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Directions: Read the following passage and answer the questions that follow it. Some words are highlighted to help you to answer some of the questions. Today, on Universal Health Coverage (UHC) Day, I wonder how many readers are aware of what UHC is. According to the World Health Organisation, UHC means “ensuring that everyone, everywhere can access essential quality health services without facing financial hardship”. It sounds basic, yet the basics often pose a major challenge. Japan has been leading the international efforts towards UHC, including its inclusion in the sustainable development goals and G20 agenda under our chairmanship next year, because health is one of our fundamental rights. India has taken the vital first step towards UHC through Ayushman Bharat. This challenge is reminiscent of the path that Japan took more than half a century ago. Japan created national health insurance coverage in 1961, when it was yet to take off economically. A major political decision was required to expand national health insurance and establish medical schools all over Japan. The implementation of UHC could only have been possible through an early and vast national investment, and through a comprehensive government effort, with the Ministries of Health, Finance and Education, as well as local governments, working together. This investment has paid off. UHC has increased the number of healthy people and healthy workers in Japan. It has contributed to the economic miracle of Japan. Moreover, UHC has ensured social equity by functioning as a mechanism for redistribution of incomes. Even in the remotest of places in Japan, you do not have to worry about healthcare. The peace of mind which UHC ensures to the Japanese is an indispensable ingredient of our overall well-being. We are also partnering with India in wide-ranging projects for better healthcare. Japan has previously worked with India to eradicate polio in India. Today, Japanese and Indian doctors are exchanging ideas and expertise at a research and control centre on diarrhoea established by Japan in Kolkata, and precious lives of newborns are being saved daily in a children’s hospital constructed in Chennai. In 17 cities across Tamil Nadu, urban healthcare systems are being strengthened with our cooperation. When Prime Minister Narendra Modi visited Japan at the end of October, India and Japan signed a new Memorandum of Cooperation on healthcare to pursue the synergies between Ayushman Bharat and Japan’s Asia Health and Wellbeing Initiative. We aim to pursue our cooperation in various fields, such as honing skills of doctors in surgery of trauma as well as providing technical training for Indian nurses studying in Japanese caregiving facilities. We hope these efforts will lead to a better health ecosystem and the promotion of UHC in India. Japan is also willing to learn from India. For instance, Ayurveda can bring a new dimension to Japan’s healthcare system. The path towards UHC is not short. But India has taken the first bold step, and Japan will march along with India on this path, sharing its lessons, as a friend.
If one takes inspiration from the implementation of National Health Insurance coverage of Japan, which of the following ingredients would India need under Ayushman Bharat?
Political will power
Establishing medical schools all over India
Collaboration of various ministries (viz., Health, Finance and Education) and local governments
Vast National investment
All of the above
Correct Answer is (e). The answer to the question can be found from the last few sentences of the second paragraph ‘A major political decision was required to expand national health insurance and establish medical schools all over Japan. The implementation of UHC could only have been possible through an early and vast national investment, and through a comprehensive government effort, with the Ministries of Health, Finance and Education, as well as local governments, working together’. From the highlighted sentences, it could be inferred that the successful implementation of UHC in Japan through national health insurance coverage included political will power, establishing medical schools all over Japan, collaboration of various ministries and local governments and vast national investment. Hence, option (e) is the correct answer.
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