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The Case of India

A segmented healthcare system evolved in India by 1990s, whereby the rich population depended on private hospitals while the people at the bottom of the economic pyramid went to the poor-quality public hospitals. In a democracy of equals, unequal access to services became political when COVID-19 began to put pressure on the health system. Corruption that was normalized in a segmented healthcare system could no longer be ignored. To advance the framework of social quality, we examine the corruption that unfolded during the pandemic in India from the perspective of moral foundation theory. We study the issues raised by political parties during the pandemic and court directives responding to citizen grievances. The evidence shows there was inequality of access and that courts had to intervene to try to rectify the situation. In the absence of effective governmental intervention during the pandemic, moral norms become a useful explanatory factor for social quality.