{"id":209415,"date":"2008-04-01T00:00:00","date_gmt":"2008-03-31T18:30:00","guid":{"rendered":"https:\/\/www.legalindia.com\/judgments\/state-of-karnataka-and-another-vs-sri-r-vivekananda-swamy-on-1-april-2008"},"modified":"2017-10-02T13:08:32","modified_gmt":"2017-10-02T07:38:32","slug":"state-of-karnataka-and-another-vs-sri-r-vivekananda-swamy-on-1-april-2008","status":"publish","type":"post","link":"https:\/\/www.legalindia.com\/judgments\/state-of-karnataka-and-another-vs-sri-r-vivekananda-swamy-on-1-april-2008","title":{"rendered":"State Of Karnataka And Another vs Sri R. Vivekananda Swamy on 1 April, 2008"},"content":{"rendered":"<div class=\"docsource_main\">Supreme Court of India<\/div>\n<div class=\"doc_title\">State Of Karnataka And Another vs Sri R. Vivekananda Swamy on 1 April, 2008<\/div>\n<div class=\"doc_author\">Author: S Sinha<\/div>\n<div class=\"doc_bench\">Bench: S.B. Sinha, V.S. Sirpurkar<\/div>\n<pre>           CASE NO.:\nAppeal (civil)  2336 of 2008\n\nPETITIONER:\nState of Karnataka and another\n\nRESPONDENT:\nSri R. Vivekananda Swamy\n\nDATE OF JUDGMENT: 01\/04\/2008\n\nBENCH:\nS.B. SINHA &amp; V.S. SIRPURKAR\n\nJUDGMENT:\n<\/pre>\n<p>J U D G M E N T<br \/>\nREPORTABLE<\/p>\n<p>CIVIL APPEAL NO. 2336 OF 2008<br \/>\n(Arising out of SLP (C) No. 2593 of 2006)<br \/>\nWITH<br \/>\nCIVIL APPEAL NO. 2335 OF 2006<br \/>\n(Arising out of SLP (C) No. 1387 of 2006)<br \/>\nState of Rajasthan and others\t\t\t\t\t       Appellants<br \/>\n\tVersus<br \/>\nSmt. Savitri Upadhyay\t\t\t\t\t\t      Respondent <\/p>\n<p>S.B. SINHA, J.\n<\/p>\n<p>1.\tLeave granted in both the matters.\n<\/p>\n<p>2.\tInterpretation and\/or application of Medical Benefit Rules applicable<br \/>\nin the State of Karnataka as also in the State of Rajasthan is in question<br \/>\nbefore us in these appeals which arise out of the judgment and order dated<br \/>\n20th June, 2005 passed by a Division Bench of the Karnataka High Court in<br \/>\nWrit Petition No. 10942 of 2005 and that of the judgment and order dated 4th<br \/>\nAugust, 2005 passed by a Division Bench of the High Court of Rajasthan,<br \/>\nJaipur Bench, Jaipur in D.B. Civil Writ Petition No.6502 of 2004<br \/>\nrespectively.\n<\/p>\n<p>3.\tRespondent in the Karnataka case is an officer working in the Office<br \/>\nof the Department of Commercial Taxes.  He underwent &#8216;Coronary Artery&#8217;<br \/>\nBypass Surgery in the Wockhardt Hospital and Heart Institute having been<br \/>\nadmitted on 19th June, 2000.  A sum of Rs.1,50,600\/- was said to have been<br \/>\nincurred by him by way of medical expenses.  He claimed re-imbursement<br \/>\nthereof.  The State of Karnataka sanctioned and reimbursed a sum of<br \/>\nRs.39,207\/-.  Feeling aggrieved, a writ petition was filed which, by reason of<br \/>\nthe impugned judgment, has been allowed.\n<\/p>\n<p>4.\tRajasthan case, relates to one Ajay Upadhyay, who was a Judicial<br \/>\nofficer.  He had been suffering from some kidney problems.  Respondent<br \/>\nherein is his mother.  Ajay Upadhyay was being treated for renal failure in<br \/>\n1997.  He was referred to AIIMS for kidney transplantation by the SMS<br \/>\nMedical College and Hospital, Jaipur.  However, as AIIMS showed its<br \/>\ninability to admit him because of non-availability of bed.  Transplantation of<br \/>\nkidney was carried out in Batra Hospital, Delhi, in 1997.  Respondent, who<br \/>\nwas also an employee of the State claimed reimbursement of the said<br \/>\nmedical expenses.  However, a sum of Rs.50,000\/- was allegedly found<br \/>\nadmissible for the purpose of reimbursement out of the total claim of a sum<br \/>\nof Rs.2.11 lacs.  Respondent, however, claimed that the entire sum may be<br \/>\nreimbursed.  Other medical expenses incurred by Ajay Upadhyay, as follow<br \/>\nup measures, have been reimbursed to the respondent herein.\n<\/p>\n<p>\tAjay Upadhyay joined Rajasthan Judicial Service in the year 2000.  In<br \/>\nFebruary, 2003 he got himself treated in Batra Hospital.  Allegedly his case<br \/>\nwas not referred therefor by the SMS Medical College and Hospital, Jaipur.\n<\/p>\n<p>\tAs he was not treated by AIIMS, he filed a writ petition in the High<br \/>\nCourt of Delhi for a direction to admit him therein.  However, because of an<br \/>\nemergent situation, he got himself admitted in the Batra Hospital.  The said<br \/>\nwrit petition was withdrawn.\n<\/p>\n<p>In the month of May, 2003 he again came to Delhi and got himself<br \/>\nadmitted and treated in Batra Hospital.  He filed a representation before the<br \/>\nRegistrar General of the High Court of Rajasthan that on account of the<br \/>\nsudden demise of his maternal uncle, he had to go to Delhi and as he fell ill<br \/>\nthere, went straightaway to Batra Hospital.  He, therefore, prayed for<br \/>\nreimbursement of his medical expenses incurred on that occasion also.\n<\/p>\n<p>\tIndisputably, however, the Principal and Controller, SMS Medical<br \/>\nCollege and Hospital, on or about 5th July, 2003, referred him to AIIMS.<br \/>\nAllegedly in the reference order it was mentioned that the same was subject<br \/>\nto medical expenses with a ceiling of Rs.10,000\/- only.  Ajay Upadhyay<br \/>\nobtained treatment in the Batra Hospital from 4th July to 29th July, 2003.  He<br \/>\nunfortunately breathed his last on 7th November, 2003.  Respondent claimed<br \/>\nmedical reimbursement to the tune of Rs.6,52,148\/- with interest.  Only a<br \/>\nsum of Rs.75,000\/- was, however, sanctioned by the State of Rajasthan as<br \/>\nbeing admissible, purported to be in terms of the Rules.\n<\/p>\n<p>5.\tFeeling aggrieved, a writ petition was filed in the High Court of<br \/>\nRajasthan which by reason of the impugned judgment and order has been<br \/>\nallowed directing :-\n<\/p>\n<p>\t&#8221;\tAs a result of the aforesaid discussion the writ<br \/>\npetition succeeds and same is allowed.  The respondents<br \/>\nare directed to release the amount of Rs.6,52,148\/- in<br \/>\nfavour of the Petitioner of the medical expenses bills of<br \/>\nBatra Hospital, New Delhi, where his son late Shri Ajay<br \/>\nUpadhyay, an officer of the Rajasthan Judicial Service<br \/>\nwas treated, within a period of two months from the date<br \/>\nof receipt of the copy of this order.  The respondents are<br \/>\nfurther directed to pay to the petitioner on the aforesaid<br \/>\namount the interest at the rate of 6% per annum from the<br \/>\ndate of submission of the first medical bill for<br \/>\nreimbursement of the amount of Batra Hospital, New<br \/>\nDelhi, till the payment thereof is made.&#8221;\n<\/p>\n<p>6.\tBefore embarking on the contentions raised by learned counsel in<br \/>\nthese appeals, we may notice the relevant Rules framed by the States of<br \/>\nKarnataka and Rajasthan.\n<\/p>\n<p>7.\tThe State of Karnataka in exercise of its power conferred upon it by<br \/>\nthe proviso to Article 309 of the Constitution of India and in supersession of<br \/>\nthe Karnataka Government Servants&#8217; (Medical Attendance) Rules, 1957<br \/>\nframed the Karnataka Government Servants&#8217; (Medical Attendance) Rules,<br \/>\n1963 (for short the 1963 Rules).\n<\/p>\n<p>Rule 2 of the 1963 Rules provides that the same shall apply mutatis<br \/>\nmutandis to the family of a Government servant as would apply to the<br \/>\nGovernment servant himself.  The explanations appended thereto reads :-\n<\/p>\n<p>&#8220;2.\tApplication.<br \/>\nExplanation .- I.\tFor the purposes of these rules,<br \/>\n&#8220;family&#8221; means.-\n<\/p>\n<p>(i)\tthe wife or husband ;\n<\/p>\n<p>(ii)\tthe father and mother including step-mother; and <\/p>\n<p>(iii)\tchildren including adopted children and step-<br \/>\nchildren, of a Government servant who are wholly<br \/>\ndependent on such Government servant.\n<\/p>\n<p>Explanation II.  For the purpose of this sub-rule,. The<br \/>\nfather and mother including step-mother shall be<br \/>\nregarded as wholly dependent on the Government servant<br \/>\nif they ordinarily reside with him and their total monthly<br \/>\nincome does not exceed two thousand rupees.&#8221;\n<\/p>\n<p>\t&#8220;Authorised hospitals&#8221; and &#8220;medical institutions&#8221; have been defined<br \/>\nin Rule 3(aa) to mean the hospitals and medical institutions specified in<br \/>\nSchedule I.  Rule 7 entitles a Government servant to receive free medical<br \/>\ntreatment in such Government Hospitals at or near the place where he falls<br \/>\nill, as can, in the opinion of the authorized medical attendant, provide the<br \/>\nnecessary and suitable treatment.  &#8220;Authorised medical attendant&#8221; has been<br \/>\ndefined in Section 3(a) to mean a medical officer who is a Gazetted<br \/>\nGovernment servant working in a Government hospital or Government<br \/>\nMedical institution and various other authorities as specified therein.  Rule<br \/>\n8(1), although is not relevant for our purposes, may be noticed which is in<br \/>\nthe following terms :-\n<\/p>\n<p>&#8220;8.  \tAdmission to and treatment in wards.  (1) the<br \/>\npatients who under these rules, are eligible for treatment<br \/>\nin a particular class of paying or special ward, may get<br \/>\nthemselves treated in any higher class of ward, by paying<br \/>\nthe difference in the rates for the two classes of wards.&#8221;\n<\/p>\n<p>Proviso appended to sub-rule (3) of Rule 8, which was introduced by<br \/>\nreason of the Notification dated 22nd January, 2001, reads thus :-\n<\/p>\n<p>&#8221;\tProvided that notwithstanding anything contained<br \/>\nin these rules the Government Servant and his family<br \/>\nshall be eligible for treatment in the wards of the<br \/>\nauthorized hospitals and medical institutions specified in<br \/>\nSchedule I as per the rates specified in the Table below.-\n<\/p>\n<p>Range of Pay<br \/>\nCategory of  Ward \/<br \/>\nClass of<br \/>\naccommodations to<br \/>\nwhich entitled<br \/>\nMaximum ward<br \/>\ncharges \/ room rent<br \/>\nto which entitled<\/p>\n<p><span class=\"hidden_text\">(1)<\/span><br \/>\n<span class=\"hidden_text\">(2)<\/span><br \/>\n<span class=\"hidden_text\">(3)<\/span>\n<\/p>\n<p>(i)<br \/>\nUpto Rs.4,350<br \/>\nper month<br \/>\nGeneral Ward<br \/>\nRs.100\/- per day\n<\/p>\n<p>(ii)<br \/>\nRs.4,351 to<br \/>\nRs.11,840 per<br \/>\nmonth,<br \/>\nSemi-Private Ward<br \/>\nRs.200\/- per day\n<\/p>\n<p>(iii)<br \/>\nRs.11,841 and<br \/>\nabove<br \/>\nPrivate Ward<br \/>\nRs.500\/- per day<\/p>\n<p>Rule 14 specifies as to how and in what manner, the reimbursement of<br \/>\nmedical expenses is to be carried out.\n<\/p>\n<p>Rule 15 provides for claims for reimbursement of medical charges.<br \/>\nRule 31 empowers the Government to relax the provisions of the said Rules.\n<\/p>\n<p>8.\tThe judgment of the Tribunal, which was affirmed by the High Court,<br \/>\nwas based on the premise that persons similarly situated who had taken<br \/>\ntreatment from Wockhardt Hospital and Heart Institute had been given the<br \/>\nbenefit of the reimbursement of the medical bills, although the respondent<br \/>\nwas denied of the said benefit.\n<\/p>\n<p>9.\tThe Government of Rajasthan also in exercise of its powers conferred<br \/>\nupon it by the proviso to Article 309 of the Constitution of India made Rules<br \/>\nknown as Rajasthan Civil Services (Medical Attendance) Rules, 1970 (in<br \/>\nshort the 1970 Rules).\n<\/p>\n<p>Rule 2 provides for the extent of application of the said Rules which<br \/>\nincludes all government servants.  Rule 3(1) defines &#8220;Authorised Medical<br \/>\nAttendant&#8221;   &#8220;Authorised medical attendant&#8221; has been defined in Section<br \/>\n3(a) to mean a Medical Officer of the Rajasthan Medical Department on<br \/>\nduty in a hospital or dispensary and various other authorities as specified<br \/>\ntherein.\n<\/p>\n<p>&#8220;6.\tMedical attendance and treatment outside<br \/>\nRajasthan.- (1) A Government servants including<br \/>\nmembers of his family  posted to a station or sent on duty<br \/>\nor spending leave or otherwise at a station outside<br \/>\nRajasthan in India and who falls ill shall be entitled to<br \/>\nfree medical attendance and treatment as an indoor and<br \/>\noutdoor patient in a Hospital maintained by the Central<br \/>\nGovernment or other State Government on the scale and<br \/>\nconditions which would be admissible to him under these<br \/>\nrules, had he been on duty or on leave in Rajasthan.\n<\/p>\n<p>(2)\tFor the purpose of this rule &#8220;Authorised Medical<br \/>\nAttendant&#8221; in respect of a Government servant or class of<br \/>\nGovernment servant at a station outside Rajasthan shall<br \/>\nmean an officer of Medical Department of Central or<br \/>\nother State Government (as the case may be) on duty in a<br \/>\nGovernment hospital or Dispensary at that station.\n<\/p>\n<p>(3)\tThe charges paid by the Government Servant<br \/>\nposted at Delhi to the following private hospitals\/clinics<br \/>\nfor X-Ray, Pathological, Baceterilogical, Radiological<br \/>\ntests and other kind of investigations which are<br \/>\nconsidered necessary by the doctor of the State<br \/>\nGovernment posted in Delhi, shall be re-imbursed:-\n<\/p>\n<p>1.\tSunderlal Jain Charitable Hospital, Ashok Vihar.\n<\/p>\n<p>2.\tMassonic Charitable Polyclinic, Janpath, and\n<\/p>\n<p>3.\tSir Gangaram Hospital, Rajendra Nagar.\n<\/p>\n<p>7.\tTreatment of a disease for which treatment is not<br \/>\navailable in the State.  (1)  A Government servant and<br \/>\nthe members of his family suffering from a disease for<br \/>\nwhich treatment is not available in any Government<br \/>\nhospital in the State shall be entitled to medical<br \/>\nattendance and treatment to the extent indicated in sub-<br \/>\nrule (2) of this rule in a Hospital\/Institution outside the<br \/>\nState recognized by the Government, provided that it is<br \/>\ncertified by the Principal of a Medical College\/Director<br \/>\nof Medical &amp; Health Services on the basis of opinion of<br \/>\nthe Authorised Medical Attendant to the effect that the<br \/>\ntreatment of a particular disease from which the patient is<br \/>\nsuffering is not available in any Government Hospital in<br \/>\nthe State and it is considered absolutely essential for the<br \/>\nrecovery of the patient to have treatment at a hospital<br \/>\noutside the Sate.\n<\/p>\n<p>(2)\tThe following charges\/expenses shall be<br \/>\nreimbursable:-\n<\/p>\n<p>(a)\tCost (including Sales Tax) of Allopathic Drugs,<br \/>\nMedicines, Vaccines, Sera or other therapeutic<br \/>\nsubstances reimbursable under these rules.\n<\/p>\n<p>(b)\tSums actually paid to the Hospital\/Institution on<br \/>\naccount of medical attendance and treatment<br \/>\nincluding charges for surgical operations and<br \/>\nordinary nursing facility.\n<\/p>\n<p>(c)\tTravelling allowance for journey by rail\/road from<br \/>\nduty point at the station at which the patient falls<br \/>\nill to the place of treatment outside the State and<br \/>\nback to a single fare of the class to which his<br \/>\nclassification entitles him under Rajasthan<br \/>\nTravelling Allowance Rules.  Such traveling<br \/>\nallowance shall also be admissible for an attendant,<br \/>\nif the Authorised Medical Attendant certifies in<br \/>\nwriting that it is unsafe for the patient to travel<br \/>\nunattended and that an attendant is necessary to<br \/>\naccompany the patient to the place of treatment<br \/>\nand back.\n<\/p>\n<p>(3)\tThe facility of medical attendance and treatment in<br \/>\nthe type of cases mentioned in sub-rule (1) can be had at<br \/>\nany of Hospitals\/Institutions mentioned in Appendix 11.\n<\/p>\n<p>(4)\tFor the purpose of reimbursement, the original<br \/>\nreceipts issued by such Hospital\/Institutions and<br \/>\nvouchers of medicines etc. shall be countersigned by the<br \/>\nAuthorised Medical Attendant of Government Hospital<br \/>\non whose advice the treatment outside the State was<br \/>\nundertaken.&#8221;\n<\/p>\n<p>It does not appear that 1970 Rules provide for any power of<br \/>\nrelaxation.\n<\/p>\n<p>10.\tMr. Hegde, learned counsel appearing on behalf of the State of<br \/>\nKarnataka and Mr. Aruneshwar Gupta, the learned Additional Advocate<br \/>\nGeneral, appearing on behalf of the State of Rajasthan submitted that having<br \/>\nregard to the Rules framed by the States, the validity whereof is not being in<br \/>\nquestion and in fact having been upheld by this Court, the High Courts of<br \/>\nKarnataka and Rajasthan committed serious errors in issuing the impugned<br \/>\ndirections.\n<\/p>\n<p>11.\tMr. Bhat, learned counsel appearing on behalf of the respondent in<br \/>\nKarnataka case, would, on the other hand, submit that the power of<br \/>\nrelaxation should have been exercised by the appropriate authority<br \/>\njudiciously and in a case of this nature, Article 14 of the Constitution of<br \/>\nIndia is attracted.  It was urged that as a large number of non Government<br \/>\nHospitals are now included in the list of hospitals, the impugned judgment<br \/>\nshould not be interfered with.\n<\/p>\n<p>12.\tMs. Shoba, learned counsel appearing on behalf of the respondent in<br \/>\nRajasthan case took us to the entire factual aspect of the matter and<br \/>\nsubmitted that the High Court judgment is unexceptionable, keeping in view<br \/>\nthe fact that whatever is required to be paid is reimbursement of the bills for<br \/>\nthe month of May-June, 2003, although the State has reimbursed the bills for<br \/>\nmedical expenses for February, 2003, July, 2003 and also October, 2003.  It<br \/>\nwas urged that as even in relation to the reimbursement of the medical bills<br \/>\nfor the year 1997, the State has favourably responded, the High Court cannot<br \/>\nbe said to have committed any error in issuing the impugned directions,<br \/>\nparticularly when correctness of the bills was verified and recommended by<br \/>\nthe High Court.\n<\/p>\n<p>13.\tLaw operating in this field, as is propounded by Courts from time to<br \/>\ntime and relevant for our purpose, may now be taken note of.\n<\/p>\n<p>14.\tIn Surjit Singh   vs.  State of Punjab and others : (1996) 2 SCC 336<br \/>\nthis Court in a case where the appellant therein while in England fell ill and<br \/>\nbeing a case of emergency case was admitted in Dudley Road Hospital,<br \/>\nBirmingham.  After proper medical diagnosis he was suggested treatment at<br \/>\na named alternate place.   He was admitted and undergone bypass surgery in<br \/>\nHumana Hospital, Wellington, London.   He claimed reimbursement for the<br \/>\namount spent by him.  In the peculiar facts of that case it was held :-<br \/>\n&#8220;11. It is otherwise important to bear in mind that self<br \/>\npreservation of one&#8217;s life is the necessary concomitant of<br \/>\nthe right to life enshrined in Article 21 of the<br \/>\nConstitution of India, fundamental in nature, sacred,<br \/>\nprecious and inviolable. The importance and validity of<br \/>\nthe duty and right to self-preservation has a species in the<br \/>\nright of self defence in criminal law. Centuries ago<br \/>\nthinkers of this Great Land conceived of such right and<br \/>\nrecognised it. Attention can usefully be drawn to verses<br \/>\n17, 18, 20 and 22 in Chapter 16 of the Garuda Purana (A<br \/>\nDialogue suggested between the Divine and Garuda, the<br \/>\nbird) in the words of the Divine :\n<\/p>\n<p>17. Vinaa dehena kasyaapi canpurushaartho na vidyate<br \/>\nTasmaaddeham dhanam rakshetpunyakarmaani<br \/>\nsaadhayet                                <\/p>\n<p>Without the body how can one obtain the objects of<br \/>\nhuman life?  Therefore protecting the body which is the<br \/>\nwealth, one should perform the deeds of merit.\n<\/p>\n<p>18. Rakshayetsarvadaatmaanamaatmaa sarvasya<br \/>\nbhaajanam Rakshane yatnamaatishthejje<br \/>\nvanbhaadraani pashyati                <\/p>\n<p>One should protect his body which is responsible for<br \/>\nevery thing. He who protects himself by all efforts, will<br \/>\nsee many auspicious occasions in life.\n<\/p>\n<p> 20. Sharirarakshanopaayaah  kriyante sarvadaa<br \/>\nbudhaih Necchanti cha punastyaagamapi<br \/>\nkushthaadiroginah                      <\/p>\n<p>The wise always undertake the protective measures for<br \/>\nthe body. Even the persons suffering from leprosy and<br \/>\nother diseases do not wish to get rid of<br \/>\nthe body.\n<\/p>\n<p>22. Aatmaiva   yadi   naatmaanamahitebhyo    nivaarayet<br \/>\nKonsyo hitakarastasmaadaatmaanam taarayishyati                    <\/p>\n<p>If one does not prevent what is unpleasent to himself,<br \/>\nwho else will do it? Therefore one should do what is<br \/>\ngood to himself.&#8221;\n<\/p>\n<p>We may, however, notice that in that case, before this Court, Rules<br \/>\nframed under the proviso to Article 309 of the Constitution of India, were<br \/>\nnot in force.  What were in force were the Policies regarding reimbursement<br \/>\nof medical expenses framed by the State of Punjab on 25th January, 1991 and<br \/>\n8th October, 1991.\n<\/p>\n<p>15.\tThis Court, however, considered the validity of a rule in regard to<br \/>\nreimbursement of the medical expenses viz-a-viz the fundamental right of a<br \/>\ncitizen in terms of new policy evolved by the State of Punjab limiting claim<br \/>\nfor reimbursement in <a href=\"\/doc\/1563564\/\">State of Punjab and others  vs.  Ram Lubhaya Bagga<br \/>\nand others<\/a> : (1998) 4 SCC 117, opining :-\n<\/p>\n<p>&#8220;23. When we speak about a right, it corelates to a duty<br \/>\nupon another, individual, employer, Government or<br \/>\nauthority. In other words, the right of one is an obligation<br \/>\nof another. Hence the right of a citizen to live under<br \/>\nArticle 21 casts obligation on the State. This obligation is<br \/>\nfurther reinforced under Article 47, it is for the State to<br \/>\nsecure health to its citizen as its primary duty. No doubt<br \/>\nGovernment is rendering this obligation by opening<br \/>\nGovernment hospitals and health centers, but in order to<br \/>\nmake it meaningful, it has to be within the reach of its<br \/>\npeople, as far as possible, to reduce the queue of waiting<br \/>\nlists, and it has to provide all facilities for which an<br \/>\nemployee looks for at another hospital. Its up-keep;<br \/>\nmaintenance and cleanliness has to be beyond aspersion.<br \/>\nTo employ the best of talents and tone up its<br \/>\nadministration to give effective contribution. Also bring<br \/>\nin awareness in welfare of hospital staff for their<br \/>\ndedicated service, give them periodical, medico-ethical<br \/>\nand service oriented training, not only at the entry point<br \/>\nbut also during the whole tenure of their service. Since it<br \/>\nis one of the most sacrosanct and valuable rights of a<br \/>\ncitizen and equally sacrosanct sacred obligation of the<br \/>\nState, every citizen of this welfare State looks towards<br \/>\nthe State for it to perform its this obligation with top<br \/>\npriority including by way of allocation of sufficient<br \/>\nfunds. This in turn will not only secure the right of its<br \/>\ncitizen to the best of their satisfaction but in turn will<br \/>\nbenefit the State in achieving its social, political and<br \/>\neconomical goal. For every return there has to be<br \/>\ninvestment. Investment needs resources and finances. So<br \/>\neven to protect this sacrosanct right finances are an<br \/>\ninherent requirement. Harnessing such resources needs<br \/>\ntop priority.&#8221;\n<\/p>\n<p>However, having regard to the fact that the medical facilities<br \/>\ncontinued to be given and an employee was given free choice to get<br \/>\ntreatment from any private hospital in India but the amount of payment for<br \/>\nreimbursement was regulated, it was opined :-\n<\/p>\n<p>&#8220;29.\t No State or any country can have unlimited<br \/>\nresources to spend on any of its project. That is why it<br \/>\nonly approves its projects to the extent it is feasible. The<br \/>\nsame holds good for providing medical facilities to its<br \/>\ncitizen including its employees. Provision of facilities<br \/>\ncannot be unlimited. It has to be to the extent finance<br \/>\npermit. If no scale or rate is fixed then in case private<br \/>\nclinics or hospitals increase their rate to exorbitant scales,<br \/>\nthe State would be bound to reimburse the same. Hence<br \/>\nwe come to the conclusion that principle of fixation of<br \/>\nrate and scale under this new policy is justified and<br \/>\ncannot be held to be violative of Article 21 or Article 47<br \/>\nof the Constitution of India.&#8221;\n<\/p>\n<p>16.\tThe said principle was reiterated in <a href=\"\/doc\/401269\/\">State of State of Punjab and others<br \/>\nvs.  Mohan Lal Jindal<\/a> : (2001) 9 SCC 217.\n<\/p>\n<p>17.\tThe question came up for consideration before this Court in<br \/>\n<a href=\"\/doc\/1446617\/\">Confederation of Ex-Servicemen Association and others  vs.  Union of India<br \/>\nand others<\/a> : (2006) 8 SCC 399 wherein a Constitution Bench of this Court<br \/>\nhad the occasion to notice Ram Lubhaya Bagga (supra).  Agreeing therewith<br \/>\nit was opined :-\n<\/p>\n<p>&#8221;\tIn our considered opinion through the right to<br \/>\nmedical aid is a fundamental right of all citizens<br \/>\nincluding ex-servicemen guaranteed by Article 21 of the<br \/>\nConstitution, framing of scheme for ex-servicemen and<br \/>\nasking them to pay &#8220;one time contribution&#8221; neither<br \/>\nviolates Part III nor is it inconsistent with Part IV of the<br \/>\nConstitution.  Ex-servicemen who are getting pension<br \/>\nhave been asked to become members of ECHS by<br \/>\nmaking &#8220;one time contribution&#8221; of reasonable amount<br \/>\n(ranging from Rs.1800 to Rs.18,000\/-.  To us, this cannot<br \/>\nbe held illegal, unlawful, arbitrary or otherwise<br \/>\nunreasonable.&#8221;\n<\/p>\n<p>18.\tIn view of the aforementioned settled principles of law there cannot<br \/>\nbe any doubt that the Rules regarding reimbursement of medical claim of an<br \/>\nemployee when he obtains treatment from a hospital of his choice can be<br \/>\nmade limited.  Such a rule furthermore having been framed under the<br \/>\nproviso to Article 309 of the Constitution of India constitutes conditions of<br \/>\nservice in terms whereof on the one hand the employee would be granted the<br \/>\nfacility of medical aid free of cost from the recognized government hospitals<br \/>\nand on the other he, at his option, may get himself treated from other<br \/>\nrecognized hospitals\/institutions subject of course to the conditions that the<br \/>\nreimbursement by the State therefor would be limited.\n<\/p>\n<p>19.\tIn the Karnataka case, however, it is necessary to take into<br \/>\nconsideration the provisions of Rule 31 of 1963 Rules which confers an<br \/>\nunequivocal power of relaxation to the authorised authorities specified<br \/>\ntherein.  A public authority may exercise its power of relaxation only where<br \/>\nthere exists a provision therfor.  [See &#8211;   <a href=\"\/doc\/1637860\/\">Kendriya Vidyalaya Sangathan and<br \/>\nOrs.  vs.   Sajal Kumar Roy and Ors<\/a> : (2006) 8 SCC 671 Pitta Naveen<br \/>\nKumar and others.  vs.  Raja Narasaiah Zangiti and others (2006) 10 SCC<br \/>\n261 ].\n<\/p>\n<p>20.\tIt, however, goes without saying that while exercising such a power,<br \/>\nthe authority must act judiciously keeping in mind the purport and object<br \/>\nthereof.  Considerations therefor, although may not partake a mathematical<br \/>\nexactable but should always be fair and reasonable.  Although it may not be<br \/>\npossible for an employee to enforce a purported right on the premise that<br \/>\nanother person had obtained reimbursement for a similar kind of treatment,<br \/>\nordinarily fair procedure envisages a broad similarity.  If any person has<br \/>\nbeen shown any undue favour, we may add, by itself may not be a ground to<br \/>\nfavour another but when such a contention is raised, the State should be able<br \/>\nto demonstrate a fair treatment.  It is possible to draw a distinction on the<br \/>\nbasis of several factors, emergent situation being one of them.  So viewed,<br \/>\nwe do not find that the State of Karnataka had acted arbitrarily.\n<\/p>\n<p>21.\tRajasthan case, however, involves some disputed questions of fact.<br \/>\nAay Upadhyay was a Judicial Officer.  Indisputably he was suffering from a<br \/>\nserious disease.  The contention of the respondent to the effect that the<br \/>\nappellant herein herself being a government employee was able to obtain<br \/>\nreimbursement of the amount spent towards his treatment as far as back in<br \/>\n1977.  We do not see any reason why he should not be reimbursed for the<br \/>\nlater period.  It is true that ordinarily a government employee may have to<br \/>\nget himself treated in AIIMS; it being a pioneer super-speciality institution,<br \/>\nbut we cannot also shut our eyes to the fact that for one reason or the other,<br \/>\nAjay Upadhyay could not be admitted in AIIMS.  A writ petition was filed<br \/>\nin the Delhi High Court which, because of passage of time, although was<br \/>\nwithdrawn but it is difficult for us to arrive at one conclusion or the other<br \/>\nonly on the basis of the averments made by the parties to the writ petition<br \/>\nbefore the High Court; one of them being AIIMS itself.  He developed<br \/>\ntrouble even after joining judicial service.  He admittedly was referred to<br \/>\nAIIMS.  Whether such reference was made in February, 2003 or July, 2003<br \/>\nmay be a matter of dispute.  But if without any order of reference in<br \/>\nFebruary, 2003 reimbursement of expenditure incurred in February, 2005<br \/>\nhas been effected and similarly for July and October  November, 2003 the<br \/>\nrespondent was reimbursed, we do not see any reason as to why<br \/>\nreimbursement of the medical expenses for the period May and June, 2003<br \/>\nwould not be allowed.\n<\/p>\n<p>22.\tThe State might be fighting this case on principle.  It may be correct<br \/>\nin its view.  Applying the Rules strictly, respondent might not have been<br \/>\nentitled for reimbursement for the period subsequent to the date of reference<br \/>\nand not prior thereto.  But as indicated hereinbefore there is is no reason to<br \/>\nignore the statement made in para 2 of the additional affidavit filed on behalf<br \/>\nof the respondent, which is to the following effect :-\n<\/p>\n<p>&#8220;2)\tThat the State Govt. had allowed the full<br \/>\nreimbursment of medical bills of late Shri Ajay<br \/>\nUpadhyay incurred in Batra Hospital, New Delhi, for the<br \/>\nperiod of treatment in Batra Hospital, from 04.02.03 to<br \/>\n10.02.03 and from 04.11.03 to 07.11.03, and as such the<br \/>\nreimbursement of medical bills of late Shri Ajay<br \/>\nUpadhyay are still pending from 13.05.03 to 21.10.03<br \/>\namounting to Rs.5,98,406.75 of Batra Hospital, New<br \/>\nDelhi.&#8221;\n<\/p>\n<p>23.\tWhat, however, is requited to be taken into consideration is the three<br \/>\nbills amounting to Rs,5,98,406.75 for the period 13.05.03 to 21.10.03.\n<\/p>\n<p>24.\tThere appears to be some discrepancies in regard to the said bills.  We<br \/>\nare not concerned with the 1997 bills.  Our attention has been drawn to the<br \/>\nfollowing bills.\n<\/p>\n<p>\tThe first Bill was of Rs.42,197.00 for the period 04.03.03 to 10.02.03<br \/>\nAs noticed hereinbefore the said bill has already been paid.\n<\/p>\n<p>\tThe second bill is for Rs.3,16,311.750 for the period 13.05.03 to<br \/>\n11.06.03.  The said bill remains unpaid.\n<\/p>\n<p>The third bill is for reimbursement of Rs.1,15,619.00 for the period<br \/>\n04.07.03 to 29.07.03.\n<\/p>\n<p>The fourth bill does not appear to be on record.  But from the<br \/>\nrespondent&#8217;s letter dated 21st April, 2006 it appears that the same was for a<br \/>\nsum of Rs.31,544\/- for the period 04.11.03 to 07.11.03 which has already<br \/>\nbeen paid.\n<\/p>\n<p>25.\tThe dispute, thus, centres round the aforementioned two bills<br \/>\namounting to Rs.3,16.311.75 ps. and Rs.1,15,619.00.\n<\/p>\n<p>26.\tIn a case of this nature, we are of the opinion, that having laid down<br \/>\nthe law for the future that claim for reimbursement must be made only in<br \/>\nterms of the Rules and not dehors the same, and more so, when there is no<br \/>\npower of relaxation, in exercise of our jurisdiction under Article 142 of the<br \/>\nConstitution of India, we direct the States of Karnataka and Rajasthan to pay<br \/>\nthe balance amounts.  However, this order shall not be treated as a<br \/>\nprecedent.\n<\/p>\n<p>We may, however, state that the reason for such a direction is that so<br \/>\nfar as the State of Karnataka is concerned, it has enlisted a large number of<br \/>\nhospitals as approved medical institutions enabling its employees to obtain<br \/>\ntreatment therefrom.\n<\/p>\n<p>27.\tSo far as the Rajasthan case is concerned unlike the State of<br \/>\nKarnataka there is no provision for exemption for payment of portion of the<br \/>\namount of bill which would be corresponding to the costs which would have<br \/>\nbeen otherwise incurred by the employee in obtaining treatment from<br \/>\nAIIMS.  It is furthermore evident that ex-post facto sanction had been<br \/>\ngranted.  The State did not disclose the basis for such grant.  The grant was<br \/>\nnot dehors the Rules.   Ajay Upadhyay indisputably obtained treatment at<br \/>\nBatra Hospital from time to time.  He being a judicial officer, the bills<br \/>\nsubmitted by him had been verified by the Registrar of the High Court.<br \/>\nRecommendations had also been made by the High Court for reimbursement<br \/>\nof the said bills.\n<\/p>\n<p>28.\tWe, therefore, are of the opinion that in order to do complete justice<br \/>\nto the parties, we pass the order as proposed hereinbefore and direct the<br \/>\nStates of Karnataka and Rajasthan to pay the balance amounts to the<br \/>\nrespondent.\n<\/p>\n<p>29.\tThe appeals are disposed of with the above directions.  In the facts<br \/>\nand circumstances of the cases there shall be no order as to costs.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Supreme Court of India State Of Karnataka And Another vs Sri R. Vivekananda Swamy on 1 April, 2008 Author: S Sinha Bench: S.B. Sinha, V.S. Sirpurkar CASE NO.: Appeal (civil) 2336 of 2008 PETITIONER: State of Karnataka and another RESPONDENT: Sri R. Vivekananda Swamy DATE OF JUDGMENT: 01\/04\/2008 BENCH: S.B. SINHA &amp; V.S. SIRPURKAR JUDGMENT: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[30],"tags":[],"class_list":["post-209415","post","type-post","status-publish","format-standard","hentry","category-supreme-court-of-india"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>State Of Karnataka And Another vs Sri R. 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