Silicosis : a sword of Damocles for Rajasthan mineworkers (analysis of current government policy and calculation of evidence based value of statistical life)

Abstract

Silicosis, an occupational disease prevalent among mineworkers in Rajasthan, poses a significant threat to their health and well-being. This dissertation examines the efficiency and effectiveness of the state government policy titled, "Rajasthan Policy on Pneumoconiosis including Detection, Prevention & Control of Silicosis" in addressing this grave issue. The research objectives encompass analysing the policy's outreach and ease of access for silicosis patients, assessing its effectiveness in providing adequate economic support, and formulating an evidence-based compensatory model for affected individuals.

Through survey of literature, secondary data, and primary data in form of stakeholder interviews involving government authorities, retired officials, mine-lease holders, NGOs, and mineworkers, silicosis patients, family members, and widows of deceased patients, key findings emerged. Despite awareness of the policy, limitations and a challenging certification process hinders policy outreach and patient access, resulting in inefficiency. Additionally, the financial burden associated with disease detection and treatment exceeded the provided policy amount for treatment, making it inadequate for mineworkers and their families. Consequently, a compensation calculation model was devised, considering treatment costs, ex-gratia payments, and other factors.

This dissertation offers valuable insights into the challenges faced by silicosis patients in Rajasthan and evaluates the government's policy in addressing these issues. The research underscores the need for improved outreach, streamlined processes, and enhanced compensation to alleviate the economic burden on affected individuals and their families. By proposing an evidence-based compensatory model, this study provides a foundation for policy refinement and suggests a shift in responsibility to mine-lease holders for ensuring the well-being of mineworkers and mitigating the impact of silicosis