Dev Gupta, CSS retweeted
The most expensive part of a hospital bill may never touch the hospital at all.
A patient admitted for care has no way of knowing whether the price on a medical consumable reflects its actual cost or a markup fixed long before it ever reached the ward. That gap in information is, at its core, a public health issue.
A survey of hospital consumables in Maharashtra found an IV infusion set with a trade price of ₹11.05 carrying a printed MRP of ₹325 ; a markup of 2,841%. A syringe procured at ₹6.75 carried an MRP of ₹57.20. A catheter procured at ₹29.41 carried an MRP of ₹310.
These are not elective purchases. Patients cannot compare prices, seek alternatives, or question a number printed on a box while receiving care and the MRP itself is often fixed upstream by manufacturers and distributors, disconnected from the trade price by a wide, unexplained margin. The result is a system where the party bearing the cost has the least information to evaluate it.
The regulatory gap is structural: scheduled medicines are capped under the Drugs (Prices Control) Order, 2013. Most medical devices and consumables are not leaving both the pricing and the information around it almost entirely unmonitored.
A review of these findings and clear guidelines on the permissible gap between trade procurement price and declared MRP have been recommended to the Department of Pharmaceuticals and the NPPA ; a step toward closing not just a pricing gap, but the information gap patients are left to bear alone.
#PublicHealth #GoodGovernance #Leadership #TukaramMundhe
moneycontrol.com/news/busine…
Dev Gupta, CSS retweeted
CSS officers have raised their voice—and the issue is now TRENDING on X in India! 📢🔥
Officers came together on social media to highlight the 8-year delay in the 4th CSS Cadre Review.
When those who help light the way for others are left in the dark, it truly is “चिराग़ तले अंधेरा।”
We now urge the Government to act and complete the 4th CSS Cadre Review urgently.
@PMOIndia @DoPTGoI @DrJitendraSingh
#ExpediteCSSCadreReview #चिरागतलेअंधेरा
A cadre must be "Review. Reform. Resolve." Expedite Cadre Review of CSS.
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
The officers who help implement administrative reforms across Govt are themselves waiting for reform within their own cadre.
This is precisely why “Reforms cannot be selective.”
#CSS
#CSSCadreReview
@PMOIndia @Drjitendrasingh @doptgoi #ExpediteCSSCadreReview #चिराग़तलेअंधेरा
A cadre must be "Review. Reform. Resolve." Expedite Cadre Review of CSS.
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
CSS Officers are badly stagnated.
@PMOIndia @Drjitendrasingh @DoPTGoI #ExpediteCSSCadreReview #चिराग़तलेअंधेरा are trending in India! Please expedite CSS Cadre Review.
A cadre must be "Review. Reform. Resolve." Expedite Cadre Review of CSS.
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
This quoted post is unavailable.
A cadre must be "Review. Reform. Resolve." Expedite Cadre Review of CSS.
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
A cadre isn't judged only by recruitment, but by how fairly it promotes officers.
When progression keeps stalling, the answer can't be "wait" — it must be "Review. Reform. Resolve."
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
A cadre isn't judged only by recruitment, but by how fairly it promotes officers. When progression keeps stalling, the answer can't be "wait" — it must be "Review. Reform. Resolve."
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
A cadre isn't judged only by recruitment, but by how fairly it promotes officers.
When progression keeps stalling, the answer can't be "wait" — it must be "Review. Reform. Resolve."
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Every year of delay: deferred promotions → blocked careers → officers retiring at lower levels → lasting financial and pension loss.
8+ years of delay isn't procedural — it's already irreversible.
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
You can't keep adding floors while refusing to revise the blueprint.
CSS's recurring bottlenecks need the 4th Cadre Review — an overdue blueprint revision, waiting 8+ years.
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
किसी की आठ बरस की सेवा, किसी की बारह बरस की आस,
कहीं पद खाली पड़े हैं, कहीं फ़ाइलों का निवास।
हुक्मरानों से बस इतना सवाल है हुज़ूर—
कैडर समीक्षा है या कोई उम्रकैद का दस्तूर?
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Let no one mistake patience for consent. CSS officers have served for years while promotions stagnated and the 4th Cadre Review remained pending. We hv waited. We have served. Now, the Review must move.
@pmoindia @Drjitendrasingh @doptgoi #ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
जिनके कंधों पर सरकार की फ़ाइलें चलती हैं,
उनकी अपनी तरक़्क़ी की राहें क्यों थमती हैं?
2018 से कैडर समीक्षा आठ बरस से पेंडिंग पड़ी।
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
We are not asking for the impsbl. We r asking for the overdue. Other cadre reviews reportedly conclude in less than a year on avg. CSS has waited 8+ years. If this is not differential treatment, what is?
@pmoindia @Drjitendrasingh @doptgoi #ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
8 years is a delay. 8 years w/o resolution is a failure of administration. CSS has waited long enough for its 4th Cadre Review. We ask for no privilege. We ask for the machinery of government to move.
@pmoindia @Drjitendrasingh @doptgoi #ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
A just admnstrn can't ask its offcrs to wait endlessly for what a fnctiong system should provide in time. The 4th Cadre Review has waited 8+ yrs. The answr need only be justic, fairness & timely action.
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Vacancies exist, officers are eligible, conditions are met — yet bottlenecks recur at ASO→SO, SO→US, US→DS. This can't be fixed batch-by-batch forever.
CSS has waited 8+ years. How much longer?
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
We don't seek favour for CSS — it’s that CSS isn't left behind.
When other reviews move in months and CSS waits 8+ years, it's not just delay. It's differential treatment.
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
A delay may be admnstrtv. But when it bcms prlnged, and repeated, it bcms a qustn of instutnl rspnsblty. Let the 4th CRC move forward—not as a favour to CSS, but because fair administration demands it.
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Offcrs were eligbl. Service was rendered. Yrs were completed. Responsibilities carried.
What's incomplete is the system's duty to keep the cadre structure responsive.
The 4th Cadre Review must conclude.
@pmoindia @Drjitendrasingh @doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
Cadre Review stayed pending 8+ years? What explains this differential treatment?
@pmoindia
@Drjitendrasingh
@doptgoi
#ExpediteCSSCadreReview #चिराग़तलेअंधेरा
This quoted post is unavailable.