
Bihar: Gaya beneficiary gets free treatment under Ayushman Bharat scheme
Gaya (Bihar): The Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (AB-PMJAY), the world's largest publicly funded health assurance scheme, continues to be a lifeline for countless Indians. Offering free medical treatment worth up to Rs 5 lakh per family annually for secondary and tertiary hospital care, the scheme has emerged as a game-changer in India's healthcare landscape—especially for the poor and lower-middle-class population.
In Bihar's Gaya district, the impact of this flagship scheme is evident in the story of Lalan Chaudhary, a farmer originally from Nalanda district. Currently undergoing treatment at Magadh Medical College in Gaya, Lalan is receiving all his medical services—surgery, medicines, accommodation, and food—completely free of cost through his Ayushman Bharat card.
Speaking to IANS, Lalan Chaudhary, a beneficiary, said, 'The hips of both my legs were damaged. I've been under treatment for the last one and a half months, and it's all being done free of cost through the Ayushman card. Where would poor people like us get Rs 5 lakh for treatment? We are grateful to Prime Minister Narendra Modi. Medicines, food—everything is taken care of. This is a very good scheme.'
Chaudhary learned about the scheme when a government outreach team visited his village.
'They helped us make the Ayushman card at home itself. Now, many people in our village are benefiting from it,' he added.
Such personal accounts reflect the broader transformation in India's healthcare ecosystem over the last decade. Through a combination of digitisation, public sector engagement, and targeted welfare initiatives, the Government has brought quality healthcare within reach for millions who previously struggled with high costs and red tape.
Crucially, Ayushman Bharat addresses the needs of the "missing middle"—families who neither qualify for traditional subsidies nor can afford costly private insurance. By enabling access to timely hospitalisation and treatment without pushing families into debt, it has shifted the narrative around medical affordability.
As of May 30, 2025, more than 41 crore Ayushman cards have been issued across 33 States and Union Territories. These have enabled over 8.5 crore hospital admissions, translating into Rs 1.19 lakh crore worth of treatment covered. A robust network of nearly 32,000 empanelled hospitals, including both public and private facilities, ensures that beneficiaries like Lalan Chaudhary receive uninterrupted medical care.
The scheme's reach was further expanded in October 2024, when the Government extended coverage to all senior citizens aged 70 and above, regardless of their income status. This has particularly benefited elderly citizens in the middle-income group, offering peace of mind to families burdened by rising medical expenses.
In tandem with Ayushman Bharat, the Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP) is revolutionising access to affordable medicines. What began with just 80 outlets in 2014 has now grown into a network of 16,469 Jan Aushadhi Kendras. These stores provide high-quality generic medicines at 50-80 per cent lower prices than their branded counterparts, all certified by WHO-GMP standards.
Together, these schemes are ushering in a silent but powerful healthcare revolution in India—bridging the gap between policy and people, and turning the right to health into a lived reality.
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The WHO-recommended urine TBLAM test, used to diagnose TB in HIVpositive patients, is still unavailable in the country, despite successful validation studies in Mumbai in 2022. Registration barriers and lack of supply from manufacturers have led to lack of access, says Leena Menghaney, a public health lawyer based in Delhi. Supplyrelated issues could be because trials in India have yet to conclude, according to industry delays cost precious lives. Late detection risks high transmission rates and complications for patients. Dr Jennifer Furin, infectious diseases clinician, Harvard Medical School, says while Truenat is helpful and the diagnostic pipeline is robust, the outdated and slow systems for approving novel tools in India have a detrimental impact. Furin points to a critical gap: the lack of household-level prevention. Studies, including a 2023 trial published in TheLancet, show that modest nutritional support for families of TB patients can sharply reduce transmission. 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Regimens with imipenem cost thousands of rupees per day. Anushka was treated free by MSF. Else each injection alone, she said, would cost Rs 2,499. Considering the socioeconomic realities of India, perhaps this is where the government could step approach to procurement is problematic too. The country selectively joins pooled procurement platforms like the Global Drug Facility, which could reduce costs. 'India has in the past refused to participate in this, unless they had an emergency,' says policy and procurement, TB is a profoundly social disease, shaped by stigma, poverty and undernutrition. Even the best drugs won't work if care doesn't reach those who need it most. Guidelines may improve and approvals may accelerate but until the system meets people where they are, too many will be left suffered for years before she got cured. Her strength wasn't just in surviving; it was in refusing to give up. 'Even in that condition, I completed my graduation and kept chasing my dreams,' she says. India's TB response must now rise to match that grit, with urgency, equity and compassion.