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UPSC Prelims 2023GS1Indian SocietyPublic Healthcare System in India

Q95. Consider the following statements : Statement-I : India's public sector health care system largely focuses on curative care with limited preventive, promotive and rehabilitative care. Statement-II : Under India's decentralized approach to health care delivery, the States are primarily responsible for organizing health services.

Which one of the following is correct in respect of the above statements?

A. Both Statement-I and Statement-II are correct and Statement- II is the correct explanation for Statement-I
B. Both Statement-I and Statement-II are correct and Statement- II is not the correct explanation for Statement-I✓ Correct
C. Statement-I is correct but Statement- II is incorrect
D. Statement-I is incorrect but Statement-II is correct

Detailed Solution

✓ Correct Answer: Option B

Let's evaluate the given statements: * **Statement I**: Correct. India's public healthcare system has historically been characterized by a predominant focus on curative care, with relatively less emphasis and investment in preventive, promotive, and rehabilitative health services.

While recent initiatives aim to address this imbalance, the curative bias persists. * **Statement II**: Correct. 'Public health and sanitation' is a subject listed under the State List in the Seventh Schedule of the Indian Constitution.

Consequently, states bear the primary responsibility for organizing, funding, and delivering health services within their respective jurisdictions, leading to a decentralized healthcare delivery model. However, Statement II is not the correct explanation for Statement I.

The decentralized nature of health administration (Statement II) explains *how* health services are managed, but it does not directly explain *why* the system has a curative focus (Statement I). The curative focus is a result of historical priorities, resource allocation patterns, and disease burden, rather than the administrative structure itself.

This question tests understanding of India's healthcare system structure and challenges, a key topic in Social Issues and Governance.

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