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Sunita Narain: The battle of the Indian bulge

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Sunita Narain New Delhi
In Nagpur city, women gather outside a court. In broad daylight they lynch a local serial rapist. When four women are arrested, a few hundred women own up to the crime.
 
They say they killed Akku Yadav because the local police did little to stop his criminal reign of terror; they feared the court would release him and took matters in their hand. But why am I writing about vigilante killings?
 
To me, this incident is less about the women. It is more about their fear that they would not get justice. Their desperation shows just how disabled the state has become. The apparatus "" of services, or law and order "" is today thoroughly compromised. Broken in spirit, the state's capacities stand decimated, through deliberate abuse or apathy. For these women of Nagpur, there is no state.
 
Now switch to another scene: an evening lecture in Delhi. A middle-class audience is discussing the pollution of the river Yamuna, which flows through their city.
 
This pollution is also about how the city's rich use water and the sewage system, but are loathe to pay for it. The real pollution is this subsidy the rich enjoy, in the name of the poor, so that a public utility is unable to manage its business. But that is not the way this audience sees it.
 
They are categorical about their angst vis-a-vis the state. It should wither away, they believe. "We generate our own electricity with generators, we buy bottled water to drink, we have our own security agencies to guard us, we go to private hospitals to be treated."
 
"Why should we pay for these services, why should we pay anything to the government?" So goes the rhetoric of these rich vigilante citizens.
 
Was it then a coincidence, that in his Independence Day address to the nation, Prime Minister Manmohan Singh had to remind us "governments cannot be wished away".
 
What does it mean when a nation's leader has to defend the right to the state to literally go about its business?
 
Whether it is a case of the state failing its citizens "" Nagpur "" or citizens failing the state "" Delhi's rich "" the fact is that, today, a system is being worked to death.
 
We are working it to death. And helping us is the bureaucracy ""-the state's managers "" by conveniently handing over its work to "whosoever it may concern" without losing the perks that come with their non-jobs. This is visible in every sphere of our lives: education, health, transport or water.
 
First, we deliberately disable our public institutions. We do this by not investing adequately in these services, and then in creating an interest in running inefficient and incompetent institutions for the sake of it.
 
Most public institutions today run to pay salaries, not to deliver services to the people they are meant for. In public health service institutions, for instance, salaries gobble up 70 to 80 per cent of the total (meagre) funds allocated to this sector.
 
How can such a system deliver? If its managers compromise the public system, its workers maul it; whatever is left becomes the playground of the rich. And all of this happens in the name of the poor.
 
Let's look at the health sector. In 1990, we spent 1.3 per cent of our gross domestic product on public health services; by 2002, this had reduced to a scandalous 0.9 per cent. Is it surprising then that private health services have blossomed?
 
In this poor country as much as 82 per cent of all outpatient visits take place in the private sector today. And the government's tactical support is evident. It gives away land at throwaway prices, subsidises the private sector, in the name of the poor.
 
The rich hospitals are "expected" to use their largesse to provide free or accessible services for the poor. But this rarely happens. Why should it? In this way, public health services are completely compromised.
 
Worse, given the enormous disparities in income, the poor are denied access. Only an efficient and high-quality public support system can provide health care for all. But by now, too much has been lost.
 
No wonder the poor end up losers. No wonder that the real profiteers end up being the managers of the state. Electoral politics dictates that their interests are not fiddled with. They have even less to do, but can make more money by the milking private sector for personal gains. They have the ultimate interest in weakening the government.
 
So, if Prime Minister Manmohan Singh is serious about the business of governance, which I suspect he is, he will have to learn that the beast he has to fight is within. It is this battle of the Indian bulge that will determine our future.

 
 

Disclaimer: These are personal views of the writer. They do not necessarily reflect the opinion of www.business-standard.com or the Business Standard newspaper

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First Published: Aug 31 2004 | 12:00 AM IST

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