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Lack of resources such as 1:1,700, doctor: citizen ratio, well below the minimum ratio of 1:1,000 stipulated by WHO.
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Rural areas and smaller towns of India are the worst sufferers, where even basic health services remain inaccessible, many cases were reported where ward boys and alone found running the primary healthcare center.
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Inadequate government spending on healthcare and lack of access to health insurance to a large section of society.
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The quality of public health services in India continues to remain below expectations which hamper the economic growth of the country.
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Government’s inability to build sufficient capacity and infrastructure, difficulty in reaching out to poor and vulnerable groups.
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An undersized skilled workforce and the absence of upgraded technology is a major challenge in the health sector.
Type: Op-ed
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Dominance of Private healthcare in India & Related issues
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Custodial torture in India
Installation of cameras would help in curbing the custodial torture to some extent but ending the menace requires comprehensive reforms.
Installation of CCTV cameras to curb custodial torture
- The Supreme Court recently mandated that CCTV cameras be installed in police stations and offices of other investigative agencies.
- However, previous decisions with similar recommendations have been poorly implemented.
- The present decision shows a marked difference from the earlier ones in its approach.
- It shows more care by listing out areas of police stations where cameras must be installed to ensure that there are no blind spots.
- It asks for oversight committees to be set up to monitor the functioning of the cameras.
- It also specifies that the cameras must be equipped with night vision and be able to record audio and visual footage.
- The recordings will have to be preserved for at least 12 months.
Issues with installing CCTV cameras
- Alteration of a video to conceal an object, an event, or change the meaning conveyed by the video is a well-documented reality in the United States.
- Indian courts have also expressed their apprehension of police tampering with CCTV footage.
- The judgment does not assuage these concerns.
- Cameras in police stations will not foreclose the possibility of torture in other locations.
- Multiple works on torture in India suggest that torture is often not inflicted in police stations, but in isolated areas or police vehicles.
- Victims are illegally detained and tortured in undisclosed locations before officially arrested and brought to the police station.
Challenges in fixing criminal responsibility
- Since torture is not recognized as an offense per se under Indian law, the judgment refers to the use of force resulting in “serious injuries and/or custodial deaths” unwittingly creates a high threshold for what amounts to torture.
- It fails to acknowledge the existence of forms of physical and psychological torture that leave behind no marks on the body.
- Requiring prior sanction from the government operates as the foremost hurdle in initiating criminal complaints.
- The absence of statutory guidelines mandating independent investigation results in police officers from the same police station investigating the crime and suppressing evidence.
- Between 2005-2018, with respect to 1,200 deaths in police custody, 593 cases were registered, 186 police personnel were charge-sheeted, and only seven were convicted (National Crime Records Bureau).
- Evidentiary concerns frequently arise since often the only witnesses are the victims themselves.
- The Supreme Court (1995) has noted that police officials remain silent to protect their colleagues as they are “bound by brotherhood” and held that courts should not insist on direct or ocular evidence in these cases.
- This position is rarely applied and many cases result in acquittal for want of evidence.
Conclusion
Monitoring the police through CCTVs is an important step towards combating torture but its effectiveness is contingent on broader reforms. The Supreme Court needs to ensure a robust implementation of its order and simultaneously plug the gaps so that incidents of torture are curtailed.
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Laying the foundation for faster growth
To ease the damage inflicted by the pandemic on the economy, India needs to act on multiple fronts. The article suggests the trajectory India should follow to compensate for the economic loss due to pandemic.
Economy picking up
- As the restrictions were slowly withdrawn, the economy has also started picking up.
- There are many indicators such as collection of Goods and Services Tax (GST), the improved output of coal, steel, and cement, and positive growth in manufacturing in October 2020 which point to better performance of the private sector.
- In Q1, the economy declined by 23.9%; it declined by 7.5% in Q2, when the relaxations were eased.
- Reductions in the first half of GDP in 2020-21 as compared to the first half of 2019-20 is 7.66% of the 2019-20 GDP.
- If the Indian economy at least maintains the second half GDP in 2020-21 at the level of the previous year, the full-year contraction can be limited to about 7.7%.
Steps need to be taken
- If the Indian economy grows at 8% in 2021-22 will we be compensating for the decline in 2020-21.
- Thus, it is imperative that the Indian economy grows at a minimum of 8% in 2021-22.
- This should be possible if by that time restrictions imposed because of COVID-19 are withdrawn and the nation goes back to a normal state.
- Some sectors can act as lead sectors or engines of growth with increased government capital expenditures in them.
- The private sector seems to be revising its future prospects.
- Many new issues in the capital market have met with good response.
- The attitude to trade must also change.
- Closing borders may appear to be a good short-term policy to promote growth.
- A strong surge in our exports will greatly facilitate growth, i.e. 2021-22.
- However, much of Indian’s growth must rest on domestic factors.
- Growth must not only be consumption-driven but also investment-driven.
- It is the investment-driven growth in a developing economy that can sustain growth over a long period.
The important role of monetary policy
- The stance of monetary policy in 2020-21 has been extremely accommodating.
- Three major elements in the policy are:
- 1) A reduction in interest rate.
- 2) Providing liquidity through various measures.
- 3) Regulatory changes such as moratorium.
- There has been a substantial injection of liquidity into the system.
- With a large injection of liquidity, one should expect inflation to remain high.
- In the final analysis, inflation is determined by the overall liquidity or money supply in the system in conjunction with the availability of goods and services.
- While there may be sufficient justification for an accommodative monetary policy in a difficult year such as 2020, there will be a need to exercise more caution as we move into the next year.
Role of government expenditure
- Government expenditures play a key role in a situation such as the one we are facing.
- The stimulus policies involving higher government expenditures were expected to arrest the contractionary momentum.
- The government expenditures should be speeded up from now on so that the contraction in the current fiscal year as a whole can be reduced.
- In 2021-22, government revenues should pick up with the rise in GDP.
- The process of bringing down the fiscal deficit must also start.
- What is required is a sharp increase in government capital expenditures which can act as a stimulus for growth.
- A detailed investment plan of the government and public sector enterprises must be drawn up and presented as part of the coming Budget.
Increasing investment
- Over the past decade, the investment rate has been falling.
- In 2018-19, the rate fell to 32.2% of GDP from 38.9% in 2011-12.
- Some of the recent measures including corporate tax rate changes may help in augmenting investment.
- A strong effort must be made to improve the investment climate. The National Infrastructure Pipeline is a good initiative.
- But the government must come forward to invest more on its own.
Reforms with consensus
- Reforms are important in the context of rapid development.
- However, timing, sequencing, and consensus-building are equally important while introducing them.
- Labor reforms, for example, are best introduced when the economy is on the upswing.
Consider the question ” Growth must not only be consumption-driven but also investment-driven. It is the latter which in a developing economy can sustain growth over a long period. In light of this, suggest the policy imperatives that India should follow to make good of the decline in 2020-202.”
ConclusionTo achieve the level of $5 trillion, we need to grow continuously at 9% for six years from now. That is the challenge before the economy. Jobs and employment will come from growth. They are not independent of growth. For that policymakers should eschew other considerations and focus only on growth.
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Friend and neighbour: India-Bangladesh relations
India must strengthen ties with Bangladesh and appreciate Sheikh Hasina’s challenges
Virtual summit between India and Bangladesh
- The virtual summit was conducted recently between Prime Minister Narendra Modi and his Bangladesh counterpart Sheikh Hasina.
- There was a discussion on issues ranging from the violent border incidents to the COVID-19 fight, demonstrates their desire to reboot India-Bangladesh ties that have faced challenges in recent months.
- PM Modi called Bangladesh a “major pillar” in India’s neighbourhood first policy, while Ms. Hasina invited him to visit Bangladesh in March for the celebrations of the 50th anniversary of its independence.
- It is a key opportunity for India, which had played a major role in Bangladesh’s liberation in 1971, to revive the relations and address the issues adversely affecting the partnership.
Importance of India-Bangladesh relationship
- Bangladesh and India are at a historic juncture of diplomacy embedded in a rich matrix of history, religion, culture, language and kinship.
(1) ‘Blue Economy’ programme’ –
- Both countries are looking at strengthening economic cooperation through joint investments and cooperation under the ‘Blue Economy’ programme.
- The programme entails synergized efforts of littoral states in the exploration of hydrocarbons, marine resources, deep-sea fishing, preservation of marine ecology and disaster management.
- The industry in India needs to look for opportunities for collaboration in defence, such as in military hardware, space technology, technical assistance, exchange of experience, and development of sea infrastructure.
(2) India’s Act East Policy –
- Connectivity offers a game-changing opportunity for India and Bangladesh. This is pivotal to India’s connectivity with its north-eastern region and with countries of ASEAN.
- This is particularly important in the context of both the Make in India initiative as well as India’s Act East Policy.
- The two countries also see themselves converging around a lot of commonalities, not just as neighbours battling the scourge of terrorism, but as leading economic partners.
- In terms of diplomacy in the South Asian region, both countries have had identical views.
- From how organizations such as the South Asian Association for Regional Cooperation (SAARC) should be going forward in promoting cooperation among its member nations to economic growth.
Challenges in India-Bangladesh relations
(1) Violent border incidents –
- Despite the friendship remaining solid, the border has been sensitive.
- At least 25 Bangladeshis were killed in the first six months of this year along the border by Indian forces, according to a rights watchdog.
(2) Sharing of River Waters –
- The Teesta water dispute between West Bengal and Bangladesh remains unresolved.
(3) The Citizenship (Amendment) Act and the proposed National Register of Citizens, which Ms Hasina called “unnecessary”, have created a negative impression about India.
(4) China’s economic footprint is growing –
- China is making deep inroads into Bangladesh by ramping up infrastructure investments and expanding economic cooperation.
- Bangladesh is overwhelmingly dependent on China for military hardware.
- Since 2010, India approved three Lines of Credit to Bangladesh of $7.362 billion to finance development projects. But, just $442 million have been disbursed until December 2018.
Way Forward
- It is imperative for India to bolster ties with this all-weather friend, and there may not be a better time to do so than when Bangladesh is to celebrate the golden jubilee of its independence.
- India should support Bangladesh’s fight against radical elements. India should also not allow the ideological inclinations of the ruling party to spoil the historic relationship between the two countries.
- New Delhi should take a broader view of the changing scenario and growing competition in South Asia, and reach out to Dhaka with an open mind.
- There is much room for course correction in Delhi and to shift the focus from legacy issues to future possibilities.
Practice Question: Discuss the importance of India-Bangladesh relations and various challenges affecting the relations between the two countries. How they can be addressed?
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West Bengal IPS Controversy
Police personnel should not be made instruments of a political battle
Tug of war between political parties in West Bengal
- The appointment of three IPS officers of the West Bengal cadre to various posts by the Union Home Ministry on Thursday has escalated the confrontation between the State and the Centre.
- Chief Minister Mamata Banerjee has termed the deputation order despite the State’s objection “a colourable exercise of power and blatant misuse of emergency provision of IPS Cadre Rule 1954”.
- The constant hostility between the State and Central governments is now taking a turn for the worse ahead of the 2021 Assembly election.
- The tug of war began after a convoy of BJP President J.P. Nadda came under stone pelting in the State on December 10. The BJP apparently holds the IPS officers accountable for the incident.
- After an initial move to recall these officials was resisted by the State, the Centre has invoked Section 6(1) of the Indian Police Service (Cadre) Rules, which says that “in case of any disagreement, the matter shall be decided by the Central Government….”
Administrative instruments Vs. Political battles
- The CM’s style of managing the police force has gained attention for the wrong reasons in the past.
- Senior officials are seen as allied with the ruling govt and the oppositions determined drive to capture power in the State is multi-pronged.
- The Supreme Court restrained West Bengal from taking any “coercive action” against several opposition leaders in criminal cases registered against them by the State Police.
- The opposition continues to knock on the doors of the Court and the Election Commission of India to bring pressure on the State government.
- By enforcing its writ on IPS officers, the Centre is sending a signal to all officers that their conduct will now be under scrutiny.
Never-ending issues between the state and the centre
- The central schemes, Ayushman Bharat and PM Kisan Samman Nidhi are also a bone of contention.
- The Bengal government has refused to implement them, demanding that the funds be routed through the State.
- The CM has also complained of insufficient central assistance to manage the COVID-19 pandemic and cyclone Amphan.
- The Centre’s earlier demand that the Chief Secretary and DGP attend a meeting in New Delhi on the State’s law-and-order situation increased tensions.
- The partisan use of the personnel and instruments of the state by parties in power as is happening in this tussle is a disturbing signal for democracy and federalism.
Practice Question: The partisan use of the personnel and instruments of the state by parties in power is a disturbing signal for democracy and federalism. Elaborate.
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India-UK Relations
India and the U.K. must not allow concerns of the moment to dominate their relationship.
Practice Question: Discuss the opportunities and the challenges in the India-UK relationships. What is the prospectus of India-UK relations after Brexit and Coronavirus pandemic?
Secretary’s Delhi visit
- British Foreign Secretary Dominic Raab’s Delhi visit came with a declaration of immediate and longer-term goals for the India-U.K. relationship.
- It prepares the way for PM Johnson’s India visit, as the chief guest at Republic Day and to invite PM Modi to the U.K. to the G-7 and the Climate Change (COP26) summits next year.
- Johnson will be the first head of government to visit India after the spread of COVID-19; this will also be his first bilateral visit anywhere after Brexit signalling the importance of ties with India.
A new page in ties
- Upgrading the ties – Both countries up for upgrading of the 2004 India-U.K. Strategic Partnership to a “Comprehensive” Strategic Partnership.
- This will help to envision closer military ties, cooperation in Indo-Pacific strategies, counter-terrorism and fighting climate change.
- Hoping for FTA – Britain is on a mission to secure free trade partners after Brexit. It has wrapped up nearly 20 trade deals, including most recently with the U.S., Japan, and Vietnam and is hoping for India to sign the same.
- Corona pandemic and cooperation for vaccine manufacturing – The highlight of India’s relations will be closer cooperation on the coronavirus vaccine.
- India’s Serum Institute set to produce and distribute the Oxford/AstraZeneca vaccine in India, and then as part of the COVAX project to other developing countries.
Challenges in India-UK relations
- Stagnancy in the relations – India-UK relations are stagnant for the past five years due to Britain’s Brexit preoccupation.
- The relationship has failed to progress in this time, despite visits by Mr Modi and former British Prime Minister Theresa May.
- Other less important issues gained the narrative – Issues such as visas and the fate of fugitive Indian businessmen in the U.K. have been allowed to dominate the narrative.
- The MEA had responded sharply to protests at the Indian High Commission in London over the Article 370 move in Jammu and Kashmir, and the Citizenship (Amendment) Act.
- Britain’s concerns about the farmers’ protests that sparked responses in New Delhi about interference in India’s internal matters.
- Sometimes, intense interest from the British Indian diaspora makes Indian politics a factor in British politics is a reminder of how closely linked the two countries remain.
- A new chapter in India-UK relationship would necessarily entail the K. to be more sensitive to India’s concerns, and for India to be less sensitive when Britain expresses its concerns.
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Converting waste to energy
The new plant at Bidadi has several advantages but also some operational challenges.
Practice Question: Discuss the various benefits of waste to energy plants and challenges in running them successfully.
The prospectus of new plant
- The new 5 MW waste-to-energy plant is going to set up near Bidadi, Karnataka.
- This plant is expected to process 600 tonnes per day of inorganic waste.
- The inorganic waste, which consists of bad quality plastics and used cloth pieces, can be processed as Refuse Derived Fuel (RDF). This material has a calorific value of more than 2,500 kJ/kg.
- This can be used to generate steam energy, which can be converted into electric energy.
A well-planned plant
- The waste-to-energy plants usually accept the RDF material generated in organic composting plants.
- They also segregate the wet and inorganic material near the plant, convert organic waste to compost, and inorganic waste to energy.
- About 50 tonnes of RDF generate 1 MW of power, which indicates that the plant at Bidadi has been appropriately designed.
A permanent solution
- Handling inorganic waste that is not fit for recycling has always been a challenge.
- At present, these high-calorific materials are landfilled or left unhandled in waste plants and cause fire accidents.
- Attempts to send this material to cement kilns have not fructified.
- The proposed plant can source 600 tonnes per day of this RDF and generate 11.5 MW of power equivalent to 2.4 lakh units of power per day.
- This will reduce the dependence on unscientific landfills, reduce fire accidents, and provide a permanent solution to recover value from inorganic waste.
Challenges
- Needed a good demonstration model – Over the last decade, several Indian cities have been trying to set up such plants but a good demonstration model is yet to be established.
- Nature of waste – Technology suppliers are international organizations who struggle with the change in quality and nature of waste generated in Indian cities. A few plants in India have stopped operations for this reason.
- The plants require fine inorganic material with less than 5% moisture and less than 5% silt and soil contents, whereas the moisture and inert content in the mixed waste generated is more than 15%-20%.
- The sticky silt and soil particles can also reduce the calorific value.
- Economic cost per unit of electricity – The other big challenge for this plant is the power tariff which is around ₹7-8 KwH which is higher than the ₹3-4 per KwH generated through coal and other means.
Way forward
- For the successful running, the plant needs to ease the challenge of handling inorganic waste, the efficiency of organic waste processing/ composting plants.
- With the increasing waste generation in the coming years, there is a need for more such plants which are environment friendly.
Back2Basics: Refuse-derived fuel (RDF)
- Refuse-derived fuel (RDF) is a fuel produced from various types of waste such as municipal solid waste (MSW), industrial waste or commercial waste.
- It is selected waste and by-products with recoverable calorific value can be used as fuels in a cement kiln, replacing a portion of conventional fossil fuels, like coal, if they meet strict specifications.
- Sometimes they can only be used after pre-processing to provide ‘tailor-made’ fuels for the cement process.
- RDF consists largely of combustible components of such waste, as non-recyclable plastics (not including PVC), paper cardboard, labels, and other corrugated materials.
- These fractions are separated by different processing steps, such as screening, air classification, ballistic separation, separation of ferrous and non-ferrous materials, glass, stones and other foreign materials and shredding into a uniform grain size, or also pelletized.
- This produces a homogeneous material which can be used as a substitute for fossil fuels in e.g. cement plants, lime plants, coal-fired power plants or as a reduction agent in steel furnaces.