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
=============================================================
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