Archive · 26 Jan 2026
Rare Diseases in India: Treatment Gaps and Policy Challenges
In India, many people have rare diseases that are hard to treat.
These diseases are not actually rare, but they are often ignored, making them 'orphaned.'
For example, Krish, an 8-year-old boy, has a disease called MPS IV, which makes his bones grow in a way that causes him pain and makes it hard for him to walk.
His family struggles to pay for his medicine, which costs a lot of money.
The government has a policy to help, but the money provided is not enough, and many families still can't afford the treatment.
Some states like Kerala and Goa are trying to make treatments more accessible, but there are still many problems.
Advocacy groups are asking the government to do more to help these families.
Krish Dev, an 8-year-old with MPS IV, faces high treatment costs and limited government support.
The National Policy for Rare Diseases (NPRD) offers financial assistance up to ₹50 lakh, which is often inadequate.
Funds allocated under NPRD are underutilized, with only ₹30.79 crore used out of ₹299.59 crore in FY25-26.
States like Kerala and Goa are implementing their own initiatives to provide free or affordable treatment for rare diseases.
Advocacy groups call for a national newborn screening policy, better infrastructure, and continued support for rare disease treatments.
- Who
- Patients with rare diseases like Krish Dev and Rajesh's wife, along with their families and advocacy groups.
- What
- The challenges and gaps in treatment and policy for rare diseases in India.
- When
- The issues persist as of January 26, 2026, with ongoing policy and funding discussions.
- Where
- Across India, with specific examples from Tamil Nadu, Kerala, and Goa.
- Why
- Due to high treatment costs, inadequate financial assistance, and policy implementation gaps.
- Krish Dev's Condition
- Mucopolysaccharidosis type IV (MPS IV)
- Cost of Krish's Medicine
- Up to ₹2 lakh per dose
- National Policy for Rare Diseases (NPRD) Coverage
- 63 conditions under three groups
- Financial Assistance Ceiling
- ₹50 lakh per case
- Funds Utilised under NPRD (FY25-26)
- ₹30.79 crore
- Funds Allocated under NPRD (FY25-26)
- ₹299.59 crore
- Delhi High Court Order
- Directed release of funds for patients exceeding ₹50 lakh cap
- Kerala's KARE Initiative
- Free treatment for certain rare diseases in children under 18