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Indian Health Policy in Light of COVID-19: The Puzzle of State Capacity and Institutional Design

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  • Shah, Ajay

Abstract

The Coronavirus pandemic has been a severe stress test for the Indian health system. In this paper, we review India’s experience with COVID-19 in the first half of 2020. An array of initiatives are required in public health and health care in response to this experience. In testing and health care, the substantial role of the private sector needs to be recognized and integrated into thinking about health policy. There is a need to reform government organizations that wield coercive power or spend public money so as to refocus them on addressing market failures and improving state capacity. There is considerable knowledge in the field of building state capacity in India that can help in this task.

Suggested Citation

  • Shah, Ajay, 2021. "Indian Health Policy in Light of COVID-19: The Puzzle of State Capacity and Institutional Design," India Policy Forum, National Council of Applied Economic Research, vol. 17(1), pages 31-75.
  • Handle: RePEc:nca:ncaerj:v:17:y:2021:i:2021-1:p:31-75
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    References listed on IDEAS

    as
    1. Minu Philip & Debraj Ray & S. Subramanian, 2021. "Decoding India's Low Covid-19 Case Fatality Rate," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 22(1), pages 27-51, January.
    2. Patnaik, Ila & Roy, Shubho & Shah, Ajay, 2018. "The rise of government-funded health insurance in India," Working Papers 18/231, National Institute of Public Finance and Policy.
    3. Pritchett, Lant & Woolcock, Michael, 2004. "Solutions When the Solution is the Problem: Arraying the Disarray in Development," World Development, Elsevier, vol. 32(2), pages 191-212, February.
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    More about this item

    Keywords

    India; COVID-19; Health Policy; Public Health; Health Care; Market Failure; State Capacity; Regulation;
    All these keywords.

    JEL classification:

    • H11 - Public Economics - - Structure and Scope of Government - - - Structure and Scope of Government
    • H23 - Public Economics - - Taxation, Subsidies, and Revenue - - - Externalities; Redistributive Effects; Environmental Taxes and Subsidies
    • H41 - Public Economics - - Publicly Provided Goods - - - Public Goods
    • H42 - Public Economics - - Publicly Provided Goods - - - Publicly Provided Private Goods
    • H77 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Intergovernmental Relations; Federalism
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • K23 - Law and Economics - - Regulation and Business Law - - - Regulated Industries and Administrative Law
    • K32 - Law and Economics - - Other Substantive Areas of Law - - - Energy, Environmental, Health, and Safety Law
    • O53 - Economic Development, Innovation, Technological Change, and Growth - - Economywide Country Studies - - - Asia including Middle East

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