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

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Kannada (kn)

<img src="https://strapi.bangalore2.com/uploads/IMG_20240930_WA_0007_770x470_d5062615d1.jpg" alt="IMG-20240930-WA0007-770x470.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_IMG_20240930_WA_0007_770x470_d5062615d1.jpg 245w,https://strapi.bangalore2.com/uploads/small_IMG_20240930_WA_0007_770x470_d5062615d1.jpg 500w,https://strapi.bangalore2.com/uploads/medium_IMG_20240930_WA_0007_770x470_d5062615d1.jpg 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;">Communication is an art that many struggle with, but few realize it can be learned. Whether you’re talking to a friend, colleague, family member, or stranger, mastering this skill is within reach. Ever struggled to start a conversation or keep it going? Finding common topics of interest can be tricky, and navigating differing social or political views can feel like a minefield. But with the right approach, you can turn any interaction into a meaningful exchange.&nbsp;How do you find the right approach? More importantly, can you learn the required skills?“<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.charlesduhigg.com/supercommunicators">Supercommunicators</a>,” written by Charles Duhigg, is a book that teaches you to learn the skills to convert a conversation into a connection. It distills the art of conversation, any conversation, including the ones with your friends and family, into actionable steps that you can readily practice and improve.<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.charlesduhigg.com/">Charles Duhigg</a> is a Pulitzer Prize-winning American journalist and author of bestselling books. I read his first book, “The Power of Habit,” which is a constant presence in many bookstores, and liked it. I read it in 2013, and it convinced me about the importance of habits. Last year, I read his <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.newyorker.com/magazine/2023/12/11/the-inside-story-of-microsofts-partnership-with-openai">article</a> on the ChatGPT saga and liked it for its reporting breadth and depth.<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:629px;" id="attachment_30055" aria-describedby="caption-attachment-30055"><img src="https://strapi.bangalore2.com/uploads/811bz_Oshn5_L_AC_UF_10001000_QL_80_F_Mwebp_7ad3ac888f.webp" alt="811bzOshn5L._AC_UF10001000_QL80_FMwebp_.webp" srcset="https://strapi.bangalore2.com/uploads/thumbnail_811bz_Oshn5_L_AC_UF_10001000_QL_80_F_Mwebp_7ad3ac888f.webp 98w,https://strapi.bangalore2.com/uploads/small_811bz_Oshn5_L_AC_UF_10001000_QL_80_F_Mwebp_7ad3ac888f.webp 314w,https://strapi.bangalore2.com/uploads/medium_811bz_Oshn5_L_AC_UF_10001000_QL_80_F_Mwebp_7ad3ac888f.webp 472w," 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-30055">Cover of the book ‘Supercommunicators’</figcaption></figure>This book starts by breaking down every conversation into three types: Analytical, Emotional, and Social. Every conversation is essentially one of these three types. In analytical talk, the conversation is a transaction where facts and details matter. In emotional talk, the conversation is all about the feelings. In social talk, the conversation is about an identity. Now, listing the types helps in nothing. You still need to know what to do with this information.Suppose you argued with your father in the morning over a trivial issue. You reach the office and share the incident with your friend. Are you looking for a solution? Do you want to be listened to intently, get advice on who was wrong, or would just a hug do ? Suppose you differed with a colleague about a work issue. Another colleague, a friend, was listening. What do you want to hear from your friend? Advice or silence or just a hug? Suppose you hear about the sudden death of a friend’s loved one. What do you say to your friend? Advice or listen or a hug? As situations differ, so does the conversation, hence the importance of its type.After breaking the communication into its types, Charles goes on to break it into a step-by-step process of turning every conversation into meaningful, often joyful interactions, and in some cases, less stressful ones, even with a person with contrasting views. He uses psychological studies and instances of experts’ communication to establish the rules of effective communication.Stories form the backbone of narration and writing style, making it easy for everyone to understand, relate, and remember the content. Charles has used his recommendation to write the book as the writing oscillates between personal anecdotes, stories, and facts, often combining all three. As you turn the pages, you gradually get convinced about the process.<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:767px;" id="attachment_30056" aria-describedby="caption-attachment-30056"><img src="https://strapi.bangalore2.com/uploads/high_rez_duhigg_headshot_20160720afmduhigg0082_thumb_1536x1536_1_53a5660a0f.jpg" alt="high-rez-duhigg-headshot-20160720afmduhigg0082-thumb-1536x1536-1.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_high_rez_duhigg_headshot_20160720afmduhigg0082_thumb_1536x1536_1_53a5660a0f.jpg 245w,https://strapi.bangalore2.com/uploads/small_high_rez_duhigg_headshot_20160720afmduhigg0082_thumb_1536x1536_1_53a5660a0f.jpg 500w,https://strapi.bangalore2.com/uploads/medium_high_rez_duhigg_headshot_20160720afmduhigg0082_thumb_1536x1536_1_53a5660a0f.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-30056">Charles Duhigg</figcaption></figure>If you have read books on personal growth, they tend to follow a pattern. Every chapter makes a proposition supported by academic research or theories, followed by a story that establishes the usefulness of the proposition. Stories of failures are not part of this scheme. This book is no exception to this formula. However, this conformance should not take away the usefulness of this book.A few days after finishing the book, I took a train journey to New Delhi. The train starts at 6 in the morning from Varanasi, requiring me to get up at 4 AM. I always travel with a book, sometimes 2. If it is a mid-noon journey, I prefer reading books to talking to a co-passenger. But, early in the morning, I like a slow warmup to come to my full senses before picking a book. Opening a conversation with a co-passenger who is perhaps also in the same state has always been a nervous affair. But I had read this book, so at least I knew a theory I could test.<img src="https://strapi.bangalore2.com/uploads/images_2024_09_30_T164448_607_ee3a11384b.jpeg" alt="images-2024-09-30T164448.607.jpeg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_images_2024_09_30_T164448_607_ee3a11384b.jpeg 245w,https://strapi.bangalore2.com/uploads/small_images_2024_09_30_T164448_607_ee3a11384b.jpeg 500w,https://strapi.bangalore2.com/uploads/medium_images_2024_09_30_T164448_607_ee3a11384b.jpeg 750w," sizes="100vw" width="undefined" height="undefined">Charles suggests starting a conversation with a question that doesn’t have a 1-word answer. He calls them Deep questions. For example, instead of asking questions like, “Where are you going?” or “Are you from Varanasi?” you may ask, “What do you like about early morning train journeys?”. I started with a similar question. However, a few minutes into the conversation, the person said, “I do not like the Congress party (India’s principal opposition party).”Now, I like the Congress party. Had I not read the book, I would have gone on to list several reasons to prefer the Congress party. I would have given one argument after another, countering his response with facts and figures. I would have transformed myself into an evangelist, on a mission to reform this man and make him fall in love with the Congress party. After a few minutes of conversation, he would have silently waited for me to drain all my energy and stop. We would have withdrawn into our shells for the rest of the journey, talking only to ask for a way to leave the seat. Thankfully, I had read this book, and none of this happened.I instead said, “They give many reasons to people to dislike them.” It opened him up to offer his reasons for this blanket statement, which allowed me to steer the conversation to his upbringing, parents, childhood, values, work, motivations, etc. When I shared about my organization’s work with school children from economically underprivileged families, he shared his wife’s efforts of sheltering orphaned street dogs. We agreed on several issues, including the complete failure of the current central government, despite opposing political preferences. Neither did I contradict his personal experiences, nor did he contradict mine. Moreover, we agreed that our experiences shape our views, which are bound to change if we remain open.<img src="https://strapi.bangalore2.com/uploads/images_2024_09_30_T164615_165_ec71a30e5a.jpeg" alt="images-2024-09-30T164615.165.jpeg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_images_2024_09_30_T164615_165_ec71a30e5a.jpeg 245w,https://strapi.bangalore2.com/uploads/small_images_2024_09_30_T164615_165_ec71a30e5a.jpeg 500w," sizes="100vw" width="undefined" height="undefined">“Supercommunicators” book taught me to treat every conversation as a learning opportunity. It taught me not to approach a conversation as a right vs wrong battle but to connect by sharing stories and anecdotes more than the facts. Ultimately, you can convince a person more by listening than by speaking. In a world getting more polarised, we all need to learn to talk to each other and listen better. Thankfully, we have this book.</div></div>

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Navigating Difficult Dialogues: How 'Supercommunicators' Can Help in a Polarised World"

<img src="https://strapi.bangalore2.com/uploads/images_34_770x393_796d24e9a6.jpeg" alt="images-34-770x393.jpeg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_images_34_770x393_796d24e9a6.jpeg 245w,https://strapi.bangalore2.com/uploads/small_images_34_770x393_796d24e9a6.jpeg 500w,https://strapi.bangalore2.com/uploads/medium_images_34_770x393_796d24e9a6.jpeg 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;">Prolific documentary filmmaker R.P Amudhan’s body of work is unique and striking, especially in the manner in which his creations address issues and concerns of the marginalised sections of society. He is known as a media activist too. Hailing from Madurai, in Tamil Nadu, he founded the Marupakkam Media Activist Group (MMAG) in in his home district. The MMAG produces documentaries, screens films, and conducts workshops. He has over 20 documentaries to his credit. His films primarily focus on caste and labour issues. In this Interview with poet and writer Rashida Nasriya, filmmaker Amudhan RP discusses his craft, concerns and challenges.&nbsp;Rashidha Nasriya: What do you consider as the most significant challenge you have faced during the making of your documentaries?Amudhan RP: The biggest challenges I have faced in documenting the kind of social issues I have chosen to film are threefold. First, identifying a crucial topic which requires in-depth understanding and sufficient data to substantiate the narrative. Once I have a clear understanding of the topic, I would conduct thorough research and convince people, that is the characters in my film and their kith and kin. This has been my approach from my very first film, Leelavathi, a documentary on a Communist Party of India (Marxist) – CPIM- cadre killed in Madurai in 1997. I was relatively young at that time and the task of persuading her family and the district CPIM committee took a lot of effort. I finally did get their consent. It was a difficult task to get their trust.The second challenge – although a joyful one – is researching and gathering credible information, while the third is securing funding. As a solo filmmaker, I have learned to be self-sufficient. But still finding funds is a challenge. Any filmmaker would go through these challenges in varying degrees.<img src="https://strapi.bangalore2.com/uploads/images_35_721e230496.jpeg" alt="images-35.jpeg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_images_35_721e230496.jpeg 208w,https://strapi.bangalore2.com/uploads/small_images_35_721e230496.jpeg 500w," sizes="100vw" width="undefined" height="undefined">Nasriya: Did your activist background influence your decision to become a filmmaker?Amudhan: During my MA studies, I attended a workshop in Madurai organised by Center for Development of Instructional Technology (CENDIT), an organisation based in New Delhi. Here, I was exposed to several powerful documentary films. This experience opened my eyes to the significance of political documentaries. I was introduced to the concept of using film as a tool for social change, and I immediately knew I wanted to become a documentary filmmaker and an activist. This workshop sparked my passion for creating and screening films that inspire critical thinking and trigger meaningful conversations. It was a turning point that led me to merge my interests in social activism and filmmaking, ultimately shaping my identity as an activist-filmmaker. Activism and filmmaking are deeply intertwined for me – they’re two sides of the same coin. My filmmaking is an extension of my activism, and vice versa; the two are inseparable.Nasriya: Your film “My Caste” examines the intersection of caste, hegemony, and consensus in Indian society. What has driven your focus on caste in your activism and filmmaking?Amudhan: I wanted to take on the Caste issue from the perpetuator point of view rather than from the victim’s or survivor’s point of view. I wanted to get into the minds of the people who either follow or negotiate or negate caste in their lives. I wanted to know what happens in people’s minds when they deal with caste matters. That’s why I made the film ‘My Caste’ ‘recording the views of various people on caste related questions.<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:951px;" id="attachment_30033" aria-describedby="caption-attachment-30033"><img src="https://strapi.bangalore2.com/uploads/IMG_20240927_WA_0021_d0a7a9b78c.jpg" alt="IMG-20240927-WA0021.jpg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_IMG_20240927_WA_0021_d0a7a9b78c.jpg 154w,https://strapi.bangalore2.com/uploads/small_IMG_20240927_WA_0021_d0a7a9b78c.jpg 495w,https://strapi.bangalore2.com/uploads/medium_IMG_20240927_WA_0021_d0a7a9b78c.jpg 743w," 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-30033">Amudhan speaking at an event</figcaption></figure>Nasriya: Can you give some details on how you investigated labour exploitation in Tirupur’s garment industry for your documentary “Dollar City”?Amudhan: Many of my films focus on labour issues, with a considerable number exploring labour practices. For my trilogy on hegemony and consensus, I chose Tirupur as a case study. This city exemplifies how consensus is manufactured to prioritise the industry’s interests.In Tiruppur, a tacit understanding exists among industries, trade unions, workers, NGOs, and political parties to protect the industry at all costs. The prevailing narrative is: ‘Without the industry, we cannot survive.’ This consensus leads to widespread compromise and adjustment, perpetuating the exploitation.<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:739px;" id="attachment_30028" aria-describedby="caption-attachment-30028"><img src="https://strapi.bangalore2.com/uploads/images_36_2e37ef3154.jpeg" alt="images-36.jpeg" srcset="https://strapi.bangalore2.com/uploads/thumbnail_images_36_2e37ef3154.jpeg 245w,https://strapi.bangalore2.com/uploads/small_images_36_2e37ef3154.jpeg 500w," 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-30028">During production of Amudhan’s documentary</figcaption></figure>I want to capture this complex dynamic in my film, highlighting how Tiruppur’s industry-centric consensus affects labor rights and social justice.&nbsp;Nasriya: How did you approach exploring the complex and sensitive topic of manual scavenging in your film “Pee (Shit)”?Amudhan: I wanted to make a Tamil version of Lesser Humans – a documentary on Manual Scavenging in Gujarat by Stalin K. Although I wanted to make a similar comprehensive film about Tamilnadu, my encounter with Mariamma, a sanitary worker in Madurai convinced me to make a short documentary which practically covers every aspect of the work.I realised a shorter format could powerfully convey the urgency of this issue, making a compelling argument against manual scavenging. This inspired me to create the film titled ‘Pee’ (Shit) [Watch Below], highlighting the harsh realities of manual scavenging.<div class="raw-html-embed"><iframe width="640" height="480" src="https://www.youtube.com/embed/a0eWOHAvVn4" title="Shit - a documentary by Amudhan R.P." frameborder="0" allow="accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share" referrerpolicy="strict-origin-when-cross-origin" allowfullscreen=""></iframe></div>&nbsp;Nasriya: What inspired you to create a documentary about Mercury pollution in Kodaikanal?Amudhan: The film ‘Mercury in the Mist’ was initiated by workers from the Kodaikanal thermometer factory, who had been fighting against the company’s harmful practices. They sought my help to create a documentary supporting their cause, highlighting the devastating health effects of mercury exposure and their ongoing court battles. It was partially funded by the workers and their well wishers like Nityanand Jayaraman and others.&nbsp;Nasriya: Do you think the documentary can contribute to the border understanding of the challenges facing Indian democracy?Amudhan: Documentary watching is, in my opinion, one of the most engaging and intellectually stimulating activities. It offers a unique blend of education, art, and social awareness, empowering individuals to become responsible citizens. By watching documentaries, we gain perspectives on the world around us, exercising our right to informed decision-making and participatory governance. Through my screenings, I aim to create opportunities for social and political education, fostering a culture of critical thinking and civic engagement. Documentaries provide a valuable platform for raising awareness on critical issues, making meaningful conversations and inspiring social change.&nbsp;Nasriya: How crucial is creative freedom in documentary filmmaking for fostering critical thinking and public debate?Amudhan: In documentary filmmaking, merely reporting or recording is not enough. It is an opportunity to critically examine any subject, sparking meaningful discussions. We must be courageous enough to ask difficult questions, amplify marginalized voices and confront uncomfortable truthsUnlike commercial cinema, documentary filmmakers must take risks, challenging the status quo and pushing boundaries. By doing so, we humanize overlooked stories, Inspire critical thinking and foster empathy and understanding.&nbsp;Nasriya: How did your initiative “Marupakkam” come about…?Amudhan: Marupakkam is a network of people collaborating to promote documentary filmmaking and social change. We invite participation from individuals across India in various capacities, including funding, research, topic development, filmmaking, screening, and documentary workshops.&nbsp;<figure class="wp-caption alignright" style="border-width:0px;box-sizing:border-box;display:inline;float:right;height:auto;margin:5px 0px 20px 20px;max-width:100%;padding:0px;vertical-align:middle;width:1080px;" id="attachment_30029" aria-describedby="caption-attachment-30029"><img src="https://strapi.bangalore2.com/uploads/Screenshot_20240927_1713542_bec309fa73.png" alt="Screenshot_20240927-1713542.png" srcset="https://strapi.bangalore2.com/uploads/thumbnail_Screenshot_20240927_1713542_bec309fa73.png 245w,https://strapi.bangalore2.com/uploads/small_Screenshot_20240927_1713542_bec309fa73.png 500w,https://strapi.bangalore2.com/uploads/medium_Screenshot_20240927_1713542_bec309fa73.png 750w,https://strapi.bangalore2.com/uploads/large_Screenshot_20240927_1713542_bec309fa73.png 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-30029">Homepage of Marupakkam [Visit <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="http://marupakkammadurai.blogspot.com/?m=1">Here</a>]</figcaption></figure>Our activities involve screening documentaries, researching social issues, making films on relevant topics, teaching documentary filmmaking, and showcasing films made by others. Through these efforts, we aim to foster a community that inspires social change through documentary filmmaking.&nbsp;&nbsp;Nasriya: As a prolific documentary creator what advice would you give to emerging filmmakers?Amudhan: To young and upcoming filmmakers, I say: read widely, travel extensively, and cultivate an open-minded perspective. Listen to diverse voices, even in everyday settings like markets, where numerous perspectives converge. If you don’t have an open mind, you will only hear the voices that confirm your existing views. But with an open mind, you will identify and appreciate the varied voices, even within the same marketplace.</div></div>

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Amudhan’s Craft, Concerns and Challenges

<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 victory of Marxist leader Anura Kumara Dissanayake in Presidential election in Sri Lanka has been described as a political Tsunami by international politicians and observers. Sri Lanka based Independent policy analyst and writer Amita Arudpragasam analyses the context of the results in detail and points out that it was the economic mismanagement and corruption of earlier, dynasty oriented, regimes as well as Anura’s clean image that propelled significant sections of voters towards the Leftist JVP leader.<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;">She also points out that while the victory does indeed signify the emergence of new hopes in the country, it would be too early to predict dramatic policy and ideological shifts, including in the island nation’s orientation towards India and China. Watch the interview here.<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;">ഈ വിഷയത്തിൽ പരിസ്ഥിതി പ്രവർത്തകനും എഴുത്തുകാരനുമായ കെ സഹദേവൻ എഴുതിയ കുറിപ്പ് ചുവടെ നൽകുന്നു:<h2 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:25px;font-style:normal;font-variant-caps:normal;font-variant-ligatures:normal;letter-spacing:normal;line-height:1.2;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;">അദാനിയും ശ്രീലങ്കയിലെയും ബംഗ്ലാദേശിലേയും ഭരണ വ്യവസ്ഥയിലെ വമ്പൻ മാറ്റങ്ങളും</h2><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;">ശ്രീലങ്കയിലെയും ബംഗ്ലാദേശിലെയും എന്തിന് ഓസ്‌ട്രേലിയയിലെപ്പോലും രാഷ്ട്രീയ ഭരണമാറ്റത്തിന് പിന്നിലെ പൊതുഘടകത്തെ കണ്ടെത്താൻ ശ്രമിച്ചാൽ ഗൗതം അദാനിയിൽ ചെന്ന് മുട്ടും. ഉഭയകക്ഷി ബന്ധങ്ങളെ വ്യവസായി താൽപ്പര്യങ്ങൾക്കായി ഉപയോഗപ്പെടുത്താൻ ഭരണകൂടങ്ങൾ തുനിഞ്ഞിറങ്ങിയാൽ അതിന്റെ അനിവാര്യഫലമെന്നത് ആ രാജ്യത്തിന്റെ സാമ്പത്തിക സുസ്ഥിരത തകർക്കപ്പെടുക എന്നതായിരിക്കും.<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;">ബംഗ്ലാദേശിന് വൈദ്യുതി വിൽക്കുന്നതുമായി ബന്ധപ്പെട്ട കരാർ അദാനിക്ക് ലഭ്യമാക്കുന്നതിന് ബീഗം ഹസീനയ്ക്ക് മേൽ സമ്മർദ്ദമുയർത്താൻ നരേന്ദ്ര മോദിക്ക് യാതൊരു മടിയുമുണ്ടായിരുന്നില്ല. 2015ലെ മോദിയുടെ ബംഗ്ലാദേശ് സന്ദർശനത്തിന്റെ മുഖ്യ അജണ്ടതന്നെ അദാനിക്ക് വൈദ്യുതി വിതരണക്കരാർ നേടിയെടുക്കുക എന്നതായിരുന്നു.<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;">ഇന്ന് ബംഗ്ലാദേശ് ഭരണകൂടത്തിന്റെ മുന്നിലുള്ള പ്രധാന അജണ്ട അദാനിയുമായുള്ള കരാറിൽ നിന്ന് എങ്ങിനെ രക്ഷപ്പെടാം എന്നതാണ്. ശ്രീലങ്കയിൽ 400 മില്യൺ ഡോളറിന്റെ ഗ്രീൻ എനർജി പ്രോജക്ടുകളാണ് അദാനി നേടിയെടുത്തത്. 225 മെഗാവാട്ടിന്റെ കാറ്റാടിപ്പാട നിർമ്മാണ പദ്ധതി നേടിയെടുക്കുന്നതിനും നയതന്ത്ര ബന്ധങ്ങൾ ഉപയോഗപ്പെടുത്തപ്പെട്ടു.<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;">ഇതിനുപുറമെ 700 ദശലക്ഷം ഡോളറിന്റെ കണ്ടൈയ്‌നർ തുറമുഖ പദ്ധതിയും നേടിയെടുക്കാൻ അദാനിക്ക് സാധിച്ചു. ഈ രണ്ട് പദ്ധതികളും ശ്രീലങ്കയുടെ ദീർഘകാല താൽപ്പര്യങ്ങൾക്ക് വിരുദ്ധമാണെന്ന ആരോപണം പാർലമെന്റിലും പുറത്തും ശക്തമായി ഉന്നയിക്കപ്പെട്ടുകൊണ്ടിരിക്കുകയാണ്.<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;">ഓസ്‌ട്രേലിയയിൽ അദാനി നേടിയെടുത്ത കാർമൈക്കൾ കൽക്കരി ഖനന കരാറും ഇതേരീതിയിൽ അതിശക്തമായ രാഷ്ട്രീയ എതിർപ്പ് ക്ഷണിച്ചുവരുത്തിയ ഒന്നാണ്. ഒരു ദശകക്കാലത്തെ കൺസർവേറ്റീവ് ഭരണത്തിന് അറുതിവരുത്തിക്കൊണ്ട് ലെഫ്റ്റ് ചായ്വുള്ള ആന്റണി അൽബനീസ് ഗവൺമെന്റ് അധികാരക്കസേരയിലെത്തിയതിന് പിന്നിലും ഗൗതം അദാനിക്കെതിരായ പ്രതിഷേധത്തിന്റെ വേരുകൾ കണ്ടെത്താൻ കഴിയും…

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