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The Guardian - UK
The Guardian - UK
World
Amrit Dhillon in Delhi

Free medical cover has revolutionised healthcare in India. So why is it ailing?

Two Indians sit in the back of an open van covered in photos of old people with two big photos of a man and woman featured prominently
The Indian prime minister, Narendra Modi, and the Delhi chief minister, Rekha Gupta, pictured on an Ayushman Bharat registration van in the Indian capital in July. Photograph: Arvind Yadav/Hindustan Times/Sipa/Alamy

When the world’s biggest healthcare scheme works, it allows tens of thousands of Indians petrified of the catastrophic cost of hospital treatment to breathe easy – Indians such as Mahesh Kumar Sharma, a 60-year-old farmer from Madhya Pradesh who is a patient at the National Heart Institute in the capital, Delhi.

A top cardiologist, Dr OP Yadava, has carried out open-heart surgery to replace his mitral valve. The immaculate ward, medicine, food, tests and treatment are of the same standard provided to paying patients at the institute. But for Sharma, it is all free.

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