Planning commission expert group has called for making the preventive, primary and secondary healthcare services publicly funded and cashless. The private sector will only be allowed to enter with strict regulatory and contracting framework only. The president of Public Health Foundation of India, K Srinath Reddy, said that mobilizing funds is a preferred option with supplementing tax to contribute in social health insurance. The exemptions to the poor didn’t make any increase in the quality or accessibility to healthcare services. The funding process for tertiary care will be thorgh single payer system. The hospitals and doctors which act as private provider will be reimbursed directly. This makes the tertiary users a cashless process. The public is currently spending 1.1 per cent of GDP in health and wants the government to step it up to 3-4 per cent by 2017. The group initiates that the central funds should focus on the primary and secondary medicare. On the other hand, the public spending increased as the hospitilisation in rural areas to 47 percent. Due to financial reasons around 28 per cent of ailments in rural areas and 20 per cent in urban areas went untreated. 10 percent of the families have only one member covered by medical reasons. The situation currently is weak as government-sponsored medical insurance is financially unviable for the poor, while the private medical insurance market is imperfect.

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