An Ethical Analysis of the 'Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)' Scheme using the Stakeholder Approach to Universal Health Care in India

doi:10.1007/s41649-020-00121-7

. 2020 May 27;12(2):195-203.

doi: 10.1007/s41649-020-00121-7. eCollection 2020 Jun.

An Ethical Analysis of the 'Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)' Scheme using the Stakeholder Approach to Universal Health Care in India

Saumil Dholakia^{1

2}

Affiliations

¹ Geriatric Clinical Psychopharmacology and Geriatric Psychiatry, GeriMedRisk, St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, ON Canada.
² Joint Centre for Bioethics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON Canada.

PMID: 33717337
PMCID: PMC7747257
DOI: 10.1007/s41649-020-00121-7

An Ethical Analysis of the 'Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)' Scheme using the Stakeholder Approach to Universal Health Care in India

Saumil Dholakia. Asian Bioeth Rev. 2020.

. 2020 May 27;12(2):195-203.

doi: 10.1007/s41649-020-00121-7. eCollection 2020 Jun.

Author

Saumil Dholakia^{1

2}

Affiliations

¹ Geriatric Clinical Psychopharmacology and Geriatric Psychiatry, GeriMedRisk, St. Joseph's Healthcare Hamilton, McMaster University, Hamilton, ON Canada.
² Joint Centre for Bioethics, Dalla Lana School of Public Health, University of Toronto, Toronto, ON Canada.

PMID: 33717337
PMCID: PMC7747257
DOI: 10.1007/s41649-020-00121-7

Abstract

This paper analyses the ethical considerations using the stakeholder theory on two specific domains of the newly implemented 'Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)' scheme by the Government of India. The paper recommends a solidarity-based approach over an entitlement based one that focuses on out-of-pocket expenses for the most vulnerable and a stewardship role from the private sector to ensure equity, accountability, and sustainability of PM-JAY scheme.

Keywords: Health System; India; PM-JAY; Stake-holder approach; Universal Health Care.

PubMed Disclaimer

Conflict of interest statement

Conflict of InterestThe author declares that he has no conflict of interest.

Figures

**Diagram 1**
Stake holders and their relationships in PM-JAY

See this image and copyright information in PMC

Cited by

Challenges and opportunities of AAM's (Ayushman Arogya Mandir) in mitigating healthcare disparities.
Garg RK, Garg P, Bala J, Subashini SP, Jasline M, Mol V, Mudhol B, Murthy V. Garg RK, et al. J Educ Health Promot. 2024 Dec 28;13:500. doi: 10.4103/jehp.jehp_699_24. eCollection 2024. J Educ Health Promot. 2024. PMID: 39850292 Free PMC article. No abstract available.
Sustaining Bioethical Contributions in Times of Crisis and Change.
Laurie G. Laurie G. Asian Bioeth Rev. 2020 Jun 10;12(2):61-63. doi: 10.1007/s41649-020-00129-z. eCollection 2020 Jun. Asian Bioeth Rev. 2020. PMID: 32837553 Free PMC article. No abstract available.

References

1. Altham, J.E.J. 1973. Rawls’s Difference Principle. Philosophy 48 (183): 75–78. 10.1017/S0031819100060447.
1. Angell, Blake J., Shankar Prinja, Anadi Gupt, Vivekanand Jha, and Stephen Jan. 2019. The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana and the path to universal health coverage in India: Overcoming the challenges of stewardship and governance. PLoS Medicine 16 (3): e1002759. 10.1371/journal.pmed.1002759. - PMC - PubMed
1. Bandyopadhyay, Satarupa, and Kasturi Sen. 2018. Challenges of Rasthryia Swasthya Bima Yojana (RSBY) in West Bengal, India: An exploratory study. International Journal of Health Planning and Management 33 (2): 294–308. 10.1002/hpm.2453. - PubMed
1. Brinkerhoff, Derick W., Harry E. Cross, Suneeta Sharma, and Taylor Williamson. 2019. Stewardship and health systems strengthening: An overview. Public Administration and Development 39 (1): 4–10. 10.1002/pad.1846.
1. Davies, Ben, and Julian Savulescu. 2019. Solidarity and Responsibility in Health Care. Public Health Ethics 12 (2): 133–144. 10.1093/phe/phz008. - PMC - PubMed

LinkOut - more resources

Full Text Sources
- Europe PubMed Central
- PubMed Central

[1] Altham, J.E.J. 1973. Rawls’s Difference Principle. Philosophy 48 (183): 75–78. 10.1017/S0031819100060447.

[2] Altham, J.E.J. 1973. Rawls’s Difference Principle. Philosophy 48 (183): 75–78. 10.1017/S0031819100060447.

[3] Angell, Blake J., Shankar Prinja, Anadi Gupt, Vivekanand Jha, and Stephen Jan. 2019. The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana and the path to universal health coverage in India: Overcoming the challenges of stewardship and governance. PLoS Medicine 16 (3): e1002759. 10.1371/journal.pmed.1002759. - PMC - PubMed

[4] Angell, Blake J., Shankar Prinja, Anadi Gupt, Vivekanand Jha, and Stephen Jan. 2019. The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana and the path to universal health coverage in India: Overcoming the challenges of stewardship and governance. PLoS Medicine 16 (3): e1002759. 10.1371/journal.pmed.1002759. - PMC - PubMed

[5] Bandyopadhyay, Satarupa, and Kasturi Sen. 2018. Challenges of Rasthryia Swasthya Bima Yojana (RSBY) in West Bengal, India: An exploratory study. International Journal of Health Planning and Management 33 (2): 294–308. 10.1002/hpm.2453. - PubMed

[6] Bandyopadhyay, Satarupa, and Kasturi Sen. 2018. Challenges of Rasthryia Swasthya Bima Yojana (RSBY) in West Bengal, India: An exploratory study. International Journal of Health Planning and Management 33 (2): 294–308. 10.1002/hpm.2453. - PubMed

[7] Brinkerhoff, Derick W., Harry E. Cross, Suneeta Sharma, and Taylor Williamson. 2019. Stewardship and health systems strengthening: An overview. Public Administration and Development 39 (1): 4–10. 10.1002/pad.1846.

[8] Brinkerhoff, Derick W., Harry E. Cross, Suneeta Sharma, and Taylor Williamson. 2019. Stewardship and health systems strengthening: An overview. Public Administration and Development 39 (1): 4–10. 10.1002/pad.1846.

[9] Davies, Ben, and Julian Savulescu. 2019. Solidarity and Responsibility in Health Care. Public Health Ethics 12 (2): 133–144. 10.1093/phe/phz008. - PMC - PubMed

[10] Davies, Ben, and Julian Savulescu. 2019. Solidarity and Responsibility in Health Care. Public Health Ethics 12 (2): 133–144. 10.1093/phe/phz008. - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

An Ethical Analysis of the 'Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)' Scheme using the Stakeholder Approach to Universal Health Care in India

Affiliations

An Ethical Analysis of the 'Ayushman Bharat-Pradhan Mantri Jan Arogya Yojna (PM-JAY)' Scheme using the Stakeholder Approach to Universal Health Care in India

Author

Affiliations

Abstract

Conflict of interest statement

Figures

Similar articles

Cited by

References

LinkOut - more resources

Full Text Sources