<P> In terms of medical costs, out - of - pocket hospitalization fees prevent access to healthcare . 40% of people that are hospitalized are pushed either into lifelong debt or below the poverty line . Furthermore, over 23% of patients don't have enough money to afford treatment and 63% lack regular access to necessary medications . Healthcare and treatment costs have inflated 10 - 12% a year and with more advancements in medicine, costs of treatment will continue to rise . Finally, the price of medications rise as they are not controlled . </P> <P> There is a major gap between outreach, finance and access in India . Without outreach, services cannot be spread to distant locations . Without financial ability, those in distant locations cannot afford to access healthcare . According to scholars, both of these issues are tied together and are pitfalls of the current healthcare system . </P> <P> The government of India has a Twelfth Plan to expand the National Rural Health Mission to the entire country, known as the National Health Mission . Community based health insurance can assist in providing services to areas with disadvantaged populations . Additionally, it can help to emphasize the responsibility of the local government in making resources available . Furthermore, according to the Indian Journal of Community Medicine (IJOCM) the government should reform health insurance as well as its reach in India . The journal states that universal healthcare should slowly yet steadily be expanded to the entire population . Healthcare should be mandatory and no money should be exchanged at appointments . Finally, both private and public sectors should be involved to ensure all marginalized areas are reached . According to the IJOCM, this will increase access for the poor . </P> <P> One initiative adapted by governments of many states in India to improve access to healthcare entails a combination of public and private sectors . The Public - Private Partnership Initiative (PPP) was created in the hopes of reaching the health - related Millennium Development Goals . It consists of three separate projects with different focuses: Fair Price shops which aim to reduce the costs of medications and treatment options; Rashtriya Swasthya Bima Yojana which reimburses those under the poverty line; and National Rural Telemedicine Network which assists with non-medical costs . This initiative was analyzed in the states of Maharashtra and West Bengal . </P>

Recent changes in health care industry in india