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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.

Annasaheb Patil: A Lifelong Advocate for Workers’ Rights

Updated: Oct 21, 2024

Annasaheb Patil

Annasaheb Pandurang Patil, a member of the Maharashtra Legislative Council, made significant contributions to the uplifting of scattered workers in Mumbai. For this reason, he is regarded as the architect of the progress of the Maratha and Mathadi workers in Maharashtra. Annasaheb Patil proposed a simple yet broad definition of a `Maratha,’ stating that every person residing in Maharashtra and standing for its defence is a Maratha. With this ideology, he established the Mathadi Workers Union and the All India Maratha Federation.

When Annasaheb Patil arrived in Mumbai from his native village, Mandrulkole in Patan Taluka, he began his career as a worker. At that time, workers in Mumbai were facing dire conditions, and a majority of them were Marathas. Annasaheb Patil believed that workers needed to experience both economic and social progress. He deeply studied their issues and began organising them, forming the Mathadi Workers Union, formally known as the Maharashtra State Mathadi Transport and General Workers Union. This became one of the largest labour unions in the state.

At the time, most labour unions were led by communists, but Annasaheb Patil rejected their ideologies, instead building a union based on Indigenous principles. He organised protests and movements, putting forward workers’ demands for better wages, healthcare, and basic rights for workers before the government. His relentless work eventually bore fruit, and he became the guiding force for workers.

Annasaheb Patil’s efforts resonated with the government. The then-Chief Minister, Yashwantrao Chavan, addressed the demands put forth by Patil, and on June 5, 1969, the Mathadi Workers Act was enacted in Maharashtra. This legislation brought joy and relief to the workers, improving their quality of life. Due to this act, facilities such as hospitals, consumer societies, housing through CIDCO, and educational and medical services were made available to Mathadi workers. Patil’s contribution to their welfare was pivotal.

Today, the issue of Maratha reservation is a significant topic in Maharashtra. Annasaheb Patil, the father of the Maratha reservation movement, made sure that his demands were reasonable and did not disturb social unity. His image is revered across Maharashtra for this reason.

Annasaheb Patil worked tirelessly for the welfare of Mathadi workers, most of whom were Marathas. He united the 12 Balutedars and 18 Pagadi communities, forming various organisations under the All India Maratha Federation. His leadership earned him widespread respect, and on July 8, 1980, he became a member of the Legislative Council.

During this time, the demand for Maratha reservations based on economic criteria was gaining traction. Annasaheb Patil toured Maharashtra while advocating for this cause. He resolved to lead a protest march to the Legislative Assembly. As an MLA in the Congress government, Patil, along with Advocate Shashikant Pawar, led a massive procession from Azad Maidan, Mumbai, on March 22, 1982. The sight of the marchers carrying Shivaji Maharaj’s saffron flag caught the attention of the citizens of Mumbai.

Annasaheb Patil submitted a list of nine demands to the then Chief Minister, Babasaheb Bhosale. Realising that the demand for reservation would not be considered, he declared that if justice were not served to the Maratha community, he would not live to see the next sunrise. True to his word, he ended his life on March 23, 1982, leaving an indelible mark on the state.

Annasaheb Patil devoted his life to the progress of Mathadi workers, raising their issues before the government and improving their living conditions. His efforts for the Maratha reservation and social justice brought attention to the problems faced by the community. His life was a testament to the struggle for the welfare of society. Rightfully, he is remembered as the father of the Maratha reservation movement and the architect of Maratha upliftment.

On his birth anniversary, we humbly pay tribute to the sacred memory of Annasaheb Patil.

(The writer is a BJP member of Maharashtra Legislative Council. Views personal.)

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