This essay puts forward a study, conducted across four states, that brings out the challenges faced by seventeen Dalit women when availing health services in government and private medical institutions. These accounts are placed next to interrelated and essential elements of the right to health, allowing the reader to understand the different forms of medical negligence faced by these women.
The essay shows that both private and public health-care systems position Dalit women at the periphery for reasons of caste, class, and gender. The narratives cover cases where women approached medical institutions with their ailments and also situations where medical practitioners coerced them into family planning operations. The authors note that these narratives are a telling comment on the way government medical state treats Dalit women patients in contrast to non-Dalit patients. The manifestations of the negligence faced by the former group include long waiting periods, indifferent verbal responses, rude verbal responses and refusal of treatment.
The authors argue that the negligence has had consequences on other spheres of these women’s lives: economic, psychological, and personal (their identities as Dalits and women), and this make them more vulnerable to discrimination. The conclusion of the essay shows the reader medical negligence from a systemic angle, by examining the social and political positions of the medical personnel, their value systems, geographical settings and underlying power equations.