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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 Madman Who Outsang the Gods

Kishore Kumar was the complete artist. What made him great also made him misunderstood.

Had he lived, Kishore Kumar would have turned 96 on August 4. But the mercurial artist, born Abhas Kumar Ganguly in the dusty town of Khandwa, was never the kind to mark birthdays. The man who sang of solitude often lived it. Though adored by generations of Hindi music lovers, Kishore spent most of his early years being dismissed or simply ignored. He never quite forgave the world for that. And the world never quite figured him out either.


His genius was unmistakable, yet, for years, invisible. As a child, he idolised K.L. Saigal, India’s first superstar singer, to the point of mimicry. That mimicry might have lasted had it not been for the perceptive eye (and ear) of composer S.D. Burman, who visited the Ganguly household where elder brother Ashok Kumar was already a megastar and overheard the young Kishore singing a perfect imitation of Saigal. “Respect others, but develop your own style,” Burman reportedly told him. Kishore obeyed, with a vengeance. After being introduced to yodelling through Western records brought by his brother Anoop from Austria, he locked himself in a room for a week. When he emerged, he could yodel better than the original Tex Morton. That vocal tic - playful, elastic and impossible to imitate - became his signature.


Still, Bollywood was not convinced. Kishore wanted to sing, but the music directors wanted Rafi. He took up acting reluctantly and was quickly typecast as a comic. Even when he acted in films, nine of his own songs were sung by someone else. A young Kishore approached the eminent composer Salil Chowdhury in 1954 and asked to sing. Chowdhury reportedly waved him away and demanded proof of prior recordings. Kishore would later have his revenge. When Chowdhury approached him in 1971 for the film Mere Apne, Kishore made him follow his car through the city for three hours before finally consenting.


His bitterness was not imagined. Biographer Derek Bose writes of a time when Kishore, too poor to own a car, would turn his back at bus stops when passing actors, who frequented his brother’s home, rolled by in fancy vehicles. These slights lingered even after he became a star.


The 1960s were lean years. Though he survived as Dev Anand’s preferred voice, even that pipeline dried up as Dev became choosy with roles. Kishore contemplated returning to Khandwa for good. Then came Aradhana. But even here, he was cautious. Before agreeing to sing for the then-unknown actor, Rajesh Khanna, Kishore insisted on meeting him first. He studied Khanna’s gestures, his mannerisms, the way he used his hands. Then he crafted a vocal persona that fused with Khanna’s screen presence so seamlessly that it created a phenomenon. It was, as one critic wrote, “two bodies, one voice.”


The success was electrifying. Khanna became India’s first true superstar, and Kishore became his voice. The music, much of it composed by R.D. Burman and Laxmikant-Pyarelal, truck like lightning, song after song. Hindi film music entered a new epoch: pre-Aradhana and post-Aradhana. Kishore Kumar had finally arrived, and he would dominate the next decade and a half. From Amitabh Bachchan to Jeetendra, Sanjeev Kumar to Shatrughan Sinha, every male star wanted Kishore’s voice behind their face. Only Dharmendra and Rishi Kapoor held out.


Yet Kishore never quite let go of the sting of earlier rejections. He developed a reputation for eccentricity, often refusing to work unless paid in advance. It was not greed, he insisted, but insurance against being cheated again. The only time he broke this rule was for Rajesh Khanna’s home production AlagAlag, offered as a thank-you to the man who had helped relaunch his career in 1969.


His personal life was equally turbulent. Married four times, most famously to actress Madhubala, Kishore remained emotionally detached from Bombay’s social whirl. In one rare interview with PritishNandy, he admitted he had no friends in the city and instead conversed with his trees, each of which he had named. This only fuelled his reputation for madness. But those close to him knew it masked a deeper loneliness, a bruised idealism never quite healed by fame.


On January 24, 1981, he suffered two heart attacks in one day. Ten days later, discharged from hospital, he recorded a song that now seems like a premonition: Akela gayatha main. It was for Rajput, picturised once again on Rajesh Khanna. Six years later, on October 13, 1987, Kishore Kumar died of a final heart attack. He was just 58.


Eight Filmfare Awards, a nation in thrall and no shortage of imitators. Yet not one matched his range or unpredictability. He was a genius not because he chased perfection, but because he made imperfection divine. To the end, he maintained his favourite mantra: “The world is crazy, not me.” History has sided with him.


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

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