Along with the full text (in English) of the conversation between Dr. MR Rajagopal, the pioneering palliative care specialist in India and Dr. SS Lal, renowned public health care expert.Dr Lal: Palliative care is a topic where a lot of discussions are happening in recent times. Today we are discussing this topic with a veteran in the field of palliative care, Dr MR Rajagopal, whom I personally view as one of my teachers. Dr Rajagopal has made very important interventions in the palliative care field in India.Sir, Palliative care is often highly misunderstood as a care regime. I remember a doctor getting angry when his ailing wife was advised to be given palliative care. Even the medical community is not well-aware. So, my first question is very basic . What is Palliative Care?Dr Rajagopal: We need a patient-centred approach in health care. As a medical student, I have seen many instances of patients suffering acute pain while others looked at it as a normal thing. Doctors and medical students who learn from them often prefer to turn their faces away from this pain. Now I understand that this reaction comes from a sort of helplessness. We did not know how to address this pain.Dr Lal: As a child, I have also seen many patients suffer for days and months. Has the situation changed now? We all used to see pain just as an inevitable part of life. What do you think?Dr Rajagopal: Only 4% of Indians have access to palliative care. 96% do not have access. Even the doctors who study MBBS and MD do not learn about pain relief. Palliative Care became part of our MBBS curriculum only in 2019.Dr Lal: I also have felt that we are lacking something in our approach to pain. The common attitude is that we are destined to suffer pain.Dr Rajagopal: Everybody compares other people’s pain to the pain that they have experienced sometime back in their lives. However, the other person’s pain could be more intense and we cannot know that. One might have experienced the pain of bone fracture or labour pain. Of the total palliative care needs of a society, only 30% is related to cancer. For example, Ischemic pain sometimes is far more unbearable than cancer pain. Sometimes the patient will suffer this pain for months or even years. Sometimes I feel there is this reluctance to address pain just because the solution is so simple. If expensive technology were involved, there would have been more interest for all. There is no glamour in this. This is not elite. Maybe that is the reason.Dr Lal: Even now the public is not fully aware of the scope and importance of palliative care. Who can make them more aware? Do you think domain specialisation is a necessary prerequisite?Medical Council of India has approved palliative medicine as a speciality even 7 years before it became part of MBBS curriculum. There are 10 centres in India and one in Kerala. Yet, there are only 30 palliative specialisation seats in these centres taken altogether. In a country of 1.3 billion population, we have only this many seats.Dr Rajagopal: How effective has the government intervention been in educating the public about palliative care? No such intervention has been there from the government to educate the people. A National Programme for Palliative Care was instituted in 2012. Keshav Deshraj, the then Health Principal Secretary, had taken the initiative for that. That programme has a comprehensive approach in it. However, it was not implemented effectively. The National Health Policy of 2017 focused on instituting palliative care as part of primary health care. Under it, national level and state level trainers were trained during the Covid years. Now the policy has to be implemented by state governments.Dr Lal: As you said, palliative medicine has become affordable for all. Yet, there are so many who do not have access to it. How can we fill in this gap in implementation?Dr Rajagopal: There are huge gaps in implementation. For example, palliative care was included in the primary health sector. We all applaud that. But it is not there in tertiary care. Until someone’s disease is concluded as incurable, there is no provision for pain relief for the pain, for asthma, or depression that the patient suffers from. He or she has to reach the village in their last two weeks of life to get palliative care.Isn’t that an irony? Doesn’t the care need to begin during the tertiary care days itself? Somehow, even the National Healthcare Policy is silent about tertiary sector palliative care. The World Health Organisation documents stress the need for palliative care in the primary sector. This is so because they already have palliative care in the tertiary sector. We mindlessly copied those guidelines.In Kerala, the palliative policy was adopted in 2008. There was this problem in that too. The budget came from the National Rural Health Mission. So there was no specific budget allocated for the tertiary care sector. In 2019, when the policy was revised in Kerala, tertiary care was added. Due to Covid, its implementation is now delayed. Now the steps are being taken to implement in the tertiary sector.The Kerala government has been very responsive to our demand to revamp the policy when we asked for it in 2019. Now budget allocation is required to implement the new policy. A few months before, some money was allocated to all Medical Colleges to start palliative units but the money has not reached the colleges yet as there were technical issues.Dr Lal: In Kerala, the average longevity has increased. However, Kerala’s population has a high occurrence of lifestyle diseases and we do not have sufficient systems in place to support them when they need it. The kids who are abroad or working somewhere else come back for a few weeks for end of life care of their parents and the care is limited to it.Dr Rajagopal: This is a very important issue. Ten percent of all of us including we two and the viewers of this interview will be dying from cancer. Seven percent of our population have dementia. According to India Population study 2015, 1.7 lakh aged persons were living alone. Of them, 1.43 lakh are women.Dr Lal: Our culture is also contributing to that. In any marriage, men will be older than women on an average by 5 years. Added to that, men have less longevity than women here. So, they die at least 5 years younger and the age gap between a husband’s death and wife’s death thus is, on an average, 10 years. 10 years of widowhood thus becomes guaranteed.Dr Rajagopal: As I said, out of the 1.7 lakh people who live alone, 1.43 lakh are women only. These are not the people who can afford a home nurse. In the villages, we, the palliative workers are familiar with the lives they live and the deaths they die. This is a big issue. We imported the idea of nuclear families from western countries. In the West, when they shifted to that family structure, they parallelly made systems to address the consequences; institutions such as nursing homes for the aged. We did not do that.Dr Lal: Kerala has a huge geriatric population. The number of children per family is low and those kids would go to distant places to make a living. And we blame children for not looking after their parents in old age. However, the entire family sometimes would be living off his or her income only. Isn’t this a reality?Dr Rajagopal: There is no meaning in blaming the children. Our generation created this kind of society where children are supposed to leave in search of better jobs. The average number of children per couple in Kerala is only 1.6. What happens is one couple shoulders the responsibility of looking after 4 aged persons. Don’t they have a life? Don’t they need to educate their own children? I will not blame the young generation. I have seen that most of them go that arduous extra mile to balance between their work and taking care of their parents.Dr Lal: Another aspect is that in a family, it is the primary responsibility of women to care for the ailing and the aged. I know educated and employed women who take care of both their parents and in-laws. The burden is often entirely on women.Dr Rajagopal: 90% of caregivers are women. The society here thinks that women are not supposed to live their own lives. Now the rich people have access to care homes but the poor cannot afford them. Care homes should be there and they have to be accessible to all.Dr Lal: In Kerala, 60 to 70 percent of the population depend on the private sector for their health care needs. Care in the private sector incurs a heavy cost too. Do you think this has any impact on palliative care?Dr Rajagopal: Among the audience of this interview, many would not like talking about death. Suppose somebody has the courage to talk about it and suppose we ask them, where they want to die; Is it among a number of machines, in an air conditioned ICU? Would you prefer it or would you want to die in your own bed? A large majority of those who go to private hospitals are now destined to die in intensive care units. Think what a cruel practice this is. When your life is ending, what would you want but a loving touch; I would want to say my last words to my wife, to hold the hands of my children, and to get a kiss on my cheek from my grandchildren. Instead you have tubes in all your orifices and you hear the bleeps of the machines when you die. There are many hurdles before us if we want to change this; there are legal ambiguities too. What is the responsibility of a doctor? There are many doctors who think that their responsibility is solely to prolong life in one way or the other. Medical science actually defines the role of a doctor as reducing suffering. The bio ethics unit of ICMR also says so. There is no understanding about the quality of life and death.Dr Lal: Have you noticed this exploitative practice of falsely promising magical cures to people who have reached their end of life days and extracting their last savings? There are many such instances. I think that is an unavoidable tragedy. When you stand face to face with death, the first impulse is not to accept it.Dr Rajagopal: Kubler-Ross who wrote the world famous book, ‘On Death and Dying’, has listed the different stages of grief. The first stage is denial. Then comes anger and the next is bargaining- you try to bargain with God praying that I will worship you if you let me live. The patient also bargains with his/her doctor- for example, if saved, they say they would never smoke again. Another kind of bargain is to blame it on the doctor treating that person and to approach another one- system hopping and doctor shopping. And there are many who try to exploit this situation.Dr Lal: It has been an honour to do this interview because you are a person who has dedicated his life to palliative care and as a doctor myself, I respect you as a teacher too. Before we conclude, do you want to add anything as a message to our audience?Dr Rajagopal: I would like to say this- palliative care is not just for cancer patients or for end-of-life care. It is the treatment regime to reduce suffering and pain in all kinds of ailments. As much as we understand that, the suffering of ourselves and the people who are around us gets reduced. We should also bring palliative care into the private sector.<p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">Watch the full interview in Malayalam, <a style="background-color:transparent;box-sizing:border-box;color:rgb(255, 53, 36);display:inline-block;margin:0px;padding:0px;transition:all 0.4s ease 0s;" target="_blank" rel="noopener noreferrer" href="https://theaidem.com/the-aidem-interactions-dr-mr-rajagopal/">here</a>.<p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">See more from MedTalk Series, <a style="background-color:transparent;box-sizing:border-box;color:rgb(255, 53, 36);display:inline-block;margin:0px;padding:0px;transition:all 0.4s ease 0s;" target="_blank" rel="noopener noreferrer" href="https://theaidem.com/tag/medtalk/">Here</a>.

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Along with the full text (in English) of the conversation between Dr. MR Rajagopal, the pioneering palliative care specialist in India and Dr. SS Lal, renowned public health care expert.

Dr Lal: Palliative care is a topic where a lot of discussions are happening in recent times. Today we are discussing this topic with a veteran in the field of palliative care, Dr MR Rajagopal, whom I personally view as one of my teachers. Dr Rajagopal has made very important interventions in the palliative care field in India.

Only 4 percent of Indian Population has Access to Palliative Care

“Any incident in which an employee is abused, threatened or assaulted in circumstances relating to their work is unacceptable and not tolerated. This includes the serious or persistent use of verbal abuse, aggressive tone and/or language and swearing/foul language.”This signage covering every other wall in a local NHS hospital in the United Kingdom came as a pleasant surprise for a junior doctor like me who hailed from a country where abuse was the norm.Over the years the poor practice of medicine in India, the constant abuse from patients and family, the poor pay for the inhumane hours, the insane hierarchy rules, and the abuse from corporate management were some of the reasons which prompted us to leave to the UK.The system here is so different from what we practise in India that it definitely gave me some culture shock.Before ensuing employment, each employee is educated in detail regarding safety measures and protocols. There are entry portals for each ward which can be accessed only by ID cards or authorisation by staff.There are guards who actually look like they mean business with proper training and necessary equipment in case of an emergency.But most of all there is a proper protocol (CODE GREY) placed for the safety of healthcare personnel following recurrent government funded audits that take into consideration every incident seriously, and make necessary plans which are later reassessed by reaudits.But most importantly respect starts in the house in the most gentle and respectful way in which junior doctors are treated by even the most senior doctors. Their behaviour sets an example for how the patients regard us.I’m sure we all have the nice little memory of being treated as an imbecile during ward rounds for a bit of an ego play.3 years ago, it was during a busy night shift at the Government General Hospital (Kozhikode Beach Hospital) that I faced my first significant abuse from a patient.A middle aged man who had come with a trivial rash of a month’s duration waved his OP sheet at me at the busy casualty setting.With a sigh of indignation, I calmly reprimanded him saying, “Chetta (brother), can you read the board behind me that advises people that trivial cases should be consulted at the OPD? There might be more significant cases waiting in the line that might reach us late if we spend time treating non-emergency cases.”Before I knew it, he had balled up the paper and thrown it at my face, pushed back his chair loudly while yelling, “If you can’t treat people, why don’t you go sit at home? It’s with our tax money, you people are learning.”Hot with embarrassment and aghast at what had just unfolded I watched in dumb shock.The entire Casualty which was teeming with people quietened and the consultant doctor who sat at the head of the table just mildly shook his head at me asking me to not react.Only my racing heart beat and echoed in my ears seemed to have witnessed the spectacle and reacted appropriately.After all that’s what we are taught from the start of medicine.Empathise, be kind and move on.When I came home with a heavy heart to discuss this with my husband, he told me not to take it to my heart and recalled a similar story at Calicut medical college where he was shoved and yelled at by a bystander of a fracture case because he did not attend to the case fast enough.My husband was dealing with a dying man but who cares?!The ‘letting go’ of passive aggressive comments of how we loot patients, sometimes even from close family, the recurrent verbal abuse and direction of anger at doctors for delayed treatments while it is the failing infrastructure, suboptimal funding and poor hiring that is to blame, the indignation towards doctors for the bills placed by the hospital management and even physical assaults for something as logical as denying access to the ICU has all finally culminated in this, a death.A death so avoidable.Dr Vandana Das, a mere 22 year old girl was killed at Kottarakara Taluk Hospital due to the absence of proper protocol in dealing with a potentially combative person.Combative people are not new to this state yet there weren’t any policies or protocols in place but rather the government chose to give a primary comment of her cause of death as her being ‘inexperienced’.She was a mere green horn house surgeon obviously frozen in the face of brandished surgical scissors because her expertise was limited to caring and healing and not to pull out a gun from apron pockets or swish the stethoscope and catch the assailant in the eye.The more ‘experienced’ government with their ‘should have been there’ policies, the hospital management with their ‘should have been there’ security services and the law enforcement with their ‘should have been there’ instincts and training, failed her.All we can hope for now is proper law enforcement and alteration of policies from the Kerala Health Ministry pertaining to all such cases.Patients under substance influence above a certain degree shouldn’t be brought into the casualty without taking proper measures or should be allotted a different treatment room anticipating an episode. The escorting police personnel should be given proper training regarding identification of signs of mental instability, potential combative behaviour and how to tackle them successfully.It’s only with the team efforts from the law enforcing agencies, health ministry and hospital management that such a protocol can be placed for the safe practice for doctors.And senior doctors, with the utmost respect from our hearts, we know you mean well but please treat us with respect in front of patients for they are watching every move; possibly imbibing on unsaid opinions on how to treat us junior doctors.We want to help people, we do. But not at the cost of giving our own.Or Kerala is just going to lose their brightest minds to safer countries.<span style="-webkit-text-stroke-width:0px;display:inline !important;float:none;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;orphans:2;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">Click <a style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(255, 53, 36);display:inline-block;font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px;orphans:2;padding:0px;text-align:left;text-indent:0px;text-transform:none;transition:all 0.4s ease 0s;white-space:normal;widows:2;word-spacing:0px;" target="_blank" rel="noopener noreferrer" href="https://theaidem.com/regarding-health-workers-safety-what-we-could-learn-from-england/">here</a><span style="-webkit-text-stroke-width:0px;display:inline !important;float:none;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;orphans:2;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;"> to read this article in Malayalam.

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Any incident in which an employee is abused, threatened or assaulted in circumstances relating to their work is unacceptable and not tolerated. This includes the serious or persistent use of verbal abuse, aggressive tone and/or language and swearing/foul language.”a

Safety to Doctors at Workplace; What to Learn from United Kingdom

In this second episode of “People and Places with Bala”, Entrepreneur, Author and former Chairman of Federal Bank Balagopal Chandrasekhar recounts how he ended his career as civil services officer and became a maverick entrepreneur who joined hands with internationally renowned Indian scientist Sivaraj Ramaseshan to chart new paths in Indian industry, in the realm of medical technology. Watch here.<div class="mdp-liker-box after-content two-buttons style-border-fill row-right" style="--mdp-liker-bg-color-active:rgba(255, 33, 40, 1);--mdp-liker-bg-color-hover:rgba(255, 33, 40, 1);--mdp-liker-bg-color:rgba(255, 33, 40, 1);--mdp-liker-border:1px;--mdp-liker-radius:50px;--mdp-liker-text-color-active:rgba(255, 255, 255, 1);--mdp-liker-text-color-hover:rgba(255, 255, 255, 1);--mdp-liker-text-color:rgba(255, 33, 40, 1);box-sizing:border-box;font-size:initial;font-weight:initial;margin:0px;padding:0px;" id="mdp-liker-24350" data-memory="on"><div style="align-items:center;box-sizing:border-box;display:flex;justify-content:space-between;margin:0px;padding:0px;"><div class="mdp-liker-description" style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(85, 85, 85);font-family:Manjari;font-size:medium;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px;max-width:60%;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">&nbsp;</div></div></div> &nbsp;

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In this second episode of “People and Places with Bala”, Entrepreneur, Author and former Chairman of Federal Bank Balagopal Chandrasekhar recounts how he ended his career as civil services officer and became a maverick entrepreneur who joined hands with internationally renowned Indian scientist Sivaraj Ramaseshan to chart new paths in Indian industry, in the realm of medical technology. Watch here.



When a Renowned Scientist and a Young Entrepreneur Came Together to Chart New Paths in Industry

<img src="https://strapi.bangalore2.com/uploads/26th_Feb_24_a_770x470_895dd4a601.jpg" alt="26th-Feb-24-a-770x470.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_26th_Feb_24_a_770x470_895dd4a601.jpg 245w,https://strapi.bangalore2.com/uploads/small_26th_Feb_24_a_770x470_895dd4a601.jpg 500w,https://strapi.bangalore2.com/uploads/medium_26th_Feb_24_a_770x470_895dd4a601.jpg 750w," sizes="100vw" width="undefined" height="undefined">In the interim <a style="background-color:transparent;box-sizing:border-box;color:rgb(255, 53, 36);display:inline-block;margin:0px;padding:0px;transition:all 0.4s ease 0s;" target="_blank" rel="noopener noreferrer" href="https://www.indiabudget.gov.in/doc/Budget_Speech.pdf'">Budget</a>, the union finance minister Nirmala Sitharaman emphasised the multiplier effect of capital expenditure on economic growth and job creation. The budget for 2024-25 allocates spending at 14.5 percent of GDP, with a significant focus on capital expenditure, which constitutes 23.32 per cent of the total budget, equivalent to 3.39 percent of GDP. This marks a substantial 16.9 per cent increase compared to the revised estimate of the previous fiscal year, reflecting a continued emphasis on capital investments to drive economic growth.<figure class="wp-caption aligncenter" style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);border-width:0px;box-sizing:border-box;clear:both;color:rgb(85, 85, 85);display:block;font-family:Manjari;font-size:17px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;height:auto;letter-spacing:normal;margin:15px auto;max-width:100%;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;vertical-align:middle;white-space:normal;widows:2;width:640px;word-spacing:0px;" id="attachment_26764" aria-describedby="caption-attachment-26764"><img src="https://strapi.bangalore2.com/uploads/Whats_App_Image_2024_02_26_at_14_34_17_1024x402_6df22e6108.jpeg" alt="WhatsApp-Image-2024-02-26-at-14.34.17-1024x402.jpeg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_Whats_App_Image_2024_02_26_at_14_34_17_1024x402_6df22e6108.jpeg 245w,https://strapi.bangalore2.com/uploads/small_Whats_App_Image_2024_02_26_at_14_34_17_1024x402_6df22e6108.jpeg 500w,https://strapi.bangalore2.com/uploads/medium_Whats_App_Image_2024_02_26_at_14_34_17_1024x402_6df22e6108.jpeg 750w,https://strapi.bangalore2.com/uploads/large_Whats_App_Image_2024_02_26_at_14_34_17_1024x402_6df22e6108.jpeg 1000w," sizes="100vw" width="undefined" height="undefined"><figcaption class="wp-caption-text" style="box-sizing:border-box;display:block;font-size:15px;line-height:20px;margin:0px;padding:12px 0px 0px;text-align:center;" id="caption-attachment-26764">Nirmala Sitaraman in Parliament</figcaption></figure><p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">However, a closer analysis reveals that the bulk of this spending is concentrated in three key Ministries – Railways, Road Transport and Highways, and Defence – which collectively represent 63 per cent of the total capital expenditure for 2024-25 (BE). Notably, this share has declined by 7 percentage points compared to the revised estimates of the previous fiscal year (Refer Table 1). In absolute terms, the allocation for these three Ministries has increased though.<img src="https://strapi.bangalore2.com/uploads/image_16_1024x447_11273ecb45.png" alt="image-16-1024x447.png" srcset="https://strapi.bangalore2.com/uploads/thumbnail_image_16_1024x447_11273ecb45.png 245w,https://strapi.bangalore2.com/uploads/small_image_16_1024x447_11273ecb45.png 500w,https://strapi.bangalore2.com/uploads/medium_image_16_1024x447_11273ecb45.png 750w,https://strapi.bangalore2.com/uploads/large_image_16_1024x447_11273ecb45.png 1000w," sizes="100vw" width="undefined" height="undefined"><p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">The total government expenditure for FY 2024-25 (BE) is projected at Rs 47.65 lakh crore, reflecting a 6.1 per cent increase from the previous year’s Revised Estimates (RE). Within this, revenue expenditure dominates, showing a 3.2 per cent rise over the RE of the previous year. Interest payments constitute a significant portion of the Revenue Budget, estimated at 32.57 per cent up from 29.81 per cent in the FY 2023-24 RE. In line with fiscal consolidation efforts, the Union Government targets a fiscal deficit of 5.1 per cent for FY 2024-25 interim budget Although there has been a notable shift, with the share of the budget allocated to these committed liabilities decreasing from 50.5 percent in FY 2019-20 (BE) to an anticipated 41.9 per cent in the current budget, it still represents a significant portion. This tighter fiscal stance has led to a reduction in the fiscal space for social sector spending.<p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">Moreover, a declining trend emerges in the combined budgetary priority for the 16 Union Ministries, broadly considered as the key social sector ministries. The combined allocation for the 16 social sector ministries has declined in the four subsequent Union Budgets, reaching 20.9 per cent in 2024-25 (I)(BE). This is a decline of 0.8 percentage points from that of the revised estimates for FY 2023-24. This trend closely mirrors the reduction in the overall Union Budget’s share of GDP, underscoring a disproportionate impact on social sector ministries.<img src="https://strapi.bangalore2.com/uploads/image_17_c789789a67.png" alt="image-17.png" srcset="https://strapi.bangalore2.com/uploads/thumbnail_image_17_c789789a67.png 245w,https://strapi.bangalore2.com/uploads/small_image_17_c789789a67.png 500w,https://strapi.bangalore2.com/uploads/medium_image_17_c789789a67.png 750w," sizes="100vw" width="undefined" height="undefined"><p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">Delving deeper into the allocations within the social sector, we observe a significant reallocation of resources over time. From 2019-20 to 2022-23, the budgetary share dedicated to education, sports, art, and culture diminished from 15 per cent to 11 per cent, although it is projected to recover slightly to 13 per cent in FY 2024-25 BE. However, this remains below pre-pandemic levels. Similarly, the portion of the budget allocated to rural development decreased from 20 per cent in FY 2019-20 to 18 per cent in FY 2022-23, indicating a downward shift even after adjustments for pandemic-related spending increases.<p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">Additionally, despite the critical importance of healthcare during the pandemic, investment in medical and public health declined from 10 percent of the social sector budget in 2019-20 to 8 per cent in FY 2022-23, with a slight improvement to 9 per cent anticipated for 2024-25. This trend is particularly alarming given the increased importance of healthcare infrastructure and services highlighted by the COVID-19 crisis.<p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">The allocation for food subsidies, a vital component of social welfare, notably increased during the pandemic to support the distribution of free food grains. This pushed the share of expenses for food storage, warehousing, and civil supplies from 19 per cent in FY 20192-20 to 30 per cent in 2022-23. Despite this surge, the government’s food subsidy bill is projected to decrease by 3.3 per cent to Rs 2.05 lakh crore for FY 2024-25, from the revised estimate of Rs 2.12 lakh crore for 2023-24. Even as it constitutes the largest portion of social sector spending, this has been declining and is estimated to be 21 per cent in FY 2024-25. As food subsidies directly impact the poor, it is important to reassess budgetary priority to food subsidies, as it would not only raise the purchasing power of the poor but also have broader socioeconomic implications.<img src="https://strapi.bangalore2.com/uploads/image_20_9184eba8ab.png" alt="image-20.png" srcset="https://strapi.bangalore2.com/uploads/thumbnail_image_20_9184eba8ab.png 245w,https://strapi.bangalore2.com/uploads/small_image_20_9184eba8ab.png 500w,https://strapi.bangalore2.com/uploads/medium_image_20_9184eba8ab.png 750w," sizes="100vw" width="undefined" height="undefined"><p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">The analysis underscores a pivotal issue to the necessity to balance the boost in capital expenditure, vital for economic growth and job creation, with sufficient funding for the social sector. The decrease in allocations for social sector ministries challenges sustainable economic development and the government’s capacity to enhance social welfare.<figure class="wp-caption aligncenter" style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);border-width:0px;box-sizing:border-box;clear:both;color:rgb(85, 85, 85);display:block;font-family:Manjari;font-size:17px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;height:auto;letter-spacing:normal;margin:15px auto;max-width:100%;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;vertical-align:middle;white-space:normal;widows:2;width:587px;word-spacing:0px;" id="attachment_26751" aria-describedby="caption-attachment-26751"><img src="https://strapi.bangalore2.com/uploads/Whats_App_Image_2024_02_26_at_11_41_05_87be4c9120.jpeg" alt="WhatsApp-Image-2024-02-26-at-11.41.05.jpeg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_Whats_App_Image_2024_02_26_at_11_41_05_87be4c9120.jpeg 234w,https://strapi.bangalore2.com/uploads/small_Whats_App_Image_2024_02_26_at_11_41_05_87be4c9120.jpeg 500w,https://strapi.bangalore2.com/uploads/medium_Whats_App_Image_2024_02_26_at_11_41_05_87be4c9120.jpeg 750w," sizes="100vw" width="undefined" height="undefined"><figcaption class="wp-caption-text" style="box-sizing:border-box;display:block;font-size:15px;line-height:20px;margin:0px;padding:12px 0px 0px;text-align:center;" id="caption-attachment-26751">Representative Image of Manufacturing Sector in India</figcaption></figure><p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">It’s imperative for policymakers to consider these budgetary priorities’ long-term effects, ensuring that investments in physical infrastructure are matched with investments in social infrastructure. This approach promotes a holistic development strategy, crucial for a resilient and inclusive society, especially as we navigate the recovery from the pandemic’s impacts. The reduction in spending on education, health, and rural development underscores the urgent need for a balanced fiscal plan that adequately supports the social sector’s critical needs alongside capital expenditure.<hr><p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">About the Authors &nbsp;<p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">Jannet Farida Jacob works as a Senior Policy Analyst with Centre for Budget and Governance Accountability (CBGA). Her area of expertise is Public Finance Management in sectors including education, health, children and gender. She holds a Ph.D. in Economics from Centre for Development Studies, JNU, for her study on Higher Education.<p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">Sharad Pandey is a Senior Policy Analyst at CBGA, where his research focuses on taxation and climate finance. His research interests are public finance, education, sustainable development, and the labour market. He has a Masters in Public Policy from Jindal Global University.<p style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:18px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;line-height:1.7;margin:0px 0px 15px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">Ujala Kumari is a Policy Analyst with CBGA. Her work focuses on Open Budgets India, an initiative which facilitates greater transparency and accountability in budgets at the state, and the Union level, through open access to data including social sector schemes. She has a Masters in Economics from Banaras Hindu University (BHU).

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  What does the Interim Budget Say about Government Expenditure Priority?

<span style="-webkit-text-stroke-width:0px;display:inline !important;float:none;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;orphans:2;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;">In this episode of “People and Places with Bala”, visionary entrepreneur and former Chairman of Federal Bank, Balagopal Chandrashekar reminisces about his association with Dr. MS Valiathan, the iconic cardiologist and one of the pioneers of health technology innovations in India. Bala also highlights the social, political and entrepreneurial milieu of the 1970s and the 1980s and points out how the context contributed immensely to India’s overall growth.

MS Valiathan: A Visionary Whose Contributions are Waiting for Better Follow-up

<img src="https://strapi.bangalore2.com/uploads/image_2_1_770x470_2b36f05f6f.png" alt="image-2-1-770x470.png" srcset="https://strapi.bangalore2.com/uploads/thumbnail_image_2_1_770x470_2b36f05f6f.png 245w,https://strapi.bangalore2.com/uploads/small_image_2_1_770x470_2b36f05f6f.png 500w,https://strapi.bangalore2.com/uploads/medium_image_2_1_770x470_2b36f05f6f.png 750w," sizes="100vw" width="undefined" height="undefined"><div class="post-body clearfix single-blog-header single-blog-inner blog-single-block blog-details-content" style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(85, 85, 85);font-family:Manjari;font-size:17px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;"><div class="entry-content clearfix" style="box-sizing:border-box;counter-reset:footnotes 0;margin:0px;padding:0px;">The British Parliament’s approval of the Assisted Dying Bill, allowing adults with a life expectancy of six months or less to seek medically assisted death, has sparked widespread debate. While this decision might seem like a step toward greater patient autonomy, its implications reach far beyond the UK. As a nation admired for its leadership in healthcare innovation and ethics, the UK’s actions influence developing countries like India and others in Africa and Asia, where healthcare challenges are even more profound.This law risks sending the wrong message: that assisted dying is a viable “solution” to the suffering caused by systemic healthcare inadequacies. However, this approach is fraught with dangers, particularly for nations with limited resources and underdeveloped healthcare systems.&nbsp;<h2 style="box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:25px;line-height:1.2;margin:0px 0px 15px;padding:0px;text-align:left;">Lessons from Other Countries</h2>The experiences of nations where assisted dying is legal reveal significant pitfalls that developing countries must heed:<ol style="box-sizing:border-box;font-size:17px;margin-bottom:20px;margin-right:0px;margin-top:20px;padding:0px 0px 0px 20px;"><li style="box-sizing:border-box;font-weight:500;line-height:1.8;margin-bottom:10px;margin-right:0px;margin-top:0px;padding:0px;">Expanding Criteria: In Belgium and the Netherlands, physician-assisted suicide has expanded to include non-terminal conditions like depression and dementia, and even socio-economic distress. This undermines the original intent of these laws. At many levels, this approach converts assisted dying into a sort of ill conceived solution for broader societal failures.</li><li style="box-sizing:border-box;font-weight:500;line-height:1.8;margin-bottom:10px;margin-right:0px;margin-top:0px;padding:0px;">Eroding Palliative Care: In Canada, where Medical Assistance in Dying (MAID) is legal, palliative care services and hospices are underfunded. For some, accessing death has become easier than accessing quality care—a troubling precedent.</li><li style="box-sizing:border-box;font-weight:500;line-height:1.8;margin-bottom:10px;margin-right:0px;margin-top:0px;padding:0px;">Pressure on the Vulnerable: In nations with legalized assisted dying, cases have emerged of individuals choosing death due to financial hardship or fear of being a burden. Such pressures could be even more pronounced in countries with high poverty and healthcare inequality.</li></ol>These examples highlight the risks of normalizing assisted dying as an answer to suffering rather than addressing its root causes through better care and support.&nbsp;<img src="https://strapi.bangalore2.com/uploads/palliative_care_1654547139986_compressed_a01cf0038b.jpg" alt="palliative-care-1654547139986-compressed.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_palliative_care_1654547139986_compressed_a01cf0038b.jpg 234w,https://strapi.bangalore2.com/uploads/small_palliative_care_1654547139986_compressed_a01cf0038b.jpg 500w,https://strapi.bangalore2.com/uploads/medium_palliative_care_1654547139986_compressed_a01cf0038b.jpg 750w," sizes="100vw" width="undefined" height="undefined">&nbsp;<h2 style="box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:25px;line-height:1.2;margin:0px 0px 15px;padding:0px;text-align:left;">Implications for Developing Countries</h2>For nations like India, where millions lack access to even basic healthcare, let alone specialized palliative care, the legalization of assisted dying would exacerbate existing inequities:<ul style="box-sizing:border-box;list-style:disc;margin-bottom:20px;margin-right:0px;margin-top:20px;padding:0px 0px 0px 20px;"><li style="box-sizing:border-box;color:rgb(0, 0, 0);font-size:17px;font-weight:400;line-height:1.8;list-style:disc;margin-bottom:10px;margin-right:0px;margin-top:0px;padding:0px;">Disproportionate Impact on the Poor: In countries with fragile healthcare systems, the poor and marginalized are most likely to feel pressured to opt for assisted death, especially if palliative care options are unavailable.</li><li style="box-sizing:border-box;color:rgb(0, 0, 0);font-size:17px;font-weight:400;line-height:1.8;list-style:disc;margin-bottom:10px;margin-right:0px;margin-top:0px;padding:0px;">Stalled Progress in Palliative Care: Introducing assisted dying could divert resources and attention from developing essential palliative care services, leaving millions to suffer without adequate support.</li><li style="box-sizing:border-box;color:rgb(0, 0, 0);font-size:17px;font-weight:400;line-height:1.8;list-style:disc;margin-bottom:10px;margin-right:0px;margin-top:0px;padding:0px;">Erosion of Trust: When healthcare systems prioritize death over care, patients may lose trust in medical institutions, further complicating care delivery.</li></ul>Legalizing assisted dying in these contexts risks normalizing death as a response to suffering rather than addressing the root causes of that suffering.&nbsp;<h2 style="box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:25px;line-height:1.2;margin:0px 0px 15px;padding:0px;text-align:left;">The UK’s Global Responsibility</h2>The UK has long been a leader in compassionate care, with institutions like St. Christopher’s Hospice pioneering modern palliative care. The passage of the Assisted Dying Bill has implications for this track record too. The minimum that the UK should do in this context is that it must ensure that this does not overshadow its legacy of prioritizing life-affirming care. The UK has a moral responsibility to champion palliative care globally and prevent the misuse of assisted dying as a substitute for genuine support.&nbsp;<img src="https://strapi.bangalore2.com/uploads/Medical_assistance_in_dying_June2021_banner_839b623f06.jpg" alt="Medical-assistance-in-dying-June2021-banner.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_Medical_assistance_in_dying_June2021_banner_839b623f06.jpg 245w,https://strapi.bangalore2.com/uploads/small_Medical_assistance_in_dying_June2021_banner_839b623f06.jpg 500w,https://strapi.bangalore2.com/uploads/medium_Medical_assistance_in_dying_June2021_banner_839b623f06.jpg 750w," sizes="100vw" width="undefined" height="undefined">&nbsp;<h2 style="box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:25px;line-height:1.2;margin:0px 0px 15px;padding:0px;text-align:left;">A Call to Action</h2>Rather than advocating for physician-assisted suicide, developing nations need a global commitment to strengthening palliative care systems. Organizations like the World Health Organization (WHO) have emphasized that palliative care is a critical component of universal health coverage. To that end, countries like the UK can:1.Support Palliative Care Research and Training: Provide expertise and resources to help developing nations build robust palliative care frameworks.2.Promote Ethical Healthcare Policies: Ensure that debates on assisted dying also focus on addressing inequalities in healthcare access.3.Lead by Example: Emphasize compassionate care and holistic support, demonstrating that autonomy and care can coexist without resorting to assisted dying as a default option.&nbsp;<h2 style="box-sizing:border-box;color:rgb(39, 39, 39);font-family:Manjari;font-size:25px;line-height:1.2;margin:0px 0px 15px;padding:0px;text-align:left;">The True Measure of Progress</h2>Legalizing assisted dying may appear progressive, but real progress lies in ensuring that no one is forced to choose death due to inadequate care or poverty. The UK must balance its decision with a renewed commitment to compassionate, patient-centered care—setting an example that the world, particularly developing nations, can follow.</div></div>

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Assisted Dying: The UK’s Misstep And Its Global Consequences

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Dancing To Her Tune

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An Unwritten National Autobiography

<img src="https://strapi.bangalore2.com/uploads/images_1_6258d15665.jpeg" alt="images-1.jpeg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_images_1_6258d15665.jpeg 245w,https://strapi.bangalore2.com/uploads/small_images_1_6258d15665.jpeg 500w," sizes="100vw" width="undefined" height="undefined"><div class="post-body clearfix single-blog-header single-blog-inner blog-single-block blog-details-content" style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(85, 85, 85);font-family:Manjari;font-size:17px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;"><div class="entry-content clearfix" style="box-sizing:border-box;counter-reset:footnotes 0;margin:0px;padding:0px;">People who read literature in India knew him, MT Vasudevan Nair. Language was no hurdle for his works to reach out beyond the state borders of Kerala. While Malayali diaspora took a handful of nostalgia along to the places they went, a little bit of MT was also in that.Today, the big business of literature finds translators to translate anything that moves. All tetrapods of literature are given awards that stink of corporate imperialistic nexus. But MT belonged to a different era when blood recognised blood, genius recognised genius. He got translated not once but several times.Basheer, Takazhi and MT were the triumvirate that could transcend the borders and stand tall among the Indian modernist literature. Yes, MT’s literature also had a fair amount of auto-fiction but he hoodwinked it with the magic of text. He was a persuasive minimalist both in writing and in person.An unsmiling MT could generate generations of readers who could smile through tears. MT wrote about a collapsing social structure that divested the old feudal class with their ill-gotten properties. But their social capital remained intact and could exert a lot of influence among the readers by becoming the surrogate emotional ethos of a transition time of Kerala’s socio-political history.<figure class="wp-caption aligncenter" style="border-width:0px;box-sizing:border-box;clear:both;display:block;height:auto;margin:15px auto;max-width:100%;padding:0px;vertical-align:middle;width:1196px;" id="attachment_31084" aria-describedby="caption-attachment-31084"><img src="https://strapi.bangalore2.com/uploads/mt_1024x575_251dd09907.jpg" alt="mt-1024x575.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_mt_1024x575_251dd09907.jpg 245w,https://strapi.bangalore2.com/uploads/small_mt_1024x575_251dd09907.jpg 500w,https://strapi.bangalore2.com/uploads/medium_mt_1024x575_251dd09907.jpg 750w,https://strapi.bangalore2.com/uploads/large_mt_1024x575_251dd09907.jpg 1000w," sizes="100vw" width="undefined" height="undefined"><figcaption class="wp-caption-text" style="box-sizing:border-box;display:block;font-size:15px;line-height:20px;margin:0px;padding:12px 0px 0px;text-align:center;" id="caption-attachment-31084">MT during his Interview with Sabha TV (Watch <a style="background-color:transparent;box-sizing:border-box;color:rgb(255, 53, 36);display:inline-block;margin:0px;padding:0px;transition:0.4s;" target="_blank" rel="noopener noreferrer" href="https://www.youtube.com/watch?v=NttnjeaVqn0">Here</a>)</figcaption></figure>When society evolved into a different being altogether, MT turned to the treasure trove of myths and itihasas to eke out allegories that explained the pain of loss, of class, roots and love. His literature spat on the face of bigotry, whether it was religious or familial. He was so stoically poised in his literature that none could have challenged him and expelled him from the world of literature.MT’s literature spoke of love and separation as vehemently as he wrote about the changing social complexions. But he was not sentimental. There was something in his writing that touched some chord in every reader. Before initiating themselves into Ambedkarite politics, the Dalit ideologues also, in their torturous nights of youth, pined for MT’s characters.Those who call the modernists, Dad Vibes, have really lost the sight of the forest while focusing on shrubs and thicket. MT was a forest that moved, as in the great tragedies. He remained a serious writer while the post modernists fell in the trap of publishers and wrote lightning stories and became laughing stokes.MT remains, so is the MT critique. That’s the beauty of a great writer’s life and of course, death.</div></div>

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MT: A Forest that Moved

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An ‘Overture’ Stringing The Pope, Yesudas and the ‘Songster Chaplain’

<img src="https://strapi.bangalore2.com/uploads/1_cc9df0fe47.png" alt="വലതുപക്ഷവുമായുള്ള-സംവാദത്തിൻ്റെ-വ്യർത്ഥത-1.png" srcset="https://strapi.bangalore2.com/uploads/thumbnail_1_cc9df0fe47.png 245w,https://strapi.bangalore2.com/uploads/small_1_cc9df0fe47.png 500w," sizes="100vw" width="undefined" height="undefined"><div class="post-body clearfix single-blog-header single-blog-inner blog-single-block blog-details-content" style="-webkit-text-stroke-width:0px;background-color:rgb(255, 255, 255);box-sizing:border-box;color:rgb(85, 85, 85);font-family:Manjari;font-size:17px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;font-weight:400;letter-spacing:normal;margin:0px;orphans:2;padding:0px;text-align:left;text-decoration-color:initial;text-decoration-style:initial;text-decoration-thickness:initial;text-indent:0px;text-transform:none;white-space:normal;widows:2;word-spacing:0px;"><div class="entry-content clearfix" style="box-sizing:border-box;counter-reset:footnotes 0;margin:0px;padding:0px;">When old age shall this generation waste,Thou shalt remain, in midst of other woeThan ours, a friend to man, to whom thou say’st,“Beauty is truth, truth beauty,—that is allYe know on earth, and all ye need to know.” (John Keats, Ode on a Grecian Urn)<img src="https://strapi.bangalore2.com/uploads/6_904b2e9f2a.jpg" alt="6.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_6_904b2e9f2a.jpg 147w,https://strapi.bangalore2.com/uploads/small_6_904b2e9f2a.jpg 470w," sizes="100vw" width="undefined" height="undefined">Siddharth Tagore, Founder Director of Delhi’s <a style="background-color:transparent;box-sizing:border-box;color:rgb(255, 53, 36);display:inline-block;margin:0px;padding:0px;transition:0.4s;" target="_blank" rel="noopener noreferrer" href="https://www.facebook.com/artkonsultindia/photos">Art Konsult</a> Gallery is no more. He cannot be contained in such a cold statement, so matter of fact like death itself. Besides the gallery, he founded magazines such as Art and Deal, Travel and Deal and many other publications. Even when he knew that he wouldn’t make any profit out of the publications, he invested money in them because he knew art wouldn’t survive without the literature surrounding it.&nbsp;Yet another venture of Tagore’s was an auction house, namely Art Bull. The name was perfect for a bullish art market of the 2000s. But the glitch was this: Siddharth Tagore was not bullish. Nor was he bearish. He was cherubic, complete with a benign smile on his face and a burning cigarette between his fingers. Whenever I came out after having a meeting with him, I would ask myself, was he cut for this business?&nbsp;Tagore could have been a poet and dreamer like his internationally renowned namesake of yesteryears.. After the pandemic period I met Tagore after a gap of four years at the Visual Art Gallery, India Habitat Centre where Art Konsult had organized a group exhibition. After the inaugural function, I shook hands with him and I realized that his hands had lost the firm grip though the warmth remained. “I have not been keeping well,” he told me.&nbsp;<div class="gallery galleryid-31051 gallery-columns-3 gallery-size-full" style="box-sizing:border-box;margin:30px -8.96875px 0px;padding:0px;" id="gallery-1"><figure class="gallery-item" style="border-width:0px;box-sizing:border-box;display:inline-block;height:auto;margin:0px 0px 1rem;max-width:33.33%;padding:0px 8.96875px 17.9531px;text-align:center;vertical-align:top;width:262.609px;"><img src="https://strapi.bangalore2.com/uploads/c_768x993_a7cec9742c.jpg" alt="c-768x993.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_c_768x993_a7cec9742c.jpg 121w,https://strapi.bangalore2.com/uploads/small_c_768x993_a7cec9742c.jpg 387w,https://strapi.bangalore2.com/uploads/medium_c_768x993_a7cec9742c.jpg 580w," sizes="100vw" width="undefined" height="undefined"></figure><figure class="gallery-item" style="border-width:0px;box-sizing:border-box;display:inline-block;height:auto;margin:0px 0px 1rem;max-width:33.33%;padding:0px 8.96875px 17.9531px;text-align:center;vertical-align:top;width:262.609px;"><img src="https://strapi.bangalore2.com/uploads/b_768x985_3f8fb449e6.jpg" alt="b-768x985.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_b_768x985_3f8fb449e6.jpg 122w,https://strapi.bangalore2.com/uploads/small_b_768x985_3f8fb449e6.jpg 390w,https://strapi.bangalore2.com/uploads/medium_b_768x985_3f8fb449e6.jpg 585w," sizes="100vw" width="undefined" height="undefined"></figure><figure class="gallery-item" style="border-width:0px;box-sizing:border-box;display:inline-block;height:auto;margin:0px 0px 1rem;max-width:33.33%;padding:0px 8.96875px 17.9531px;text-align:center;vertical-align:top;width:262.609px;"><img src="https://strapi.bangalore2.com/uploads/a_7888f94e4b.jpg" alt="a.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_a_7888f94e4b.jpg 121w,https://strapi.bangalore2.com/uploads/small_a_7888f94e4b.jpg 385w,https://strapi.bangalore2.com/uploads/medium_a_7888f94e4b.jpg 577w," sizes="100vw" width="undefined" height="undefined"></figure></div>Then on another occasion, at the same gallery, I met him again, this time without the crowd. He preferred to wear a pair of fading blue jeans and white shirt, a reminder of those romantic 1970s when every youth in West Bengal dreamt of poetry, love and revolution. Jeans and Shirt were the uniform of love and revolution. I think, when Tagore came to Delhi as a young man, he carried those qualities along, plus his sense of dressing. Lovers in those days smoked rather constantly and drank Old Monk Rum.&nbsp;On that day when I met him, Tagore told me that he had quit smoking, which was news to me. I couldn’t have imagined the man without a cigarette between his fingers or at least a packet of cigarettes to fuss with. I understood the gravity of the situation.&nbsp;Then again, we met when Praveen Upadhyay of the Progressive Gallery at Laddo Sarai organized a talk session with art professionals that included Tagore, Prayag Shukla, Vinod Bharadwaj and myself. Tagore was supposed to talk about the art market. When the mike was handed over to him, he fussed with it for a while and said that he always wanted to make it big by promoting young artists, but somehow, he never made huge business.<figure class="wp-caption aligncenter" style="border-width:0px;box-sizing:border-box;clear:both;display:block;height:auto;margin:15px auto;max-width:100%;padding:0px;vertical-align:middle;width:689px;" id="attachment_31054" aria-describedby="caption-attachment-31054"><img src="https://strapi.bangalore2.com/uploads/7_768x511_149563fe01.jpg" alt="7-768x511.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_7_768x511_149563fe01.jpg 235w,https://strapi.bangalore2.com/uploads/small_7_768x511_149563fe01.jpg 500w,https://strapi.bangalore2.com/uploads/medium_7_768x511_149563fe01.jpg 750w," sizes="100vw" width="undefined" height="undefined"><figcaption class="wp-caption-text" style="box-sizing:border-box;display:block;font-size:15px;line-height:20px;margin:0px;padding:12px 0px 0px;text-align:center;" id="caption-attachment-31054">Siddharth speaking to the media at Art Konsult</figcaption></figure>Then I remembered Tagore telling the same during the market boom years that lasted in India for around ten years starting from 2005 to 2015. In 2008, the world market had collapsed, but the Indian art market using its cunning and reserve withstood the pressures and dragged the impending failure for a few more years only to revive itself by the beginning of the third decade of the new millennium.&nbsp;Had Tagore acquired a penchant for failure despite his resilience in running a gallery, publications and an auction house for over three and a half decades ? Did he enjoy calling himself a failure in the art market? Was he romantically involved with the idea of failure even when he kept others who were with him in the business, floating? I don’t know for sure. But Tagore remained grounded and rooted; he tried his best to keep himself away from the nefarious market practices.&nbsp;There were a few people who stood with Tagore in his highs and lows (lows that lasted for not some months but for years together), never deserting him, following his orders. Prashant Seal and Rajula Bisht are two people I remember. These two people have been so close to his heart and even after his twin daughters joining him in the business, both Seal and Bisht never lost their position as the confidantes of Tagore. He loved them like family.&nbsp;I met Siddharth Tagore in 1995. He had started Art Konsult in Hauz Khas Village. Meena Tagore (now Meena Varma) was with him then. Late Vijayan Kannanpally was the editor of Art and Deal. With the growth of art scene, Tagore’s gallery also grew in stature. Art Konsult was one of the few A listed galleries in the city. Tagore took it to South Delhi’s art district, Laddo Sarai during the boom years and later relocated it to Hauz Khas again.&nbsp;<figure class="wp-caption aligncenter" style="border-width:0px;box-sizing:border-box;clear:both;display:block;height:auto;margin:15px auto;max-width:100%;padding:0px;vertical-align:middle;width:562px;" id="attachment_31055" aria-describedby="caption-attachment-31055"><img src="https://strapi.bangalore2.com/uploads/0_768x512_88eabd3bbc.jpg" alt="0-768x512.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_0_768x512_88eabd3bbc.jpg 234w,https://strapi.bangalore2.com/uploads/small_0_768x512_88eabd3bbc.jpg 500w,https://strapi.bangalore2.com/uploads/medium_0_768x512_88eabd3bbc.jpg 750w," sizes="100vw" width="undefined" height="undefined"><figcaption class="wp-caption-text" style="box-sizing:border-box;display:block;font-size:15px;line-height:20px;margin:0px;padding:12px 0px 0px;text-align:center;" id="caption-attachment-31055">Siddharth Tagore with art critic and curator Jyoti A Kathpalia at the Art Konsult, New Delhi</figcaption></figure>It was in his Laddo Sarai phase that I joined him as the Editor of Art and Deal. It was the same when he decided to start Art Bull and Travel and Deal. I brought out around ten issues of Art and Deal between 2010 and 2013, with a gap in 2012 when I joined the United Art Logistics to establish the United Art Fair. Tagore literally lent me to the other organization with a promise that I could walk into the editor’s office at any time that I wanted. And I did go back.&nbsp;As a part of Tagore’s team, he gave me full freedom to edit the magazine and curate exhibitions. I curated a few shows and introduced a few new artists of which some are very reckonable names in today’s art scene. The exhibition ‘Merging/Submerging’ was a showcasing of contemporary photography art and ‘R.A.P.E’ (Rare Acts of Political Engagement), an all-woman show responding to the brutal murder of Nirbhaya in Delhi. This exhibition was a super hit and was discussed in all the print and television media. Art Bull did do a couple of exhibitions and auctions. I did not take much interest in it though Tagore hoped that his auction house could change the scenario and also break certain monopolies. Tagore also initiated an Art History Lecture series which I conducted on his behalf.&nbsp;Siddharth Tagore remained true to his calling. With a kind of detachment, he sponsored exhibitions that he knew well, would not bring any business. He was an avid collector of folk and tribal art and together with Meena Varma, he initiated an organization called ‘Art of the Earth’ for promoting the folk and tribal art of India, much before the ‘folkploitation’ of today’s art market became rampant. Tagore helped whoever came to him with a request for an exhibition or an immediate financial relief. &nbsp;<figure class="wp-caption aligncenter" style="border-width:0px;box-sizing:border-box;clear:both;display:block;height:auto;margin:15px auto;max-width:100%;padding:0px;vertical-align:middle;width:640px;" id="attachment_31053" aria-describedby="caption-attachment-31053"><img src="https://strapi.bangalore2.com/uploads/3_e1734762508660_669x1024_7c977a7959.jpg" alt="3-e1734762508660-669x1024.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_3_e1734762508660_669x1024_7c977a7959.jpg 102w,https://strapi.bangalore2.com/uploads/small_3_e1734762508660_669x1024_7c977a7959.jpg 327w,https://strapi.bangalore2.com/uploads/medium_3_e1734762508660_669x1024_7c977a7959.jpg 490w,https://strapi.bangalore2.com/uploads/large_3_e1734762508660_669x1024_7c977a7959.jpg 653w," sizes="100vw" width="undefined" height="undefined"><figcaption class="wp-caption-text" style="box-sizing:border-box;display:block;font-size:15px;line-height:20px;margin:0px;padding:12px 0px 0px;text-align:center;" id="caption-attachment-31053">Siddharth Tagore signing the <a style="background-color:transparent;box-sizing:border-box;color:rgb(255, 53, 36);display:inline-block;margin:0px;padding:0px;transition:0.4s;" target="_blank" rel="noopener noreferrer" href="https://amzn.in/d/4TijcgO">book</a> “Ganika- In the visual culture of the 19th-20th Century India” at the Art Konsult</figcaption></figure>&nbsp;<img src="https://strapi.bangalore2.com/uploads/4_560x1024_090314e000.jpg" alt="4-560x1024.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_4_560x1024_090314e000.jpg 85w,https://strapi.bangalore2.com/uploads/small_4_560x1024_090314e000.jpg 273w,https://strapi.bangalore2.com/uploads/medium_4_560x1024_090314e000.jpg 410w,https://strapi.bangalore2.com/uploads/large_4_560x1024_090314e000.jpg 547w," sizes="100vw" width="undefined" height="undefined">When artists in Calcutta packed their wares and set out for Delhi, they knew Siddharth Tagore was there if nothing else worked (perhaps he was their primary destination), along with cigarettes and Old Monk Rum. He never discouraged the people who came to him with a clear intention to exploit. He was not cautious about relationships that brought him a fair amount of heartburn. As I said elsewhere, Tagore was a poet in his heart, with a heart ready to bleed for love and art.</div></div>

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