Hacker News new | ask | show | jobs
by webmobdev 1881 days ago
As an indian, this Pandemic is an eye opener to me on the devastating impact that flawed government policies have on its citizen.

As the Pandemic began in India, most of the experts clearly said that all restrictions, like lockdowns, are just to slow down the spread of the disease temporarily, so that the healthcare infrastructure doesn't get overburdened. It was understood that India needed to upgrade existing hospitals with more ICU beds and hospitals or build temporary shelters that could house and treat the new cases. It was understood that till everyone is vaccinated, the government needs to prepare for "waves" of infected people to manage the pandemic resourcefully.

During the first wave, we had shortages of medical equipments, like ventilators, masks, medicines and PPE kits that needed to be urgently addressed. And it was, to some extent - the government procured these on a war-footing. India had the harshest lockdown in the world. It devastated our economy but on the plus side really reduced the impact of the first wave. Ventilator shortage did result in many death, but this was addressed.

Then, after the first wave subsided, a combination of government hubris and the psychological fatigue of being in lockdown / house arrest led to both the government and the people fooling themselves into believing the worst was over.

Elections were coming up in 5 states, and obviously selfish politicians want people to come to rallies and vote. So huge political rallies were allowed with restrictions (only on paper). The current right-wing power uses religious symbolism for politics, and thus also permitted the largest Hindu religious gathering - the kumbh mela. Again, social distancing and other restrictions were only on paper. Worse, unlike the Saudis who are only allowing vaccinated muslims to attend the religious Haj, there was no similar condition for the kumbh mela in India.

These two events - the huge political rallies and the Hindu religious gathering at the kumbh mela became super-spreader events as millions attended those.

This was one of the major policy failures of the Modi government.

Now, remember, the experts had pointed out that we need to use lockdowns, and lulls between waves, to upgrade our healthcare infrastructure, right? India didn't.

As the second wave rose, our hospitals again became overwhelmed and just couldn't handle the cases coming in. People were denied hospital admission and asked to wait for emergency beds till admitted patients were deemed fit to go home or died. Worse, a huge shortage of Oxygen in hospitals arose and thousands of people died due to lack of Oxygen. So people were not only being denied treatment but also died during treatment.

The depressing irony - India is the largest producer of Oxygen and vaccine in the world!

So how did India get in to such a situation of facing shortage of both!? The reason is the complete apathy of the government in planning and preparation.

While we are the largest producers of Oxygen in the world, we only have 2000 trucks to transport them. Failure to plan and improve the logistics is one of the reason why many of the hospitals are now facing Oxygen scarcity, even though we have a surplus of it! Big Hospitals weren't also upgraded with oxygen plants.

Our vaccination policy also wasn't well thought out. According to an opposition leader, we exported 60 million vaccines between January and March of this year, while we had only vaccinated around 30 to 40 million of our own people! Our vaccine plans also hit a hurdle when a US vaccine by Novavax, that has been licensed for production in India, is facing hurdles of getting the raw material for the vaccine from US (that has obviously prioritized it for its own needs). The government also had thoughtlessly blocked other foreign vaccines from being available in India, for political gains ("India is self-reliant").

We also exported around 1.1 million doses of Remdesivir to other countries. And our media is showing people desperate to buy Remdesivir from anywhere at any price.

Yes, the pandemic is a natural disaster, but the disaster that is unfolding in India is largely man-made and will be a case study in the future in all colleges on what happens when proper planning isn't done and resources aren't utilised properly.

Summary: We had all the resources. But apathy and poor planning screwed up India's fight against COVID.

3 comments

You have a lot of good points and they generally align with what I have heard from family in India. Your post does not deserve to be down voted but I am not surprised. Any article/post against Modi, the Modi govt, BJP, or highlighting the issues of the caste system gets down voted on HN so that it has very little time on the front page. Their IT cell has a far reach.

Someone else in this thread posted that COVID is seasonal and the reason for the current wave is environmental; that post is not getting down voted. Blame has been assigned to a non-Modi entity so I guess all is well.

Hubris was a big part of this. Modi made the statements himself about how well India handled COVID and is now about to help the world. Has egg on his face now but it wont matter. There is enough time to make his own people forget about his mismanagement and lack of empathy before the next election.

> As an indian, this Pandemic is an eye opener to me on the devastating impact that flawed government policies have on its citizen.

We have to eliminate our socialistic approach to planning. If you lock the private sector out and expect that everything will be handled by the government bureaucracy, then nothing will get done.

There are no right-wing parties in India. Even Modi and the BJP are saffron socialists. They have applied price controls to so many medical items that the demand-supply equilibrium has gone for a toss.

Even today, the vaccines are being produced by two private organizations under a price control regime and all they have to show for it is a stream of abuse from the necrophiles on the left.

    If you lock the private sector out and expect that everything will be handled by the government bureaucracy, then nothing will get done.
Agree to a certain extent - that is why it is appalling that the government didn't listen to appeals of the vaccine manufacturers to give them funds to upgrade and expand their facilities to manufacture more vaccines. Nobody in India would have grudged if the government gave them some public money to do so!
> Nobody in India would have grudged if the government gave them some public money to do so!

Well, somebody would have. People are complaining about states being charged $4-5/dose while foreign vaccines are being sold for up to $30/dose.

Also, according to this report,[1] Adar Poonawalla of SII has fled to London with his family because he is being intimidated by prominent people (including many Chief Ministers) and has also been receiving death threats.

This is what happens to the private sector in India.

1. https://www.youtube.com/watch?v=GLEDQ7FtXus

   Adar Poonawalla of SII has fled to London with his family because he is being intimidated by prominent people (including many Chief Ministers)
Again, a side-effect of the flawed vaccine policy of the government.

So far, the central government was directly procuring the vaccine, and distributing it to everyone. Last month, it suddenly changed the policy and told all the states to procure it themselves. This has resulted in differential pricing, and the all the states are now forced to negotiate and procure the vaccines from the manufacturers directly. So all the politicians are now harassing the CEO of the vaccine manufacturers for better deals .. https://www.telegraphindia.com/india/serum-chief-flies-to-uk... ...

Luckily the Supreme Court has stepped in and is now questioning the government on its revised vaccine policy, especially on the pricing mechanism.

> Again, a side-effect of the flawed vaccine policy of the government.

Was very predictable. Center was acquiring vaccines and distributing it among states who were then vaccinating vulnerable sections of the population. Politicians started questioning the policy and demanded more control. Once the Center gave them that control, all hell broke loose.

I can guarantee that this abuse will continue and Ella will be next. The media is 100% responsible for targeting these companies over everything from patents to pricing. And while Modi managed to deflect criticism and dump the issue into the hands of clueless state governments, it is going to hurt India very badly.

> Luckily the Supreme Court has stepped in and is now questioning the government on its revised vaccine policy, especially on the pricing mechanism.

Nothing good will come out of it. The SC is not answerable to the people as it is not a democratically elected body. And it does not have executive experience either. I don't know why all these courts keep interfering in every single issue all the time.

    Politicians started questioning the policy and demanded more control. 
Let's consider the criticism for the vaccine policy by the opposition:

- Vaccine makers were requesting government grants to expand facilities but were provided limited to no resource till last month.

- Exporting vaccines was made a priority over vaccinating indians.

- When indians realised there was a shortage of vaccine and started highlighting these issues, and the government realised that it wouldn't be able to meet the vaccine demands, they suddenly do a complete U-turn of their vaccine policy - the centre backs out completely out of price-fixing and procurement of vaccines without setting any framework in place.

- Thus, completely abdicating their responsibility, they now expect each state government to haggle and negotiate the price directly, draw up individual contracts and get the vaccines.

The opposition did their job in highlighting the deficiencies. Instead of listening and fixing the issues, the government deliberately passed the buck to the state government with a revised policy. It is clear they did it in such a manner (without any framework) so that they could transfer any associated political blame.

    The SC is not answerable to the people ... it does not have executive experience either.
Agreed that courts should be quite careful. But, in general, good judges don't make decisions arbitrarily. They listen to the executive, they listen to the critics, they listen to the state governments, and they also listen to the experts.

That said, some stupid executive decisions can be over ruled with common sense and some have past precedents to follow. For example, it is very stupid to make people register for a vaccine - poor and uneducated people will not be able to do so and will be susceptible to corruption due to this unnecessary step. Common sense. We have one of the largest successful immunisation programs in the world and have successfully vaccinated a large number of people in the past. So we have past precedents on how to vaccinate our people. The vaccines should be free for everyone - common sense and past precedent. And so on.

You said India is the worlds largest producers of oxygen and vaccines, but has a lack of trucks to transport them.

Is this the same old pattern of infrastructure in colonial economies where all the transportation links are designed to move goods to seaports for export—and not for moving goods inside the country?

That would be a terrible tragedy.

To be clear, I meant lack of trucks to transport Oxygen, not vaccines. And this logistics problem should be seen in the context of the Pandemic - India has never needed so much Oxygen at hospitals before and so we never needed so many trucks as we do now.

We actually have a very extensive railway network (colonial era yes, but upgraded and expanded to cover the country in the last 70 years) that provides connectivity to most parts of India. And we are now using that to transport the Oxygen and Trucks faster to different states - https://www.livemint.com/news/india/how-indian-railways-plan... .

With vaccine, we are facing issues in keeping up with demand - again a policy failure, because the vaccine makers have been requesting government aid to upgrade and expand their manufacturing facilities since last year. It is only last month that the government has released some funds (as "advance payment") so that the vaccine makers can upgrade their facilities and produce more vaccine faster.