 gets the highest number of foreign patients through medical tourism, so Bangkok is also good quality health care in case if you are wondering. I'll give you a perspective on why health insurance and how can it help. People in general, state or any geography, any population as such. See, health care is a data aspect. One is health care delivery. A lot of my friends, colleagues, seniors, juniors on that side here. You need really high quality manpower and not just doctors, paramedics, nursing staff and so on. So that's the health care delivery part. You need hospitals, clinics, diagnostic centers. But there is equally important part, which is health care financing part. Unfortunately, many people in this country, in our country, including our state, perhaps die not because that relevant treatment or the specialty is not available. The world is a connected place today. You can travel anywhere, but simply because they can't afford. And that's a big problem to solve. Globally, there are various models. Most of Europe, public funded schemes, NHS in UK, Germany, most of Scandinavian countries have very robust public funded schemes, programs. Whole of US and many other countries are private funded. And India, unfortunately, fortunately, I do not know the time will tell, but we've been following the US model more often. Healthcare in India is privately funded. Out-of-pocket expense is a massive part of healthcare spending in this country. $180 billion worth of healthcare spend, of which if you look, predominant part is out-of-pocket. And by 2030, you can imagine how big it will be and how much of a burden it puts on population, especially people who cannot afford. Who are in the bottom most or the middle part of the pyramid? In fact, the new term that Nithya Yogi just is missing middle. Missing middle, they sort of got a very big segment. The below poverty line and let's say that segment is covered by various schemes like PMJ, states have their own schemes like Odisha has. And they are doing good, perhaps growing, they are doing, they have potential to do better. And then the rich and the Uber rich are wealthy enough to go to any hospital of their choice. Missing middle is a part which has just about enough or a little more than enough. But health events can really wreck havoc and their finances because it costs a lot in this country to get quality treatment, whatever quality we associate it with. Nearly 60 million population of India goes below poverty line because of health care spend alone every year. Given these statistics and numbers, one of the potent ways of funding health care is health insurance. Now it has its own pitfalls. Public funded scheme is a problem. NHS UK, you have to go near replacement, you got to wait for two years and they were very proud last time I was there, I was talking to them. They are extremely proud, they could reduce it to 18 months waiting period for a total knee replacement. They have their own problems. But as of now India is in a cusp of evolution and health care funding, insurance is a very potent tool. It can really help the missing middle and gradually with all the schemes like PMJ or the state schemes, people who gradually start coming up into the missing middle. So middle class in India will be the largest, it is already a very large and it will be the largest segment of population. And once they come up, imagine, if PMJ scheme, state government scheme, 5 lakhs, 3 lakhs, we will get more health insurance treatment. Once I become effluent, I will lose that. What will I do then? And large number of these people will get added over to the missing middle in the next decade. And insurance, health insurance in particular is extremely important. The way integrated word use is integrated because now it is expanding to cover not just treatment in hospital, but also healthy living through preventive checkups, urging people to do yoga, exercises, giving incentive for living healthy diets. It has also come in to cover other systems of medicine including IU. So this is also a journey that health insurance in India is taking. As we have seen in the AMC, it is definitely a help to rural people. For example, if you can do knee replacement or hip replacement in KBB, if you can do knee replacement in KBB, if you can do knee replacement in KBB, they don't know what about the insurance, forget about the insurance. So definitely last four years, there is definitely a positive impact on the health system in the Odisha. At least more than 70 lakhs family has been covered. The last four years government has already expanded more than 1000 crores to the health. Definitely there is scope of development. This is the positive I want to tell. So what needs to be more development means, now we are incorporating the business trust at the ground level. So whenever the child develops, we develop an ID system to that person like Adharkar. So wherever the child will go, her or his health document will go to the hospital like NHS UK. So if the primary physician of a rural hospital referred to him like a secondary hospital or tertiary hospital, secondary hospital doctor or tertiary hospital doctor will see that document, whether the child got immunized, whether the child got any infection in the last six months or one year, then accordingly that secondary doctor or specialist doctor will treat. Again that doctor will write a feedback to that ground level doctor, so that there will be feedback clue between the town doctor and village doctor and referral will be less in that scenario. Even if some adverse reaction occurs, they immediately refer to the either to the Bhuvaneswar or Kathak, you know in covid most of the patients, they prefer to come to the Bhuvaneswar or Kathak. Because everybody has faith that no we will go to the Bhuvaneswar or Kathak, because that belief we have to change and the training of the quality of the doctors in the rural, that we have to equip and telemedicine definitely will help. Telemedicine means you have to consult a doctor in the tertiary hospital and like secondary hospital over the telemedicine like we do in rheumatology like tertiary, the arthritis patient, most of the time you do not know not not required to see that patient physically. So you just send the reports just see over the video call and you can treat. So by that time you are saving lot of money of the transportation of the patients. That way we can referral can be easier and as you are mentioned like in NHS UK. So because of the like you mentioned about the replacement taking so much of delay, but in India this now the doctors medical colleges are increasing. Seven years back we have only three medical government medical colleges. Now we are increasing up to fourteen government medical colleges and lot of private medical colleges too. So many doctors are increasing also number of doctors also increasing, number of staff nurse they are also recruiting. So my point is scope of development I will suggest is that you develop a unique health ID system for a patient whenever they are born, child born. Then there should be referral system from the ground level doctor to the secondary or tertiary level. Wherever that patient goes even if it goes to out of the state that document will go so that all the record we do not know what the patient has gone treated in the village hospitals. So what is the drug allergy whether the child got any vaccination we do not know anything about that. But if you see the NHS UK they have strong ground level recording they have all they have more of paper working. So we have main power if you start now onwards because all the family members now the initially in BS square they have included only ration card holders. Now they have including all the rural health. So they are now also increasing the to incorporate lot of public to includes more of later on they might include like middle income persons also we do not know. But NHS UK system is a very good very standard they have fallacy in because of time of delay of surgery or referral if you want to refer to any specialist doctor you have to wait, wait a long. So I think this system health system needs to be more upgraded more referral and preventive health also we should focus how to prevent this non-communicable diseases, how to like yoga as you mentioned about the integrative health system. So this is all my input thank you. Good morning. Health money on XMRE focused on acute condition, infection, injury, accidents, emergency intervention. Good eye chronic condition as if we are helpless. So chronic condition as if we are living in a quality level of life. People are not dead but they are still alive. And the load on the society, the load on the family that is really painful. A chronic condition as if we ignore the negligible number. More of the professional life is 41 years. In the last 50 years chronic neurological condition not just percentage term chronic neurological conditions like Alzheimer's, Parkinson's, multiple sclerosis 30% percent, 40% percent body. But neurodevelopmental disorder like autism, 1000 times body. 50 years back if 30,000 pills were affected by autism, 2200 statistics 30,000 pills were affected by autism. And chronic condition as if we are not able to do any kind of prevention or cause. If we are not able to do any kind of suitable ecosystem as if we are not able to do any kind of functional skill or if we are not able to do any kind of provision then the danger well already is ringing and if you are deaf and blind God help you. Can you manage such people as disabled, handicapped for lifetime? Just because there are many a slip between cup and lip. Many people who would have been otherwise become completely normal and part of the mainstream means to be completely normal. I have been suffering all my life. And if such a big person is only a person who sees films on the screen and entertains them then I will definitely do something and I will be able to communicate. Learning disorders. I have highlighted the dyslexia in films. 20 different types of learning disorders are there. dysnosia dyspraxia dyslexia dyscalculia or auditory integration disorder, complex issues that are proper diagnosis, treatment are not there. In society, that means anti-social, they do the crimes, they have the urge to hurt you, injure you. You know what? Urge is not a behavioral problem. We can use a justice system or a crime system to contain or control it. It is a neurophysiological system. And when treatment is done, because of your ignorance, when we neglect it, it becomes criminal. But it becomes disabled. Sorry. A particular aspect that I have experienced in the last several decades is the research, innovation level. I know the suitable ecosystem is too difficult and too expensive and viable, commercially viable. So unless we all come together and make a common cause of it, things will be very bad. I have crossed the childhood. So we need to be prepared for all kinds of neurodegenerative conditions. Again, that is not an emergency. People die from the hydropecilateral sclerosis. They die from stroke. What kind of painful condition it is? Multiple sclerosis. You don't know the answer to a question. How does it work? How do you know? How do you prevent it? And that is a gray area. When I talk about this bad aspect, the good aspect is, Odisha is a beautiful place. Odisha and Thakurabhi, Pondi Vijay Garanti, Odiya Loko, definitely easygoing people. And these easygoing people are perhaps very good for rehabilitation. And rehabilitation is a labour intensive area where we can train our youth in various health sciences to make a career. It's a rewarding career and very satisfying career. When you get a non-verbal pillar, the stress of your parents is completely normal. But when you get disturbed, your parents are happy. So there is possibility. The prognosis is good early intervention. Late intervention is difficult. So we can bring a lot of youth to become a service provider as a professional expert. They can make a wonderful career and they can make the world a better place to live for everybody. Thank you. Thank you, Argash, actually for giving me the opportunity to share these days with all the imminent doctors. Since morning we are listening to all the imminent personalities. They have set a context for all of us to discuss actually. And health needs and scope. Everybody knows what it is. Because I think from the childhood, I know that health is wealth. But I doubt whether really with this purpose, we understand and we give priority in life, including me. If I say it, that is including me. It should be reverse now. It should be wealth is health. Whenever we are seeing some persons are stressed, when we ask them why you are so stressful, I have some financial issues. I hope all the doctors will be agreed with me that stress only increases or decreases your health conditions. So in all the conclave, we talk about the infrastructure. We talk about the manpower shortages. We talk about the doctors. We talk about the IT technologies and infrastructure availability and financial conditions of the people. Everything we discuss in all the health connect. But sir, Kirti sir what mentioned the intent, the intent of people to do, the intent of people to focus on the preventive health care. That thing we are not focusing and we are not having much intervention on this. And we are not giving much, as because we are not giving much importance to this, we are not doing much intervention in community. I would give you a small example. When people are having supposed brain stroke in Balasur. So they are travelling to Bhubaneswar and Kartak for intervention. But that golden hour is lost. By the time they reach here, they will visit Balasur hospital, then maybe Vodrak hospital, then maybe some Jajpur hospital, then Kartak, then Bhubaneswar. They are differing. No, no, this is not possible here you go there. So that awareness, like if it is a stroke or not that people should know whether it is a stroke. How we are creating awareness among the people, what is the symptoms? Suppose in stroke we say the first like, first should be the symptoms and everybody should understand what is that. And immediately they should rush to the hospital to get treatment. But if they are staying in the periphery and the rural areas, how they will come to the cities like Bhubaneswar and Kartak to get treatment. So that is really, really a very big, big issues. I know we cannot sort out this immediately, but yes. As a citizen of a country, we must work towards that. Infrastructure, we can keep ready in no time, but people's intention, people's behavior, people's acceptance, that will take some time to create. So I request all of you, whoever here as a healthcare provider, maybe as a student are here also, I am sure. They are not doing, even 5% of them must not doing the yoga or pranayama or something. Even they are the medical professional. So we must encourage more and more in a society to do this. Health is wealthy rakhiva, wealth is health karivani. That is my request. Thank you. So in the interest of time, we will have some quick rounds of questions then audience will have an opportunity to ask. But before that, let me again contextualize the way I said money can buy equipment, buildings and all that overnight. I have seen and in my talk I said Orissa has no dearth of money, plenty of money is there, including the DMF funds. 900 crores in a district, can you imagine? So the question is, we can build infrastructure overnight, we can buy equipment overnight, gadgets, equipment. You give a call to the company, that company people will come, if you show the money, they will come and build your hospital and equip your hospital. But the question is, who is going to serve? Where are the human resources? And that's a major challenge. We cannot produce human resources overnight, even if you have money. Even if you have billions of dollars, you cannot buy human resources from a shop. And that has been a major challenge for the country as well as for Orissa, which I can see. So how do we address that issue? What to do for that? Are we taking into consideration our academies, our universities to produce doctors, nurses, paramedics, managers, administrators, technicians? That's not there. And you'll be surprised and shocked to hear there are certain allied health skills we don't have in our state. So those are the major challenges and Orissa need to look at it very seriously. It's not about the money or the infrastructure or the equipment, it's about human resources, which is very, very critical for health care services. So I would request my panel members to give one sentence answer what could be done to address this human resources issue. One is the training capacity. The second is the mismatch between or the maldistribution, all the doctors, all the nurses, all the technicians, all the healthcare workforce, they want to live in cities. Then who will go to the rural area? Where is the answer for that? Let's do some brainstorming and I would like to hear in one sentence from each of my panel members. I'll take up the human resources issues. If you see the Orissa, we have a lot of this, we know, because we are struggling every day to get talented doctors, nurses, skilled professionals. But this skill is something which is coming up, of skilling, de-skilling and we can promote this more and more. We can train staff to help doctors, to help nurses and to help also paramedics, so that we can sort out this problem. But again, the regulatory should be there. We have a lot of rules and regulations for that. We have to take that approval that whether NM can do the which work and GNM can do which work. So these are the things, a lot of terms and conditions there. If we can get some support from the government and support from the curriculum of the courses of the institutes, I'm sure we can get rid of all these issues. Basically, you're asking for some relaxation in the very stringent rules for human resources development. Because we need more and more people here and if you see the qualified nurses here in a year, I think we are having 700-something seats. And if you go for the doctors, we have only around 2500 seats. So this cannot cater your 4.6 million people. So these are the real issues. I do agree. So like you said, I used to be integrated. But there is a stringent rule that I use, doctors cannot practice medicine. So your views are in one sentence. Recently, UGC, the premier statutory body, they have modified their rules to facilitate development in allied health sciences and rehabilitation sciences. And Odisha is fortunate to have Institute of Health Sciences as an autonomous organization, the first one in the country. So it will... So let's not talk about what's great happening here, but let's talk about what are the deficiencies and how do we address those. So there is big gap and they have changed the rules to make it easier for institutions in allied health sciences to generate professional manpower. And hopefully all the institutions should not be based in Bobaneshwar Katak. No, no, no. It should be based in different parts of the state. UGC changed the rules for the country under the new education policy. So future is definitely optimistic. Thank you, sir. Optimist. What you are asking about the number of doctors should be increased when... Sir, not only doctors, the entire ecosystem of human resources. So regarding the doctor, when we did MBBS like 2007, then around every year in Odisha, we used to produce only 350 doctors. Now every year around 3000, 2000, 3000 doctors we are producing. So once the city gets saturated, obviously these doctors will go to the second tier cities. That's a big dream. So obviously that is the future now, where they will get settled. In Bobaneshwar Katak everybody will get saturated. So they will go to the Bharampu, they will go to the Rao Rukala, they will go to the Baleshwar. Then that rural cities will come. So that will take time. Now I told you that now 14 medical colleges are there excluding the private medical colleges. If they are belongs to the Odisha, so they will all obviously will stay and as the time passes, they will going... They have to go to the settled in the rural area. Thank you, sir. Thank you. So, yeah, Bhaptu sir, your views? My views in one sentence is I'm very sorry. I don't have a good answer. I mean something like this cannot be discussed and summarized in a sentence. Correct, correct. At least I won't be able to do justice. So it's like very, very, most complex and most challenging situation to have human resources which is the key. The other part is the technology which is coming into play and there is a dedicated session for that. We will hear from them. But let me also try to tell you that governments in India, state governments have tried all kind of regulations and policies in the past to make sure that the human resources are in the rural areas. They tried to make it a rule that if you study in government medical college and if you don't serve the rural areas, there is a penalty, okay, in various states. The doctors, the nurses, everybody said take the money, leave me. That didn't work. They had an incentive scheme. If you go to the rural area, you will get more salary. That didn't work. They said, I will not go to the rural area. I don't want my incentive. So there is a request for Udia. So there is a rule that if you work in rural areas, you will get double salary. That didn't work either. But there are many options. Our country and our state. Technology will probably help. For early screening, artificial intelligence. For screening, early identification and prompt intervention. Probably that will save a lot of lives, our catastrophic illness through Banchai Pariba. There are a lot of solutions. There is a trial. We will discuss our next group management in detail. So the other question is. The experience we have. The experiences. The challenges are huge. If we do the quota, we will be able to address all the problems. All the health care problems. If we target the first quota. If we contact it, we will be able to do it quickly. First of all, the central government has changed the role of the state government over the decade. The primary health center of Agro health care was a provision role. The district headquarter of the primary health center. Quaternary, hospital and medical colleges. The role was a pretty much diminishing role in the government. The government is actually the biggest buyer of health insurance in this country. The biggest buyer of health insurance in this country is state or central governments. Whether it is a trust scheme or private or public sector company. So what they have done is. The government has gone to demand generation. They have gone to demand generation. We have provided people with insurance. They have made financial security. They will seek a good quality health care and more and more. In other ways, if we can increase the level of health insurance. Then new small large hospitals will come up. Demand generation role should be the same. It takes time. In a very rural area, at least in a semi-urban area, small, small nursing homes are open. But if you look at isolation, you may say that it took about 10-15 years. It was written comprehensively. The hospital nursing home was open. I don't know. The date of the date is still taking an unauthorised and extroverted licence. We have generated demands, but the health care provision side is not integrated. The integration of financing with care delivery is very important. Thank you, sir. Actually, the PhD and the CHC, now the government is converting most of the district headquarters to the medical college. So now we have to focus on the CHC and the PhD to increase the facility, to arrange accommodation to the doctors. It is not that doctors are not going there. You don't know how the PhD are there, what is the facility is there. So you have to give a good accommodation, good arrangement to increase the more of building, more of infrastructure at the ground level like PhD and CHC. Then the doctor will be more interested or staff nurse will be more interested to stay there and to serve the village persons. Thank you. Let's have a look at your view. What should we do? What should we do quickly? Today, I will give you a simple example. I have linked food items with different rogues symbolically. But that is just symbolic. The real thing is dietary intervention can be therapeutic and we should highlight. Public should take it up as a movement to get rid of all the toxic, preservative, artificial-colored, ridden packaged food. They should go for organic and natural food. And diet, if we sort out, good eye disease conditions sort out. Good eye health issues by suffering sort out. So I think we should take it up. Odisha was the place where natural therapy was available. So Odisha's natural therapy, sunlight and diet, we should promote it. It should be a national movement. Thank you, sir. Thank you. In this context, I would like to say that our preventive, promotive, curative, rehabilitative, Sarita-leveled health care. I described the panel in a beautiful way. In our first session, we had some discussions. But the health and wellness center of the Government of India was a sub-center. We had a sub-center in Pathapur. We had two A&M centers. They were very limited in their work. The health and wellness center was there. And if the same concept worked properly, there were many changes in the policy and planning. The health and wellness center was implemented beautifully in Gujarat. Odisha was the first one to be implemented. Five or six staff members were there. Some managers were there too. The health and wellness center. The whole objective, the objective was to prevent the disease. If the disease happened, then the infrastructure, the doctor, the machine, the equipment would be very complex. So I think as a concept, that's a wonderful concept. If we can implement it successfully in our country, and see how the state has already implemented it, then it will be very beautiful. Unfortunately, Odisha is a very speedy process. The sub-center is a beautiful health and wellness center. So now I will open it to the audience. Please feel free to ask questions to the panel. And we will try to address some of your queries. Or you can give your views also. Please. Please. Please. Please. Please. Please. Please. Please. Please. Please. Please. Please. Please. Please. Please. Please. Please. Please. No. Please. Please. Please. Please. Welcome. Hello. I'm very concerned about public health. I took away a I heard about the panel of two or three small candidates. I was in the center of the DHS. I was in the accident case at 9-10 pm. I was in the national highway in Thaikri. The people who had reached the accident case were only the MBBS doctors. The maximum number of people who had reached the accident case was two. When the treatment is done, the majority of people with a penis' temperature is at 412, an hour before the treatment. I am sorry, I am sorry, but the total number of people who reached the accident is 412 and 3, 5, the number of people who have a female penis is 416. I can see that in the primary health center, the doctor or the doctor who has got the treatment is at 416. Or at 2 hours a day, the doctor who has got the treatment is at 2 hours a day. The story of the opidine was revealed in the 8th and 8th grade. The doctor had to reach the 9.5th grade and I saw it on Facebook live. The story was told that if the doctor had to reach the 9th and 6th grade in the 8th and 12th grade, we would have done the opidine together. We would have done the daily 10th and 4th grade. We would have been careful. The doctor would have to stay for 6 hours or 6 hours in the opidine. We would have kept the biometric, the tertiary health care center, the medical college and the DHS for a similar reason. That has to come down to PSC and CSC level. I am telling you, it is practically a different story. The PSC would have been more than 100. The other doctors would have been asked to come to the hospital, and they would have been told to give the Ayurvedic and Ayurvedic treatment. But the MBBS doctors would have to be compulsory for all the PSCs. That would not be possible. It would have been more than 100. I am talking about 50 percent. 50 percent of people would have gone to the Ayurvedic and PSC level. Now, I would like to thank you for the August news. I would like to thank you for the August news. In the 21st and 22nd of August, there was a community health center in the 26th and 25th grade. In the 26th and 25th grade, there was a public health center. There were four specialists. The first one was the pediatric, medicine, and surgery. The second one was the MBBS post, which was permanent. The second one was the contractual, and the sixth one was the short one. If the four specialists and the sixth MBBS doctors came to the hospital, they would have been forced to come to the nursing home. And the chief medical officer would have been forced to come to the hospital. I am talking about the human resources. The doctors had no sign of the bond, which had been working for the last few years. They had to be removed from the system. I am talking about the traditional aid system. The doctors who were sent to the hospital, the amount of money for the medical staff, the government, the doctors who went to the hospital. The government has to pay 35,000 per year, but it has to do with the corporate hospital, and then you have to do with the corporate hospital. Thank you for your support. Yes, Mr. Sita, there is a lot of analysis on the policy, paralysis, but there is a lot of issues. There is a chemical tackle, there is a government role, there is a private sector role. That's a major issue, but there is a lot of work to be done. I will give you an example. The government has a lot of policies, people say, I am the state of Penalty, I am not a local government, I will give you, I will talk to you in the village. If I get an incentive, I will not be working in the village if I have to stay in the city. So, the government is also confused, which government does most of the work? The main thing is, technology. It is said that at least AI is implemented. If people are able to identify early in the disease, if they are able to do the doctor's job, if they are able to refer to the at least, if they are able to do the treatment in a different scheme, they are able to do it. So, we hope that it will work out. For human resources, I am going to talk about the good eyes in the good eyes state. I am going to Gujarat or other states, South Indian states. I am going to talk about interesting things. Let me contextualize that. The hospital is not just a government hospital. It is a government, private, charitable hospital. If you meet these three hospitals, you can give them to the state, to the city, to the health, to the society, or to the government. The state is also very good. For example, Sunicanti, Kerala, Tamil Nadu, Andhra Pradesh, Karnataka, Gujarat, Jyotvi, all these three are very beautiful. Unfortunately, I can't show this to the audience. We don't have, we don't have a business, private sector or private, not for profit, a charitable hospital. The district is not private. I feel it is a big deficiency. Even today, the health is not good enough. I am going to the district. We will do our best. I will give an example in Gujarat. Every businessman, we know that Gujarat is rich, businessman or state. The village where the diamond merchant has opened a diamond shop, a shop, wherever he has opened it, there is a beautiful, charitable hospital in the village. Every district, I don't call it a single district, every district in Gujarat. Very interesting. There is a government hospital, there is a charitable hospital, there is a private sector, it is very beautiful. I think it is also very important to worry about the money but every district that is rich and mighty, who is the type of businessman working in the US, London, Paris or the city of Bhoobnesur they can own a nice, charitable hospital in the village. So we have to make sure that all the governments are dependent on it. So, I address you with different methods. Anyway, any other questions, please feel free to ask the question Thank you. Good afternoon to all of you. I am Manoj Mohar, Manager in National Insurance. I have just received a panel with no questions or suggestions. I have been discussing the health concerns in the health conclave for the past six months. I was listening to that. The health has been badly affected. We have discussed a lot about preventive health care. But what next? If we are badly affected by any disease, like the corporate hospital or anything like that, the cost is that insurance in parlance is the complementary of insurance. There is a lot of work to be done by the government. But I would like to point out that in the Indian Motor Vehicle Act when vehicles are being used for compulsory insurance, the insurance of the third party is very expensive. So the government doesn't compulsory the health insurance. There are a lot of vital issues. For example, the people who are going to the corporate hospital, there are a lot of packages that have to be done by the government. For four days, my father has been hospitalized. He has been in the hospital for seven to eight thousand and he has been in the hospital for five days. It is during the COVID time. The coverage of the 5 lakhs is three to four days after the 5 lakhs is exhausted. I can somehow manage the coverage of the 5 lakhs. But there is nothing to do with the poor people. There are a lot of issues. If we look at the health insurance sector, only I think 6-7% of the populations have been covered with insurance. I think the health insurance sector has to be compulsory and fine-imposed if there is no insurance. The health insurance sector has to be given priority. Sir, we have a question. I will rectify it. There is a good factual error. In my country, there is no insurance for the poor people. There are five to six million people in Aishman, 50 crore people in Aishman. We know that. In the Krabi scheme, the major issue is the missing middle class. The middle class has a 40% rich class with insurance. Our bottom BPL family has given it to us. There is a debate on that issue. As we said, there is a good factual error. We are worried that the middle class will not be able to do that. That is the question. We have already started a debate on India-level. The other side is working beautifully. We are working beautifully on Aishman-Bharat. We will talk about insurance. Before that, we will discuss the issue of the middle class. I am talking about the district mineral fund. There is no question about that. In my opinion, we want to be a proud family. We are not costly. We want to be in a district with less than 900 crores. We are looking at 800 crores, 900 crores. That fund is a district-dedicated fund. We cannot use it. It has to have an intent, and we can't do that. We have to do it appropriately. That is the key. Sir, we have a question. Sir, we have very little manpower and very little trained. But it is very important that there is less insurance in the country. There is no insurance in India. We feel that engineering education has improved in many countries. It is called Admission. The engineer who is in the hospital is 26 bed hospital. Super Speciality Hospital. He has been in the hospital for 7 years. He has been in the hospital for 2 years. He has been in the hospital for 2,222 years. I am a very good engineer. I have been in the interview. We do engineering education. We do medical education. Study in Uttar Pradesh, Satavanta Medical College, Madhya Pradesh, Kuryat Medical Every district hospital is held by medical colleges. What is the faculty's There are only 50 demands for health, such as going to school, going to the hospital, going to college, and there are demands for each person. For me, the hospital, I have spent Rs. 4,000 crores on a single hospital. So, I have spent Rs. 900 crores on nothing. There is a saying, Manpower is a sort of long-term planning. It takes a long time. It is a manpower. There is nothing to do with it. We have to clean it up. There is a saying about insurance. The rules of the US government is that the US health care system which is totally insurance-based, it is in full condition, it has a lot of insurance, because it is a business activity. It is a business activity for health care. It has a lot of insurance. I mean, the government, the 50 tests that are written, what are they written? Because insurance is the money. So, insurance is a solution. It is not easy for us to feel like that. The government has already got the insurance from the government. I mean, it is an insurance scheme. It is also a private insurance. Manpower and insurance are different. It is not easy for us to feel like a rich man. Thank you. Thank you, sir. It is very complex. The quality of education is at an angle. I am giving you the statistics. In my country, there are 10 lakhs of allopathic doctors. There are 30 lakhs of Ayush doctors. There is no problem with the number of doctors. There is a problem with the amount of money distribution. Doctors mean, there is a problem with the rural area. That is the issue. In the same way, there are 30 lakhs of allopathic doctors who are not getting the Allied Health Workforce. If we ask a question, who is the most important person? 1 is to 10. There are 10 allopathic doctors who are not getting the Allied Health Workforce. So, there are 30 lakhs of doctors who are multiplying by 10. In the same way, there are 30% of allopathic doctors who are not getting the Allied Health Workforce. This is my scenario. Human resources will be the key challenge forever. In the same way, there are 30,000 hospital and 5,000 hospital who are not getting the Allied Health Workforce. But, there is no possibility to get the human resources. Thank you so much, sir. Thank you so much, sir. Thank you so much, sir. Thank you so much, sir. We will wind up the next session. But, we will have one last question. We will have one last question. Good afternoon, sir. I am Dr. Rupsa. I was a PhD at the Government Setup. I am a dentist, oral physician. When I served for 1.5 years, I was not provided with a dental chair. Most of the PhD's I was, were not provided with dental chair. So, I was not provided with dental chair. I was sent to the war for medical treatment. And then I was complaining about my timing in the evening. My timing in the evening is 5-8 pm. Sir, I have been looking for a dentist for 3 days. I had a solution. I was told treatment. As a dental physician, as a dentist, state, Ammo, who do you expect, Ammo Pai Kona Rakhichu to get? Because the public health service here and the OPSC that they have done, they have done it. They have done it. They have done it. They have done it. They have done it. They have done it. They have done it. They have done it. As a dentist, state, Ammo, who do you expect, Ammo Pai Kona Rakhichu to get? Because the public health service here and the OPSC that they have done, they have done maximum posting. Our dental students were not available, which I had searched for. But outside the state, the students were allowed to appear in the examination. More than 50 percent were non-odians who got in that. That is not the point. The education system, the media persons or the government is catering us as professionals in government setup. Thank you. So, I will ask you a question. Dentists are plenty in our country. But unfortunately, dental health and mental health to critical health issues has not been prioritized till today. By any state, madam, not just Odisha, dental health and mental health is a very serious concern and has not been prioritized. So, this is what I want to say. The rest of the micro-gens should not be discussed outside. But the point is, dental health and mental health is a serious concern, a very serious concern than other conditions. But unfortunately, beat, our medical fraternity, beat our policymakers. Always the priority is cardiology, nephrology, neurology, orthopedics, all those kind of things. These are highly ignored, not only Odisha, across the state. So, if you have any questions, we will close this session. Any final remarks from my esteemed panel members? This is the last question, please. I will sort it. I will sort it as much as possible, please. Hello. I am Dr. Meenal Kotak. I am a dentist and I am studying Masters in Yoga from Shri Shri University. I wanted to ask, there are many multi-speciality hospitals where yoga has been inculcated as a treatment plan, as a therapeutic plan. I wanted your view, how can we inculcate yoga therapy since yoga works on root cause? For example, stress. Many diseases are there which occurs due to stress along with the other ailments or other reasons. What do you feel how yoga can help and how we can inculcate this in multi-speciality hospital plus the other small area of hospitals? Thank you. So, basically the question is how yoga can be integrated into the healthcare services faster, correct? This is the question. Yes. Basically, it has to be integrated, okay? So, any member, esteemed member can answer to that. Thank you for asking such a question. I have been experimenting yoga, integrating yoga Ayurveda with the mainstream therapeutics with wonderful results. Past several years, we have been experimenting and the government should take it up in a... The policy matters are important. Government should take decisions to integrate traditional remedies with the mainstream... So, basically, we are agreeing to that concept. Yes, that need to be integrated. And Sari is also telling that. But it is a policy issue. Our policy makers need to understand that very deeply that this is probably one of the simplest and easiest way to keep people healthy. So, thank you all. I close this session here. Thank you by esteemed panel. Thank you to the audience. I have a lot of questions to ask. Even I have a lot of questions to ask. I have to ask the doctors and the professors and also the madam. But I feel sad. I have to stay in time. I will stay in Sari for a long time. I cannot answer any of the questions that have been asked in the past. I feel sad. I have a lot of questions to ask. Whether we can start the third session after our lunch break, our third session will begin soon. So I would like to thank you all. I would like to thank the President of the President's Memento who invited me to the meeting of the Argus News and the Associated Editor, the President of the Santivushan Mission. I am a very important person. I am here for the support of my friends and also the support of the organization. I am very grateful to the organization for their support. Today I would like to thank the I would like to thank all of you for your time and for supporting us in this session. This session is over. Our lunch break is over. Our next session will start very soon. We would like to thank all of you for your time and for starting our next session. We would like to thank all of you for your time and for starting our next session. We would like to thank you for the lunch break in the afternoon. I would like to thank all of you for your time and for starting our next session. I would like to thank Nibedita for leading the session. Nibedita, please come.