Las Vegas Review-Journal

COVID leaves Indians mired in massive debt

Most medical bills paid without help of insurers

- By Philip Marcelo

NEW DELHI — As coronaviru­s cases ravaged India this spring, Anil Sharma visited his 24-year-old son, Saurav, at a private hospital in northwest New Delhi every day for more than two months.

In May, as India’s new COVID-19 cases broke global records to reach 400,000 a day, Saurav was put on a ventilator.

The sight of the tube running into Saurav’s throat is seared in Sharma’s mind. “I had to stay strong when I was with him, but immediatel­y after, I would break down as soon as I left the room,” he said.

Saurav is home now, still weak and recovering.

But the family’s joy is tempered by a mountain of debt that piled up while he was sick.

Life has been tentativel­y returning to normal in India as new coronaviru­s cases have fallen.

But millions are embroiled in a nightmare of huge piles of medical bills. Most Indians don’t have health insurance and costs for COVID-19 treatment have them drowning in debt.

Sharma exhausted his savings on paying for an ambulance, tests, medicines and an ICU bed. Then he took out bank loans.

As the costs mounted, he borrowed from friends and relatives. Then, he turned to strangers, pleading online for help on Ketto, an Indian crowdfundi­ng website. Sharma says he has paid more than $50,000 in medical bills.

The crowdfundi­ng provided $28,000, but $26,000 is borrowed money he needs to repay, a kind of debt he has never faced before.

“He was struggling for his life and we were struggling to provide him an opportunit­y to survive,” he said, his voice thick with emotion. “I was a proud father — and now I have become a beggar.”

The pandemic has devastated India’s economy, bringing financial calamity to millions at the mercy of its chronicall­y underfunde­d and fragmented healthcare system. Experts say such costs are bound to hinder an economic recovery.

“What we have is a patchwork quilt of incomplete public insurance and a poor public health system. The pandemic has shown just how creaky and unsustaina­ble these two things are,” said Vivek Dehejia, an economist who has studied public policy in India.

Even before the pandemic, healthcare access in India was a problem.

Indians pay about 63 percent of their medical expenses out of pocket.

That’s typical of many poor countries with inadequate government services.

Data on global personal medical costs from the pandemic are hard to come by, but in India and many other countries treatment for COVID is a huge added burden at a time when hundreds of millions of jobs have vanished.

 ?? Manish Swarup The Associated Press ?? Anil Sharma shows a photograph of his son Saurav, who is being treated for COVID-19 at a private hospital in New Delhi. Millions of India residents have huge medical bills because they don’t have health insurance.
Manish Swarup The Associated Press Anil Sharma shows a photograph of his son Saurav, who is being treated for COVID-19 at a private hospital in New Delhi. Millions of India residents have huge medical bills because they don’t have health insurance.

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