Friday, November 01, 2024

INDIA

God-Willed Justice?

ISRAELI NATIONALISM


Subhash Gatade 




Is the judiciary being internally hijacked to usher in Hindu Rashtra?

There are a very few legal scholars or advocates who have perceptively looked at the dynamics of India’s judiciary and cautioned us about the dangers that can come our way through those routes only.

Dr Mohan Gopal, is an exception.

This noted scholar who has been very clear about the worldview and strategies of the Hindutva Supremacist forces to achieve the goal of establishing Hindu Rashtra, explains their strategy of executing it “not by overthrowing the Constitution but by interpretation by the SC as a Hindu Document

Speaking in a programme organised by Live Law, Gopal had explained its dynamic as a two-step process:

One, appointing judges who are ready to look beyond the Constitution.

Two, how with an increase in the number of theocratic judges who find the source of law in religion rather than the Constitution, it will be easy to declare India as a Hindu theocracy under the same Constitution.

This important speech was interspersed with facts related to appointments of judges under the earlier Congress-led United Progressive Alliance regime and later the Narendra Modi-led dispensation and how the various appointees had tried to stick to the Constitution or had attempted to look beyond in their different judgements.

For Gopal, the Hijab judgement by the highest court, where it delivered a split verdict was a significant milestone in this direction.

No doubt, the noted scholar would never have had a premonition that a day would arise when the Chief Justice of India (CJI) would admit publicly that it was not the Constitution but his individual faith and his own deity that dominated or decided or overwhelmed his crucial legal decisions.

Much has been commented upon by scholars, advocates and analysts about these utterances by the CJI in his native village and the controversy it has generated.

There is an interesting side-effect of this admission by the CJI.

The controversial Babri Mosque judgment, which not only underlined the 1948 act by Right-wing elements who placed the idol of Ram Lalla inside the Babri Masjid as ‘illegal’ and maintained that its demolition was “an egregious violation of the rule of law,” -- which was delivered by a five-judge bench of the Supreme Court led by the then CJI Ranjan Gogoi -- had till date lacked authorship. Nobody had signed it.

One could be wrong but, perhaps, it was the first judgment in the post- Independence history of India, which was not signed by anyone.

No one knows the reason, but looking at this admission by the CJI about his ‘communion with God’, could it be said that like the Vedas, which are called ‘Apourushey’ (not created by human, meaning created by God), perhaps this judgment could also be included in that category?

What is rather striking is that till date, most of the facts associated with the Bari Masjid judgement -- barring its authorship -- which can be considered a ‘milestone’ as far as the future of our Republic is concerned in recent times, have been documented. We even know that the then CJI Gogoi had, after this unanimous verdict, taken his colleagues for dinner in a five-star hotel and had even ordered their best wine.

Critics of the ruling dispensation can even draw a parallel between having a ‘non-biological’ Prime Minister and a Chief Justice who also claims direct communion with God, and the synergy of sorts they displayed together on occasions, especially during the recent Ganesh Chaturthi celebrations. The ‘non biological’ PM’s own Twitter handle (now called ‘X’) had itself released photographs of the occasion when he visited the CJI’s house and they held Ganesh’s prayers together, which created enough political controversy.

Legal luminaries even underlined how with this invite the CJI had “[c]ompromised the separation of powers between the Executive and Judiciary.” or how it sent “[a] very bad signal to the judiciary which is tasked with the responsibility of protecting the fundamental rights of citizens from the executive and ensuring that the government acts within the bounds of the Constitution.”

It is said that a truly religious person loves to keep her/his communion with god as a private affair. The manner in which this private invite, which should have gone unannounced, was allowed to be publicised, also underlined one more commonality between PM Modi and the outgoing CJI.

Perhaps, both love to share their very private moments with the wider populace.

For example, one can recall how a few months ago, CJI DY Chandrachud had made a highly-publicised visit to Dwarkadhish Temple with his wife, where he was seen wearing saffron-tinged dress. This visit, too, had come under criticism because of the remarks he had shared while inaugurating the new court building at Rajkot, Gujarat.  What had irked even neutral people was that the CJI emphasised how he was inspired by the Dhwaja at Dwarkadhishji, which was similar to the Dhwaja at Jagannath Puri, and how these flags represented “universality of the tradition in our nation, which binds all of us together.”

It does not need great wisdom to comprehend that in a secular country like India, which believes and propagates Sarva Dharma Sambhav (all religions are same), where the Tiranga or the Tricolour is considered the only flag that binds all of us, this espousal of the flag of a particular religion by a Constitutional Authority does not sit well with the Constitutional mores.

The ‘frank’ confession by the honourable CJI about the Babri Mosque judgment and about its ‘authorship’ also raises few other queries that are related to his two-year plus reign at the helm of affairs of the judiciary. His ascent as CJI had initially raised a lot of hopes among the liberal fraternity. A CJI is seen not only as a master of the roster, but also as a leading light of the brother/sister judges in the highest courts as also the lower courts.

Close observers of the judiciary have noted how the Chief Justice has been very eloquent in his speeches, how he has always upheld the Constitution on public forums, time and again he has questioned the delay in granting bail by the courts, emphasising how ‘bail is a rule and not an exception’, but also how under his own eyes the ‘accused in say NE Delhi riots are rotting in jail’ for more than four years, which has come under scanner of the international human rights organisations.

The beginnings of this third decade of the 21st Century were also marked by what is called ‘bulldozer justice’, where much on the lines of Israel, various Bharatiya Janata Party-led governments, led by Uttar Pradesh Chief Minister Adityanath, have initiated a campaign of ‘instant justice’, where houses of the accused have been demolished without following any due process, under the pretext of ‘building violations’ immediately after group conflicts or community tensions.

The main targets in these “bulldozer” demolitions have been the religious and social minorities. According to national and international human rights organisations, most of such demolitions have been executed without following due procedures.

History is a cruel judge and it will definitely note that many such vindictive actions targeting particular communities continued unabated during a period when the honourable CJI led the country’s highest court. Impartial critics would also like to see whether it was possible for the ‘master of the roster’ to do anything significant. But when the court led by him suo motu intervened in the R G Kar Hospital Rape Case in Kolkata, it was the height of innocence to presume that nothing significant could be done. Perhaps, he could have come forward to provide the necessary healing touch to religious and social minorities who were feeling abandoned under the onslaught of State-sponsored vigilante justice and the ‘religious assemblies’ giving an open call for genocide.

One agrees that at the fag-end of Chandrachud’s term, there are a few fresh initiatives in the highest judiciary on this issue, but one expects that the court will put a stop to such illegal demolitions, once for all.

The CJI's term is coming to a close and there are reports that he is anxious to know “how history will remember him.”

This task can be left to legal scholars or future historians, but what every democracy-loving person knows and deeply comprehends is the key importance of  the ‘guardrails of democracy’ – namely, the executive, the legislature and the judiciary - and how the weakening or sabotaging or hijacking of such institutions from within can occur before our own eyes and play havoc with democracy.

We have before us the example of the judiciary of the 'Strongest Democracy in the World', namely the US. It is a fact that today Republicans are dominant there. Out of the strength of eight judges, five owe allegiance to the Republican camp.

A few months ago, the US top court ruled that even a former President was presumptively immune from criminal liability for his official acts, thus effectively providing immunity for life to Trump -- if he returns as President

It was as if the “strongest democracy” was on the path of rediscovering ‘rule by Kings’ instead of the rule of law.

Perhaps at this juncture, it is important to underline the old dictum --'Eternal Vigilance is the Price of Democracy''.

The writer is a veteran independent journalist. The views are personal.


Gods Above the Constitution: A New Era For India’s Judiciary?


S.N. Sahu 



Chief Justice of India’s prayers before a deity for a solution to the Babri Masjid–Ram Mandir dispute underlines an awful deficit of constitutional morality.

In a rare confession, the Chief Justice of India (CJI) Dr D.Y. Chandrachud disclosed in a recent meeting in his village in Maharashtra that the Ayodhya (Ram Janmabhoomi–Babri Masjid) dispute was adjudicated in the Supreme Court and a solution was arrived at after he sat before a deity and prayed for it.

He said, “Very often we have cases (to adjudicate) but we do not arrive at a solution. Something similar happened during the Ayodhya dispute which was in front of me for three months. I sat before the deity and told him he needed to find a solution.”

Demolition of Babri Masjid an “egregious violation of rule of law

It is worthwhile to recall that the judgment on the above dispute was delivered by a Supreme Court Bench consisting, among others, of the then CJI Ranjan Gogoi and Justice Chandrachud. It sharply described the placement of the idol of Lord Ram inside Babri Masjid as illegal and held that its demolition and “the obliteration of the Islamic structure was an egregious violation of the rule of law”.

So the operative part of the judgment that the site of Babri Masjid should be used for building a Ram temple flowed, according to Chandrachud, from a deity.

It also allotted the site of the demolished mosque to those who destroyed it for the purpose of constructing a Ram temple and ordered to provide some five acres of land somewhere else to build a mosque.

Prayer to a deity superseded the Constitution

So the operative part of the judgment that the site of Babri Masjid should be used for building a Ram temple flowed, according to Chandrachud, from a deity whom he prayed for finding a judicial resolution of the Ayodhya (Ram Janmabhoomi–Babri Masjid) dispute.

It means that the principles of the Constitution, law and jurisprudence did not determine the process of adjudication, and a faith-based approach was adopted to invoke a divine figure to find a way out.

The Supreme Court in the judgment, allowing the construction of a Ram temple in Ayodhya, clearly stated that the judiciary would not be guided by any theology to adjudicate the matter.

It is worthwhile to invoke that paragraph of the judgment: “This court, as a secular institution, set up under a constitutional regime, must steer clear from choosing one among many possible interpretations of theological doctrine and must defer to the safer course of accepting the faith and belief of the worshipper.”

D.Y. Chandrachud, as the CJI, is integral to the secular institution of the Supreme Court wedded to secular ideals to find solutions to any matter being adjudicated by it. The deference to accept the faith and belief of worshippers as laid out in the aforementioned paragraph, obviously meant the faith of those who moved the court for justice.

Being the head of a secular institution that avoids theological doctrines, how did Chandrachud find a solution by praying to a deity for the egregious blunder of the destruction of Babri Masjid and allow those who caused that destruction to build a temple?

Did not CJI Chandrachud provide an opening for retrogression by allowing that survey of Gyanvapi mosque even as assurances have been made that there would not be alterations to the structure?

Does the Constitution permit any judge, including the CJI, to find a judicial remedy to a dispute by praying to a deity who was a party to the dispute?

Ambedkar flagged the prejudices of a Chief Justice

The public confessions of a vastly experienced and learned CJI are indeed perplexing and disturbing, particularly when the issue of saving the Constitution has become a people’s issue and next month on November 26, the 75th anniversary of its adoption and enactment would commence.

On May 24, 1949, B.R. Ambedkar, while replying to the discussion in the Constituent Assembly on the Article concerning the Supreme Court, said something which is applicable to all those who are part of the judiciary and adjudicate matters.

But he very specifically referred to the exalted position of the CJI and stated, “I personally feel no doubt that the Chief Justice is a very eminent person. But after all the Chief Justice is a man with all the failings, all the sentiments and all the prejudices which we as common people have.”

While flagging the point that like common people, a CJI would have failings and prejudices, Ambedkar would never have anticipated that in the backdrop of the celebration of the 75th anniversary of the Constitution, a CJI would justify remedy provided in a judgment on the basis of prayer he offered to a deity.

Mahatma Gandhi on the hallucination of law courts

The judgment of the Supreme Court in the Babri Masjid–Ram temple issue clearly was in favour of the powerful ruling party at the Union level and its affiliates.

By permitting the construction of the Ram temple in the place where Babri Masjid stood, it provided no ground based on the Constitution, law and jurisprudence.

In this context, one is reminded of M.K. Gandhi’s 1920 article “The Hallucination of Law Courts”. In that searing piece, he indicted the law courts functioning during British rule over our country and wrote, “The worst is that they support the authority of a government.

They are supposed to dispense justice and are therefore called the palladile of a nation’s liberty. But when they support the authority of an unrighteous government they are no longer palladile of liberty, they are crushing houses to crush a nation’s spirit.”

Adding further, Gandhi very presciently observed, “Let no one suppose that these things would be changed when Indian judges and Indian prosecutors take the place of Englishmen.”

It is indeed extraordinary that CJI Chandrachud has been fascinated by Hindu images which he thinks can be juxtaposed with the idea of justice.

Those articulations made in the context of colonial rule in India sadly reaffirm the hallucination of law courts in the context of CJI Chandrachud’s prayer to a deity to find the solution to the Babri Masjid–Ram Mandir dispute.

CJI Chandrachud allowed a survey of Gyanvapi mosque

CJI Chandrachud permitted a survey of the Gyanvapi mosque and other similar Islamic structures on the ground that it would not violate the Places of Worship Act, 1991 prohibiting change in the character of a place of worship from what it was on August 15, 1947.

Very tragically, such permissions bolster those who aspire to convert the Gyanvapi mosque and other places of worship meant for Muslims to temples.

Places of Worship Act, 1991

It is instructive that the Supreme Court Bench, comprising among others Justice Chandrachud, which adjudicated the Ram Janmabhoomi–Babri Masjid dispute, observed in its judgment that the Places of Worship Act, which was enacted in 1991 by Parliament “protects and secures the fundamental values of the Constitution” and “furnishes a constitutional basis for healing the injustices of the past by providing the confidence to every religious community that their places of worship will be preserved and that their character will not be altered”.

It proceeded to outline the responsibility of people and all those mandated to govern the country to safeguard those shrines and stated, “The law addresses itself to the State as much as to every citizen of the nation. Its norms bind those who govern the affairs of the nation at every level.”

The Places of Worship Act,” it asserted, “imposes a non-derogable obligation towards enforcing our commitment to secularism under the Indian Constitution.” It further forcefully remarked, “The Places of Worship Act is thus a legislative intervention which preserves non-retrogression as an essential feature of our secular values.”

Did not CJI Chandrachud provide an opening for retrogression by allowing that survey of Gyanvapi mosque even as assurances have been made that there would not be alterations to the structure? We need to be mindful of the fact that the Babri Mosque was destroyed in spite of assurances not to cause any harm to it.

Once a norm above the Constitution is created,” Indira Jaising remarked, “it is easy to see why there is no need to amend the Constitution.”

Siddharth Varadarajan, in his article published in The Wire, referred to CJI Chandrachud’s decision as CJI to allow a survey of the Gyanvapi mosque and wrote, “This is also a pointer to the kind of divinely-ordained solutions that will doubtless follow in our courtrooms as Hindutva groups mount claims on Muslim places of worship around the country.”

CJI Chandrachud equating temple flag with flag of Justice

It is indeed extraordinary that CJI Chandrachud has been fascinated by Hindu images which he thinks can be juxtaposed with the idea of justice.

For instance, on January 6 this year, after he visited several prominent temples in Gujarat in the full glare of the media, he told the district court judges in Rajkot that inspiration should be drawn from temple flags or dhwajas, binding “all of us together”, for flying high the “dhwaja of justice” on an enduring basis.

So his irresistible fascination to find a solution to a matter pending in court for judicial remedy by praying to a deity and his attempts to draw parallels between flags flying over Hindu temples with flags of justice are quite intriguing.

Ramachandra Guha, a well-acclaimed historian and author, sharply reacted by saying that CJI Chandrachud, in equating the temple dhwajas with flags of justice, deliberately disregards “a vast gap between the ideals of the orthodox Hindu tradition and the ideals that undergird our Constitution”.

Senior advocate Indira Jaisingh expressed her regret on the attempts to establish there is an “intrinsic dharma” of the people which is ancient and predates the Constitution. “Once a norm above the Constitution is created,” she remarked, “it is easy to see why there is no need to amend the Constitution.”

Cultivation of constitutional morality

CJI Chandrachud’s remark that he prayed to a deity to find a solution to an issue pending judicial remedy signals the pervasive deficit of constitutional morality so critically flagged by B.R. Ambedkar in his last speech in the Constituent Assembly.

He prescribed that the comprehensive cultivation of constitutional morality on a sustained basis is a sure step for the success of the Constitution at all levels. As we embark on celebrating the 75th anniversary of the Constitution, Babsaheb’s prescription assumes added significance.

The author was Press Secretary to President of India late KR Narayanan.

Courtesy: The Leaflet


 

US Elections: Working People Place Cost of Living as Top Concern


Natalia Marques 



The economy and cost of living continues to be the top issue for the people of the US, who are struggling under astronomical housing and grocery costs.

Photo: Gary H/Flickr

Just eight days remain until the people of the US head to the polls to decide their next president. The economy and inflation continues to be the top issue for voters by far, with eight in ten registered voters saying the economy will be very important to their vote according to the Pew Research Center. According to Gallup, the economy is the most important out of 22 issues voters were polled on, including “terrorism and national security”, immigration, education, healthcare, and crime.

If one were to read exclusively the mainstream media, one would get the impression that all is well with the economy, that inflation is falling, and the job market is doing just fine

But the conditions of working people tell a different story. Housing costs hit an all-time high in April of this year. Rent prices keep increasing, with asking rent prices rising 3.3% in September, only exacerbating housing unaffordability which plagues working people. Nearly half of renters across the US spend over 30% of their income on housing. 

“It is difficult to decide for which of the two, because of what we are for Kamala, because of how the situation is, how it has been damaged, it makes me doubt, with Trump as president the economy improved a lot, we were doing well. There is a large part of the community that has the same doubt,” Vilma, a Queens resident, told journalist Marco Teruggi. Vilma is herself an immigrant, but because of economic issues, feels torn between Trump and Harris, despite Trump’s drastic remarks against immigrants. “His expressions are not good because he is grouping all migrants in and that we are all equal,” she said.

“The basic food basket is skyrocketing, and the business owners are suffering a terrible decline, especially at the end of last year and this year, and the insecurity is so bad that today it is more difficult to make an honest living in New York City,” she said.

According to US Census data from August 20 to September 16, approximately 69% of people polled (around 250 million) have had some difficulty affording basic household expenses each week. Over 93% of those polled had some level of stress over the last two months’ price increases, with over 45% reporting they found these price increases to be “very stressful”. As journalist Eugene Puryear writes in Liberation News, “inflation may be “cooling,” but only in relation to the astronomical highs of the past couple years,” as evidenced by the still high cost of food staples such as milkbread, and eggs as compared with 2020. Food in general costs around 25% more as of September of this year than in 2020. 

This is because prices of basic consumer goods such as food, energy, and shelter have risen astronomically during current President Biden’s administration, especially midway through 2022, according to the consumer price index. The major increases in prices seen in 2022 have since slowed, but the prices of staple goods still continue to steadily rise. Meanwhile, wage growth has not been large enough to account for these major price increases. The federal minimum wage has not increased since 2009, remaining at a paltry USD 7.25 per hour. According to the US Bureau of Labor Statistics, one million workers earn wages at or below the federal minimum wage. 

Who’s to blame for inflation?

According to economist Richard Wolff, the blame for these price increases lies with those at the very top of the economic food chain. “The current US economy is good for the top 10%, and above all for the top 1% but not for the other 90%,” Wolff tells Peoples Dispatch.

“Prices of goods and services are determined by employers in the enterprises that produce and sell goods and services. Employees do not set prices; they just must pay them to live.”

“The setting of prices is part of class struggle: the employer class sets the prices the working class must pay. Since employers are also those who pay wages for the work we do, they control our standards of living at both ends of consumer purchases: how much income our jobs give us to spend and what prices we must pay with that income.”

In the example of food prices, grocery stores have indeed “price gouged”, or raised the prices of goods beyond inflation. A Federal Trade Commission (FTC) report from March of this year found that “food and beverage retailer revenues increased to more than 6 percent over total costs in 2021, substantially higher than their recent peak of 5.6 percent in 2015. In the first three-quarters of 2023, retailer profits rose even more, with revenue reaching 7 percent over total costs.”

The FTC concluded that “this profit trend casts doubt on assertions that rising prices at the grocery store are simply moving in lockstep with retailers’ own rising costs.”

Kroger’s Senior Director for Pricing, Andy Groff, even admitted to the FTC in August that the supermarket chain had raised the prices on milk and eggs more than what was necessary to account for inflation.

Candidates’ proposals to tackle cost of living crisis

Neither major candidate has any real solutions for the issue of cost of living, despite the fact that both have dedicated most of their written platforms to economic issues. Trump is against price controls, and the Republican Party platform emphasizes eliminating “Costly and Burdensome Regulations”, claiming that this will save money for households. Trump’s plan to lower grocery prices through tariffs would actually just allow corporations to pass the cost of those tariffs onto consumers, some economists claim

Harris’s plan is moderately better, including by promising to “crack down on unfair mergers and acquisitions that give big food corporations the power to jack up food and grocery prices,” and to “call on Congress to pass the first-ever federal ban on price gouging”. Both proposals seem interesting on paper, but the reality is that it is under the very administration that Harris has served on for four years that prices rose to such astronomical levels. 

The FTC has moved to block the merger of supermarket giants Kroger and Albertsons, which is still tied up in the legal system, which had raised concerns about price gouging.

Yet, in terms of calling on Congress to pass a ban on price gouging, the Democratic Party has a poor track record in recent years. “The experience of the Biden administration has left many working people deeply distrustful of promises made by Democratic Party politicians on the campaign trail,” Walter Smolarek, editor of Liberation News, told Peoples Dispatch. “Biden promised the largest expansion of social programs in decades with his Build Back Better program, but he abandoned that effort without a fight once he faced opposition from right wing senators in his own party.”

Indeed, Biden’s administration has failed to pass laws or enforce executive orders to codify abortion rights, a higher minimum wagevoting rightssocial spending, and to eliminate student debt. These promises of the Biden administration, many of which were concessions extracted by popular struggle, were then subsequently abandoned.

Will a Harris administration be able to control Congress any better? Harris has recently promoted eliminating the filibuster rule when it comes to codifying abortion rights, but the Vice President is known for changing her positions, as she has done regarding banning the practice of fracking or Medicare for All.

Meanwhile, working class people in the US continue to experience the effects of economic devastation. With studies linking housing instability and high grocery prices to a decline in mental health, it is notable that depression rates reached new highs in 2023.

Courtesy: Peoples Dispatch

 

Political Economy of India’s Health Sector: The RG Kar Hospital Tragedy


Amit Sadhukhan 





Even as the Bengal government has announced a task force, there are deeper issues afflicting the healthcare sector that need to be addressed.



Image Courtesy: PTI

‘Justice for RG Kar’, Kolkata, the ‘cultural capital of India’, has written new slogans reaching socially conscious academic spaces, especially the medical institutions of India. The slogans arose after a 31-year-old woman doctor was raped and murdered at her workplace, R.G. Kar Medical College and Hospital, in the heart of the city on August 9. At Esplanade, the historic centre of the city, a 17-day-long hunger strike was held that ended on October 21, with a  promise from the government to set up a State Task Force to implement the demand of the protesting medical students. 

The Junior Doctors’ Front – a leading body of the ongoing protest – has reasons to bring to the fore a much deeper crisis at their workplaces, beyond the issue of gender injustice in the tragic case. Therefore, the protest sites were brought out from the confinement of the gated premises of the medical institutions to public sites, where all walks of people joined in solidarity.

Famous film director, late Satyajit Ray, made a film on a tyrannical king of ‘The Kingdom of Diamonds’ (Hirak Rajar Deshe) as childhood entertainment for everyone. The film seems to have turned ‘real’ for the young protesting doctors. A solution, not just a short-term superficial paribartan (change) in the present crisis in the health sector, but a long-term structural transformation is required in West Bengal.

In Bengal, at present, there is a sense of disillusionment with the political claim of the promise of paribartan (made by the ruling regime) and increasing disgust at its franchisee politics, which was evident in the two months of the unbending protest. This feeling will not evaporate in the promise of forming a State Task Force, whose form, content, and timeline, i.e. terms of reference, are is yet to be officially published. 

A logical and transformative solution for any problem lies in the questions being raised, such as: What led Abhaya (the victim of RG Kar, as named by the protesters) to be assigned 36 hours of duty? Is it not physically impossible to work for so long, and doesn’t this compromise the quality of health service being provided, which demands a high degree of cognitive attention, especially with regard to in-patient or intensive care unit (ICU)? Why did the hospital not have infrastructure and amenities, including security, as per the standard requirement of medical-institutions? Why is the right to dignified work and workplace for health workers and dignified care for patients both being compromised? The list of everyday indignities faced both by the citizenry and healthcare personnel is long.

The answers to these questions are intrinsically linked in the political economy of the health sector, whose consequences are revealed in the sub-standard health infrastructure, unprofessional security, overworked health staff, and deprivation of patients from quality care. The RG Kar tragedy, therefore, cannot be understood in isolation from the overall crisis in the health sector across India, and West Bengal, in particular. 

Is India Undergoing a Healthcare Crisis?  

The chapter titled “India’s Health Care Crisis” in the book, An Uncertain Gloryby economists Jean Dreze and Amartya Sen (2013) acknowledged that the Indian health sector had reached a crisis point decades earlier – perhaps over a generation. To comprehend the crisis, some key observations are worth highlighting.

Abhaya had been forced to overwork with a 36-hour-long duty. What could be the reason? Economists term this as a supply-side constraint in the number of health care staff, say, physicians in this case. Data shows that the Indian health sector is under-staffed, with 0.7 physicians per 1,000 population vis-à-vis 2.4 and 4.5 in China (a comparable country with India) and Germany (an advanced economy), respectively.

Had the physician-population ratio of India been at China’s level, the country would have had 3.4 times more physicians; and 6.4 times with respect to Germany. Hypothetically, therefore, had RG Kar Hospital employed at China’s level of 3.4 times more physicians than the present level, Abhaya’s duty would have been shared with more colleagues. If it were 6.4 times more physicians, as per the German standard, Abhaya would have worked for perhaps standard working-hours needed for healthcare safety from the cognitive-demanding jobs of doctors.  Incidentally, the Supreme Court has constituted a 10-member National Task Force to streamline and regulate the working hours of medical professionals.

The next question that follows is: Why does the Indian health sector employ a lower number of physicians, vis-à-vis China and Germany? The reasons can be found in the level of government expenditure on health in these three countries. The data shows that average (per-person) expenditure on health by the Indian governments is $25, whereas China spends $362, and Germany $5,237 per person. Had the Indian health sector been funded adequately, say, 14.5 times more as compared to China, the abysmal situation of lack of industry-standard health care infrastructure, including workplace safety and security, could be improved, the acute shortage of healthcare staff could be reduced, and perhaps, Abhaya would have got a dignified working environment and would have been alive.

The daily indignities faced by overworked medical personnel, and lack of quality health care received by patients, are, therefore, a result of the decade-long neglect (or lack of priority) for the ‘right to health’ and universal access to quality healthcare by political establishment, business lobbies, civil society, media, and, most importantly perhaps, overlooked by the healthcare professionals themselves.

Lack of adequate public health expenditure is a consequence of a neoliberal economic policy that demands government expenditure to be low, thereby limiting funds in public health infrastructure and relegating healthcare services to private players to reap profits. The Covid-19 pandemic has taught us the importance of public health infrastructure and the inherent deficiency in the private sector in delivery of vaccines and healthcare at a global scale at a time when humanity needed these the most. 

Status of Health Sector in West Bengal

To understand the status and standard of healthcare infrastructure (physical as well as human), quality of healthcare services, and their distribution across districts (to best of this author’s knowledge), demands a comprehensive post-Covid study, tracking the trends over a decade in West Bengal.

This notwithstanding the fact that the state’s health infrastructure abysmally lags behind the national average in basic indicators. The ubiquitous sites of overcrowded hospitals and overworked healthcare staff cannot escape our sight. The fact is that while a Primary Health Centre (PHC) is allocated for 32,505 population nationally, in West Bengal, an average 68,034 people depend on a single PHC.

Widespread infrastructural deficits in healthcare have been accumulated over decades due to low priority to public health in our public discourse, poor media attention and health activism, as well as lack in governmental accountability and policy formulation.

Amartya Sen has repetitively mentioned the health crisis in his findings, and cautioned us about the possibility of an ‘irreversible’ state of deteriorating public health, as vindicated by public finance remaining stagnant at very low level, below 1% of West Bengal GDP (gross domestic product) over decades.



The consequence of such acute deficits in healthcare provisions is reflected in overcrowded public hospitals with long queues of patients and their family. Some who have financial means travel to other states for OPD (out-patient) care or surgery. The remaining live with preventable morbidities, with hopelessness and distrust in the healthcare system. To best of this author’s knowledge, there are no statistics on the length of the queues, hours and days of waiting periods, number of people seeking healthcare outside of the state, and, most importantly, people being forced to live with preventable morbidities in indignity and hopelessness. 

 The State Task Force: What to be done?

The ‘Justice for RG Kar’ slogans were forceful enough to make the government agree to form a task force to address the 10-points demands of the agitating medical fraternity. As this agitation has grown without the leadership of any political party, and most importantly perhaps, without public-health specialised civil society members, the 10-point charter could not reflect the fundamentals of the crisis – the political economy of the state healthcare crisis –  beyond merely emphasising some logistical issues, such as security and administrative concerns. Demand should not just be centred around lack of CCTV or centralised referral system.

This is not to say that industry-standard infrastructure and security provisions in medical premises are unimportant.

The medical fraternity has rightfully raised their workplace concerns and their compromised working conditions that deprive people of quality healthcare. Their two months of arduous agitation, with solidarity extended from people from all walks of life, has brought the government to the point of agreeing to form a task force, which was long due for 10.4 crore people of the state. Hence, in this regard, the vitality of this task force should set the standards after wide consultations. The form, content, and the timeline of the proposed task-force is important to give a logical conclusion to this movement.

The following points could be considered by the Junior Doctors’ Front and the broader medical fraternity to bring a transformative change in West Benga’s health sector:

The invited members of the task force should represent distinguished individuals from medical science, public health, health economists, legal counsels, workplace security experts, etc., not to mention representatives from the Junior Doctors’ Front. 

  1. The demand of task force should begin with preparing a rigorous and credible Expert Report on the Status of Healthcare in West Bengal within a reasonable timeframe. 

  2. All necessary administrative data and essential surveys on health and related subjects should be fast-tracked and financed, as necessary, by the government for building the Expert Report.

  3. All necessary updates of the taskforce’s activities should be published on a public portal, say a dedicated website, to give the necessary information to the public and for transparency.

  4. The task force should recommend the list of measures and public finance required for implementation of interventions.

  5. Last, but not least, an independent social audit body needs to be constituted to monitor and audit the government’s interventions, and assess the improvement in the healthcare in a time-bound periodic interval. 

These measures are easier said than done. Nonetheless, these are inescapable steps for bringing ‘Justice for RG Kar’ to its logical conclusion.

The writer studied economics from Jawaharlal Nehru University, New Delhi and taught at Tata Institute of Social Sciences. The views are personal.