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.

What’s in a Name?

Updated: Feb 18, 2025

From nameless masters to larger than life personas, the artist has become as recognizable as the art.


What’s in a Name
Édouard Manet, Flowers in a Crystal Vase, circa 1882

Through most of human history, artists have been anonymous, their individuality either irrelevant or subservient to their adherence to subject matter and mastery of technique. There is an entire group of important art from the Middle Ages and the Renaissance attributed by art historians to Anonymous Masters. A debate continues to rage over whether Salvator Mundi - the most expensive ($450m) artwork ever sold, is painted by “the hand of” Leonardo da Vinci or one of his students. Nobody knows the names of the many who painted manuscripts and folios in Bengal in the 19th or even the early 20th century. So one might be tempted to ask, what’s in a name?

Pierre Auguste-Renoir, Bouquet of Roses, oil on canvas, circa 1909-1913
Pierre Auguste-Renoir, Bouquet of Roses, oil on canvas, circa 1909-1913

The anonymous artist of yore has given way to the very individual, modern artist known and recognized not just for his own distinct art, but often also for their outsize personalities and eccentricities. Andy Warhol not just for his Campbell’s Soup Cans but also for his parties in Studio 54. M.F. Husain for his murals but also for his preference to tread upon this earth barefoot. Freed from being answerable to anyone but himself once the age of patronage diminished, the artist could explore whatever interested him, be it a political ideology or a little flower. He could be an innovator who found new ways of seeing, an activist, a navel-gazer, or all of the above as freely and loudly as he chose. No matter what their solitary endeavours, artists began to be perceived in popular culture as rebels and mavericks who stood against the establishment, flamboyantly defied convention, and were often as outspoken as their art. And yes, the capital A – Artist, through much of history has been male. Women have only recently become a relevant part of the conversation about art – but that is material for a future article.


The identity of the named artist now becomes inextricable from the art he creates. People go to see a Vermeer or a Picasso, often unconcerned with which painting they are seeing, as long as it is painted by the master. F.N. Souza’s grotesque heads and V.S. Gaitonde’s enigmatic colourscapes have nothing in common though both artists belong to the same generation, share the J.J. School of Art as an alma mater, and were friends. The subject matter and style of their artistic output is a reflection of their almost diametrically opposed personalities and world views. But neither does being thematically linked mean the resultant art is similar. Thota Vaikuntam and B. Prabha, two artists whose oeuvres consist almost exclusively of women in traditional wear, would never be mistaken one for the other, each being so specifically rooted to the cultural ethos of their respective states. But let us stick with the floral realm, since Juliet paused on the balcony to muse that a rose by any other name would smell just as sweet. Even a fleeting glance would suggest that flowers painted by Édouard Manet are likely to have a completely different fragrance than those painted by Renoir. Flowers picked from a Suhasini Kejriwal garden would not sit comfortably with those filling vases painted by K.H. Ara. And Georgia O’Keefe’s flowers evoke a whole lot more than scent.


With due apologies to Shakespeare as well as Gertrude Stein’s proposition that things are what they are, a rose is not a rose is not a rose. Van Gogh’s sunflowers are interchangeable with no other. So, what’s in a name? Everything, because the artist puts everything of themselves – their skills and mastery of medium of course, but also their thoughts and ideas and their very sense of self – into their work to make it essentially distinct and uniquely theirs. They are not painting the flowers as they are, but as they see them. That is how each flower becomes more than just a rose or a sunflower. The artist claims ownership of the object or subject through every choice they make with their mind and body through the process of their re-creation of it. That means each work is singular, none is replicable.


Or is it? Japanese artist Takashi Murakami’s flower paintings are painted by numerous studio assistants, overseen by him. They are acquired by collectors as authentic Murakami works in spite of the public knowledge they have not in fact been painted “by the hand of” the artist. Louis Vuitton has a collaboration with Murakami for flower imprinted luggage. Easily identifiable at baggage claim, but few would know the flowers are the trademarked work of a renowned artist. They are easy subjects for cheaper knockoffs. Perhaps we are returning full circle to a variation on the age of the anonymous artist in a time of mass production.


(Meera is an architect, author, editor, and artist. Her column meanders through the vibrant world of art, examining exhibitions, offering critiques, delving into theory and exploring everything in between and beyond.)

Comments


bottom of page