Friday, August 15, 2008

DISCRIMINATION BY CGHS

Discrimination by CGHS

-SANJOG MAHESHWARI

While right to healthcare and medical facilities should be seen as an integral part of the right to life for all, the babus have ensured that world class healthcare, diagnostic and other medical facilities at posh private nursing homes, hospitals, healthcare centers at Government cost is available only to them, their families, their political boss MPs and other so-called VIPs and their families. The nursing home facilities in Government hospitals are also mostly cornered by such higher strata beneficiaries.

Medical specialists attached to the CGHS dispensaries, if they happen to be of some calibre, remain unavailable on their slotted schedule, as for months on end they are away on what is termed as VIP duties -- attending to the VIPs and their families.

There also exists a complex classification and sub-classification of CGHS beneficiaries in various categories, based on which the scale of facilities admissible to them under the scheme is decided. The parameters and norms differ from beneficiary to beneficiary, depending on the scale of pay or pension, the position he holds or held in the Government, etc.

What is most appalling is the fact that the pensioner-beneficiaries of autonomous bodies are not treated at par with their counterpart retired from purely Government service, particularly in the matter of grant of credit facilities in the recognised private healthcare centres, nursing homes, etc. Are they not as precariously placed both health-wise and resources-wise as their counterparts who retired from "purely Government service"?

The plight of an autonomous body pensioner, suffering from age-induced infirmities and debilitating diseases, is that he has to run around complying with absurd formalities, placating babus, getting department's permission before and after the treatment, incurring all expenses from his own slender resources on the spot in the first instance irrespective of the enormity of the amount of expenditure involved even in emergent circumstances. . Then irrespective of whether his health permits or not, he has to do several rounds first to get his reimbursement bill on the prescribed forms verified from the treating doctor, then to the department for its scrutiny only to get reimbursement of completely watered-down bill after several months of making repeated rounds to the department from which he retired. Besides this he has to get his permanent CGHS token card revalidated every calendar year before it begins, the fact that he had already made full payment for availing CGHS facilities for the whole life- at the same rate and scale applicable to his counterpart in the government service- on his retirement itself, not withstanding. The babus of his department with abnormally swelled egos take sadistic pleasure in retrenching the claimed amount on most flimsy grounds; feigning ignorance of the Delhi high court verdict that mandates full reimbursement of the expenditure incurred on the medical treatment, and that too after the claim is subjected to several absurd objections. The autonomous body pensioner-beneficiaries of CGHS have made several representations to the authorities of the Health Ministry including those to the Hon’ble Minister but all have fallen on deaf ears so far and the victims of this blatant discrimination continue to live under the ever-lengthening shadow of fear and insecurity. Even ventilating the grievances through media could not yield any positive results for these unfortunate CGHS pensioner-beneficiaries whose only sin is that they had retired from autonomous bodies. It would thus be apparent that the denial of credit facility and cashless service by private recognized hospitals to the CSIR and other autonomous body pensioners who are CGHS beneficiaries is a cruel, inhuman and heartless joke still being perpetuated on this particular section of hapless senior citizens in the twilight of their life even though their counterpart retirees from the government have been availing the facility for several years now.

As respected senior citizens of this country, all pensioners should be treated at par, particularly in the matter of healthcare and medical facilities. Age and the age alone should be the criterion to determine the priority in the matter of extending the benefits to a pensioner-beneficiary irrespective of the post and the grade he was in at the time of his retirement.

Thursday, August 14, 2008

PRE-96 PENSIONERS BETRAYED

PENSION RULES- JUSTICE DENIED

-SANJOG MAHESHWARI.

Granting of pension and other related retiral benefits such as gratuity, family pension, leave encashment etc. on retirement is a socio-economic obligation which the governments are mandated to carry out for the security and welfare of the one who has spent all his active life in their service. The old pension rules have to be changed or modified from time to time in keeping with the changed socio-economic conditions of the society particularly when they warrant a revision in the pay scales of working employees. However, “social justice” which the rules are supposed to espouse becomes the first casualty when they are devised to discriminate against a section of the pensioners vis a vis a similarly placed another in the matter of grant of pension and other retiral benefits. Glaring example is the existing dispensation in which pensioners have been deliberately bracketed into two categories: pre-96 and post-96 pensioners with the former being placed at the receiving end of the discriminatory provisions in a Office Memorandum so much so that sometimes depending on the crucial date of his retirement, a pre-96 pensioner gets substantially less monthly pension and other related retiral benefits as compared to a similarly placed pensioner belonging to the post-96 category i.e. retiring on or after 01-01-96; even if both retire from the same post, with the same length of total service as also the service rendered in the post held at the time of retirement.

The Department of Pension & Pensioners Welfare, in their infinite wisdom, issued two OMs on the same day i.e. 27th October 1997 bearing the same number F.45/86/97- P &PW (A) albeit in two parts i.e. Part 1 and Part II. The former laying down formulae for calculation of pension etc. for the post-96 retirees and the later containing altogether different provisions for those retiring before 01-01-1996 which operates grossly against the legitimate interests and rights of the pre-96 pensioners leaving them grossly aggrieved and distraught. In the instant case, the babus of the Department issued Part 1 of the O.M. containing provisions for fixing pension and grant of other retrial benefits to Post-96 pensioners based on formulae quite different from those they incorporated in the Part II of it meant for Pre-96 pensioners putting the latter to the great disadvantage vis-à-vis their Post-96 counterparts and issued them on the same date i.e.27th October 1997 itself. Much confusion, however, was created because in the part 1, it was mentioned that “Separate orders will be issued in respect of employees who retired/died before 1...1.1996” (Presumably at some later date). Naturally, the inference was drawn that their case is still being examined separately and for separate orders they should wait for some time more. Whether the gambit was intentional and deliberate or inadvertent can be anybody’s guess but most of those effected could not read in between the lines and kept on waiting “for separate orders” without registering their protests till their number was severely diminished through the natural process of disease and death and those left behind found themselves inadequate to the task of moving the officialdom.

Thus Pre-96 pensioners have been deprived of the benefits of revision in the pay scales by not notionally fixing their basic pay on retirement in the new scales for the purpose of revising their pension and other related pensionary benefits.

As the pre-96 pensioners have been crying foul ever since then, here are a few posers for the Governmenovernmetn ners and foot-dragging officialdom in the nent posers.nst the legitimate interest and rights of the pre-96 pensionerst to answer: Why the most legitimate and genuine rights of pre-96 pensioners i.e. parity with their post-96 counterparts are not honoured in spite of

the Hon’ble Supreme Court’s, most unmistakable directions to the effect that there should be no difference between one pensioner and the other- exhorting the executive not to differentiate between similarly placed two sections of the pensioners? Why this deeply flawed system remains unchanged and natural justice is denied to the pre-96 pensioners in spite of the Apex court’s further clear directions that in the matter of framing and application of rules and the working of the system the principles of “reasonableness and non-arbitrariness” –which are the soul and substance of Article 14 of the Constitution-must necessarily be adhered to and honoured? (In Maneka Gandhi’s case, a seven-judge Bench had held that “reasonableness and non-arbitrariness” are part of Article 14) Does a pre-96 pensioner holding a post for a certain length of time on the date of his superannuation/retirement in any way renders lesser service than his post-96 counterpart in the same post for the same length of time in similar conditions? If not, why he is being deprived of the benefits of proper pension and other retrial benefits effective from 1-1-96 consequent upon revision of pay scales from that date? Has he not already suffered the cruel irony of fate by getting superannuated at 58? And all this for the sin of taking birth at an earlier date without reckoning with the government’s arbitrary scheme of retirement on which he has no control.

Proper monthly pension and other related pensionary benefits are sacrosanct, protected and greatly valued possession of a Government servant. Denying them to the Pre-96 pensioners tantamount to travesty of justice and violation of Article 14 read with Article 31 (1) [Right to property] of the Constitution.

Though Article 14 that mandates “Equality before the law” as a fundamental right of all the citizens completely outlaws “unreasonableness and arbitrariness” in executive action, these unfortunate elements seem to be deeply imbedded in the very psyche of the bureaucracy and invariably factor-in in their decision making processes. While Babus frequently bend the rules to help themselves, they throw the book at those in powerless minority with no platform to ventilate their grievances and concerns.

Almost all these worthy super-senior citizens- the pre-96 pensioners- are over 70, suffering from hosts of terminal debilitating diseases and struggling to survive the ravages of “ills, bills, pills” and “empty nest” syndromes. They have been crying foul ever since they were wronged under the provisions of the dubious Part II of the O.M. but all in vain. Complete parity with post-96 retirees in the matter of revised pension and related pensionary benefits based on the fixation of the notional basic pay at the appropriate stage in the revised pay scales from 01-01-96 and the arrears due and admissible with interest thereon as per the rules is legitimately due to them and should, therefore, be paid immediately. Death and terminal diseases are no respecters of age and the government must act fast before it is too late. It is hightime the pension rules framing system is reoriented on the lines prevalent in the U.K. from where it, though originated, materially differs. While in the U.K. the system is governed by and flows from the “Statute”, here in our country instead of the “Statute” it is governed by the rules made in a government department manned by unduly biased bureaucrats for whom the word “reasonableness” does not seem to exist.

It is hoped that the government will accord this matter due importance and ensure justice to this microscopic minority of Pre-96 pensioners so that they may get what is due to them retrospectively from the date(s) it became due and admissible with interest accrued on the arrears to meet the ends of natural justice and fair-play.



DISCRIMINATORY PROVISIONS IN THE CGHS RULEBOOK

Discrimination by CGHS

-Sanjog Maheshwari

While right to healthcare and medical facilities should be seen as an integral part of the right to life for all, the babus have ensured that world class healthcare, diagnostic and other medical facilities at posh private nursing homes, hospitals, healthcare centers at Government cost is available only to them, their families, their political boss MPs and other so-called VIPs and their families. The nursing home facilities in Government hospitals are also mostly cornered by such higher strata beneficiaries.

Medical specialists attached to the CGHS dispensaries, if they happen to be of some calibre, remain unavailable on their slotted schedule, as for months on end they are away on what is termed as VIP duties -- attending to the VIPs and their families.

There also exists a complex classification and sub-classification of CGHS beneficiaries in various categories, based on which the scale of facilities admissible to them under the scheme is decided. The parameters and norms differ from beneficiary to beneficiary, depending on the scale of pay or pension, the position he holds or held in the Government, etc.

What is most appalling is the fact that the pensioner-beneficiaries of autonomous bodies are not treated at par with their counterpart retired from purely Government service, particularly in the matter of grant of credit facilities in the recognised private healthcare centres, nursing homes, etc. Are they not as precariously placed both health-wise and resources-wise as their counterparts who retired from "purely Government service"?

The plight of an autonomous body pensioner, suffering from age-induced infirmities and debilitating diseases, is that he has to run around complying with absurd formalities, placating babus, getting department's permission before and after the treatment, incurring all expenses from his own slender resources on the spot in the first instance irrespective of the enormity of the amount of expenditure involved even in emergent circumstances. . Then irrespective of whether his health permits or not, he has to do several rounds first to get his reimbursement bill on the prescribed forms verified from the treating doctor, then to the department for its scrutiny only to get reimbursement of completely watered-down bill after several months of making repeated rounds to the department from which he retired. Besides this he has to get his permanent CGHS token card revalidated every calendar year before it begins, the fact that he had already made full payment for availing CGHS facilities for the whole life- at the same rate and scale applicable to his counterpart in the government service- on his retirement itself, not withstanding. The babus of his department with abnormally swelled egos take sadistic pleasure in retrenching the claimed amount on most flimsy grounds; feigning ignorance of the Delhi high court verdict that mandates full reimbursement of the expenditure incurred on the medical treatment, and that too after the claim is subjected to several absurd objections. The autonomous body pensioner-beneficiaries of CGHS have made several representations to the authorities of the Health Ministry including those to the Hon’ble Minister but all have fallen on deaf ears so far and the victims of this blatant discrimination continue to suffer in silence. Even ventilating the grievances through media could not yield any positive results for these unfortunate CGHS pensioner-beneficiaries whose only sin is that they had retired from autonomous bodies. It would thus be apparent that the denial of credit facility and cashless service by private recognized hospitals to the CSIR and other autonomous body pensioners who are CGHS beneficiaries is a cruel, inhuman and heartless joke still being perpetuated on this particular section of hapless senior citizens in the twilight of their life even though their counterpart retirees from the government have been availing the facility for several years now.

As respected senior citizens of this country, all pensioners should be treated at par, particularly in the matter of healthcare and medical facilities. Age and the age alone should be the criterion to determine the priority in the matter of extending the benefits to a pensioner-beneficiary irrespective of the post and the grade he was in at the time of his retirement.

Monday, August 11, 2008

CGHS-IT'S BLATANTLY DISCRIMINATORY PROVISIONS


Discrimination by CGHS

-Sanjog Maheshwari

While right to healthcare and medical facilities should be seen as an integral part of the right to life for all, the babus have ensured that world class healthcare, diagnostic and other medical facilities at posh private nursing homes, hospitals, healthcare centers at Government cost is available only to them, their families, their political boss MPs and other so-called VIPs and their families. The nursing home facilities in Government hospitals are also mostly cornered by such higher strata beneficiaries.

Medical specialists attached to the CGHS dispensaries, if they happen to be of some calibre, remain unavailable on their slotted schedule, as for months on end they are away on what is termed as VIP duties -- attending to the VIPs and their families.

There also exists a complex classification and sub-classification of CGHS beneficiaries in various categories, based on which the scale of facilities admissible to them under the scheme is decided. The parameters and norms differ from beneficiary to beneficiary, depending on the scale of pay or pension, the position he holds or held in the Government, etc.

What is most appalling is the fact that the pensioner-beneficiaries of autonomous bodies are not treated at par with their counterpart retired from purely Government service, particularly in the matter of grant of credit facilities in the recognised private healthcare centres, nursing homes, etc. Are they not as precariously placed both health-wise and resources-wise as their counterparts who retired from "purely Government service"?

The plight of an autonomous body pensioner, suffering from age-induced infirmities and debilitating diseases, is that he has to run around complying with absurd formalities, placating babus, getting department's permission before and after the treatment, incurring all expenses from his own slender resources on the spot in the first instance irrespective of the enormity of the amount of expenditure involved even in emergent circumstances. . Then irrespective of whether his health permits or not, he has to do several rounds first to get his reimbursement bill on the prescribed forms verified from the treating doctor, then to the department for its scrutiny only to get reimbursement of completely watered-down bill after several months of making repeated rounds to the department from which he retired. Besides this he has to get his permanent CGHS token card revalidated every calendar year before it begins, the fact that he had already made full payment for availing CGHS facilities for the whole life on his retirement itself, not withstanding. The babus of his department with abnormally swelled egos take sadistic pleasure in retrenching the claimed amount on most flimsy grounds; feigning ignorance of the Delhi high court verdict that mandates full reimbursement of the expenditure incurred on the medical treatment, and that too after the claim is subjected to several absurd objections. The autonomous body pensioner-beneficiaries of CGHS have made several representations to the authorities of the Health Ministry including those to the Hon’ble Minister but all have fallen on deaf ears so far and the victims of this blatant discrimination continue to suffer in silence. Even ventilating the grievances through media could not yield any positive results for these unfortunate CGHS pensioner-beneficiaries whose only sin is that they had retired from autonomous bodies. It would thus be apparent that the denial of credit facility and cashless service by private recognized hospitals to the CSIR pensioners who are CGHS beneficiaries is a cruel, inhuman and heartless joke still being perpetuated on the hapless CSIR and other autonomous body pensioner-beneficiaries of CGHS even though their counterpart retirees from the government the government have been availing the facility for several years now.

As respected senior citizens of this country, all pensioners should be treated at par, particularly in the matter of healthcare and medical facilities. Age and the age alone should be the criterion to determine the priority in the matter of extending the benefits to a pensioner-beneficiary irrespective of the post and the grade he was in at the time of his retirement.

MEDIA-SHY JUDICIARY

March 11, 2007




Page: 33/36

Home > 2007 Issues > March 11, 2007

Debate

Media-savvy judiciary good for consumer interest

By Sanjog Maheshwari

Thanks to the media-shyness of the judiciary, many cases, in which judicial pronouncements and decisions lay down principled and lawful guidelines for the government agencies to follow in all matters, never see the light of the day as the case files remain buried in the dusty confines of the courts’ record rooms. Way back in 2004, an NGO, Common-Cause, under the dynamic stewardship of its the then Director the late H.D. Shouri filed a writ petition in the Delhi High Court contending that installation, maintenance, repair and replacement of water metres is the duty and the sole responsibility exclusively of the service provider in this case the government-owned Delhi Jal Board. However, millions of Delhi consumers aren’t any wiser about their right and the government-owned Delhi Jal Board continues to arm-twist the consumers to install, maintain and replace, as the case may be, the water metres privately at their own cost and responsibility otherwise they have to shell out consumptive charges at a presumptive average which is much higher than the actual average for the immediately preceding last one year consumption recorded by the DJB-installed metre.

For the obvious reasons, given the choice, not a single consumer out of several millions would like to go for private installation of metre at his own cost and responsibility. While a DJB-installed metre lasts for many years, the life-span of a privately-installed metre does not usually average more than a year. More often than not it is pronounced ‘faulty’ or ‘defective’ much earlier and the poor consumer ends up paying highly inflated bills raised on the basis of presumptive average consumption until he chooses to again fall prey to the vicious circle of installation-replacement-installation of the privately-installed metre at frequent intervals which is far more bothersome and costly affair than paying the inflated bills. Though in all such cases the DJB logically and also legally should raise bills at the actual average for the preceding last one year consumption as recorded by its own metre when that was operating as decided in yet another such case—R.C. Maheshwari vs. DJB—Judgment delivered by the District Forum, Janakpuri on 15-01-02 and upheld by the Hon’ble Delhi State Consumer Commission who while upholding the learned Lower Court’s decision, dismissed the appeal of the DJB as unnecessary (vide their orders dated 14-02-2006 and 06-07-2006; appeal case no. 257/02). The case assumes significance and importance not only for its landmark decision but also for a noteworthy observation made in it by the Commission headed by Justice J.D.Kapoor, President. Delivering the judgment which was to be referred to the reporters also as per the Court’s direction, the Commission inter-alia, laid down the guidelines to be observed in all such cases also. In most unmistakable terms Justice Kapoor observed, “Any amount received in excess or towards metre by the service provider have to be refunded and cannot be allowed even by any provision of law to be adjusted towards future bills. Retention of such amount or its adjustment towards future bills has to be followed by payment of interest.” The landmark judgment apart, the case generates an interesting debate on the tariff-plan and billing of the domestic supply of water as distinct from the billing of its industrial and commercial supply. In the case of the former, the water is consumed by the ultimate consumer to whom the commodity is gifted by the Mother Nature in great abundance and as freely as its two other life-sustaining gifts—air and sunshine—and the service-providing agencies have no role, whatsoever, to play in its production and as such have no authority to commodify it. While they are entitled to levy the service charges at the flat rates for the treatment of water and bringing it to homes through piped supply for domestic use, they cannot levy consumptive charge. The life-sustaining gift of the Nature belongs to all the living beings. Its ownership indisputably vests with the people and the owner cannot be charged for consuming a commodity that belongs to him. The consumptive charge is, therefore, levy-able only in case of commercial or industrial use of water and certainly not on its domestic supply. The establishment cannot take an alibi in citing ‘scarcity’. The culprits responsible for creating this interminably torturous ‘scarcity amidst plenty” syndrome are gross mismanagement, rampant corruption, unplanned development and urbanization, burgeoning population and so forth; certainly not the people. However, the fiduciary responsibility of the government to protect and keep the water bodies and resources clean and in excellent condition all the time is not waived.

The service-providing government agencies are very well aware of the fact that their services are miles behind the normal expectations of and otherwise much-tolerant and docile Indian consumer let alone the international standards. This awareness of the deplorable quality of their services makes them scary even before any measure for consumer-empowerment is hinted, let alone initiated. No wonder, they don’t want government to make them more accountable to consumers and resist any such move tooth and nail. Not only this, the establishment itself does not want expeditious disposal of such cases where a consumer is pitted against a government service-providing agency and they have many tricks up their sleeves to keep the consumer courts under a handicap. Even very simple cases go on dragging much after the judgment vindicating a consumer’s stand is delivered as it takes another long stretching legal battle before a common consumer can think of getting even a small slice of the reliefs granted. The gainful interaction between judiciary and media is likely to go a long way in alleviating the sufferings of hapless nobodies in their quest for justice.





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