UK report places India 67th in Quality of Death Index, says despite economic growth it ranks low in health care

By A Representative
A new report by the Economist Intelligence Unit (EIU), United Kingdom, has ranked India on 67th position in the Quality of Death Index (QDI) of 80 countries it has selected. The index is meant to measure how well do governments across the world work to improve life for their citizens so that they “die well”, insisting, economic growth alone cannot improve health facilities for the aged.
A measure of quality of palliative care available to adults, QDI seeks to analyse the approaches taken to “improve the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual”.
While India can console itself that China is placed worse, 71st, in QDI ranking, and Bangladesh on the 79th, the countries that do much better than India include Mongolia (28th), Argentina (32nd), South Africa (34th), Brazil (42nd), Mexico (43rd), Venezuela (45th), Russia (48th), Indonesia (53rd), Vietnam (58th), Kenya (63rd), and Sri Lanka (65th).
As expected, the developed countries better do best with United Kingdom topping, followed by Australia, New Zealand, Ireland, Belgium, Taiwan, Germany, Netherlands and the United States.
The report states, “While the European, Asia-Pacific and North American countries in the top of the index benefit from relatively high levels of government support, several less wealthy countries with less well developed healthcare systems stand out. These include Chile, Mongolia, Costa Rica and Lithuania, which appear in the top 30, at positions 27, 28, 29 and 30 respectively.”
Providing different categories which make up QDI, the report ranks India 51st in palliative and healthcare environment, saying, “India, which was at the bottom of the list in the 2010 Index, is at a slightly higher position in 2015—at 51—reflecting a stronger indication of government commitment.”
Then, India ranks 67th in the human resources category, 74th – one of the worst – in affordability of care category, 59th in the quality of care category, and 45th in community arrangement.
The report praises Mongolia in following words: “Mongolia is an impressive case. The driving force behind the increase in palliative care in the country is Odontuya Davaasuren, a doctor who is helping to build a national palliative care programme, pushing to change prescription regulations to make generic opioids available, training palliative care specialists, and working to include education on palliative care in the curricula for doctors, nurses and social workers.”
“By contrast”, the report states, “Some countries that might be expected to perform more strongly, given their rapid recent economic growth, rank at low positions in the index. India and China perform poorly overall, at positions 67 and 71 in the index. In the light of the size of their populations, this is worrying.”
The report adds, “While the budget allocation for India’s 2012 National Program for Palliative Care was withdrawn, elements of the strategy remains in place and, as a result, some teaching programmes are emerging across the country. Moreover, recent legislative changes have made it easier for doctors to prescribe morphine in India.”
Further, the report places India in the 60th position in the capacity to deliver palliative care, saying, “India has a shortage of specialised care professionals and accreditation for palliative care is not yet the norm.”
The report comments, “In India, the passing in 2014 of the Narcotic Drugs and Psychotropic Substances (Amendment) Act by parliament brings legal clarity for physicians wanting to prescribe opioids to their patients.”
It adds, “While work remains to be done to train doctors and nurses, the passing of the bill represents a major step forward for India, which was criticised in a 2009 Human Rights Watch report for failing to facilitate provision of opioid painkillers to its citizens (an issue also highlighted in the report accompanying the 2010 EIU QDI).”

Comments

Was Netaji forced to alter face, die in obscurity in USSR in 1975? Was he so meek?

By Rajiv Shah This should sound almost hilarious. Not only did Subhas Chandra Bose not die in a plane crash in Taipei, nor was he the mysterious Gumnami Baba who reportedly passed away on 16 September 1985 in Ayodhya, but we are now told that he actually died in 1975—date unknown—“in oblivion” somewhere in the former Soviet Union. Which city? Moscow? No one seems to know.

Swami Vivekananda's views on caste and sexuality were 'painfully' regressive

By Bhaskar Sur* Swami Vivekananda now belongs more to the modern Hindu mythology than reality. It makes a daunting job to discover the real human being who knew unemployment, humiliation of losing a teaching job for 'incompetence', longed in vain for the bliss of a happy conjugal life only to suffer the consequent frustration.

Love letters in a lifelong war: Babusha Kohli’s resistance in verse

By Ravi Ranjan* “War does not determine who is right—only who is left.” Bertrand Russell’s words echo hauntingly in our times, and few contemporary Hindi poets embody this truth as profoundly as Babusha Kohli. Emerging from Jabalpur, Madhya Pradesh, Kohli has carved a unique space in literature by weaving together tenderness, protest, and philosophy across poetry, prose, and cinema. Her work is not merely artistic expression—it is resistance, refuge, and a call for peace.

Buddhist shrines were 'massively destroyed' by Brahmanical rulers: Historian DN Jha

Nalanda mahavihara By Rajiv Shah Prominent historian DN Jha, an expert in India's ancient and medieval past, in his new book , "Against the Grain: Notes on Identity, Intolerance and History", in a sharp critique of "Hindutva ideologues", who look at the ancient period of Indian history as "a golden age marked by social harmony, devoid of any religious violence", has said, "Demolition and desecration of rival religious establishments, and the appropriation of their idols, was not uncommon in India before the advent of Islam".

Asbestos contamination in children’s products highlights global oversight gaps

By A Representative A commentary published by the International Ban Asbestos Secretariat (IBAS) has drawn attention to the challenges governments face in responding effectively to global public-health risks. In an article written by Laurie Kazan-Allen and published on March 5, 2026, the author examines how the discovery of asbestos contamination in children’s play products has raised questions about regulatory oversight and international product safety. The article opens by reflecting on lessons from the COVID-19 pandemic, noting that governments in several countries were slow to respond to early warning signs of the crisis. Referring to the experience of the United Kingdom, the author writes that delays in implementing protective measures contributed to “232,112 recorded deaths and over a million people suffering from long Covid.” The commentary uses this example to illustrate what it describes as the dangers of underestimating emerging threats. Attention then turns...

India’s green energy push faces talent crunch amidst record growth at 16% CAGR

By Jag Jivan* A new study by a top consulting firm has found that India’s cleantech sector is entering a decisive growth phase, with strong policy backing, record capacity additions and surging investor interest, but facing mounting pressure on talent supply and rising compensation costs .

The kitchen as prison: A feminist elegy for domestic slavery

By Garima Srivastava* Kumar Ambuj stands as one of the most incisive voices in contemporary Hindi poetry. His work, stripped of ornamentation, speaks directly to the lived realities of India’s marginalized—women, the rural poor, and those crushed under invisible forms of violence. His celebrated poem “Women Who Cook” (Khānā Banātī Striyāṃ) is not merely about food preparation; it is a searing indictment of patriarchal domestic structures that reduce women’s existence to endless, unpaid labour.

The price of silence: Why Modi won’t follow Shastri, appeal for sacrifice

By Arundhati Dhuru, Sandeep Pandey* In 1965, as India grappled with war and a crippling food crisis, Prime Minister Lal Bahadur Shastri faced a United States that used wheat shipments under the PL-480 agreement as a lever to dictate Indian foreign policy. Shastri’s response remains legendary: he appealed to the nation to skip one meal a day. Millions of middle-class households complied, choosing temporary hunger over the sacrifice of national dignity. Today, India faces a modern equivalent in the energy sector, yet the leadership’s response stands in stark contrast to that era of self-reliance.

Beyond sattvik: Purity, caste and the politics of the Indian kitchen

By Rajiv Shah A few week ago, I was forwarded an article that appeared in the British weekly The Economist . Titled “Caste and cuisine: From honeycomb curry to blood fry: India’s ‘untouchable’ cooking”, it took me back to what I had blogged about what was called a “ sattvik food festival”, an annual event organised by former Indian Institute of Management-Ahmedabad professor Anil Gupta.

Search This Blog