The commonest refrain in India when seeking health services in the private sector is ‘kitne ka hain? ‘
In developed nations, the refrain is the same, only it is muted since the insurance company picks up the tab.
70 % of the service delivery is in the private sector. It is paid out of private pockets.
PPP models of mental health delivery are failing because of a systems failure.
Delivering affordable health care which is evidence based is an oxymoron.
In this paradoxical situation of high demand but expensive supply, many innovations are being explored.
The NGO sector encompasses a broad swathe from charitable dispensaries to community initiatives but as the Americans always say there is nothing like a free lunch.
Quality does suffer and the focus shifts to symptomatic management rather than holistic care.