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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.

Amritsar neighbour recalls Singh's humility

Updated: Jan 2, 2025

Manmohan Singh

Amritsar: People who live next to the house here where former Prime Minister Manmohan Singh spent his growing up years on Friday recalled his humble nature, terming his passing away an irreparable loss.


Singh was born at Gah in Punjab province which now falls in Pakistan's Chakwal district before his family migrated to Amritsar after Partition. He completed his schooling from Amritsar and did his graduation in economics from the Hindu College here.


Raj Kumar (71), a local resident, told PTI Videos that Singh used to live in Petha Wala Bazaar near the Golden Temple.


Recalling Singh as a very humble person, Kumar said, "I was a child then when his family shifted out."


The house where the Singh family lived is in a dilapidated state now as no one stays there since they moved out a long time ago, Kumar said.

Singh's half-brother from his extended family, Surjit Singh Kohli, who ran a readymade garment business in Amritsar, said the former prime minister had deep affection for his grandmother who raised him following his mother's death when he was very young.


"Manmohan Singh shared a deep attachment with Amritsar. He used to visit the Golden Temple every time he came to the holy city," Surjit Kohli said.

After migrating, the Singh family settled at a small rented house in Amritsar till he graduated.


Stating that economics was his favourite subject, retired professor of Hindu College, Rajinder Loomba, recalled that his wife Gursharan Kaur's parents also belonged to the holy city.


A few years ago, Singh attended the convocation-cum-alumni meet of Hindu College as the chief guest and interacted with the college staff like an ordinary person, reminiscing old memories, Loomba said. Singh talked about the teachers who taught him at the college besides interacting and clicking photographs with the students and faculty members, he recalled.

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