How India Led the Way Toward a Human-Centered Future | Opinion

“Vasudhaiva Kutumbakam.” These two words capture a deep philosophy. They mean, “The world is one family.” It’s an all-embracing outlook that encourages us to progress as one universal family, transcending borders, languages, and ideologies.

During India’s G20 Presidency, this has translated into a call for human-centric progress. As One Earth, we are coming together to nurture our planet. As One Family, we support each other in the pursuit of growth. And we move together towards a shared future—One Future—which is an undeniable truth in these interconnected times.

The post-pandemic world order is very different from the world that came before it. There have been three important changes, among others. First, there is a growing realization that we need a shift away from a GDP-centric view of the world to a human-centric one. Second, the world is recognizing the importance of resilience and reliability in global supply chains. Third, there has been a collective call for boosting multilateralism through the reform of global institutions.

Our G20 Presidency has played the role of catalyst in all three of these shifts.

In December 2022, when we took over the Presidency from Indonesia, I had written that the G20 must catalyze a mindset shift. This was especially necessary in the context of mainstreaming the marginalized aspirations of developing countries, the Global South, and Africa.

The Voice of Global South Summit in January 2023, which witnessed participation from 125 countries, was one of the foremost initiatives under our Presidency. It was an important exercize to gather input and ideas from the Global South. Furthermore, our Presidency has not only seen the largest-ever participation from African countries but has also pushed for the inclusion of the African Union as a permanent member of the G20.

An interconnected world means our challenges across domains are interlinked. This is the midway year of the 2030 Agenda, and many are noting with great concern that the progress on Sustainable Development Goals (SDGs) is off track. The G20 2023 Action Plan on Accelerating Progress on SDGs will spearhead the future direction of the G20 towards implementing SDGs.

In India, living in harmony with nature has been a norm since ancient times, and we have been contributing our share toward climate action even in modern times. Many countries of the Global South are at various stages of development, and climate action must be a complementary pursuit. Ambitions for climate action must be matched with actions on climate finance and transfer of technology.

We believe there is a need to move away from a purely restrictive attitude of what should not be done to a more constructive attitude focusing on what can be done to fight climate change. The Chennai High-Level Principles for a Sustainable and Resilient Blue Economy focus on keeping our oceans healthy. A global ecosystem for clean and green hydrogen will emerge from our presidency, along with a Green Hydrogen Innovation Centre. In 2015, we launched the International Solar Alliance. Now, through the Global Biofuels Alliance, we will support the world to enable energy transitions in tune with the benefits of a circular economy.

Democratizing climate action is the best way to impart momentum to the movement. Just as individuals make daily decisions based on their long-term health, they can make lifestyle decisions based on the impact on the planet’s long-term health. Just as Yoga became a global mass movement for wellness, we have also nudged the world with Lifestyles for Sustainable Environment (LiFE).

Due to the impact of climate change, ensuring food and nutritional security will also be crucial. Millets, or Shree Anna, can help with this while also boosting climate-smart agriculture. In the International Year of Millets, we have taken millets to global palates. The Deccan High Level Principles on Food Security and Nutrition is also helping in this direction.

Technology is transformative, but it also needs to be made inclusive. In the past, the benefits of technological advancements have not benefited all sections of society equally. India over the last few years has shown how technology can be leveraged to narrow inequalities, rather than widen them.

For example, the billions across the world who remain unbanked or lack digital identities can be financially included through digital public infrastructure (DPI). The solutions we have built using our DPI have now been recognized globally. Now, through the G20, we will help developing countries adapt, build, and scale DPI to unlock the power of inclusive growth.

That India is the fastest-growing large economy is no accident. Our simple, scalable and sustainable solutions have empowered the vulnerable and the marginalized to lead our development story.

From space to sports, economy to entrepreneurship, Indian women have taken the lead in various sectors. They have shifted the narrative from the development of women to women-led development. Our G20 Presidency is working on bridging the gender digital divide, reducing labour force participation gaps and enabling a larger role for women in leadership and decision-making.

For India, the G20 Presidency is not merely a high-level diplomatic endeavor. As the Mother of Democracy and a model of diversity, we opened the doors of this experience to the world.

Today, accomplishing things at scale is a quality that is associated with India. The G20 Presidency is no exception. It has become a people-driven movement. Over 200 meetings will have been organised in 60 Indian cities across the length and breadth of our nation, hosting nearly 100,000 delegates from 125 countries by the end of our term. No Presidency has ever encompassed such a vast and diverse geographical expanse.

It is one thing to hear about India’s demography, democracy, diversity and development from someone else. It is totally different to experience them first-hand. I am sure our G20 delegates would vouch for this.

Our G20 Presidency strives to bridge divides, dismantle barriers, and sow seeds of collaboration that nourish a world where unity prevails over discord, where shared destiny eclipses isolation. As the G20 President, we had pledged to make the global table larger, ensuring that every voice is heard and every country contributes. I am positive that we have matched our pledge with actions and outcomes.

Under India’s Leadership, G20 Can Help Solve Global Healthcare Crisis

Dr. Joseph M. Chalil, MD, MBA, FACHE

According to a new study published in the Lancet, an estimated 6.4 million physicians are needed to meet global universal health coverage (UHC) goals. America is also experiencing a significant physician shortage, and it’s only expected to get worse, a concerning situation that could lead to poorer health outcomes for many patients. Data published in 2020 by the Association of American Medical Colleges estimates that the US could see a shortage of 54,100 to 139,000 physicians by 2033.

Europe is not in any better spot. More than three years into the pandemic that decimated personnel, healthcare managers and governments are scrambling to cobble together a semblance of a workforce in European countries. Europe’s healthcare worker shortfall—around 2 million—is acutely felt across the Continent.

In Greece, first responders sound the alarm over longer emergency response times due to a shortage of personnel. England lacks tens of thousands of nurses, reporting a record number of vacancies. Nurses top the list of all occupations experiencing shortages in Finland. Maternity wards in Portugal are struggling to stay open due to a lack of doctors. Some 50,000 healthcare workers in Europe have died due to Covid-19, and health worker absences in the European Region increased by 62% during the first wave of the pandemic in 2020, according to WHO.

The pandemic also took a severe toll on the workers’ mental health. In some countries, over 80% of nurses reported psychological distress caused by the pandemic, and 9 out of 10 nurses planned to quit their jobs.

G20, under the leadership of India and Prime Minister Narendra Modi, could offer bold solutions to this impending global healthcare crisis. While the recommendations to establish a G20 Health Preparedness Taskforce are excellent, addressing the global health workforce shortage must be a key priority in national development agendas. India can help solve the expected global physician shortage in G20 nations by investing in healthcare infrastructure and training programs. This could involve increasing funding for medical schools and postgraduate programs and improving the quality of medical education.

Additionally, India can help by expanding its role in providing medical services to underserved populations in G20 countries. This could include establishing telemedicine programs, allowing Indian doctors to provide medical care remotely. India can also work with governments in G20 nations to develop more streamlined pathways for Indian doctors to practice in those countries. Finally, India could use its public health and health systems expertise to help G20 countries develop and implement effective healthcare policies.

Here are the practical steps that G20 may take under Indian leadership:

  1. STRENGTHEN THE MEDICAL EDUCATION FRAMEWORK

Setting up common minimum standards in the medical education of physicians, nurses, health administrators, and other allied healthcare workers among G20 nations could create a G20 medical corps that can be mobilized in the invent of emergencies due to pandemics, war, or other natural calamities. Promoting private-public partnerships and investing in new international medical schools should also be considered. We have examples of Indian universities like Manipal offering American equivalent medical education from Antigua. We also have several thousand Indian students currently completing medical education in European countries. Let G20 help execute formal agreements between G20 governments and India that define the conditions and requirements for Indian doctors to practice in those countries.

Revamping the existing guidelines for setting up medical schools and teaching methods as per future methodologies will require significant investment in e-learning tools, including remote learning, virtual classrooms, etc.

Indian medical education system is evolving and striving to reach international standards. Setting up new international medical colleges in addition to current colleges training MBBS and PG students may be considered initially. There are examples of parallel pathways in primary and secondary education in India currently offered via State syllabus in addition to ICSE or CBSE schools.

  1. STANDARDIZING GLOBAL MEDICAL LICENSING SYSTEMS AND VISA REQUIREMENTS

Developing an online database and platform that lists the qualifications and experience of Indian doctors interested in pursuing opportunities in G20 countries would be a good start. In addition, let us work with G20 nations to create more flexible visa and work permit requirements for Indian doctors.

Furthermore, establishing a mutual recognition agreement between G20 countries and India would enable Indian doctors to practice in those countries without additional licensing exams and create standard international medical licensing guidelines. Working with G20 governments to develop and implement standardized, streamlined credentialing and licensing processes for Indian doctors and the reciprocity of national medical licenses and international clinical rotations for medical students among G20 countries should also be considered.

Facilitating and supporting the mobility of Indian doctors within the G20 countries should be promoted. We will also need to create more opportunities for G20 nations and India to collaborate on research and development initiatives.

  1. HARNESSING TECHNOLOGY

The healthcare industry is fast-tracking the use of e-health and e-learning techniques, AI, VR simulation, and the internet of things to train, upskill and empower health workers. Telemedicine and remote patient monitoring should be encouraged among and within G20 nations involving the G20 Medical Corps, as mentioned above. The scaling-up is rapid, based on big data and analytics. These emerging technologies will also generate more demand for new skills, increasing the potential to employ more in digital healthcare delivery. Let G20 leadership help develop programs that allow G20 countries to benefit from the expertise of Indian doctors through telemedicine and other remote care services.

  1. REBALANCING HEALTHCARE TASKS AND MANUFACTURING

As per an OECD global survey, 79% of nurses and 76% of doctors were found to be performing tasks for which they were over-qualified. Given the worldwide evidence of the poor distribution of skills, we must rationally re-organize our workforce for effective management of high-burden diseases, particularly NCDs, which are responsible for 71% of the global mortality and, unless addressed, could cost the world $30 trillion by 2030. G20 nations should also increase manufacturing and procurement of essential medical supplies domestically. Depending on China for most of your medical supplies has exposed the vulnerabilities of G20 healthcare systems during the Covid-19 Pandemic.

  1. BRIDGING LANGUAGE BARRIER AMONG HEALTHCARE WORKERS

The newly proposed international medical and nursing students should be encouraged to be fluent in at least one or two foreign languages, which will help them bridge the language divide. For instance, several countries have similar course curriculums for nursing; however, cultural aspects sometimes need fixing. For example, Sweden and India have identical nursing curricula, and there is great potential to encourage the exchange of nurses. Still, the potential for exchange is restricted due to linguistic barriers. However, this can be easily overcome, and more conducive arrangements can be implemented to facilitate the exchange of healthcare workers.

  1. CREATING A SUSTAINABLE AND GENDER-BALANCED WORKFORCE

Evidence points towards gender imbalance and disparities in health employment and the medical education system. According to the WHO, globally, only 30% of doctors are females, and more than 70% of nurses are females. A similar trend is seen in India, where most nursing workforce comprises women, but only 16.8% of allopathic doctors are females. As per ILO data, gender wage gaps are also a cause for concern. Therefore, we need proactive steps to create a balanced healthcare workforce that addresses the issue of gender inequity and ensures equal pay for work of equal value, a favorable working environment, and targets investments towards training the female workforce.

G20 member states under India’s leadership must increase the in-built flexibility of their health systems, showing the capacity to guarantee everyday quality healthcare for all citizens, refugees, and displaced populations. Significant investment in the future of healthcare of G20 nations is the need of this hour. The abundance of young Indian talents could help the world to minimize the expected healthcare human resource shortfall with proper training and investment. G20 countries represent two-thirds of the world’s population and four-fifths of the global gross domestic product but also a significant proportion of people left behind socially, economically, and in terms of health. Let India propose bold steps and offer solutions in healthcare to secure the future of the G20 nations.

(This story was published in The Sunday Guardian on February 11, 2023)

(Prof (Dr) Joseph M. Chalil, MD, MBA, FACHE, is an Adjunct Professor & Chair of the Complex Health Systems advisory board at Nova Southeastern University’s School of Business, Chief Strategic Officer of the American Association of Physicians of Indian Origin (AAPI), and the publisher of The Universal News Network. He recently published a best-seller book, “Beyond the Covid-19 Pandemic: Envisioning a Better World by Transforming the Future of Healthcare”.)

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