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Financial burden of coronary artery bypass grafting in India: implications for catastrophic health expenditure and healthcare access

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Abstract

Cardiovascular diseases (CVD) have become a leading cause of mortality in India. High costs of coronary artery bypass grafting (CABG) impose a financial burden in patients often resulting in catastrophic health expenditure (CHE). CHE and distressed financing have significant microeconomic and macroeconomic implications. CHE depletes savings, forces asset disposal, and perpetuates poverty. At a macroeconomic level, the burden of CVD impacts gross domestic product, economic productivity, healthcare budgets, and social welfare. Addressing these challenges requires a multifaceted approach. Prioritizing accessible and affordable healthcare systems with robust financial risk protection is essential. Widespread adoption of health insurance, including government-sponsored schemes, can provide financial protection. Expanding public healthcare infrastructure, implementing price regulations, promoting generic medicines, and encouraging preventive measures for coronary artery disease (CAD) are crucial steps to reduce the burden of CABG costs and improve healthcare access.

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Authors and Affiliations

  1. Indus Valley World School, 488, Ajoy Nagar EM Bypass, Kolkata, West Bengal, 700094, India

    Ishir Narayan

  2. Mission San Jose High School, 41717 Palm Avenue, Fremont, CA, 94539, USA

    Ryka C Chopra

  3. Peerless Hospital and B.K. Roy Research Centre, 360, Pancha Sayar Rd, Kolkata, West Bengal, 700094, India

    Sivasis Sarkar & Suma Chakrabarthi

Authors
  1. Ishir Narayan
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  2. Ryka C Chopra
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  3. Sivasis Sarkar
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  4. Suma Chakrabarthi
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Correspondence to Suma Chakrabarthi.

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Narayan, I., Chopra, R.C., Sarkar, S. et al. Financial burden of coronary artery bypass grafting in India: implications for catastrophic health expenditure and healthcare access. Indian J Thorac Cardiovasc Surg 40, 78–82 (2024). https://doi.org/10.1007/s12055-023-01612-6

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  • DOI: https://doi.org/10.1007/s12055-023-01612-6

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