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By:

Rajendra Joshi

3 December 2024 at 3:50:26 am

Procurement first, infrastructure later

Procurement at multiples of market price; equipment before infrastructure; no accountability Kolhapur: Maharashtra’s Medical Education and Public Health Departments have been on an aggressive drive to expand public healthcare infrastructure. Daily announcements of new centres, advanced equipment and expanded services have reassured citizens long denied dependable public healthcare. Procurement of medical equipment, medicines and surgical supplies is reportedly being undertaken at rates two to...

Procurement first, infrastructure later

Procurement at multiples of market price; equipment before infrastructure; no accountability Kolhapur: Maharashtra’s Medical Education and Public Health Departments have been on an aggressive drive to expand public healthcare infrastructure. Daily announcements of new centres, advanced equipment and expanded services have reassured citizens long denied dependable public healthcare. Procurement of medical equipment, medicines and surgical supplies is reportedly being undertaken at rates two to ten times higher than prevailing market prices. Basic economics dictates that bulk government procurement ought to secure better rates than private buyers, not worse. During the Covid-19 pandemic, equipment and consumables were procured at five to ten times the market rate, with government audit reports formally flagging these irregularities. Yet accountability has remained elusive. The pattern is illustrated vividly in Kolhapur. The Dean of Rajarshi Shahu Government Medical College announced that a PET scan machine worth Rs 35 crore would soon be installed at Chhatrapati Pramilaraje (CPR) Government Hospital for cancer diagnosis. But a comparable machine is available in the market for around Rs 6.5 crore. A senior cancer surgeon at a major cancer hospital in western Maharashtra, where a similar machine was recently installed, remarked that the gap between what his hospital paid and what the government is reportedly paying was enough to make one ‘feel dizzy’. The label of a ‘turnkey project’ does not adequately explain a price differential of this magnitude. High Costs CPR Hospital recently had a state-of-the-art IVF centre approved at a sanctioned cost of Rs 7.20 crore. Senior fertility specialists across Maharashtra note that even a modern IVF centre with advanced reproductive technology equipment typically costs between Rs 2.5 crore and Rs 3 crore. The state’s outlay is reportedly approaching Rs 15 crore. Equipment arrived in June 2025 and lay idle for months owing to indecision about the site. Similarly, digital X-ray machines approved for CPR Hospital and a government hospital in Nanded; available in the market for roughly Rs 1.5 crore; were reportedly procured at Rs 9.98 crore per unit. Doctors in CPR’s radiology department, apprehensive about being drawn into potential inquiries, reportedly resisted accepting the equipment. One departmental head was transferred amid disagreements over signing off on the proposal. What’s Wrong These cases point to a deeper structural failure: Maharashtra has perfected what might be called the ‘equipment first, infrastructure later’ model. In any public hospital, the administrative sequence ought to be: identify space, create infrastructure, sanction specialist posts, and only then procure equipment. Compounding the procurement paradox is a parallel policy decision. On 20 December 2025, the state government decided to introduce radiology diagnostic services through a Public-Private Partnership model (PPP). Following this, an order issued on 6 February 2026 authorised private operators to provide PET scan, MRI and CT scan services at six government medical college hospitals: in Pune, Kolhapur, Miraj, Sangli, Mumbai and Baramati. CPR already has a 126-slice CT scan machine and a 3 Tesla MRI scanner, with another CT scan proposed. If the PPP arrangement proceeds, the hospital could simultaneously run one PET scan machine, two MRI scanners and three CT scan machines. Medical experts warn this could lead to unnecessary diagnostic testing simply to keep machines occupied, thus exposing patients to excess radiation while government-owned equipment gathers dust. A similar pattern was seen during the pandemic, when the Medical Education Department spent hundreds of crores on RT-PCR machines, only to award swab-testing contracts to a private company. Many of those machines remain unused today.

A Signal Blunder

From Watergate to Wikileaks, history shows that unsecured communication can upend governments.

The Trump administration’s latest national security embarrassment - the inadvertent inclusion of a journalist in a Signal chat discussing military strikes - reads like a farcical blunder. But its implications are deadly serious. In an era of cyber warfare and real-time intelligence leaks, the revelation that senior officials including the president’s national security team discussed imminent military action on an insecure platform is a stark reminder of how carelessness can endanger lives. While officials insist that no classified information was shared, the very fact that a reporter had access to high-level deliberations before a strike on Yemen is, at best, an indictment of lax security protocols and, at worst, a ticking time bomb for U.S. military operations.


Such incidents have plagued governments before, often with devastating consequences. The 2017 Vault 7 leak, in which a trove of CIA hacking tools was published by Wikileaks, exposed America’s cyber capabilities to the world, weakening its intelligence edge. In 2019, Iran successfully dismantled a CIA spy network after identifying operatives through poorly secured communications, leading to arrests and executions. Similarly, in 2016, Russia intercepted and leaked compromising conversations between U.S. diplomat Victoria Nuland and the U.S. ambassador to Ukraine, revealing internal Western divisions over the crisis in Kyiv. These breaches showcase how intelligence lapses, whether through insecure messaging apps, intercepted calls or insider leaks, can embolden adversaries and cripple statecraft.


American leadership have been plagued before by such ‘Signal’ incidents. Richard Nixon’s White House tapes, meant for internal documentation, became a self-inflicted wound that forced his resignation. In 2010, Chelsea Manning’s leak of diplomatic cables to Wikileaks sent shockwaves through U.S. intelligence circles, damaging alliances and exposing covert operations. More recently, in 2023, Jack Teixeira, a National Guardsman, casually posted classified Pentagon documents on Discord, demonstrating how easily sensitive material can slip into the wrong hands. The Trump team’s blunder, though not a deliberate leak, reflects a similarly reckless disregard for secure communications, raising questions about whether such laxity extends beyond Signal chats.


Even America’s closest allies have not been immune. In 2003, British intelligence faced an embarrassing setback when an MI6 agent left top-secret documents about Iraq’s weapons program on a train, later found by a civilian. In 2014, the German government was humiliated when it discovered that the U.S. National Security Agency had been tapping Chancellor Angela Merkel’s phone for over a decade, a revelation that severely strained diplomatic relations. Meanwhile, in 2021, Australia’s intelligence agency had to scramble after classified documents detailing the country’s defence strategy were found in an old filing cabinet sold at a second-hand store.


The Trump administration’s response of shrugging off the error and minimizing its impact echoes past political damage-control efforts that failed spectacularly. The Obama administration, caught off guard by Edward Snowden’s revelations of mass surveillance, initially sought to downplay the scale of the breach before finally acknowledging the need for intelligence reforms. In this case, the Trump team’s insistence that the chat contained no classified material does little to reassure the public or America’s allies. After all, if operational details about military strikes were not classified, then what is?


The ramifications of this episode are profound. Secure communication is a cornerstone of national security, yet Trump officials treated a group chat with the casualness of a family WhatsApp thread. If an American journalist could stumble into a high-level discussion about military action, what is stopping foreign adversaries from doing the same? China, Russia and Iran all have sophisticated cyber capabilities and would relish such an intelligence windfall. But if there is one lesson from past intelligence failures, it is that complacency is the surest path to catastrophe. The Trump administration’s belated decision to scale back its use of Signal is a tacit admission that this was a grievous lapse. But the damage may already be done.

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