Under ESI Act, 1948, state government share of expenditure on medical care is:

KPSC Staff Nurse - 2018

Community Health Nursing

Easy

Appeared in: KPSC Staff Nurse - 2018

Explanation

The Employees' State Insurance (ESI) Act, 1948, outlines a specific cost-sharing model for the provision of medical benefits to insured workers.
Under this model, the total expenditure on medical care is divided between the respective State Government and the ESI Corporation.
The State Government's mandated contribution is 1/8th of the total cost of medical care.
The remaining, larger portion of 7/8th of the medical expenditure is covered by the ESI Corporation.

Option B: This fraction is incorrect. The ESI Act does not specify a 3/8 share for the state government's contribution to medical expenditure.
Option C: This fraction is incorrect. The ESI Act does not stipulate a 5/8 share for the state government's contribution.
Option D: This fraction represents the share contributed by the ESI Corporation, not the state government.

Clinical Relevance

Nursing practice connection: Knowing Financial contributions to the Employees' State Insurance (ESI) Scheme helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Understanding the ESI funding structure helps nurses appreciate the financial framework within which ESI hospitals and dispensaries operate, which can impact resource availability and patient care services.
Knowledge of the ESI Act and its benefits is crucial for community health nurses and those in industrial settings to guide eligible employees and their families on how to access their entitled medical and cash benefits.
What if? If the question had asked for the ESI Corporation's share of the medical expenditure, the correct answer would be 7/8. This highlights the importance of carefully reading the question to identify which entity's contribution is being assessed.

How to Approach the Question

This is a factual recall question from Community Health Nursing, specifically concerning social legislation.
First, identify the core subject of the question: the ESI Act, 1948.
Next, pinpoint the specific detail being asked: the 'state government share' of 'expenditure on medical care'.
Recall the financial structure of the ESI scheme. The scheme involves contributions from employees, employers, the state government, and the ESI Corporation.
Remember the specific ratio for medical care expenditure: the state government contributes the smaller share (1/8), while the ESI Corporation covers the larger portion (7/8).
Select the option that correctly states the state government's share, which is 1/8.

Concept Tested & Keywords

Concept Tested: Financial contributions to the Employees' State Insurance (ESI) Scheme.
Stem keywords: ESI Act, 1948, state government share, expenditure on medical care
Lead-in keywords: is

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