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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.

The Eternal Confluence: A Pilgrim at the Mahakumbh

Updated: Mar 3, 2025

Mahakumbh

The Mahakumbh at Prayagraj is often described as the largest gathering of faith on earth. But to witness it firsthand is to realize that it is something far greater: a confluence not just of rivers, but of cultures, histories and spiritual destinies. Millions flock to the sacred Sangam - the meeting point of the Ganga, Yamuna, and the mythical Saraswati - drawn by a devotion that transcends time. Among them, this year, were over 25,000 tribal devotees from across India, their presence a powerful testament to an unbroken cultural lineage, a reaffirmation of their place in the grand story of Sanatan Dharma.


For centuries, the Kumbh has embodied the essence of unity and coexistence, principles deeply embedded in the tribal way of life. We have long lived by the unwritten codes of communal harmony, charity, and reverence for the natural world. These values, which have guided our ancestors for millennia, found their grandest reflection at the Kumbh. To walk among the multitudes, witnessing ascetics in saffron robes meditating by the riverbanks and hearing the unceasing chorus of devotional songs was to be part of something at once intimate and infinite.


Yet, history has not always been kind to the spiritual consciousness of the tribal community. The arrival of British colonial rule sought to sever our ties to this eternal tradition, imposing layers of alienation and doubt. But here, at the Mahakumbh, there was no ambiguity. The tribal identity, too often misunderstood or misrepresented, found affirmation in its deep-rooted connection to the Sanatan tradition. The great pilgrimage embraced us, dispelling the artificial separations history once attempted to impose.


A key force behind this resurgence was the Vanvasi Kalyan Ashram, which orchestrated a remarkable convergence of tribal devotees. The Yuva Kumbh brought together 10,000 young minds, each pledging to preserve their faith and traditions. Twenty exceptional youths were honoured for their contributions - a clarion call for the next generation to stand tall in their heritage.


Then there was the Shobha Yatra, a fabulous spectacle where thousands of tribal men and women in traditional attire danced and sang their way to the sacred confluence. More than 150 groups performed traditional dances. It was a moment of sheer transcendence where centuries-old traditions found resonance in the present. Tribal artists showcased their rich cultural heritage through songs and dances that served as oral histories and spiritual expressions. The celebration peaked on February 10 with revered saints, including Mahamandleshwar Yatindranand Giriji Maharaj and Swami Avdheshanand Giri, emphasizing the deep ties between tribal traditions and Sanatan Dharma.


Adding to the significance of this year’s Kumbh was the commemoration of Lord Birsa Munda’s 150th birth anniversary. His legacy of resilience and cultural pride echoed through the gathering, a reminder that our struggle to preserve our identity is neither new nor in vain.


The Yuva Mahakumbh concluded with seven key commitments for tribal youth, a roadmap to ensure that our cultural consciousness remains undisturbed in the years to come.


Towards the end, I had the profound honour of addressing the gathering. I spoke of the tribal philosophy of ‘Sarve Bhavantu Sukhinah’(may all beings be happy). I urged my fellow tribal youth to embrace our traditions as integral to Sanatan Dharma, carry the Kumbh’s spirit forward, resist misrepresentation and see our heritage as a guide for the future.


As the Sangam’s sacred waters touched my skin one last time, I felt the Kumbh was more than an event; it was a movement, a reaffirmation, an eternal promise. I acutely felt that our traditions, our faith, our identity are unshakable and forever entwined with the great confluence that is India itself.


(The author is Assistant Professor Institute of Management Studies Banaras Hindu University Varanasi.)

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