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☑️ Join for mains Previous Year Questions Questions from 1999 - 2023 Questions will be segregated Subject/topic wise ✅Prelims PYQs @UPSC_Prelims_PYQ_MCQ ✅CSAT PYQs @UPSC_CSAT_PYQ

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110 days left for Prelims 2024!

Are you lagging behind in the preparation for Prelims?

Are you someone who aspires to clear Civil Service Exam but lack self discipline and consistency?

Move ahead in the race for Prelims with our
Prelims Crash Course.

👉🏻150 hrs of High Impact Classes by our expert
faculties

👉🏻 Sharpen your skills with daily sectional tests ( 68
sectional tests + 5 full tests)

👉🏻 All India Ranking to assess your performance
👉🏻Special modules of Current Affairs
👉🏻Master CSAT Techniques and hacks
👉🏻Online/Offline available

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https://forms.gle/huSDZ3JfABf5DTp58

👉🏻 Join our Telegram channel
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Q. The increase in life expectancy in the country has led to newer health challenges in the community. What are those challenges and what steps need to be taken to meet them? (Answer in 150 words)

Life Expectancy is an estimate of the average number of additional years that a person of a given age can expect to live. According to Registrar General of India, India’s life expectancy is 69.

▪️New Health Challenges:
✅Rise in Elderly Population: The Quality of Life for Elderly Index mentions that the share of elders is expected to increase from around 7.5% in 2001 and will surpass 19.5% by 2050
✅Feminisation of Ageing in rural India.
✅ Increased requirement of Geriatric Care leading to issues in social security net and rising government budgets.
✅ Challenges with Health Insurance: Less than 1% of older adults have health insurance, and ageing-related
morbidities are a grey area in terms of coverage.
✅ Changing Disease Burden: With the number of non-communicable diseases is already outgrowing infectious diseases contributing to 60% of deaths.

▪️Steps to be taken:
✅Geriatric pharmacotherapy to be included in the Undergraduate, PG and Nursing course to understand the impact of drugs on elderly.
✅ Utilise NGO like Help age India.
✅ Provide easy access to preventive, promotive, curative and rehabilitative services to the elderly at all levels
of health care delivery system along with specialized long-term and short-term training of health professionals.

Health education programmes using mass media, folk media and other communication channels are being promoted to reach out to the target community for promoting the concept of healthy ageing, importance of physical exercise, healthy habits, and reduction of stress.

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Q. In order to enhance the prospects of social development, sound and adequate health care policies are needed particularly in the fields of geriatric and maternal health care. Discuss. (10 marks)

Social development plays a major role in enhancing the capacity of demographic dividend. It reduces stress on human capabilities and brings in human resource formation. In order to bring in social development, the healthcare system has to be revamped and developed.

▪️Importance of Maternal Health care:
✅ Cognitive and physical development of Infants.
✅ Disease to new-born children like sepsis, Meningitis.
✅ Different health risk like genetic conditions, STD, Hypertension
✅ Infant mortality Rate (
283/1000) will be checked.

▪️Importance of Health of Elderly:
✅ Half of the elderly in India suffer from chronic disease which requires lifelong medication.
✅ With age, there is a higher chance of Immunological and psychiatry disorder.
✅ The elderly population is projected to reach 19% by 2050 and 71 % of elderly lives in Rural India.

▪️Suggestions:
✅ Geriatric pharmacotherapy to be included in the Undergraduate, PG and Nursing course to understand the impact of drugs on elderly.
✅ Utilise NGO like Help age India
✅ Nutrition, wellbeing, education and sanitation programs for maternal health.
✅ The regional inequities with regard to maternal health need to be addressed through improved surveillance and monitoring systems to enable evidence-based policy making, and efficient allocation of resources.

The SDG targets under Goal 4 can’t be achieved without addressing health issues of women and elderly. So, the key to success is awareness, implementation of programs and judicious use of resources.

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‘The USA is facing an existential threat in the form of China, that is much more challenging than the erstwhile Soviet Union.’ Explain. (150 words )

It is rightly said the 21st century is Asian century, which is being led by China and this brings China in direct confrontation with the USA which is known for its hegemony since the end of the second world war.

▪️During the period of
1940-1990, there has been a direct confrontation with erstwhile Russia, but the competition with China is different in the sense:

Ideological vs Economical War: USA and USSR were locked in ideological battle China continues to be the world’s largest supplier of rare earth, used for high-technology consumer products and military equipment, accounting for roughly 90 per cent of the world’s production and a lion’s share of the United States’ imports.
Bipolar vs Multipolar world: World was Bipolar thus all the countries were forced to fall in either of the two camps, but today the world is in flux, no one knows who stands where.
Pax Americana vs Indo-pacific: The 20th century was known as US dictating relations with the countries, but today with the centrality of the Indian ocean, US is looking for a partner to check China which was not the case with confrontation with the USSR.
Restricted USSR vs Diversified China: USSR was restricted largely to Eurasia, while China is following Belt and Road initiative enveloping the countries from Eurasian region to African continent.
Military vs Currency War: USA and USSR were locked in military race, evident in stockpiling of conventional and non-conventional weapons while China does carefully manage its currency to keep the yuan at a stable and targeted value through a host of measures, chiefly through buying and selling U.S. dollar bonds and controlling the outflow of yuan from its borders.

The war between China and the USA is very different from the times of the USSR, as it is about who will rule the coming century. The coming age will be defined by technology, not by military might, which makes the case for existential threat for the USA.

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Q) Discuss the concept of 'Minimum Government, Maximum Governance' in the context of public administration and governance reforms in India. How can this principle be effectively implemented to enhance the efficiency and effectiveness of government institutions and services?
(250 words, 15 marks)

📍Answer:

"Minimum Government, Maximum Governance" is a popular slogan that
encapsulates a key principle
of public administration and governance reforms in India. It emphasises the need for a lean and efficient government that focuses on its core functions while ensuring maximum effectiveness and
responsiveness in delivering public services. To enhance the efficiency and effectiveness of government institutions and services in India, it could be implemented in the following ways:

✅Reducing Bureaucratic Red Tape: Streamlining
administrative processes, cutting down on unnecessary paperwork, and simplifying regulations can make it easier for citizens and businesses to interact with the government. Digitalization and automation of processes can play a significant role in achieving this goal.
🔰For example: CBDT’s efforts for face-to-face meetings with officials.

✅Focus on Core Functions: "Minimum Government" implies that the government should concentrate on its core functions, such as law enforcement, national security, infrastructure development, and social welfare.
🔰 For example: UP’s single window clearance, the Nivesh Mitra portal for investment

✅ Public-Private Partnerships (PPPs): Collaborations between the government and the private sector can help achieve "Maximum Governance" by harnessing the expertise and resources of both sectors especially in sectors like healthcare, education, and infrastructure development.
🔰For example: Redevelopment of Jawaharlal Nehru (JLN) Stadium, Delhi

✅Decentralization: Empowering local governments and communities can enhance governance at the grassroots level. Devolving decision-making authority and financial resources to local governments can lead to better-targeted services that address the unique needs of different regions.
🔰For example: 73rd and 74th Constitutional Amendment Acts

✅Transparency and Accountability: A key aspect of "Maximum Governance" is ensuring transparency and accountability in government operations. Regular audits and performance evaluations can also hold government institutions accountable for their actions.
🔰For example: Right to Information Act and implementing e-governance initiatives.
🔰Social Audit in MGNREGA

✅Citizen Engagement: Encouraging citizen participation and feedback mechanisms can help make
governance more responsive to the needs of the people. Platforms for public consultations, grievance
redressal mechanisms, and citizen surveys can provide valuable insights for policy formulation and service delivery.
🔰For example: MyGov: A platform for citizen Engagement towards Good Governance

✅Capacity Building: Building the capacity of government institutions and civil servants is crucial for effective governance. Training programs, professional development, and
performance-based incentives
can enhance the skills and motivation of public servants.
🔰For example: MISSION KARMAYOGI iGOT
✅Use of Technology
🔰Initiatives like digital payments, online service portals, and data analytics can streamline service delivery and reduce corruption.
🔰e-Court, My GOV platforms, Government e marketplace (GeM), etc.

The concept of "Minimum Government, Maximum Governance" is about optimizing the role of government
in India by making it more efficient, accountable, and responsive to the needs of its citizens. Effective implementation of this principle requires a combination of policy reforms, technology adoption, and a commitment to
transparency and accountability. By pursuing these strategies, India can enhance the efficiency and effectiveness of its government institutions and services, ultimately improving the quality of life for its citizens and fostering economic growth and development.

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Q. How far do you think cooperation, competition and confrontation have shaped the nature of federation in India? Cite some recent examples to validate your answer.

Federation is an agreement between two types of government sharing power and controlling their respective
spheres. Based on the relationship between central and state government, the concept of federalism is divided into Cooperative, Competitive and confrontation federalism.

▪️Cooperative Federalism: Centre and state share a horizontal relationship where they cooperate in larger interest. They Cooperate on matters specified in the schedule VII of the constitution. Examples:
✅ Readiness for GST: When both centre and state have cooperated by calling off their power of taxation in respective spheres.
✅ The success of All India service is an example of Cooperative Federalism.
✅ The composition of NITI Aayog’s Governing Council comprises Chief Ministers of states and Administrators or Lieutenant Governors of Union Territories.

▪️Competitive Federalism: The relationship between central and state government is vertical and between the State government is horizontal. Example:
✅ NITI Aayog endeavours to promote competitive federalism by facilitating improved performance of States/UTs.
✅ Performance based grant recommended by 15th Finance Commission.
✅ Holding Investor Summit like Vibrant Gujarat, Resurgent Rajasthan.

▪️Confrontational Federalism: There have been instances where the Centre exercised unreasonable control or interfered with the affairs of the states, or the State is in direct conflict with the law passed by the Centre. Example:
✅ Politicisation of the post of Governor: Declaration of President rule recently in Maharashtra, Arunachal Pradesh and Uttarakhand.
✅ State passed a resolution against Farm law and approached the Supreme court against the Citizenship amendment act.
✅ Centre denied to compensate the state in case of drop in GST Collection, which is breaches of trust.

The legal framework in the Constitution of India and its exercise by the central and state governments indicates that while cooperative federalism has not been realised completely, it is not a myth either. State governments must be incentivised to cooperate and be involved in policy-making, governance and dispute-resolution to achieve amicable outcomes.

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