000			01665nam a2200205Ia 4500
008			241008s9999||||xx |||||||||||||| ||und||
022			_a0973-7030
100			_aHarikrishnan, K. S. _9122447
245		0	_aAsymmetric Fiscal Federalism and Public Provision of Healthcare: New Insights from India
260			_bIndian Journal of Human Development
260			_c2023
300			_a420-438
520			_aIn this article, we show undesirable consequences of a market-based system and argue for a public provision of healthcare. We examine the healthcare provision from the fiscal federalism perspective. With the asymmetric fiscal federal structure characterised by vertical and horizontal imbalances, states are dependent on transfers from union to provide public goods. Our analysis shows a widespread disparity in the public provision of healthcare in India due to fiscal imbalances. The performance of states in the management of the COVID-19 pandemic reveals that a robust public healthcare system is a prerequisite in managing a health emergency. We identify the withdrawal of governments from healthcare provision and concentration of resources with the union government as critical impediments to achieving universal healthcare access. In light of our analysis, we emphasise the need for resource devolution and cooperative federalism to ensure public provision for a dignified life in a functioning democracy.
650			_a Cooperative Federalism _911669
650			_a Fiscal Federalism
650			_a Healthcare
650			_aCOVID-19 Pandemic
700			_a Hiremath, Gourishankar S. _9122448
856			_uhttps://doi.org/10.1177/09737030241239736
999			_c134280 _d134280