructure.Implement capacity-building programs at the municipal level for better service delivery.
    • Tax System Reforms:Develop a tax system that is painless and rewards honest taxpayers. Train tax personnel to address systemic taxpayer grievances effectively.

    Way forward:

    • Continuous Training and Development: Expand online learning platforms like iGOT Karmayogi Bharat to offer specialized courses in emerging technologies, leadership, and governance for civil servants at all levels.
    • Performance Evaluation and Feedback Mechanisms: Establish robust performance evaluation systems to assess the effectiveness of training programs and identify areas for improvement.

    Mains PYQ:

    Q Initially Civil Services in India were designed to achieve the goals of neutrality and effectiveness, which seems to be lacking in the present context. Do you agree with the view that drastic reforms are required in Civil Services. Comment (UPSC IAS/2017)

  • Why Federal Polity is the key to more jobs? 

    Why in the news?

    India’s general election results were surprising, defying exit poll predictions. Despite high economic growth, voters, especially informal workers earning under ₹10,000 monthly, expressed economic concerns.

    About the 8% Real GDP Growth in FY24:

    • Growth Not Inclusive: The 8% real GDP growth has not reached the majority of the population, especially informal-sector workers.
    • Rural Wages: There’s a contraction in real rural wages, highlighting the dire state of the rural economy.
    • Income Inequality: High economic growth has not alleviated income inequality, which is reflected in the election results.

    The Plight of Taking the Masses into Consideration:

    • Economic Concerns: Despite the hype around economic growth, voters expressed deep concerns over the state of the economy.
    • Low Incomes: Over 90% of informal-sector workers registered on the e-Shram portal have a monthly income of ₹10,000 or less.
    • Election Results: Voters in poorer states have different perceptions; some still support the incumbent government in the hope of better employment and future prospects.
    • Policy Priorities: The new government must prioritize creating employment opportunities and addressing the economic challenges faced by the masses.

    CASE STUDY: Bangladesh:

    • Role of NGOs: In Bangladesh, NGOs have significantly contributed to social development, especially for women.
    • Employment Generation: NGOs have provided skilled women power to the apparel industry, enhancing employment opportunities.
    • NGOs in India: The NGO sector in India has faced scrutiny and high-handedness. The new government should collaborate with NGOs for development programs and employment generation activities.

    The Centre has to Work Through the States for Reforms:

    • Agricultural Sector: With a significant workforce employed in agriculture but contributing minimally to the GVA, reforms in agriculture and allied sectors are essential.
    • Animal Husbandry and Fisheries: Encouraging growth in animal husbandry, fisheries, and poultry can provide additional income to farmers.
    • Employment in Other Sectors: To address the surplus workforce in agriculture, employment opportunities must be created in other sectors like textiles, leather, construction, and food processing.
    • Incentives for Investment: Correcting past policy mistakes and providing incentives for investment in key sectors is crucial.
    • Infrastructure Development: Improving infrastructure in smaller towns can boost the handicraft, tourism, and hospitality sectors, generating higher incomes and better market access.
    • Open Network for Digital Commerce (ONDC): Utilizing ONDC to provide new opportunities for craftsmen to access broader markets.
    • Government Vacancies: Filling government vacancies transparently can address educated unemployment and prevent demotivation among young people.

    Conclusion: Develop schemes that specifically cater to informal-sector workers, ensuring they benefit from economic growth. This could include social security measures, skill development programs, and financial inclusion initiatives.

    Mains PYQ:

    Q ”Economic growth in the recent past has been led by increase in labour productivity.” Explain this statement. Suggest the growth pattern that will lead to creation of more jobs without compromising labour productivity. (UPSC IAS/2022)

  • The delicate balancing of health-care costs    

    Why in the news?

    With growing health disparities and inconsistent access to medical services, the need for fair and sustainable healthcare policies has never been more pressing.

    Private Healthcare System in India

    • Private hospitals in India, especially those accredited by the Joint Commission International (JCI) and National Accreditation Board for Hospitals (NABH), are hubs of specialised care and innovation.
    • These institutions invest heavily in top-tier infrastructure and advanced technologies, significantly enhancing patient outcomes, particularly in complex procedures. Integration of telemedicine and remote care is common, broadening access and building patient trust.

    Price Caps, Quality, and Innovation

    • Affordability vs. Quality: The Supreme Court’s deliberation on standardising medical procedure rates across government and private sectors highlights the tension between affordability and quality. A study indicates a 15% increase in patient dissatisfaction in hospitals under financial pressure from price caps
    • Impact on Innovation: Price caps could slow the development of new treatments and technologies, particularly in high-investment fields like cancer research and robotic surgery. Value-based pricing, where payments reflect health outcomes rather than service volume, is proposed as a potential solution.
    • Economic Implications: Properly implemented rate standardisation can alleviate healthcare disparities but must avoid destabilising providers’ economic health. Dynamic pricing models, which adjust based on medical complexity and patient financial status, are recommended. Thailand’s tiered pricing system is cited as a successful example.

    Legal and regulatory challenges

    • No regulation on Rate Fixation: States like Rajasthan and Tamil Nadu have identified significant gaps in the provisions for rate fixation, indicating a need for more robust legal frameworks to ensure fair and standardised pricing across different regions.
    • Inadequate Laws as per Local Conditions: Current laws may not adequately consider local demographic and economic conditions, necessitating reforms that allow for more customised approaches to healthcare cost management.
    • Lack in uniform regulation: Moreover,” the Clinical Establishment Act of 2011″, aimed at setting standards for quality, transparency, and accountability, has been adopted by only a few states, and its implementation remains lax​​. This lack of uniform regulation allows for wide disparities in service costs and quality.

    Role of Data in Shaping Policies

    • Data-Driven Insights: Predictive analytics can foresee the long-term impacts of rate fixation on healthcare innovations, helping policymakers adjust regulations to encourage innovation and accessibility.
    • Pilot Projects: Implementing pilot projects in select districts can gauge the impact of rate caps on healthcare quality and innovation.

    Way Forward 

    • Balanced Pricing Models: Implement value-based pricing where payments are linked to health outcomes rather than the volume of services provided.
    • Supporting Innovation: Allocate government subsidies and grants for research and development in private hospitals.

    Mains PYQ

    Q Appropriate local community-level healthcare intervention is a prerequisite to achieve ‘Health for All’ in India. Explain. (UPSC IAS/2018)

  • India and the ‘managed care’ promise

    PYQ Relevance

    Q Public health system has limitations in providing universal health coverage. Do you think that the private sector can help in bridging the gap? What other viable alternatives do you suggest? (UPSC IAS/2015)

    Q The increase in life expectancy in the country has led to newer health challenges in the community. What are those challenges and what steps need to be taken to meet them? (UPSC IAS/2022)

    Mentor Comment: Health insurance, now central to India’s UHC policy, is being enhanced by digital advancements, enabling reforms akin to the U.S. but with cost-effective local adaptations. A South Indian healthcare chain recently integrated insurance and care provision, forming an Indian-style MCO. This prompts reflection on MCOs’ potential to extend universal health care in India significantly.

    Let’s learn_ _ 

    Why in the news?

    Universal healthcare poses a multifaceted challenge, yet managed care organizations may offer a piece of the solution that Indian healthcare requires.

    What is a Managed Care Organization?

    • A Managed Care Organization (MCO) is a health care company or a health plan that is focused on managed care as a model to limit costs, while keeping quality of care high.

    The background of Managed Care Organizations (MCOs) in the United States and India:

    Evolution of MCOs in the United States:

    •  MCOs have their origins in rudimentary prepaid healthcare practices in the 20th century.
    • The mainstreaming of MCOs gained momentum in the 1970s due to concerns over healthcare costs.The economic slowdown post-1970s made high insurance premiums less attractive to purchasers.
    • A shift occurred towards integrating insurance and healthcare provisioning functions. Focus areas included prevention, early management, and cost control, all under a fixed premium paid by enrollees.
    • MCOs have evolved through multiple generations and forms, deeply penetrating the health insurance market. While evidence of their effectiveness in improving health outcomes and prioritizing preventive care is mixed, they have been effective in reducing costly hospitalizations and associated costs.

    Evolution of MCOs in India:

    • The first public commercial health insurance emerged in the 1980s.The focus has primarily been on indemnity insurance and covering hospitalization costs.
    • There is a significant market for outpatient consultations, valued at nearly $26 billion.
    • Health insurance in India has traditionally lagged behind life and general insurance. The sector faces issues such as lack of innovation and high, often unsustainable, operational costs.
    • As per Thomas (2011), Health insurance has played a secondary role to other forms of insurance. The industry’s operational inefficiencies and high costs have been persistent issues.

    Challenges in India:

    • Lack of Natural Incentives for Cost Control: The evolutionary trajectory of Indian health insurance has not incentivized consumer-driven cost control.
    • Target Demographic: Health insurance has mainly targeted a thin, urban, well-off segment, neglecting broader demographics.
    • Informality in Outpatient Practices: There is widespread informality among outpatient practices, complicating efforts to standardize and regulate care.
    • Lack of Clinical Protocols: The absence of widely accepted clinical protocols hampers the quality and consistency of care.
    • Economic Viability: Unprofitable operations and unaffordable premiums pose significant economic challenges, preventing sustainable growth and systemic improvement.
    • Limited Impact on UHC: Private initiatives, despite their potential, are unlikely to significantly contribute to Universal Health Coverage (UHC) without public support.
    • Insufficient Control Over Patient Journeys: Health insurers have little control over the patient’s journey before hospitalization, limiting their ability to manage early interventions and reduce costs through comprehensive outpatient care.

    Prospective Solutions and Remaining Issues:

    • Potential for Big Healthcare Brands: Large healthcare brands with loyal urban patient bases and substantial resources may initiate successful managed care projects.
    • Need for Public Patronage: Exploring managed care with cautious and incremental public patronage could be promising, indicating a need for government involvement to achieve broader impacts.
    • Underutilization of Outpatient Insurance: Given the low share of insurance in outpatient care spending and the average of three consultations per year per person, there is significant potential to reduce healthcare costs through early interventions and comprehensive outpatient care coverage.

     NITI Aayog Report:

    • Outpatient care insurance scheme: In 2021, NITI Aayog released a report advocating for an outpatient care insurance scheme based on a subscription model to enhance savings through improved care integration.
    • Yield significant benefits: A well-functioning managed care system can yield significant benefits, including consolidating practices, streamlining management protocols, and emphasizing preventive care in the private sector.
    • Catering for the beneficiaries of PMJAY: The report highlights the potential of incentives under the Ayushman Bharat Mission to encourage the establishment of hospitals in underserved areas catering to beneficiaries of the Pradhan Mantri Jan Arogya Yojana (PMJAY).

    Conclusion: While Managed Care Organizations are not a perfect solution, they can play a role in addressing the complexities of achieving Universal Health Coverage (UHC) in India by being part of a broader strategy.

  • Does inequality lead to growth? | Explained

    Why in the news?

    Studies conducted by researchers from “the Paris School of Economics” indicate that inequality in contemporary India surpasses that of colonial times.

    How does Inequality harm Democratic processes?

    • Concentration of Power: Inequality can lead to the concentration of monopoly power among a few capitalists relative to the labor force. This concentration allows dominant business groups to set prices, resulting in lower real wages and reduced purchasing power for the majority.
    • Impact on Consumption and Welfare: High inequality can negatively impact consumption and welfare due to higher mark-ups and lower real wages.
      • Lower real wages mean that workers can afford fewer goods, which reduces overall consumption and welfare.
    • Effect on Democratic Processes: Economic inequality can translate into unequal political power, undermining democratic processes.
      • Those with significant wealth can have disproportionate influence over political decisions, policies, and elections, leading to governance that favours the wealthy over the general populace.

    How Redistribution and Growth Can Work Together

    • Wealth Taxes and Redistribution: Taxing wealth and redistributing it can enhance economic growth by increasing incomes and consumption among the lower and middle classes, who have a higher propensity to consume.
    • Multiplier Effect: Redistribution can strengthen the multiplier effect, where an initial increase in investment leads to a greater overall increase in income and consumption. Higher incomes among workers and goods-sellers lead to more purchases, driving further economic activity and growth.
    • Investment and Profit Expectations: Investment is driven by future profit expectations rather than past wealth. Therefore, taxing wealth does not necessarily reduce investment.
    • Creation of New Entrepreneurs: Redistribution can support the emergence of new entrepreneurs by providing financial resources and reducing dependence on wage employment. This can foster innovation and competition, further contributing to economic growth.
    • Curtailing Monopolies: Reducing monopolistic power through redistribution and other policy measures can lower prices and increase real wages. Higher real wages boost demand, leading to increased investment and economic expansion.

    Conclusion:  Addressing inequality through redistribution can promote inclusive growth, empowering marginalized communities and advancing progress towards a more equitable society, essential for fulfilling SDG Goal 10 (Reduced Inequalities).

     

    Mains PYQ:

    Q How did land reforms in some parts of the country help to improve the socio-economic conditions of marginal and small farmers? (UPSC IAS/2021)

  • Andhra’s Koya tribe faces brewing conflict over sacred Mahua flower

    Why in the news?

    The Koya tribe in Andhra Pradesh is facing a cultural crisis due to stricter liquor regulations enforced by the Special Enforcement Bureau (SEB).

    About Koya tribe 

    • Koya are one of the few multi-racial and multi-lingual tribal communities in India.
    • They live in the forests, plains, and valleys on both sides of the Godavari River which lies in Andhra Pradesh. Many also live in the states of Madhya Pradesh and Orissa.
    • They believe their main deity still resides in a cave in the Bastar region.

    Cultural Crisis (Disruption of Traditions):

    • Mahua liquor is brewed from the flowers of the Mahua tree which is integral to Koya cultural and religious ceremonies including naming ceremonies, weddings, and death anniversaries.
    • Police raids and seizures of Mahua liquor disrupt these traditions causing cultural shocks within the community. For example, recently the naming ceremony of Madakam Janakamma’s child was held without Mahua liquor due to SEB raids.

    Tribal Rights (Legal Challenges and Rights):

    • The Andhra Pradesh Prohibition Act, 1995, does not exempt the Koya tribe from brewing and storing Mahua liquor, despite its cultural significance.
    • The Panchayat (Extension to Scheduled Areas) Act (PESA), 1996 empowers the gram sabha to protect tribal traditions and culture but its implementation is questionable as SEB raids continue unabated.
    • Koya villagers are often coerced into paying bribes to avoid legal charges, highlighting the tension between law enforcement and tribal rights.

    Impact on Collection(Economic Consequences):

    • Many Koya households have ceased Mahua flower collection due to fear of police raids, significantly affecting their primary source of income.
    • Destruction of freshly collected flowers during raids further disincentivizes collection, reducing the supply of Mahua flowers to weekly markets (shandies) where they are exchanged for essential goods.

    Guardians of Culture (Preservation of Heritage):

    • The Koya tribe, especially those not displaced by the Polavaram irrigation project, are seen as custodians of their culture. However, displacement and integration with non-tribal communities threaten their cultural identity.
    • Local leaders and activists argue for the need to empower Koya women with training in producing value-added products from Mahua flowers, rather than undermining their traditional practices and economic activities.

    Legal and Policy Measures

    • Amend the Andhra Pradesh Prohibition Act, 1995: Introduce exemptions or special provisions that recognize and protect the traditional brewing and usage of Mahua liquor for cultural and religious purposes by the Koya tribe.
    • Strengthen Implementation of PESA Act: Ensure that the Panchayat (Extension to Scheduled Areas) Act (PESA), 1996, is fully implemented. Empower Gram Sabhas to have a greater say in protecting tribal traditions, including the brewing of Mahua liquor.

    Conclusion: The enforcement actions by the SEB, while aimed at regulating liquor, pose a significant threat to the Koya tribe’s cultural heritage and economic well-being. Balancing legal regulations with respect for tribal traditions and rights is crucial to preserving the Koya way of life.

    Mains PYQ:

    Q What are the two major legal initiatives by state since Independence, addressing discrimination against Scheduled Tribes (ST) ? (UPSC IAS/2017)

  • NIMHANS bags WHO’s Nelson Mandela Award for Health Promotion for 2024

    Why in the News?

    • The National Institute of Mental Health and Neuro Sciences (NIMHANS), Bengaluru, India’s premier mental health institution, has been honoured with the “Nelson Mandela Award” for Health Promotion by the World Health Organization (WHO) for 2024.

    About National Institute of Mental Health and Neuro-Sciences (NIMHANS)

    Details
    Location Bangalore, India
    Affiliation Autonomous institute under the Ministry of Health and Family Welfare, Government of India
    Ranking Ranked 4th best medical institute in India by the “National Institutional Ranking Framework (NIRF)”
    History
    • Founded in 1847 as the Bangalore Lunatic Asylum.
    • Renamed as the Mental Hospital in 1925.
    • Amalgamated with the All India Institute of Mental Health (AIIMH) in 1974 to form NIMHANS.
    • Conferred with deemed university status by the University Grants Commission in 1994.
    • Declared an Institute of National Importance by an act of parliament in 2012.
    Governance
    • Operates with academic autonomy under the “Societies Registration Act”.
    • Prioritises service, manpower development, and research in mental health and neurosciences.
    • A multidisciplinary integrated approach was adopted for translating research results into practice.
    Funding Receives resources for academic and research activities from national and international funding organisations.
    Outreach
    • Engages in mental health outreach initiatives including critiquing mental health reports and collaborating with government agencies for training and counseling.
    • Known for diagnosing and treating various mental health conditions including depression and neurobiological disorders.

     

    Back2Basics: Nelson Mandela Award for Health Promotion

    Aspect Details
    Establishment Year 1995
    Presented by World Health Organization (WHO)
    Purpose Recognizing outstanding contributions and achievements in health promotion worldwide
    Namesake Nelson Mandela, former President of South Africa
    Criteria for Recognition
    • Innovative approaches
    • Sustainable Impact
    • Dedication to health equity and social justice
    Recipients Individuals, organisations, institutions, or communities
    Selection Process
    • Based on significant strides in health promotion
    • Consideration of efforts in disease prevention and well-being improvement, especially among disadvantaged populations
    Presentation
    • Occurs during special ceremonies or events
    • Often coincides with key health promotion initiatives or milestones
    Significance
    • Symbolises recognition and encouragement for ongoing efforts in health promotion
    • Highlights the importance of collective action and collaboration in addressing health challenges and achieving public health and sustainable development goals

     

    PYQ:

    [2021] We can never obtain peace in the outer world until and unless we obtain peace within ourselves.

  • The Tobacco Epidemic in India

    Why in the News?

    Tobacco is a leading preventable cause of disease which affects nearly 26 crore Indians and 60 lakh industry workers, posing significant health risks.

    Reports on Tobacco Consumption in India

    • According to the Global Adult Tobacco Survey (GATS), there is a general decline in tobacco use, except for an increase in women between 2015-2016 and 2019-2021. (above 15 years)
    • According to the Global Youth Tobacco Survey (GYTS), tobacco use among students aged 13-15 years indicates a reduction in tobacco use in this demographic.
    • The National Family Health Survey (NFHS), which captures data on tobacco use in people above 15 years of age, aligns with the GATS findings, showing a decrease in tobacco use except among women.

    What is the WHO Framework Convention on Tobacco Control (FCTC)?

    • The WHO Framework Convention on Tobacco Control (FCTC) is an international treaty adopted by the World Health Organization (WHO) in 2003. It is a legally binding treaty.
    • It means that countries that have ratified it are obligated to implement the measures outlined in the convention within their national jurisdictions.
    • It addresses the global health risks associated with tobacco use and provides a comprehensive framework for governments and organizations to implement effective tobacco control policies and strategies.

    Challenges in India: Lobbying by the Tobacco Industry

    • The tobacco industry exerts substantial influence on policy-making to maintain low tax rates and evade stricter regulations.
    • Government Engagement: Both in-service and retired government officials often engage with the tobacco industry. Example: A retired Indian Administrative Services officer joined the board of Godfrey Phillips as an independent director.
    • Government Stake: The Central government holds a 7.8% stake in ITC Ltd., India’s largest tobacco company.
    • Tax Exemptions:  Continuous exemptions of cess on bidis and smaller tobacco manufacturers. Persistent extensions of these exemptions despite the harmful effects of tobacco.

    Tax Measures and Lobbying

    • Current Tax Burden:  Cigarettes 51%, Bidis 22%, Smokeless Tobacco Products (SLTs) 64%
    • FCTC Recommendation: At least 75% tax on tobacco products.
    • Challenges at affordability level: Low taxes relative to income growth have kept tobacco products affordable, with cigarettes and SLTs becoming more affordable over the past decade due to the transition to the Goods and Services Tax (GST).
    • Thus, India’s score has worsened since 2021, indicating increased interference by the tobacco industry in governance.

    Initiatives taken by the Government:

    • Cigarette and Other Tobacco Products Act (COTPA) 2003: It regulates the advertisement, promotion, and sponsorship of tobacco products, prohibits smoking in public places, mandates pictorial health warnings on tobacco product packaging, and sets rules for the sale of tobacco products to minors.
    • Awareness on Media: India is the first country in the world to implement the larger steps through implementing warnings on OTT platform content when actors are seen using tobacco products.
    • Awareness of Product: India has implemented prominent and graphic pictorial health warnings on tobacco product packaging.

    Challenges in Implementation

    • Poor Enforcement: Existing measures are not strictly implemented, leading to widespread non-compliance, especially among smokeless tobacco products (SLTs).
    • Indirect Advertisements: Surrogate advertisements (e.g., using elaichi to promote tobacco brands) circumvent direct advertising bans, undermining control efforts.
    • Inadequate Fines: Penalties for violations of COTPA regulations have not been updated since 2003, making them ineffective deterrents.

    Way forward:

    • Update COTPA Fines and Penalties: Revise and significantly increase fines for violations of COTPA regulations to create a stronger deterrent.
    • Strengthen Border and Market Surveillance: Improve customs and market surveillance to combat smuggling and illicit trade of tobacco products.

    Mains question for practice:

    Q Discuss the various measures undertaken by the Indian government to control tobacco consumption. Evaluate the effectiveness of these measures and suggest improvements. 15M

     

    Tobacco Board of India

      • The Tobacco Board is a statutory body established under the Ministry of Commerce and Industry.
      • Hq: Guntur, Andhra Pradesh.
    • Functions:
      • To regulate the production and curing of Virginia tobacco by improving the yields and quality of tobacco.
      • To facilitate the sale of tobacco through e-auctions, undertaking various grower welfare measures and export promotion of tobacco.