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UDF Unveils Health Reforms; LDF Criticises as Reinventing Existing Model in Kerala

UDF's Health Commission report proposes multi-speciality units and She Hospitals; LDF minister calls it redundant, chairman Dr SS Lal accuses misreading.

A sharp political exchange has erupted in Kerala over the United Democratic Front's (UDF) Health Commission report, unveiled by Leader of Opposition V.D. Satheesan in Kozhikode on February 12, 2026. The report, titled “Assessment of Kerala’s Public Health System and a Roadmap for Reforms,” critiques the ruling Left Democratic Front (LDF) government's handling of the health sector, highlighting issues like structural strain, staff shortages, weak coordination, and high out-of-pocket expenses despite the state's strong overall health indicators. It proposes sweeping changes, including multi-speciality facilities in every district, tribal health clusters, coastal care units, dedicated "She Hospitals" for women, enhanced ambulance services, universal health coverage improvements, and a revamped financing model to reduce financial burdens on citizens.

The controversy intensified when the state Health Minister criticized the UDF's proposals, accusing the opposition of attempting to "reinvent Kerala's health model" without crediting ongoing reforms under the LDF administration. The minister argued that the report overlooked significant advancements in public healthcare and appeared politically motivated ahead of the Assembly elections. This prompted a strong rebuttal from Dr. S.S. Lal, chairman of the UDF-appointed Health Commission and a renowned public health expert, who accused the minister of commenting without fully reading the document. Dr. Lal clarified misconceptions, particularly around "She Hospitals," emphasizing they complement rather than duplicate existing infrastructure, and stressed that healthcare policy should rise above partisan lines for the benefit of the people.

The UDF's report stems from a commission established in June 2025 to examine challenges in the sector during the Pinarayi Vijayan-led governments' tenure. It positions health as a core electoral plank for the UDF, promising priorities like "Health First," 24-hour trauma care in secondary hospitals, digital integration of facilities, strengthened primary health centers, and initiatives for vulnerable groups including the elderly, disabled, and transgender communities. Satheesan described the current system as overstretched and drifting, vowing to implement the recommendations if the front returns to power, including addressing gaps in schemes like Medisep and adopting a "One Health" approach for outbreak management.

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This war of words reflects broader pre-election tensions in Kerala, where the LDF and UDF are positioning contrasting visions for public services amid anti-incumbency sentiments and fragmented opposition dynamics. The UDF's blueprint aims to build on Kerala's legacy as a health model state while tackling persistent issues like high out-of-pocket spending, which the report notes remains elevated compared to national recommendations. The exchange has drawn attention to the need for constructive dialogue on healthcare reforms, with both sides claiming commitment to universal access and quality care.

As the debate unfolds, it underscores the politicization of health policy in the run-up to elections, with stakeholders urging focus on evidence-based solutions rather than rhetoric. The report's emphasis on long-term structural fixes could influence public discourse, highlighting Kerala's challenge to sustain its acclaimed health achievements in the face of evolving demographic and economic pressures.

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