On the road to Liberty

While on a trip to South-East Asian countries, I found that many are looking at India for health care policies. There is a belief among many, that with 97% of medicines in the Indian market being generic, and prices quite low, Indians must be enjoying a very good health. In this article, "How healthy is our health care system?" I look at the grim reality facing patients in India. International perceptions of India have been radically changing over the last few years, whether for her higher economic growth rate, the extraordinary rise of her IT sector or her potential as an emerging super-power. However, during recent trips to south-east Asia, this writer suddenly became aware of yet another perception of India. From Thailand to Malaysia to Philippines and Indonesia, it seems many people in Asia are looking at India as a model for health-care policy. This came as a surprise, given that commentators in India are generally united in the belief that the two areas where India fac...

The present debate over the Indian patent law has done a disservice to the poor patients by shifting the focus away from the more sickness that afflicts the health care system in India. Its not patents but the government hold on the health care sector that is preventing the poor from gaining access to medicines. A version of this article titled "Patients, not Patents, need to be at heart of the health care debate" has appeared in The Indian Express , January 28, 2004 The present debate over the Indian patent law, despite the passion, is underscored by the desire to score political points. Consequently, most of the arguments have been disconnected from reality. India has been a proving ground for those who oppose patents on pharmaceutical products. We scrapped all product patents in 1972. As a result, India is now home to over 20,000 pharmaceutical companies producing copies of drugs developed and patented elsewhere. However, access to medicines remains poor suggesting that p...