Digital telehealth platforms of Delhi-NCR: the political economy of healthcare
摘要
Post-COVID, India witnessed an expansion of telehealth services across the country. It was seen as a viable alternative to the existing healthcare system characterized by an acute shortage of medical professionals, poor infrastructural facilities and inequitable access to healthcare. Using a political-economic framework, this study is a digital ethnography of some prominent websites of telehealth platforms operating in but not restricted to Delhi-NCR (National Capital Region). It attempts an in-depth content analysis of these websites to understand, interpret and assess the efficacy of telehealth services in terms of accessibility, affordability and viability in the Indian context. In so doing it suggests that despite having some advantages, telehealth platforms are a case of increasing commodification of health and healthcare reducing everything to an item of consumption. They are inegalitarian and exclusive in nature serving a specific clientele that constitutes a minority of the population. By emphasizing a biomedical model that explains individual health as a result of biological factors deprived of social conditions, it constructs health as an individual subject focusing on the formal while ignoring the substantive. The formal approach is a lop-sided one as the perceived benefits and needs of patients/consumers/clients are not uniform across all categories and therefore they are not making autonomous choices being provided by these platforms as rational individuals. Hence in order to have a healthcare system that is inclusive, affordable and empathetic to the cause of a diverse population, telehealth services in India being provided by means of these platforms need a re-think.