top of page

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.

From Wheels to Wings

After a life-changing accident, Priya Sharma turned pain into purpose through sport and dance, building a nationwide community for women with disabilities.

Para athletes inspire the world with their performances, but few know their backstories. Even less attention is paid to the thousands of others with disabilities who continue to struggle every day.


Priya Sharma, a para-athlete from Chhindwara in Madhya Pradesh, is trying to change that — not just for herself, but for many girls across India. Through Dance with Wheels (DWW), she has created a platform where people with disabilities can dance, turning struggle into strength and inspiration.


Setback to Strength

Priya Sharma, once a trainer under the Pradhan Mantri Kaushal Vikas Yojna, saw her life change after a road accident in 2018. While returning from a 10-day training camp in Indore, the car she was travelling in met with an accident that permanently injured her spinal cord.


Her lower body was paralysed, and unable to cope with her disability, Priya slipped into depression. During the Covid-19 period, when TikTok was still legal, she spent hours watching videos of wheelchair users dancing with their upper bodies — and found inspiration.


The turning point came when Priya heard Paralympic medallist Deepa Malik’s story on the TV show Kaun Banega Crorepati. She realised that if Deepa could achieve so much despite similar challenges, she could too.


Slowly, she returned to sport and connected with disabled women dancers on TikTok. A sportsperson since school, she resolved to become a para-athlete and win a medal for India.


In 2023, she won the state championship in javelin throw and was selected for the national meet in Pune, where she finished in the top 10. In 2025, she won gold in javelin and silver in shot put at the 15th MP State Para Athletics meet.


After 2023, Priya began thinking about other women like her—with disabilities, struggling mentally and unsure where to turn. That led to the birth of Dance with Wheels. What began as a small virtual group of two or three people has now expanded across 16 states, bringing people with disabilities together online through dance.


Though Priya had no formal background in dance, she started it simply to empower women like herself. Today, it has grown into a nationwide community.


Dancing Beyond Limits

During 2025-26, the initiative engaged 37 women with disabilities and held 55 sessions. Its first offline event, Astitva, took place in Jaipur on December 17, 2025, bringing together dancers from 16 states.


The event aimed to bring women with disabilities out of their homes and help them feel empowered. Nine wheelchair dancers delivered a galvanising performance before an audience of over 350, proving that with the right support, people with disabilities can overcome immense challenges.


Because travelling with a wheelchair is never easy, Priya Sharma also held special sessions to prepare participants. She taught them how to fold their chairs and care for their bodies during long journeys. Some travelled 20 to 22 hours to attend.


All of it grew from Priya’s vision to change the lives of women like herself. Looking ahead, she said, "I want these dancers to compete for India in Paralympic Dance Sport, win gold for our country, and show the world that we are no less than anyone else.”

Comments

bottom of page