<p class="MsoNormal" style="text-align:center;background:blue" align="center"><span style="font-size:14.0pt;color:white">Resolution adopted at </span></p>

<p class="MsoNormal" style="text-align:center;background:blue" align="center"><span style="font-size:14.0pt;color:white">Convention on “Universalisation of Health Care for
All”</span></p>

<p class="MsoNormal" style="text-align:center;background:white" align="center"><span style="color:#222222"> </span></p>

<p class="MsoNormal" style="text-align:center;background:white" align="center"><i style><span style="font-size:11.0pt;color:#222222">New Delhi</span></i><i style><span style="font-size:11.0pt;color:#222222">, 28-29 November, 2012</span></i></p>


<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph;background:white"><span style="font-size:11.0pt;color:#222222"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt;color:#222222">[Excerpts]</span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt;color:#222222"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt;color:#222222">The Jan Swasthya Abhiyan (JSA, PHM India) believes
that </span><span style="font-size:11.0pt">Public Health services will have to be the backbone
of any system that guarantees access to quality health care services to all
citizens of the country</span><span style="font-size:11.0pt">. </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">The Jan Swasthya Abhiyan’s position is that
corporatization and privatization is a remedy worse than the disease. </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">JSA notes that <i><span style>diametrically opposing conceptions of ‘Universal
health care’ are contending today at global and national levels</span></i>. Authorities
in India
are adopting a <i><span style>framework that
uncritically endorses and promotes the existing private medical sector</span></i>
including its high costs and irrationality. This framework advocates handing
over public funds, often through the insurance route, to the private sector to
expand ‘coverage’. This needs to be countered by the <i><span style>alternative vision of Health care for all in the larger framework of
‘Health for all’</span></i>, which envisages a transformation of the health
system in a setting of broader social transformations.</span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">Greater public investment (at least up to 5% of GDP from the present
measly 1%) and continuous and significant addition of human resources are
needed.</span><span style="font-size:11.0pt">
</span></p>

<p class="MsoNormal"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">In
the present situation, two choices lie before us. <i><span style>Either public resources are <span style> </span>used
to serve private benefit, OR private resources are used to serve public benefit</span></i>.
<span style>In most models today public funds are
transferred to the private medical sector without any effective regulation,
governance and accountability of this sector, and in a manner that would
further weaken the public health system. The Jan Swasthya Abhiyan strongly
opposes this approach.</span> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">An absolutely essential pre-requisite for any
engagement with the private sector is comprehensive regulation of the almost completely
unregulated private sector. </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">Utilization
of large networked private care providers to provide insurance outcomes leads
to high costs and poor health outcomes. Continued reliance on insurance schemes
<span style>will lead to greater disadvantages for
the working classes of the country. We advocate that trade unions and peoples’
organisations need to be involved in a thorough scrutiny and critique of all these
schemes. </span></span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">We demand that the Government dismantle the current
publicly financed hea<a name="_GoBack"></a>lth insurance schemes gradually and
integrate them into an universal and comprehensive system designed to provide
Health Care for All. </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="CM14" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">JSA demands immediate and sustained
steps to stop the manufacture and sale of all irrational medicines and the
operationalisation of regulatory mechanisms for rational use of medicines.</span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="CM14" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">Jan Swasthya Abhiyan demands that all
essential drugs (348 at present) including their combinations and dosage forms
should be placed under price control based on a cost based pricing formula.</span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">The JSA demands that the Government stands firm in defense of health
safeguards in the Indian Patent Act and takes active measures to ensure that
Patents are not a barrier to medicines’ access.</span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">Along with
opposing privatisation and championing public systems, there is a <span style>need to ‘reclaim’ public systems while they
are strengthened and expanded</span>. </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt;color:#00000a">Wider
sections of people are questioning the existing manner of functioning of the
health system, and are beginning to expect qualitatively better ways of
organising health care. Hence the <span style>health
movement takes up the challenge of building broad based alliances</span> with
other social movements, to challenge corporate oriented health care models, and
to instead place a public-centred system of ‘<span style>Health care for All’</span> squarely on the social agenda, as a key step
towards achieving the dream of ‘<span style>Health
for All’</span>.</span><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt"> </span></p>

<p class="MsoNormal" style="text-align:justify;text-justify:inter-ideograph"><span style="font-size:11.0pt">The text of the full resolution can be had from  <<a href="mailto:asengupta@phmovement.org">asengupta@phmovement.org</a>> <br>
</span></p>