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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.

Humble Virtuoso

Mohammad Rafi’s life offers lessons not just in melody but in grace, grit and reinvention.

 

On July 31, admirers of Mohammad Rafi marked the 45th anniversary of his death. But more than a date on a calendar, it is a moment to remember not just a playback singer who lent his voice to the golden decades of Hindi cinema, but a life that still offers timeless instruction in passion, humility and perseverance.

 

Born on July 24, 1924, in the modest village of Kotla Sultan Singh in Punjab, the young Rafi, affectionately known as ‘Pheeko,’ found his muse in an unexpected place: a wandering fakir whose unamplified voice stirred the village week after week. Rafi began mimicking the fakir’s songs, rehearsing them for hours each day. His pursuit of music was not transactional; it was obsessive. By the time he was a teenager, relatives whispered that he sang as sweetly as the fakir, perhaps more so. The early takeaway is that excellence begins where passion meets purpose - a notion not unlike the Japanese idea of ikigai.

 

The teenager's boldness soon found a stage in Lahore. When K.L. Saigal, the reigning star of Indian music, refused to sing after a power outage cut his microphone, an undaunted Rafi stepped in. For two hours, he held a restless audience spellbound. One impressed listener was music director Shyam Sunder, who promptly cast the young singer in the Punjabi film Gul Baloch. If passion lit the fire, it was initiative that fanned the flame.

 

But Bombay was no easy conquest. The city’s music studios were then ruled by Talat Mehmood, whose refined Urdu and silky voice were seen as the gold standard. Rafi, a rustic Punjabi, was mocked for his diction even by Talat himself. Rafi answered not with barbs but with songs. His breakthrough came under Naushad in Baiju Bawra (1952), after which Talat’s dominance began to wane. The principle here is old but unerring: let your work do the talking.

What followed was nothing short of a musical monarchy. Through the 1950s and ’60s, Rafi became the voice behind nearly every major male star of the day: Dilip Kumar, Dev Anand, Shammi Kapoor, Dharmendra and more. From Chaudhvin Ka Chand to Pyaasa, Rafi demonstrated not just vocal prowess - he could sing across seven octaves - but also a chameleon-like ability to adapt his voice to suit each hero’s on-screen persona. In the language of management, it was a masterclass in customer orientation: success lay in customising the product to fit the user.

 

Yet behind the scenes, Rafi was known for quite the opposite of starry ego. Colleagues recall a man of extraordinary humility. In one telling anecdote, when the young music directors Laxmikant–Pyarelal were struggling, Rafi sang for them for a token fee of one rupee. That song and that gesture helped launch their careers. Many in the industry referred to him as a sant, or saint.

 

But even saints face setbacks. The late 1960s brought with it a tsunami named Rajesh Khanna. With Aradhana (1969), Khanna’s rise was accompanied by a resurgent Kishore Kumar. Soon, Kishore became Khanna’s voice and by default, the preferred choice for producers across the board. Rafi found himself benched. For six months in 1972, he had no new recordings. Some, including Rafi’s daughter-in-law Yasmin Rafi in her memoir My Abba Mohammad Rafi, accused Khanna of pushing Kishore Kumar’s voice not just for himself, but for other actors too.

Wounded, but not defeated, Rafi plotted a comeback. With Naushad’s encouragement, and help from a new generation of composers, he returned to the charts with Teri Galiyon Mein in Hawas (1974). That toehold became a launchpad. By 1977, he had reclaimed his throne with hits in Amar Akbar AnthonyDharam Veer, and Hum Kisise Kum Nahin. In 1978, he won the National Award for Kya Hua Tera Wada. Even Amitabh Bachchan, long associated with Kishore Kumar, featured Rafi’s vocals in hits like Naseeb and Suhaag.

 

The end came suddenly. On July 31st, 1980, Rafi died of a heart attack at just 55. But his voice remained omnipresent. That year, he topped the popular Binaca Geetmala countdown – a poignant reminder that the audience had never turned away.

 

More than a singer, Rafi was a survivor. His career reads like a parable in resilience. It is proof that one can be cast aside, mocked, even silenced, but never erased if armed with conviction. For every artist, entrepreneur or underdog who has watched the limelight drift elsewhere, Rafi’s journey offers something enduring: that it is never too late to fight back, strike back and win back.


(The writer is a political commentator and a global affairs observer. Views personal.)

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