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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.

India, Sri Lanka ink major defence pact following talks between PM Modi and President Dissanayake

  • PTI
  • Apr 5, 2025
  • 2 min read

COLOMBO: For the first time, India and Sri Lanka on Saturday inked an ambitious defence cooperation pact with Prime Minister Narendra Modi outlining a broader roadmap for deeper bilateral cooperation, asserting that security of both nations is interlinked and dependent on each other.


The defence pact is among seven key agreements signed by the two sides following wide-ranging talks between PM Modi and Sri Lankan President Anura Kumara Dissanayake.


The defence pact, being seen as a major move to bolster strategic ties, came nearly four decades after the Indian Peace Keeping Force's intervention in the island nation.


"We believe that our security interests are similar. The security of both countries is interlinked and dependent on each other," Modi said in his media statement.


"I am grateful to President Dissanayake for his sensitivity towards India's interests. We welcome the important agreements concluded in defence cooperation," he said.


In his remarks, Dissanayake said he assured PM Modi that Sri Lanka will not allow its territory to be used in any manner inimical to India's security interests.

He said he also conveyed to Modi that India's assistance to Sri Lanka in times of need and continuing solidarity are deeply cherished.


Another important agreement that the two sides inked was on developing Trincomalee as an energy hub.


PM Modi and President Dissanayake also virtually inaugurated the Sampur solar power project.


"The Sampur Solar Power Plant will help in Sri Lanka's energy security. All the people of Sri Lanka will benefit from the agreements signed for building a multi-product pipeline and developing Trincomalee as an energy hub," Modi said.


The grid inter-connectivity agreement between the two countries will open up options for Sri Lanka to export electricity, he said.


Modi said Sri Lanka has a "special place" in India's Neighbourhood First policy and Vision 'MAHASAGAR'.


"In the last four months, since President Dissanayake's visit to India, our cooperation has progressed significantly," he said.


The Modi-Dissanayake talks were held a day after the prime minister arrived in the Sri Lankan capital after concluding his trip to Bangkok where he attended a summit of the BIMSTEC (Bay of Bengal Initiative for Multi-Sectoral Technical and Economic Cooperation).


Ahead of the talks, Modi was accorded a ceremonial welcome at the historic Independence Square in the heart of the Sri Lankan capital, in the first such honour given to a foreign leader.


President Dissanayake received the prime minister at the Square -- the venue for national day celebrations and takes its name from the Independence Memorial Hall built to commemorate the island nation's independence from British rule in 1948.

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