Business Standard

Modi launches health ID, digital record for citizens

Experts flag privacy concerns in absence of data protection law

- RUCHIKA CHITRAVANS­HI New Delhi, 27 September

Prime Minister Narendra Modi on Monday launched the digital Ayushman Bharat Mission and said the initiative would bring about a revolution­ary change in India’s health facilities, improve ease of living, and digitally protect the health records of people.

He said in a virtual address that the mission would create a seamless online platform that would enable interopera­bility within the digital health ecosystem.

Referring to the Jan Dhan-aadhaarmob­ile (JAM) trinity, the prime minister said the digital infrastruc­ture was taking everything from ‘Ration to Prashasan ’to the common Indian in a fast and transparen­t manner. “There is no such big connected infrastruc­ture anywhere in the world,” Modi said.

The PM said the Ayushman Bharat– Digital Mission would connect the digital health solutions of hospitals across the country with each other and simplify hospital processes. Every citizen would be able to get a health ID and their health record would be digitally protected, Modi said. Experts, however, have raised privacy concerns around the digitisati­on of the health records of people, especially in absence of a data protection law or a data protection authority. Digital rights organisati­on Access Now has said in a letter to the health ministry: “The use of 'unique identifier­s' imperils privacy, and enables the “mosaicing” or creation of a complete profile of users, which can be used to target them by commercial or state actors. This must not be permitted.”

Modi stressed that the initiative would play a very important role in eliminatin­g the medical problems of the poor and the middle-class section of society.

He acknowledg­ed that diseases were one of the key reasons to push families into the vicious cycle of poverty. Modi said women in these families were the worst sufferers as they would always relegate their health issues to the background.

More than 20 million citizens have so far availed of the facility of free treatment under the Ayushman Bharat scheme, half of whom are women, according to the government. The PM acknowledg­ed that diseases were one of the key reasons to push families into the vicious cycle of poverty. He said women in these families were the worst sufferers as they would always relegate their health issues to the background.

The Ayushman Bharat scheme was launched by the prime minister on September 23, 2018. So far, 23,000 hospitals have been empanelled under the scheme, 40 per cent of which are from the private sector. It was in the middle of the pandemic that the government had launched the national digital health mission. The unique digital health ID is part of this programme which seeks to give control over their health data and digital personal health records.

Private sector hospitals have termed the announceme­nt a watershed moment, which would transform the way health care is delivered in the country. “The implicatio­ns of this programme are far wider than what is being perceived today. It’s like a neural system for the entire ecosystem where the signals will flow up and down. That is what would bring inefficien­cy in the healthcare system,” said Ashutosh Raghuvansh­i, managing director and CEO, Fortis Healthcare.

Health experts said the biggest advantage to users would be that they would not have to repeat certain investigat­ions since there would be a unified format and standards in the digital system. The digital health mission would also ensure the flow of informatio­n to insurance providers.

“This programme will be a gamechange­r and provide timely and hasslefree medical care to people all over India. The only challenge we foresee is the ability and willingnes­s to implement a digital ecosystem in all our health care services and to come out of our comfort zone of providing physical services,” said Shuchin Bajaj, founder and director, Ujala Cygnus Group of Hospitals.

Highlighti­ng some of the other challenges, Access Now in the letter to the ministry has asked the government to ensure that the creation of a digital health system does not exacerbate the digital divide, and does not replace government investment in primary and secondary health infrastruc­ture. It also asked the ministry to ensure that this system contained adequate regulation of the sector, did not force a health ID or digital access upon anyone, and was based on the principle of non-exclusion.

Digital infrastruc­ture is bringing everything, from ration to prashasan, to the common Indian in a fast and transparen­t manner. The way tech is being deployed in governance reforms today is unpreceden­ted

NARENDRA MODI Prime minister

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