{"id":31170,"date":"2002-10-03T00:00:00","date_gmt":"2002-10-02T18:30:00","guid":{"rendered":"https:\/\/www.legalindia.com\/judgments\/smt-kamlesh-sharma-vs-municipal-corporation-of-delhi-on-3-october-2002"},"modified":"2017-09-28T03:28:05","modified_gmt":"2017-09-27T21:58:05","slug":"smt-kamlesh-sharma-vs-municipal-corporation-of-delhi-on-3-october-2002","status":"publish","type":"post","link":"https:\/\/www.legalindia.com\/judgments\/smt-kamlesh-sharma-vs-municipal-corporation-of-delhi-on-3-october-2002","title":{"rendered":"Smt. Kamlesh Sharma vs Municipal Corporation Of Delhi &#8230; on 3 October, 2002"},"content":{"rendered":"<div class=\"docsource_main\">Delhi High Court<\/div>\n<div class=\"doc_title\">Smt. Kamlesh Sharma vs Municipal Corporation Of Delhi &#8230; on 3 October, 2002<\/div>\n<div class=\"doc_citations\">Equivalent citations: 2003 (66) DRJ 237, 2003 (3) SLJ 394 Delhi<\/div>\n<div class=\"doc_author\">Author: M Sarin<\/div>\n<div class=\"doc_bench\">Bench: M Sarin<\/div>\n<\/p>\n<pre><\/pre>\n<p>JUDGMENT<\/p>\n<p>Manmohan Sarin, J.  <\/p>\n<p> 1. Petitioner is the widow of Shri Dharam<br \/>\nSingh, who was working as Senior Malaria Inspector with<br \/>\nrespondent\/MCD. She has filed this writ petition,<br \/>\naggrieved by the non-reimbursement of the medical<br \/>\nexpenses incurred for treatment of her deceased<br \/>\nhusband. Late Mr. Dharam Singh, husband of the<br \/>\npetitioner, had gone to Rohtak, Haryana in the month of<br \/>\nAugust, 2001, where he took ill. He was admitted to<br \/>\nPost Graduate Medical Institute of Sciences, Rohtak.<br \/>\nAs there was slight improvement in his condition, he<br \/>\nwas brought to Delhi and admitted at Bara Hindu Rao<br \/>\nHospital, Delhi. Both at PGMIS Hospital, Rohtak and<br \/>\nBara Hindu Rao Hospital, Delhi, certain medicines were<br \/>\nprescribed by the Doctors, which were not available and<br \/>\nhad to be purchased from the market by the petitioner<br \/>\nand members of her family. On 3.9.2001, the condition<br \/>\nof Shri Dharam Singh Kaushik deteriorated and he was<br \/>\nreferred to AIIMS, New Delhi, where he died on<br \/>\n7.9.2001.\n<\/p>\n<p> 2. Petitioner sought reimbursement of the<br \/>\ncost of medicines as incurred. Petitioner submitted<br \/>\nthe bills in the prescribed proforma duly supported<br \/>\nwith the prescriptions. The Medical Officers of the<br \/>\nhospitals issued essentiality certificates wherein it<br \/>\nis certified that the medicines prescribed were<br \/>\nessential for the recovery and prevention of serious<br \/>\ndeterioration in the condition of the patient. Further<br \/>\nthat the medicines were not stocked and were not<br \/>\navailable. The purchase of medicines and the treatment<br \/>\ngiven has been duly certified by the three hospitals<br \/>\nwith essentiality certificates.\n<\/p>\n<p> 3. It may also be noted that the petitioner<br \/>\nvide order dated 2.8.2001, was permitted to file an<br \/>\nadditional affidavit with regard to its contention that<br \/>\nthe medicines were neither available in the stock of<br \/>\nhospitals nor the hospital could make them available by<br \/>\npurchasing it and as such there was no option for the<br \/>\npetitioner&#8217;s family but to purchase the medicines from<br \/>\nthe market and submit the bills for the same for<br \/>\nreimbursement.\n<\/p>\n<p> 4. It may also be noted that the hospitals<br \/>\nare not private hospitals and happen to be either the<br \/>\nGovernment hospitals or those recognised and approved<br \/>\nby the Government and MCD as referral hospitals.\n<\/p>\n<p> 5. The respondent has denied the<br \/>\nreimbursement relying on a term of the office order<br \/>\nwhich is as under:-\n<\/p>\n<p>  &#8220;However, in no case reimbursement of<br \/>\nexpenditure incurred by a pensioner on<br \/>\ntreatment will be made.&#8221;\n<\/p>\n<p> This brings into fore the question of<br \/>\nvalidity of the above provision. MCD on 3.10.1994 had<br \/>\nissued an office order setting out the policy for<br \/>\nmedical treatment of its employees and retired<br \/>\nemployees, including retiring and retired employees.<br \/>\nThe office order is a short one and is reproduced in<br \/>\nextenso:-\n<\/p>\n<p>Dated 3.10.1994  <\/p>\n<p> No: F.15(138)\/CED(SU)\/94\/23702-73  <\/p>\n<p> OFFICE ORDER   <\/p>\n<p> The Special Officer exercising powers of the<br \/>\nCorporation has vide decision No. 4128\/GW\/Corp.<br \/>\ndated 27.9.1994 approved for providing medical<br \/>\nfacilities to the pensioners of Municipal<br \/>\nCorporation of Delhi by the Corporation to the<br \/>\nfollowing extent:-\n<\/p>\n<p> i) All the medicines etc. including<br \/>\ndiagnostics facilities as is required for the<br \/>\ntreatment of the patient (Pensioners and their<br \/>\nfamilies) will be provided to them free of<br \/>\ncharge at the Hospitals\/Dispensaries.\n<\/p>\n<p> ii) The pensioners and their families when<br \/>\nreferred from the dispensaries to the<br \/>\nhospitals for specialised treatment will be<br \/>\nattended to on priority basis. Such medicines<br \/>\netc. which are considered essential for the<br \/>\ntreatment, if not available, will be purchased<br \/>\nby the hospital authorities and provided to<br \/>\nthe patients within a reasonable time.\n<\/p>\n<p> iii) In order to identify the pensioners for<br \/>\nproviding medical facilities, they will be<br \/>\nissued Identity Cards by the Department from<br \/>\nwhich one has retired or will be retiring.\n<\/p>\n<p> 2. However, in no case reimbursement of<br \/>\nexpenditure incurred by a pensioner on<br \/>\ntreatment will be made.&#8221;\n<\/p>\n<p> 6. Mr. Neeraj Kaul, Senior Advocate, who had<br \/>\nbeen appointed amices curiae in this case, assailed<br \/>\nClause 2 of the Policy as being arbitrary, irrational<br \/>\nand violative of Articles 14 and 21 of the<br \/>\nConstitution of India. He submitted that under the<br \/>\npolicy of the respondent\/MCD had a clear obligation,<br \/>\nfirstly to provide free medical aid and free medicines<br \/>\nfrom the dispensary\/hospitals to its employees<br \/>\nincluding retired employees. Secondly, if the<br \/>\nmedicines were not available, the hospitals were<br \/>\nobliged to purchase them within a reasonable time. In<br \/>\nthe instant case, it is not disputed that the<br \/>\nmedicines required for treatment were neither<br \/>\navailable nor they were procured within a reasonable<br \/>\ntime. In these circumstances, Clause 2 of the Policy,<br \/>\nwhich provides that there shall be no reimbursement of<br \/>\nexpenditure incurred by the petitioner on purchase of<br \/>\nmedicines of treatment was wholly arbitrary. It runs<br \/>\ncounter to the policy and objective of the MCD to<br \/>\nprovide medical aid to its employees. It seeks to<br \/>\nnegate the obligations of the MCD and is contrary to<br \/>\nthe terms of the office order. It was urged that<br \/>\nClause 2, imposing a blanket ban on reimbursement of<br \/>\ncost of medicines, would contravene the right to self<br \/>\npreservation and life.\n<\/p>\n<p> Learned counsel for the petitioner placed<br \/>\nreliance on  Surjit Singh v. State of Punjab and<br \/>\nOrs.  to urge that self<br \/>\npreservation of one&#8217;s life is the necessary<br \/>\nconcomitant of the right to life, enshrined in Article<br \/>\n21 of the Constitution of India. It was fundamental<br \/>\nin nature, sacred, precious and inviolable. The<br \/>\nSupreme Court had also approved the observations of<br \/>\nthe Punjab High Court in  Surjit Singh v. State of<br \/>\nPunjab and Ors., to which I shall advert later.\n<\/p>\n<p> Mr. Neeraj Kaul also placed reliance on <a href=\"\/doc\/1308683\/\">State<br \/>\nof Punjab and Ors. v. Mohinder Singh Chawla and<br \/>\nOrs.<\/a> , to urge that the<br \/>\nright to live is integral to the right to life and the<br \/>\nstate has a constitutional obligation to provide<br \/>\nhealth services. To similar effect of the<br \/>\nobservations by the Supreme Court in  <a href=\"\/doc\/1563564\/\">State of Punjab<br \/>\nand Ors. v. Ram Lubhaya Bagga and Ors.,<\/a> where the court while upholding<br \/>\nthe right of the government to formulate a medical<br \/>\npolicy and alter it depending on changed circumstances<br \/>\nemphasized on the right of a citizen to live under<br \/>\nArticle 21 of the Constitution of India the obligation<br \/>\nof the state, in this regard being further reinforced<br \/>\nby the primary duty under Article 47 to secure health<br \/>\nto its citizens.\n<\/p>\n<p> 7. Mr. Navin Chawla in opposition to writ<br \/>\npetition submitted that it was not open for the<br \/>\npetitioner to claim a benefit under one part of the<br \/>\noffice order and not accept the restriction or the bar<br \/>\ncontained in the remaining part. He submitted that<br \/>\nthe office order\/policy had to be read as a whole.<br \/>\nThe petitioner cannot rely on certain parts of the<br \/>\npolicy to seek benefit and then seek to be absolved<br \/>\nfrom the provision, which contains a bar on<br \/>\nreimbursement. He submitted that policy offered<br \/>\ncertain benefits and Clause 2 restricts those<br \/>\nbenefits. He submits that there is a rationale for<br \/>\nmaking such a provision. The respondent in its wisdom<br \/>\nand as a matter policy have undertaken the obligation<br \/>\nto provide medical aid and facilities as available in<br \/>\nthe hospitals and dispensary. However, for economic<br \/>\nand administrative reasons, it was decided to put a<br \/>\nban on reimbursement of expenses incurred by employees<br \/>\non purchasing medicines from outside. He relied on<br \/>\nthe judgment of the Supreme Court in Ram Lubhaya&#8217;s<br \/>\ncase (Supra) to urge that such a restriction was<br \/>\njustified considering the economic constraints and it<br \/>\nwas a valid exercise of policy making. Further that<br \/>\nthis court would not entertain a challenge to the said<br \/>\npolicy. He submits that even in Ram Lubhaya&#8217;s case<br \/>\nright to revise the policy of reimbursement of medical<br \/>\nexpenses and confining them to the rates of AIIMS<br \/>\nhospital, has been upheld.\n<\/p>\n<p> 8. Having noted the submissions on the part<br \/>\nof the petitioner and the amices curiae as also of the<br \/>\nrespondent, the legal position which emerges based on<br \/>\nthe judgments of the apex court may be noted:-\n<\/p>\n<p>  (I)(a) The right of a citizen to live under<br \/>\nArticle 21 casts a corresponding duty and obligation<br \/>\non the State, reinforced under Article 47, to secure<br \/>\nhealth to its citizen as its primary duty. No doubt<br \/>\nthe Government is rendering this obligation by opening<br \/>\ngovernment hospitals and health centres, but in order<br \/>\nto make it meaningful, it has to be within the reach<br \/>\nof its people, as far as possible, to reduce the queue<br \/>\nof waiting lists, and it has to provide all facilities<br \/>\nfor which an employee looks for at another hospital.\n<\/p>\n<p> (b) The state can neither urge nor say that<br \/>\nit has no obligation to provide medical facility. If<br \/>\nthat were so, it would be ex-facie violative of<br \/>\nArticle 21.\n<\/p>\n<p> (c) The right of the State to change its<br \/>\npolicy from time to time under changing circumstances<br \/>\nis neither challenged nor could it be. It is not<br \/>\nnormally within the domain of any court, to weigh the<br \/>\npros and cons of the policy or to scrutinize it and<br \/>\ntest the degree of its beneficial or equitable<br \/>\ndisposition for the purpose of varying, modifying or<br \/>\nannulling it, based on howsoever sound and good<br \/>\nreasoning, except where it is arbitrary or violative<br \/>\nof any constitutional, statutory or any other<br \/>\nprovision of law. No state or country can have<br \/>\nunlimited resources to spend on any of its projects<br \/>\nthat is why it only approves the projects to the<br \/>\nextent it is feasible. The same holds good for<br \/>\nproviding medical facilities to its citizens including<br \/>\nits employees. Provision of facilities cannot be<br \/>\nunlimited. (State of Punjab and Ors. Ram<br \/>\nLubhaya Bagga and Ors.-Supra).\n<\/p>\n<p> (II) Right to live is integral to the right<br \/>\nto life and state has a constitutional obligation to<br \/>\nprovide health facilities. <a href=\"\/doc\/1308683\/\">In State of Punjab and<br \/>\nOrs. v. Mohinder Singh Chawla and Ors.  the Supreme Court<\/a> observed as<br \/>\nunder:\n<\/p>\n<p>  &#8220;If the government servant has suffered an<br \/>\nailment which requires treatment at a<br \/>\nspecialized approved hospital and on reference<br \/>\nwhereat the government servant had undergone<br \/>\nsuch treatment therein, it is but the duty of<br \/>\nthe State to bear the expenditure incurred by<br \/>\nthe government servant. Expenditure, thus,<br \/>\nincurred requires to be reimbursed by the<br \/>\nState of the employee.&#8221;\n<\/p>\n<p> (III) Self preservation of ones life is the<br \/>\nnecessary concomitant of the right to life enshrined<br \/>\nin Article 21 of the Constitution of India, which was<br \/>\nfundamental in nature, sacred, precious and<br \/>\ninviolable. (Surjit Singh v. State of Punjab and<br \/>\nOrs. Supra).\n<\/p>\n<p> The Supreme Court also approved the<br \/>\nobservations of the Punjab High Court in Sadhu R. Pall<br \/>\nv. State of Punjab reported at 1994(1) SLR 283,<br \/>\nwhere the court observed as under:-\n<\/p>\n<p>  &#8220;The respondents appear to have patently used<br \/>\nexcusals in refusing full reimbursement, when<br \/>\nthe factum of treatment and the urgency for<br \/>\nthe same has been accepted by the respondents<br \/>\nby reimbursing the petitioner the expenses<br \/>\nincurred by him, which he would have incurred<br \/>\nin the AIIMS, New Delhi. We cannot lose sight<br \/>\nto factual situation in the AIIMS, New Delhi,<br \/>\ni.e., with respect to the number of patients<br \/>\nreceived there with heart problems. In such<br \/>\nan urgency, one cannot sit at home and think<br \/>\nin a cool and calm atmosphere for getting<br \/>\nmedical treatment at a particular hospital or<br \/>\nwait for admission in some government medical<br \/>\ninstitute. In such a situation, decision has<br \/>\nto be taken forthwith by the person or his<br \/>\nattendants if precious life has to be saved.&#8221;\n<\/p>\n<p> 9. It would be seen from the foregoing that<br \/>\nthe right of a citizen to live, casts an obligation on<br \/>\nthe State to provide health care, which is reinforced<br \/>\nunder Article 47 of the Constitution of India. The<br \/>\nright of the State of formulate a policy for provision<br \/>\nof medical facilities and make changes therein<br \/>\ndepending upon the circumstances and economic<br \/>\nconstraints is recognised. The right of a citizen for<br \/>\nself preservation and to take appropriate and timely<br \/>\ndecisions for provision of treatment and medicines as<br \/>\nrequired in emergency is recognised.\n<\/p>\n<p> 10. Let me now analyze and consider the<br \/>\npresent case in the light of the foregoing judicial<br \/>\npronouncements and principles as enumerated. The<br \/>\npetitioner being a retired employee was entitled to<br \/>\navail of medicines and diagnostic facilities, free of<br \/>\ncharge at the hospitals and dispensaries. The office<br \/>\norder also provided for specialised treatment on<br \/>\npriority basis from hospitals. It is not in dispute<br \/>\nthat in the instant case the treatment was obtained<br \/>\nfrom the prescribed and recognised hospitals and<br \/>\ndispensaries. This is apparent from the essentiality<br \/>\ncertificates issued by the Hindurao Hospital and the<br \/>\nPost Graduate Medical Institute of Sciences, Rohtak,<br \/>\nand the AIIMS. The question with which we are faced<br \/>\nis of reimbursement of the cost of medicines<br \/>\nprescribed by the Doctors of recognised hospitals,<br \/>\nwhere the petitioner&#8217;s deceased husband was receiving<br \/>\ntreatment. The medicines were not available in stock<br \/>\nand were considered essential and required for<br \/>\ntreatment. The hospital and medical authorities had<br \/>\nthe obligation to purchase\/provide the medicines<br \/>\nwithin a reasonable time as per office order.<br \/>\nReasonable time would depend upon the exigency of<br \/>\nrequirement. In case it is an emergency, then the<br \/>\npatient is certainly not expected to wait for a<br \/>\nreasonable time as per the usual procedure. In such<br \/>\nsituations, the attendants of the patients or family<br \/>\nmembers are not expected to follow the procurement<br \/>\nprocedure and are left with no option but to purchase<br \/>\nthe same. Reference is invited to the observations of<br \/>\nthe Supreme Court in Surjit Singh v. State of Punjab<br \/>\nnoted earlier. In the instant case, the hospital<br \/>\nauthorities have certified that the said medicines<br \/>\nwere not available and had recommended the bills for<br \/>\nreimbursement. The respondents have not paid the same<br \/>\non account of Clause 2, I am of the view that Clause 2,<br \/>\nwhich puts an absolute ban on reimbursement of<br \/>\nexpenditure incurred by a pensioner on treatment is<br \/>\narbitrary, irrational and liable to be struck down, as<br \/>\nviolative of Article 14 and 21 of the Constitution of<br \/>\nIndia. The said clause is wholly inconsistent with<br \/>\nother provisions and seeks to negate the obligation on<br \/>\nthe part of the MCD as provided for in the office<br \/>\norder, namely to provide treatment and medicines free<br \/>\nof charge and especially the obligation to purchase<br \/>\nmedicines, if not available in the hospital stock<br \/>\nwithin a reasonable time. Once the obligation to<br \/>\npurchase the medicines, not available in the stock and<br \/>\nto provide them to the patient within a reasonable<br \/>\ntime is there, the said right cannot be<br \/>\ntaken away by providing a ban on reimbursement. The<br \/>\nsaid clause is wholly arbitrary and irrational.<br \/>\nAccordingly Clause 2 of the office order is struck<br \/>\ndown, in so far as it imposes a complete ban on<br \/>\nreimbursement of medical expenditure. By striking<br \/>\ndown Clause 2 of the aforesaid office order, it should<br \/>\nnot be understood as whittling down the right of the<br \/>\nrespondents to frame or formulate a policy including<br \/>\none providing a restriction or ceiling on<br \/>\nreimbursement of expenses as long as the said policy<br \/>\nis not violative of Article 14 and 21 of the<br \/>\nConstitution of India.\n<\/p>\n<p> 11. In view of the foregoing discussion,<br \/>\nthe writ petition is allowed. A writ of mandamus<br \/>\nshall issue to the respondents to pay forthwith to the<br \/>\npetitioner the sanctioned amount of Rs. 26,606\/-. In<br \/>\ncase payment is not made within one month from today,<br \/>\nthe petitioner shall be entitled to interest @ 12%<br \/>\np.a. on the said amount.\n<\/p>\n<p> Writ petition stands allowed in above terms.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Delhi High Court Smt. Kamlesh Sharma vs Municipal Corporation Of Delhi &#8230; on 3 October, 2002 Equivalent citations: 2003 (66) DRJ 237, 2003 (3) SLJ 394 Delhi Author: M Sarin Bench: M Sarin JUDGMENT Manmohan Sarin, J. 1. Petitioner is the widow of Shri Dharam Singh, who was working as Senior Malaria Inspector with respondent\/MCD. [&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":[14,8],"tags":[],"class_list":["post-31170","post","type-post","status-publish","format-standard","hentry","category-delhi-high-court","category-high-court"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Smt. 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