Central control of health care

Decentralised decision-making works better

Something new has happened in Indian health care. The state achieved the ability to apply coercive power and control every doctor-patient relationship in the context of Covid-19 vaccines. Many flaws in India’s Covid-19 vaccination story derive from this control. Social outcomes are better, particularly in the Indian setting, when many people are thinking and responding. We should be wary about the use of the coercive power of the state.

No two persons are alike. For each person, decisions about vaccination involve many considerations, including vulnerability to disease, lifestyle, and health care financing. Some people in India get vaccines against the flu