Rajasthan High Court
Honble R.P. VYAS, J.
Laxman Taneja - Appellant
Versus
State of Rajasthan & Others - Respondents
S.B. Civil Writ Petition No. 4446 of 2002
Decided On : April 13, 2005
Pathetic conditions of Government hospitals is well known and the same has been admitted by the Government machinery also time and again. Under the circumstances, when a person explains reasons for getting the treatment in a private hospital, the reimbursement should not be denied only on some hyper technical grounds. The Government must give relaxation in such matters. Apart from that, to preserve health and obtain medical aid in furtherance of self preservation is part of right of life under Article 21 of the Constitution of India and, in given circumstances, the petitioner is also entitled for reimbursement of medical expenses, irrespective of the place where the treatment has been received. (Para 26 & 27)
(2). Brief facts giving rise to the instant petition are that the petitioner was retired from service on February 27, 2001. At the time of his retirement, he was holding the post of Assistant Engineer in Indira Gandhi Nahar Pariyojana.
(3). After retirement, the respondents under Rule 244 (1) of the Rajasthan Service Rules (hereinafter referred to as `the R.S.R.), issued Pension Payment Order (PPO) No. 432212 dated 27.9.2001 (Annexure 1) in favour of the petitioner.
(4). The wife of the petitioner-Smt. Raj Kumari Taneja is suffering from heart disease and had undergone Mitral Valve Replacement Operation (for short, `MVR) in the year, 1986, at Bombay.
(5). The State Government, on 21.11.2001, issued Order No. F.1 (5)/Rules/98 (Annexure 2) making certain amendments in the Rajasthan State Pensioners Medical Concession Scheme, whereby pensioners and their family members have been held entitled for grant of financial assistance in respect of the following specialized treatments taken in the Government Hospitals within the State of Rajasthan:-
S. No. Name of Specialized. Scale of Assistant.
1. By-pass Surgery. 80% of the hospitals expenses or Rs. 1.20 Lacs whichever is less.
2. Open-Heard Surgery. 80% of the hospital expenses or Rs. 1.20 Lacs whichever is less.
3. Valve-Replacement. 80% of the hospital expenses or Rs. 1.20 Lacs whichever is less.
4. Implantation of pacemaker. 80% of the cost of pace maker including its accessories of Rs. 28000 whichever is less.
5. Angioplast/Ballonplasty. 80% of the hospital expenses or Rs. 40000/- whichever is less.
(6). A bare perusal of the above Scheme clearly reveals that a Pensioner is entitled for grant of financial assistance in respect of specialized treatment taken in a Government hospital up to 80% of the hospital expenses or Rs. 1.20 Lacs whichever is less.
(7). The wife of the petitioner fell sick on 28.1.2002 due to her heart problem and as an emergency case, she was admitted in Fortist Heart Institute, Mohali (Punjab).
(8). After diagnosis, she was suggested MVR operation. Thus, to save her life the petitioner got her operated in Fortist Heart Institute, Mohali, on 4.2.2002. The patient remained hospitalized from 28.1.2002 to 11.2.2002. Dr. H.S. Bedi of the Fortist Heart Institute, Mohali has also issued a Certificate (Annexure 3) to this effect.
(9). The petitioner spent a sum of Rs. 2,72,804/- on the treatment of his wife a
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