The government's recent policies and programs do not cover important issues of medical services, including emergency services. The policies and programs lack assurance of free emergency treatment services, while health insurance, which has provided little comfort in treatment to patients with low economic status, has become uncertain and unreliable.

On the one hand, the low budget for health services, and on the other hand, extreme corruption, misuse, unnecessary distribution and leakage in the same health budget have not achieved the expected results from medical services. Now health insurance should be made comprehensive and mandatory.

The government should manage the unnatural gap between premium fees and health insurance amounts. The government can increase the premium amount by providing free treatment to the economically poor and marginalized or can also classify them. Of course, health insurance should not be misused. However, restrictions should not be imposed on insurance itself.

On the one hand, the low budget for health services, and on the other hand, extreme corruption, misuse, unnecessary distribution and leakage in the same health budget have not yielded the expected results from medical services. The government's two-day leave and the 9-5 work rule have made the majority of doctors are dissatisfied. The majority of doctors working in government hospitals in the Mofusal, who have been working in most government hospitals until 2 pm and running their own businesses since 3 pm, are also dissatisfied. And, they have formed a mindset of leaving the government service. It is an international practice for doctors who have to work physically and mentally to work 5 days a week and rest for two days if they get proper remuneration. But, how much remuneration do they get for working in just one government hospital? How much has the government motivated those who work day and night, when necessary, to take risks?

For the past few years, there has been no shortage of specialist doctors in most fields in federal hospitals. On the contrary, unnecessary specialist doctors have been piled up in some hospitals, who are forced to stay without work. Therefore, if health workers, including specialist doctors, can be encouraged, motivated and motivated, services including surgery can be increased in government and public hospitals. There is a need to make the fees of the private corporate sector transparent and regulated. Short-term and long-term improvements in Nepal's health service are desirable. Let's discuss some points -

- Arrange doctors including MDGP in every basic hospital. Also, services such as eye, pediatric, primary, nutrition, maternal and child, ear care, injuries, infectious disease treatment, etc. should be promoted.

- Arrange a suitable referral system. It is essential to arrange a registration system for every service recipient citizen.

-. District-level hospitals should have MDGP, pediatric, anesthetist anesthesia assistant, maternal and child, general, surgeon, orthopedic, physician, ultrasound, ENT and eye services.

– Medical education should be conducted in hospitals with more than three hundred beds.

– Federal hospitals, central or foundation teaching hospitals should be kept under the direct supervision, guidance and supervision of the federal ministry. Services including surgery should be increased based on the availability of specialist doctors.

– Instead of building a separate hospital building for Ayurveda, it is less expensive and more appropriate to arrange Ayurveda doctors and other personnel at least in the district, provincial and federal hospitals.

– There is a need for research and processing of herbs in a country with geographical diversity.

– The economic condition of the citizen should be based on the age, gender and caste in the subsidy for treatment.

– According to the essence of the Constitution of Nepal and the proclamation of the ruling party, rescue and treatment services should be made free in case of emergency health problems.

–.Health centers and health tourism can be arranged in hospitals like Jumla, Rasuwa, Jiri, Dadeldhura etc.

– There should be a functioning and effective medical and drug regulatory center in the federal ministry.

– A separate legal mechanism should be made to cover medical education and services, including the Nepal Medical Council, other medical councils and the National Medical Education Commission.

–.A medical service monitoring body and a medical law mechanism should be arranged in each province.

–.There is a need to ensure the price and quality of medicines.

In the past, the Ministry of Health had also taken decisions on ‘one doctor, one institution’, ‘increasing the amount of the bag’ and ‘making health insurance mandatory and expanding’. On the one hand, the instability of the government and on the other hand, due to lack of budget, these decisions could not be implemented. Even if the current government decides to increase manpower, medical services cannot be improved without motivated manpower, physical infrastructure and proper financial management. Therefore, let us hope that health services will now be included in the budget, even though they were left out in the policy and program.