This is with reference to the article ''Cracking the
Kerala Myth'' by Arvind Panagariya, that appeared
in Times
of India, dated 2nd January 2012. It may suit
the political convictions of the Columbia Professor
to criticise Kerala's development experience from
his free-market perspective; he is also free to argue
that Kerala's is not a ''state-led success'' and that
its ''left-of-centre governments'' did not contribute
to its success. However, while doing so, one expects
a modicum of rigour in argument. Sadly, Panagariya's
piece falls flat, both in its historical grasp and
statistical rigour.
First, Kerala's high level of inequality in consumption
expenditure, in absolute terms, is used by Panagariya
to argue that the source of poverty decline was income
growth, and not equitable development. He claims this
to be true right from 1973-74. Panagariya is wrong.
A simple plot of poverty data would have revealed
to him that the sharpest fall of poverty in Kerala
occurred from the early-1980s onwards. The most remarkable
aspect of this poverty decline was that inequality
levels also declined alongside. Thus, between 1983
and 1993-94, head count ratio (HCR) of poverty in
rural Kerala fell from 39.6 per cent to 25.4 per cent.
During the same period, the gini ratio, used to measure
inequality, also fell from 0.32 to 0.30. The association
holds for urban areas also, where, the gini ratio
fell even sharply from 0.39 in 1983 to 0.34 in 1993-94
(in urban India as a whole, the gini ratio had risen
between 1983 and 1993-94).
After 1993-94, poverty levels have continued to fall,
while gini ratios have risen. Thus, between 1973-74
and 2004-05, there are two phases: Phase 1, where
poverty and inequality fell together; and Phase 2,
where poverty fell and inequality rose. Such contradictory
outcomes do not allow the kind of generalisation that
Panagariya attempts.
Panagariya also misses the point that till the late-1980s,
Kerala's economy was not on any growth path at all.
Scholars describe the period between the early-1970s
and the late-1980s as a period of ''economic stagnation''
in the State (the real NSDP grew at just 1.6 per cent
per annum). It was only after 1987-88 that NSDP growth
rates in Kerala begin to pick up, while poverty rates
had begun to fall from the early-1980s itself.
Secondly, Panagariya makes the usual mistake that
uninformed commentators on Kerala make. He argues
that Kerala's social indicators are good because ''it
started at the highest level at independence''. It
is here that Panagariya stretches the science of statistics
beyond imagination. He says: ''In 1951, it had a literacy
rate of 47% compared with 18% for India as a whole
and 28% for Maharashtra, the closest rival among the
large states. By 2011, these rates had risen to 94,
74 and 83%, respectively. The gains made, thus, equal
47, 56 and 55 percentage points for Kerala, India
and Maharashtra, respectively.''
This use of statistics by Panagariya would shock even
a Class 10 student of statistics. In his argument,
if Kerala has to be considered as success, the absolute
difference between the literacy rates of Kerala and
India/Maharashtra should either increase or at least
remain constant! Thus, Kerala should have had a literacy
rate of at least 102 per cent in 2011 for Panagariya
to call it a ''success story''!
Similar is Panagariya's use of statistics in the case
of Infant Mortality Rate (IMR). In trying to argue
that Gujarat achieved more in IMR than Kerala, he
says: ''whereas Kerala lowered its infant mortality
rate by 46 deaths per 1,000 live births between 1971
and 2009, Gujarat achieved a reduction of 96, Tamil
Nadu of 85 and Maharashtra of 74.'' In 1971, Kerala's
IMR was 61 per 1000 live births. To be on par with
Gujarat in 2009, Kerala should have had an IMR of
-35!
Columbia's statistics department can rejoice; in their
university, the very basic principles of statistics
are being rewritten! It is often said that there are
two kinds of statistics, the kind you look up, and
the kind you make up. No prizes in guessing where
Panagariya's statistics belongs.
But apart from statistical gaffes, Panagariya's article
also misses important historical features of Kerala's
development experience. One, it is important to appreciate
that all social sector achievements of Kerala precede
the late-1980s, when the State's per capita income
began to grow rapidly. Two, it is not enough to say
that Kerala had higher literacy rates than other States
in 1957. Here, absolute levels of literacy rates assume
great significance. See Table 1 below.
The Kerala of 1956 was formed by merging the three
provinces of Travancore, Cochin and Malabar. Malabar
was certainly the most backward among the three. In
1951, the total literacy rate in Malabar was only
31 per cent, while it was only 22 per cent among women
(Table 1). Among Dalit women in Kerala as a whole
(data for Malabar alone are not available for Dalits),
the literacy rate was only 17 per cent in 1961. It
was after the implementation of land reform and a
sharp rise in public investment in school education
that literacy rates expanded among Dalits, especially
Dalit women. The same holds true for Adivasi women
also.
Table
1 Literacy rates, Malabar and Kerala, caste-wise,
in per cent |
Item |
Year |
Literacy
rate (%)
|
|
0 |
All
persons
|
Male
|
Female |
Malabar,
all castes, Census of India |
1911 |
11.1 |
19.0 |
3.5 |
1951 |
31.3 |
41.3 |
21.7 |
1991 |
74.2 |
77.8 |
70.8 |
Kerala,
Dalits, Census of India |
1961 |
- |
31.6 |
17.4 |
1991 |
- |
85.2 |
74.3 |
Source: Census of
India, various issues; Ramachandran (1996).
|
Take the case of IMR. In the early-1950s,
the IMR in Kerala was 120, while that in India was
140; in other words, they were largely comparable.
Similarly, as an average for 1921-30, the life expectancy
of birth in Kerala (the composite state) was 30 years
for men and 33 years for women. The corresponding
figures for India as a whole were 27 and 26 years
respectively. Do these figures indicate that Kerala
was far ahead of India in the social sector at the
time of independence itself? Not at all. While specific
inspiring periods of progressive social policy in
the 19th and early-20th century cannot be underestimated,
Kerala leaped ahead of other Indian States only after
1957.
These facts cannot be hidden by simply stating that
Kerala ''started at the highest level at independence'',
as Panagariya does.
Thirdly, Panagariya rejects the role of ''successful
public sector interventions in education and health
as the source of sustained high levels of education
and health in Kerala''. One, about 53 per cent of children
in Kerala between ages 7 and 16 study in ''private
schools''. Two, he says that public expenditure on
health in Kerala is barely 1 per cent of its GSDP.
Three, private expenditure on health care far exceeds
public expenditure on health care. From these three
points, Panagaraiya argues that ''the conventional
and dominant story of Kerala as a state-led success
crumbles in the face of hard facts.'' One only wishes
that Panagariya was less economical with facts and
figures in his argument.
Let us take education first. Public expenditure on
education has risen consistently in real terms in
Kerala over the last six decades. As long ago as 1960-61,
total government expenditure on education in Kerala
was 3.7 per cent of GSDP. Starting at close to 4 per
cent of GSDP in the early 1960s, public expenditure
on education rose to a peak of 6.5 per cent in 1986-87,
and has fluctuated between 5.5 and 6.5 per cent since
then, along a marginally declining trend (recent data
on public expenditure are biased downwards by the
fact that there is no reliable data on how much the
panchayats spend on education).
Most remarkably, about 96 per cent of all schools
in Kerala are funded by the state. Panagariya's generalised
argument about ''private schools'' in Kerala arises
from a lack of knowledge of the way school system
is organised in the State. The Government of Kerala
funds two types of schools. The first are schools
established, owned and run solely by the State government.
Together, they constitute around 36 per cent of all
schools in Kerala. The second type is ''aided'' schools,
which are owned and managed by private agencies. Here,
the government meets the major component of their
annual expenditure, namely, salaries. Aided schools
also receive grants-in-aid from the State government
for buildings and establishment, teaching and instructional
material (including libraries and laboratories), and
recreational facilities. This category covers 60 per
cent of schools in the State and predominates at all
levels of schooling. The last category, fully private
schools, covers only about 4 per cent of all schools
in the State.
It should then not be surprising that a large share
of children study in the government-aided schools.
Panagariya's attempt is to portray government-aided
schools also as private schools, and try to prove
that the government does not have any role in their
functioning. That is, at best, disingenuous.
Indeed, aided schools have been an integral part of
the path in which Kerala's educational system has
evolved over a period. It is a legacy of the important
role that social and religious movements played in
Kerala's educational history. Before 1957, a large
share of these schools were owned and managed by educationally
privileged communities like Nairs and Christians;
thus, socially backward communities were largely under-represented
in the educational system.
The educational policy of the Communist government
in 1957 tried to change the educational system in
two ways: one, by expanding the public school system
by opening new government schools; and two, by trying
to socially regulate the activities of private schools.
While there was much success on the first count, the
second has had a roller-coaster ride given the strong
resistance put up by the privileged communities and
their organisations. The present classification of
schools into government/aided/private is an outcome,
however imbalanced, of this roller-coaster political
ride over more than 50 years. Even today, there is
much in the aided school sector that can be termed
''exploitative'', and there has to be additional social
regulation of their activities. Yet, the larger point
to note is that the partially-successful effort to
socially regulate private schools in Kerala has ameliorated
much of the damaging consequences of unfettered privatisation
of schools.
Let us now take the health sector. There is no question
that the foundations of Kerala's phenomenal achievements
in health were laid by its wide network of public
health system. Panagariya chides Kerala's public expenditure
on health at 1 per cent of GSDP, even while it was
the highest for any State in India. Even as he does
not use any benchmark to judge Kerala expenditure
standards, he ignores one of the important points
argued
out by Amartya Sen on whether public spending
on education and health can be ''afforded'' by poor
countries:
''The viability of this ''support-led'' process is dependent
on the fact that the relevant social services (such
as health care and basic education) are very labour
intensive, and thus are relatively inexpensive in
poor - and low-wage - economies. A poor economy may
have less money to spend on health care and education,
but it also needs less money to spend to provide the
same services, which would cost much more in the richer
countries. Relative prices and costs are important
parameters in determining what a country can afford.''
Even as its public expenditure was 1 per cent of its
GSDP, Kerala was able to significantly expand its
public health network by the 1970s itself. The commitment
of public expenditures helped Kerala to expand health
services and facilities equally among the rural and
urban areas. Thus, by the late-1980s itself, about
70 percent of all hospitals and dispensaries as well
as about 52 per cent of all hospital beds were located
in rural areas. Kerala was the only State where the
share of hospital beds in the rural areas was above
50 per cent. Such a phenomenal expansion of health
care and services into rural areas would have been
unthinkable without adequate public expenditure. Panagariya's
article is ignorant or dismissive about this basic
fact.
The higher share of population in Kerala choosing
private hospitals over public hospitals is a more
recent trend and is indeed worrisome. However, even
here, the argument is hopelessly out of context in
Panagariya's article.
It need not be surprising that in any society where
public health has historically focussed more on basic/primary
health services, more people will chose the private
sector for secondary and tertiary health care. Kerala's
example is no different. Thus, in the initial phases
of public health expansion in the State, there was
no significant difference between the growth of private
and public expenditures. Between 1961-62 and 1973-74,
while per capita health expenditure of the government
grew by 1.4 per cent, per capita health expenditure
of the private sector grew by 1.9 per cent. However,
it was after the mid-1970s that the differential begins
to rise sharply. Between 1974-75 and 1986-87, while
per capita health expenditure of the government grew
by 2.5 per cent, per capita health expenditure of
the private sector grew by 4.9 per cent. This differential
has further increased in the more recent years, which
is what has excited Panagariya.
Why has this happened? One, beginning from the mid-1970s,
Kerala witnessed a sharp rise in disposable incomes,
thanks to the remittances from the rising share of
workers migrating to the middle-east. This put more
money, on an average, in the hands of people who chose
private hospitals over public hospitals. Two, the
sharp fiscal crisis of the state from the 1980s onwards
pre-empted any further expansion of public investment
into the secondary and tertiary sectors. Even at the
primary level, conditions worsened in the absence
of fresh investment. With more disposable incomes
and no public hospitals to meet the rising demands,
the private sector came in quickly to fill the gap.
That is why private health expenditures exceed public
health expenditures, as a share of GSDP, in Kerala
today.
In fact, what Panagariya posits as a positive feature
– the expansion of private health care – is what is
precisely wrong with Kerala's health care system today.
Every study on the health sector in Kerala would tell
us that out-of-pocket health spending of people in
Kerala has risen sharply in the last two decades.
This demands a quick expansion of public expenditure
into the secondary and tertiary sectors of health
care. What constrains the state's capacity to do so
is a direct fallout of the post-1991 economic reform
process, which Panagariya and his like enthusiastically
support: fiscal austerity. The insistence on fiscal
austerity at the central level has shrunk the finances
available with States. Thus, funds allocated for the
payment of salaries of health care staff and purchase
of drugs have been forced to be cut, leading to a
deterioration of the overall quality of public health
services. It is funny now to see the same neo-liberals,
who encouraged a cut in public expenditures, turn
around and blame the public sector for poor quality
services!
It may be fashionable for neo-liberal economists to
run down, or make fun of, the developmental achievements
of Kerala or the role of the Left in that long-drawn
process. Of course, any critical view of Kerala's
experience should be welcomed. However, Panagariya's
so-called ''critical'' view is blinded both by dogmas
of growth fetishism as well as erroneous use of statistics.
Sorry, not welcome!
January
4, 2012.
|