National Health Insurance Scheme to cover 100 million Pakistanis

Re: National Health Insurance Scheme to cover 100 million Pakistanis

Soon now the duo with Sasti Roti scheme failure at their credit, want to start a health insurance scheme for the poor. :)

What can I say. Kids are growing. First it used to be schemes per Chotta bhai's requests. Now we also have Maryam Nawaz also asking for some fun.

I wonder if Nawaz talibani has any planner in his team. Each of their schemes have been started on request of bhai, bhateeja. This is why each of them have been the failure. Be it motorway, jangla bus, etc.

Whoever said this is right. *This government is not a Pakistani government. This is a Sharif Family Ltd. government.
*

Re: National Health Insurance Scheme to cover 100 million Pakistanis

**Maryam Nawaz Sharif ‏@MaryamNSharif 2h
**Alhamdolillah,my presentation to the PM went well & approval for the Health Insurance Prog granted. Poor will now have access to free trtmnt

wow. Congratulations for a successful presentation in front of the PM of the country. Your father must be a proud man today!

Re: National Health Insurance Scheme to cover 100 million Pakistanis

Its funny how PMLN fans seem to think that whatever Nawaz Sharif touches turns into gold. I guess the 90s are too far off now for people to remember what happened back then, and how identically programmed policies back then plunged Pakistan into deep financial crises.

Re: National Health Insurance Scheme to cover 100 million Pakistanis

Where is that money going to come from? Govt MUST extend its tax bracket and improve its tax recovery before venturing out in such programs otherwise, if you keep taxing same population over and over they will slip out of the tax bracket too.

Re: National Health Insurance Scheme to cover 100 million Pakistanis

There are 2 ways to increase the revenue collection. Both are important in Pakistan's scenario:

1) Improve the tax to GDP ratio which currently stands at 10% of GDP. There are 2-3 major hindrances in this regard. One is the agriculture sector. After 18th amendment the right to impose tax on agriculture has been given to provinces. This means the federal government can not collect tax from a sector of the economy which constitute about 22% of the GDP. Secondly the foreign remittances from Overseas Pakistanis ($15 billion remitted through official banking channels, $7-8 billion is brought by Pakistanis as cash according to SBP estimates, and $7-8 billion which comes through hundi according to SBP estimates… Total around $ 30 billion.) constitutes around 12% of the GDP. So when you take out this 34% of the GDP which can not be taxed by federal government.. the burden of improvement comes to the balance 66% of GDP.. means already taxing the taxed sectors.

This is not as simple as people chanting slogans in jalsaa.. If you take the actual tax to GDP ratio on balance 66%, it comes to 15%. Realistically speaking if we are able to achieve the 17% like India.. the total tax to GDP ratio will increase to about 13%. I doubt we can achieve that because we do not have the same size of corporate sector in Pakistan.

2) The more realistic way of increasing the revenues in Pakistan is to increase the size of domestic economy. Our revenue collection increased 17% in last fiscal year. Next year the revenue target is about 22% higher than ongoing year. FBR expects to collect around 2800 billion rupees in taxes compared to 2300 this year. This will not increase significantly the tax to GDP ratio.. but if the GDP growth target of 5% is achieved.. this revenue target will be easily achieved.

My friend,

One way is to criticize just for the sake of criticism. The other way is to look at things in an objective way. Our economy has been stagnate for past many years now. We need growth stimulus, infra structure spending, investment climate through better security situation, stability, predictability. We can add 2% to GDP growth by tackling our power crisis only.

At 67.5% public debt to GDP ratio.. we are not in big trouble. India, Germany, Japan, US.. all have much worse ratios. This debt is not going to go down.. but the ratio can improve if the GDP growth improves… subsequently increasing the size of the cake. Spending can go down significantly if the interest rates go down. Our biggest spending head is interest payment which is not due to a huge debt but it's purely because of high interest rates. Japan pays only 0.5% interest on 100% public debt to GDP ratio.. we pay 15%. Interest rates which will come down if exchange regime is stabilized and growth target are met. It will come down when fiscal deficits come down. In short it will come down when we come out of this gloomy viscous cycle in which we are trapped for past several years.

Sorry to bore you with this dry reply which I am sure the forum readers don't want to read.. We are all here for some juicy stuff. Let's go back to Altaf thread for some humorous comments.

Re: National Health Insurance Scheme to cover 100 million Pakistanis

Coming back to the topic in hand:

The health spendings are going to go up. This kind of initiatives just indicate how the government is going to spend these increased funds.

One way is start building hospitals (with huge infra structure cost), hire staff, purchase medicine and other medical equipment, and manage these hospitals…

The other way is to ask the private sector to build and manage the hospitals, government spends on subsidizing the health insurance, insurance company negotiates the cost of treatment with these hospitals, and government regulates the quality of this treatment.

Decide yourself.. considering government management skills.. which is a better way.

If the federal government is indicating this policy shift toward the second way.. I think it's a positive indication.

Re: National Health Insurance Scheme to cover 100 million Pakistanis

So it is unrealistic to tax feudals but possible to increase the size of domestic economy, so that the same class of people who have been giving taxes, could be taxed further?!

Re: National Health Insurance Scheme to cover 100 million Pakistanis

How is the government going to get the funds increased? By increasing the "size of the local economy"?

You are obviously not living in Pakistan.

Re: National Health Insurance Scheme to cover 100 million Pakistanis

I didn't expect that you will understand the post..

Bhai they can not tax the agriculture.. It's the law.. It's the constitution.. Remember 18th amendment which says only provinces can tax agriculture. We are talking federal taxes here..

Re: National Health Insurance Scheme to cover 100 million Pakistanis

why would feudals impose tax on feudals? :D

Re: National Health Insurance Scheme to cover 100 million Pakistanis

One would rather think they should improve situation of government run hospitals/clinics, specially in rural areas instead of spending time, efforts and money in such 'initiatives'. Such things look good on powerpoint slides.

Same story with the idiotic laptop scheme. Instead of improving primary education, they'd rather have some kids browsing facebook.

Re: National Health Insurance Scheme to cover 100 million Pakistanis

You are saying it as if the government would have taxed agriculture had there been no 18th amendment.
Plus Captain1, to whom you were responding, did not even mention taxing agriculture. All he said was to increase the tax net.

The point was that Sharif Govt Ltd. has failed miserably in much smaller schemes like Sasti Roti scheme, Metro bus, Motorway, Peeli taxi, etc. So how can someone in his right mind could say that his daughter's farmaish will come true?

**Sharif government Ltd. does not have any thinker to have a coherent consolidated plan for future. **All they have is farmaish of beta, beti, bhai, taya, phuppha. They are just shooting in the dark.

Re: National Health Insurance Scheme to cover 100 million Pakistanis

It look to me that Sharif Inc is successful in fooling even educated people in thinking that they can implement successfully schemes like health insurance or subsidized metro bus. I reality such schemes are increasing national debt.

Re: National Health Insurance Scheme to cover 100 million Pakistanis

Don't we have income taxes in Pakistan that are collected by the federal govt? If there are loopholes for agriculture, then the civil society has to fix that.

Re: National Health Insurance Scheme to cover 100 million Pakistanis

This is an insurance scheme which will be run by some private company. Sharif Inc. has probably seen a chance to make a few millions to make out of this niche me as well.

QUESTIONS:
Can any bird tell us if this hugely important scheme been discussed in the parliament ONCE by any Sharifia?

Since there are many people living outside Pakistan appreciating this scheme, may I ask them if this scheme should be discussed by parliament in the first place?

Re: National Health Insurance Scheme to cover 100 million Pakistanis

Try to send some doctors in remote/rural areas and you are asking for big Strike from Young Doctor(read Daku) Association, in Pakistan, Govt pay alot for the education of doctors and when they graduate, they try to stick in big cities only, for them going to any rural base is big no no.. you force them, they go on strike... and then suddenly all the political parties comes to their rescue throwing blame towards govt...

Re: National Health Insurance Scheme to cover 100 million Pakistanis

So, how would insurance scheme work in this situation? Would health insurance scheme persuade young doctors to move to rural hospitals? Samajh nai aai bhai ki.

That's not the point anyways. The point was that instead of spending time, money and effort on such 'schemes', why not try and get the basics right first? Just improving sanitation in rural areas would lessen burden on health care facilities a lot!

Re: National Health Insurance Scheme to cover 100 million Pakistanis

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