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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.

People praise Army for protecting

Jammu and Kashmir Chief Minister Omar Abdullah interacts with displaced border residents at a shelter camp.
Jammu and Kashmir Chief Minister Omar Abdullah interacts with displaced border residents at a shelter camp.

Garkhal (J&K): Men and machines of the armed forces worked meticulously to ensure the interception of Kamikaze drones and missiles fired by Pakistani troops targeting Jammu, drawing widespread appreciation from people.


India on Thursday night swiftly thwarted Pakistan's fresh attempts to strike military sites with drones and missiles, including in Jammu and Pathankot, after foiling similar bids at 15 locations across the country's northern and western regions, amid a military conflict between the two neighbours.


Looking after the operational area of Jammu under the command of the 9 Corps, the 26 Infantry Division, nicknamed the "Tiger Division", had put in place a robust air-defence system, virtually carving out an Israel-type Iron Dome to protect Jammu from a Hamas-style attack by Pakistan.


An official who was privy to the developments said it was a meticulous combination of men and machines in defence that thwarted such a massive Pakistani attack.


In the dead of night, Pakistan unleashed its most audacious assault on Jammu since the 1971 war, deploying a swarm of more than a hundred Kamikaze drones and missiles in a sinister attempt to devastate the city. But what followed was a show of unmatched precision, courage and resilience.


"We are indebted to our armed forces who have saved Jammu from a major attack by Pakistan. We appreciate them for their missionary work. We never thought these bombs could be neutralised in the air," Garkhal resident Sikender Singh said.


Singh, whose family, along with more than 500 villagers, has shifted to safer camps set up by the government in Mishriwala on the Jammu outskirts, said had the bombs not been intercepted, they could have caused massive deaths and destruction.


Finest system

The Army, backed by one of the world's finest air-defence systems, intercepted the aerial barrage with astonishing accuracy -- virtually every hostile object was destroyed mid-air. Not a single vital installation was touched. Not a single civilian life was lost.


"Eight missiles from Pakistan were directed at Satwari, Samba, R S Pura and Arnia. All were intercepted and blocked by air-defence units. Visuals over Jammu reminded exactly of a Hamas-style attack on Israel, like multiple cheap rockets," an Army official said.


He said the Pakistan Army is operating and behaving like Hamas. "Drones were sighted at multiple places along the western front -- confirmed to be hostile. They are being effectively engaged by our air-defence systems. Pakistani drone attacks have been reported at various locations along the western borders and are being effectively countered by the Indian armed forces," he added.


The multi-tier air-defence system, with a twin technological security architecture of Russian and Israeli surface-to-air missile setups and the indigenous Akash, was a game changer against such attacks.


Former Jammu and Kashmir director general of police S P Vaid appreciated the armed forces and their technological security systems for effectively dealing with the Pakistani attacks.


He said 50 to 60 air attacks by Pakistan over Jammu and other places were neutralised on Thursday night by the impregnable air-defence system of the country.


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