This is an important update to the article I had written earlier on the Rajiv Gandhi Jeevandayee Aarogya Yojana scheme.
Dr. Thomas Kuruvilla shared his views in a comment on the earlier article.
I quote him verbatim,
You have to also see the flip side to this scheme. The RGJAY has been criticised by many because it is operation or procedure related, in that the hospital gets reimbursed by the Govt./Insurance only if the patient undergoes invasive procedures. Therefore, many private hospitals (especially those which are not doing well otherwise) use this scheme to bring in patients & conduct procedures or operations (sometimes when not indicated) so as to get reimbursed. It should be noted that the hospitals are not reimbursed for treating diseases with medicines. Therefore a medical line of treatment is not encouraged even when it may be as beneficial or even better than a surgical line of treatment. There have been several cases of unneeded removal of uteruses being done. One area where misuse is common is in cardiac ailments. These hospitals often advice patients to undergo angiographies/angioplasties/bypass surgeries even when a medical line of treatment is indicated. And the poor are easily fooled. So, please take a second opinion before undergoing these procedures when advised by hospitals empanelled under this scheme.
I was not aware of this angle. Thanks Dr. Kuruvilla for sharing this with everybody.