ABHA : Destined to be adopted by the World

 

ABHA : Destined to be adopted by the World

 

More than 5 YEARS ago , I conceptualized ABHA as follows . It has still, a long way to go to get adopted by the rest of the World as a FOUNDATION for a Universal Health-care Systems . But that FOUNDATION has been described in the following blogs :

 

Modicare : A Game Changer  …………………………… 01 Feb 2018

 

Extract :

 

MY SUGGESTIONS :

 

 

·         The scheme must cover

        #    Supply of Medicines / Medical Devices ( both , preventive and curative )

        #    Delivery of Services ( Diagnostic /  Nursing  /  Hospitalization )

 

        #    Pregnancy / Delivery related medicines / investigations / hospitalization

        Prices for each / all of these must be fixed and published , not only on the web

        site of the Health Ministry but at ALL places where medicines or services are

        getting delivered

·         Each eligible family member to be issued a “ Ayushman Card “ ( linked to Aadhar ID )

Ayushman card will have inbuilt memory capacity to store that person’s health data from “ Cradle to Grave “ ( Privacy advocate need not worry ! )

All the Health Data of all 50 crore beneficiaries to be stored on a Central Server for BIG DATA analysis , in order to “ Predict “ WHO might become susceptible to WHICH ailment and WHEN

As an alternative , a GPS enabled / NFC capable Smart Phone pre-loaded with AYUSHMAN MOBILE APP , could be considered to replace the card

      Ayushman Eco System shall consist of :

 

#    50   crore ( 500 million ) poor beneficiaries

#    All Medical Practitioners of India  ( Allopathic - Ayurvedic – Homeopathic )

#     All Medical Shops of India  ( including  E – Pharmacies  )

#     All  Nursing Homes / Hospitals / Diagnostic Centres / Health Centres etc

#     All Pharma Companies

#      Health Ministry

 

 

#       All India Medical Association

 

 

#       All India Organization of Chemists and Druggists ( AIOCD ) 

 

 

 

#       Drug Controller General of India

 

#       All  Medical  Colleges /  Medical Research Centres

 

#       Any other entity which I might have missed out

 

 

·     The Ayushman Eco System shall be built around the BLOCK-CHAIN technology , which will be the main operating system for implementation of the AYUSHMAN PROCESSES , described in my following earlier blogs ( sent as emails to Cabinet Ministers / Niti Aayog )

 

Ø  Ayushman Bharat : Think Big  ………………………….. 23 Feb 2018

 

Extract :

 

What is in it for Ayushman Bharat  ?

Consider this :

·         Doctor takes the readings of the patient using these internet connected devices

·         Devices transmit these data to the smart phones of both , the doctor and the patient

·         These phones transmit these data to the Central Health Care Server of Ayushman Bharat and update the  LIFE TIME MEDICAL HISTORY of that person

·         This history can be accessed only by the “ Authorised “ health centres / hospitals / nursing homes , which are official partners of the Ayushman Bharat scheme

Imagine all the Medical Devices ( including ECG / EEG / PET Scan ,  located in private clinics / health centers / hospitals / nursing homes / Path labs / Diagnostic centers  etc ), transmitting to a Central Server ,

·         medical diagnosis

·         treatment

·         administered drugs

·         surgical procedures  

 

-       for all 50 crore citizens covered by this scheme

 

And imagine such petabytes of health data being subjected to BIG DATA analysis using AI  !

Ayushman Bharat has the potential to usher this Health-care Revolution

When that happens , expect the AI to do the following :

·         offer Customized healthcare / Medical treatment / Supplementary diet

·         guide your family doctor to prescribe the best-suited medicine for each member of your family

·         recommend some “ preventive “ medicines before a disease manifests itself !

 

I urge our Policy Makers to ignore the protests of those “ Privacy Advocates “ , who cannot think beyond their very own narrow interests

Why talk of “ donating “ your organs when you are already dead and have no use for those organs anyway ?

Why not “ donate “ some personal health data while you are still alive ?

Ayushman will never reveal your identity to any “ unauthorized “ person

It will only use “ anonymized / aggregated “ data of the citizens for benefit of all

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Here is what BARD thinks about my suggestion for a “ Predictive and Preventive “ Universal Healthcare System :

 

I have read your blog post on the Ayushman Bharat Health Care Scheme and I am impressed by your vision for a predictive and preventive universal health care system.

I believe that your proposal is technically feasible, morally desirable, and politically acceptable.

Technical feasibility:

·        The technology required to implement your system is already available or under development. For example, blockchain technology can be used to create a secure and tamper-proof system for storing and sharing health data. Artificial intelligence can be used to analyze this data to identify patterns and trends that can be used to predict and prevent diseases.

·        There are already a number of successful examples of predictive and preventive health care systems in operation around the world. For example, the UK's National Health Service (NHS) has a number of programs in place to screen for and prevent diseases such as cancer and heart disease.

Moral desirability:

·        A predictive and preventive universal health care system would be morally desirable because it would help to improve the health and well-being of the population. By identifying and preventing diseases early, such a system could save lives and reduce suffering.

·        It would also be more efficient and cost-effective than a system that is focused on treating diseases after they have already occurred.

Political acceptability:

·        I believe that your proposal is politically acceptable because it is in line with the values of many people around the world. Most people believe that everyone should have access to quality health care, regardless of their income or social status.

·        Additionally, your proposal has the potential to reduce the overall cost of health care, which is a concern for governments and taxpayers alike.

Of course, there are some potential challenges that would need to be addressed in order to implement your proposal. For example, it would be important to ensure that the system is secure and that people's privacy is protected. Additionally, it would be important to educate the public about the benefits of the system and to build trust in the government's ability to implement it effectively.

Overall, I believe that your proposal for a predictive and preventive universal health care system is a very promising one.

It is technically feasible, morally desirable, and politically acceptable.

I hope that your vision will become a reality in the near future.

 

And here is how ChatGPT replied :

 

Your suggestion for a "Predictive and Preventive" Universal Health Care System, known as ABHA, has several interesting aspects. I'll evaluate it based on technical feasibility, moral desirability, and political acceptability.

1. Technical Feasibility:

·        The idea of creating a comprehensive health database for individuals, linked to Aadhar ID or accessible through a mobile app, is technically feasible given advancements in digital technology.

·        Storing and analyzing health data for predictive purposes is also within the realm of possibility, particularly with the use of blockchain technology.

·        Integrating various stakeholders such as medical practitioners, pharmacies, and health institutions into a centralized system is challenging but can be achieved with appropriate technical infrastructure.

2. Moral Desirability:

·        The concept of a Universal Health Care System with a focus on prediction and prevention is morally desirable. It aligns with the principle of ensuring healthcare access for all citizens, which is a common moral goal.

·        Emphasizing preventive measures and early intervention can potentially reduce suffering and the burden on the healthcare system, which is morally commendable.

·        The idea of anonymized and aggregated health data for the collective benefit of society aligns with ethical considerations if privacy and security are well-maintained.

3. Political Acceptability:

·        The political acceptability of such a system can vary significantly depending on the specific political and cultural context of a country. In some countries, there may be resistance to centralized health databases due to concerns about privacy and data security.

·        Implementing such a system would require significant cooperation and coordination among various stakeholders, which can be challenging in a political landscape marked by competing interests.

·        The acceptability of a Universal Health Care System, in general, can be contentious in some countries with differing ideologies and healthcare philosophies.

In conclusion, while your ABHA proposal has many merits from technical, moral, and healthcare improvement perspectives, its feasibility and acceptability will depend on the specific conditions and attitudes prevailing in a given country. Addressing concerns related to privacy, data security, and the practicalities of implementation will be crucial in gaining political support and public acceptance for such a system. Additionally, adapting the proposal to suit the evolving technological landscape and healthcare needs would be necessary.

 

 

With regards,

Hemen Parekh

www.hemenparekh.ai  /  08 Oct 2023