Paper short abstract:

The paper identifies the determinants of NCDs in India using a panel dataset. The paper also explores the role of healthcare facilities and social protection policies on whether this can mitigate NCDs. Our findings suggest expanding medical facilities and pensions can mitigate NCDS in India.

Paper long abstract:

Old-age morbidity is a rapidly worsening curse in India. The swift descent of the elderly in India (60 years +) into non-communicable diseases (e.g., cardiovascular diseases, cancer, chronic respiratory diseases, and diabetes) could have disastrous consequences in terms of impoverishment of families, excess mortality, lowering of investment and deceleration of economic growth. Indeed, the government must deal simultaneously with the rising fiscal burden of NCDs and substantial burden of infectious diseases. The present study seeks to answer three questions: Why has the prevalence of two NCDs, diabetes and heart diseases risen in recent years? Given the surge in these diseases, whether social protection policies and restructuring of medical services can mitigate such surges in the near future? A related but equally important concern is whether lifestyle and dietary changes could be induced to further prevent the rising burden of these NCDs. Our analysis is based on the only all-India panel survey-India Human Development survey that covers 2005 and 2012. This survey was conducted jointly by University of Maryland and National Council of Applied Economic Research, New Delhi. A robust econometric methodology-specifically, 2SLS- is used to address the endogeneity of key explanatory variables. The results here stress the need to make sure that pension and healthcare reforms are accompanied by greater awareness, expansion of old age pensions and public hospitals, and effective regulation of both public and private hospitals.