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.

Sacred Attire

Updated: Jan 30, 2025

The Siddhivinayak Temple Trust’s recent decision to implement a dress code prohibiting short skirts, torn jeans and other revealing attire is a necessary move to uphold the sanctity of religious spaces. Temples are spiritual spaces where devotees seek solace, offer prayers, and connect with the divine. Temples are not mere tourist attractions but sacred sanctuaries. The least that visitors can do is dress accordingly.


The Jagannath temple in Puri, Odisha, and the Banke Bihari temple in Vrindavan have already implemented similar rules, reflecting a growing recognition that religious spaces require a modicum of decorum. In the case of Siddhivinayak, the temple attracts thousands of devotees daily, many of whom have expressed discomfort over attire that they feel clashes with the temple’s spiritual ambience.


Few would question the need for decorum in a courtroom, a government office, or even an upscale restaurant. Yet, when religious institutions enforce dress codes to preserve their sanctity, a chorus of indignation often rises in the name of personal freedom, with such ‘critics’ arguing that such rules reflect moral policing or an imposition of traditionalist values.

But this argument confuses religious sanctity with public space liberalism. No one is being compelled to enter the temple, and those who do should respect the customs that govern it. Even in non-Hindu religious spaces, dress codes are the norm. One does not enter a gurdwara without covering their head, nor a mosque or church dressed in attire deemed unsuitable for prayer. The sanctity of a religious institution should not be sacrificed at the altar of modern whims.


To dismiss this as an encroachment on personal liberties is to misunderstand the nature of such spaces. Religious sites operate under different expectations than public thoroughfares or commercial hubs. They are designed for reflection, devotion, and ritual. While Indian society has rightly evolved towards greater personal freedom in many spheres, faith-based institutions must be allowed to maintain traditions that are integral to their identity. The temple trust has made it clear that its goal is not to impose regressive restrictions but to ensure that all visitors feel comfortable and that the sanctity of the temple is upheld.


Moreover, the argument that religious sites must remain entirely open-ended in their dress codes simply does not hold water. Many of the people who object to these restrictions would scarcely question the need for appropriate attire at a formal event or while meeting a dignitary. The principle is the same -respect for the setting dictates the mode of dress. Those who seek to frame this as a battle between liberalism and conservatism fail to grasp that such measures are about propriety, not repression.


In an era where the lines between cultural expression and decorum are increasingly blurred, it is worth remembering that not every rule is an infringement on liberty. If people can abide by dress codes in secular spaces, they should extend the same courtesy to places of worship.

Comments


bottom of page