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Ayurveda is among the oldest systems of medicine in the world and has established its presence as part of the modern health care (HC) system, especially within the context of HC governance. Over the past few decades, there has been a significant increase in the formalisation (i.e., institutionalisation) of Ayurvedic practice in India through regulation, educational reform, and incorporation into public health programs, which has raised several important issues relating to patient safety, professional accountability, and quality of HC. While public trust in Ayurveda is high, as is political support for it, there are continuing concerns about issues such as: informed consent; false or misleading evidence for therapeutic benefit; standardisation of treatment protocols; and liability for malpractice. This article reviews the existing legal and regulatory framework applicable to Ayurveda in India, with a focus on comparing it to a sample of other approaches to regulating traditional or complementary medicine internationally. This research uses a doctrinal and comparative policy analysis to assess the effectiveness of current laws, professional regulatory systems, and ethical guidelines for protecting patients. The article also examines how the National Commission for the Indian System of Medicine, consumer protection laws, and the development of health care law have influenced accountability in the practice of Ayurvedic medicine. The study concludes that Ayurveda’s future legitimacy will depend on its continued reliance on its traditional foundation and its ability to meet the current expectations for transparency and evidence-based practice, informed consent, and patient-centred care. The article ends with a proposal for reforms to strengthen the regulatory framework while maintaining the cultural and therapeutic values associated with traditional healthcare systems.
KEYWORDS:
Ayurveda, Healthcare Regulation, Patient Protection, Medical Ethics, Legal Governance,
Traditional Medicine, AYUSH, Professional Liability
The use of traditional forms of medicine is an important aspect of health care systems around the
world and the World Health Organisation (WHO) recognises that traditional and complementary
forms of medicine are key components of health care systems in many countries, especially
developing areas in which availability and cultural acceptability have a considerable bearing on
health care choices. Ayurveda, one of the many forms of traditional healthcare, is considered to be
one of the most comprehensive and longstanding forms of medical treatment.
India has made extensive efforts to develop and regulate Ayurvedic practice through legal and
regulatory organisations, quality of education requirements, licensing criteria and integration with
the public health care system. Although there continues to be widespread interest and use of
Ayurvedic medicine, the rapid growth of the Ayurvedic market and services has shown deficiencies
in the regulatory oversight of medical and therapeutic products, ethical compliance and safety and
protection of patients. There are increasing and significant demands for legal scrutiny regarding
issues related to the professional negligence of practitioners, informed consent policies, advertising
standards and testing for scientific validation of practitioners of Ayurvedic medicine.1
This article examines whether the existing legal framework adequately protects patients while
facilitating the growth of Ayurveda as a recognised healthcare system.
To examine the legal framework governing Ayurveda in India.
To evaluate ethical accountability mechanisms applicable to Ayurvedic practitioners.
To compare Indian regulatory approaches with selected international models.
To assess challenges relating to patient protection and professional liability.
To propose policy reforms for strengthening regulatory governance.
The most recent literature has shown that there is a move from a system of regulating Ayurveda
strictly through education and professional registration. This new governance system consists of
four elements: patient safety, ethical accountability, quality assurance, and evidence-based
healthcare delivery. Most of the previous regulatory systems focused on the credentialing of
practitioners and standardising educational curricula; however, the current healthcare governance
model requires the use of legal mechanisms to ensure transparency, clinical competence,
accountability, and protection of patients’ rights. In addition, this movement reflects the increasing
integration of Ayurveda into national health systems and the increasing expectation that all forms
of traditional health care will conform with internationally recognised principles of professional
regulation and clinical governance.2
The WHO Benchmarks for the Practice of Ayurveda (2022) mark an important point in the
development of Ayurveda. They establish internationally acknowledged minimal competency
requirements for Ayurvedic practitioners, healthcare facilities and infrastructure; Medicaid records
or similar clinical documentation; informed consent from patients; patient confidentiality; a written
referral process; and regulatory oversight of this practice. The Benchmarks provide guidelines for
the integration of traditional medical practices with modern legal and ethical standards, while also
protecting and preserving Ayurvedic principles. The NCISM Act of 2020 has also strengthened
regulatory governance of all systems of medicine in India, including Ayurveda, through the
promotion of competency-based education, institutional accreditation, standardised professional
practices, and more accountable delivery of Ayurvedic healthcare.
The most current evidence supports the need for accountability through professional ethics in the
regulation of Ayurveda. The latest research demonstrates that professional ethics should include
both traditional values as well as aspects of contemporary professional ethics such as: informed
consent, patient autonomy, confidentiality, appropriate documentation, responsible prescribing,
and compliance with defined standards of care. Additionally, pharmacovigilance, quality control
of Ayurvedic products, adverse event reporting, and evidence-based clinical practice guidelines
are now viewed as important tools to enhance patient safety and build confidence in Ayurveda. As
stated in recent policy analyses, key components to improving the governance of Ayurveda include: implementing mandatory accreditation, using electronic patient records, having
standardised clinical practice guidelines, developing a mechanism for ongoing professional
education, having strong systems for monitoring the safety of medications, being non-partisan
when handling disciplinary procedures, and having credible legal systems to provide oversight.3
This study adopts a doctrinal and comparative legal research methodology. Primary sources
include statutory enactments, governmental regulations, judicial decisions, and policy documents.
Secondary sources include scholarly articles, books, reports of international organisations, and
academic commentaries. Comparative analysis is undertaken with regulatory frameworks
governing traditional and complementary medicine in selected jurisdictions including China, the
United Kingdom, and Australia.
The regulation of Ayurveda as a formal body has undergone many changes from when Ayurveda
was first recognised by colonists/colonial governments as an indigenous form of medicine to a
contemporary statutory regulatory framework. The government has developed several
initiatives since 1947 encouraging the development of a code of ethics to protect traditional
knowledge-based systems while still providing for the regulation, standardisation, and
professionalisation of Ayurvedic and other traditional healing systems.
There has been substantial reform to Ayurvedic governance with the National Commission for
Indian Medicine Act 2020. The statute streamlined previously existing regulations; this
act created standards for education, licensure as a practitioner, and oversight of the delivery of
Ayurvedic services.
The NCISM Act aims to increase transparency, accountability, and quality assurance regarding
services delivered under the Indian system of medicine; however, challenges remain related to the
implementation and enforcement of this legislation.
The Ministry of AYUSH serves as the primary government entity charged with the formation of
policies and regulations, promoting research, and coordinating with institutions that work with
Ayurveda and other forms of traditional medicine.
Practitioners must maintain the following top priorities: the welfare of the patient, confidentiality,
competence and professional integrity. As the practice of Ayurveda continues to evolve, so too do
all the ethical standards that have been established for modern healthcare observers.
Obtaining informed consent is becoming an essential principle within the field of health care law.
Patients are to be informed about their condition, available options, the benefits, disadvantages,
and risks of the identified options.
Patients do not fully understand the requirements of informed consent and conditions associated
with using Ayurvedic remedies. Since most patients view Ayurvedic remedies as “natural” and
thus, “safe”, a lack of disclosure about possible adverse consequences or side effects of
Ayurvedic methods is more common than with conventional methods
As the market for Ayurvedic therapy grows, so does the concern over the existence of exaggerated
therapeutic claims made by practitioners. Ethical regulatory oversight and guidance require the
use of legitimate data to support marketing initiatives and to genuinely promote Ayurvedic
therapies without misleading prospective customers.
The Consumer Protection Act 2019 provides a mechanism for addressing the grievances of
consumers concerning healthcare services; therefore, Ayurveda practitioners can be liable for
claims made by patients as a result of failures or deficiencies in the health services provided.
The issue of determining whether professional negligence has occurred in traditional medicine is
complicated legally. In making this determination, courts must apply both traditional healing
practices and contemporary standards of reasonable professional conduct of the practitioner.
China has created an integrated regulatory system in that it combines traditional Chinese medicine
with mainstream health care. The various types of regulatory oversight include practitioner
licensing, research standards and methods of quality control.
The United Kingdom takes a relatively cautious stance on the regulation of traditional and
complementary therapies. Its regulatory structure is built on the premise of providing consumer
protection, professional registration, and truthful advertising.
Australia provides national regulation for complementary medicine through health care and
consumer protection laws. There is a strong emphasis placed on supporting evidence for making
claims about treatments and consumer safety.
The comparative analysis shows that the effective regulation of traditional and complementary
therapies requires:
Almost all regulations regarding the use of Ayurvedic medicine will need to be improved upon in
order to address the following issues:
By addressing these issues, we will build public trust in Ayurvedic medicine, as well as improve
health outcomes.
The importance of Ayurveda in India’s health care system and cultural identity will remain as long
as there are strong legal and ethical protections. For traditional medical systems to continue
to be recognised as both legitimate and sustainable in the 21st century, and to serve as responsible
health care providers, they must operate within a framework that values patient autonomy,
accountability, transparency, and safety.
India has made gains in its ability to regulate Ayurveda through formalised legislative changes and
the establishment of institutional regulations. However, serious issues remain regarding issues
such as professional liability, informed consent, advertisements, and safeguarding patients.
Overall, these issues could benefit from more relevant legislation and policy. The experience of
other places shows that successfully regulating traditional medicine is not necessarily
detrimental to the body of evidence that supports it. Instead, good governance of traditional healing methods and their practitioners could contribute to enhancing public trust and improving
Ayurveda’s role in today’s health care system.
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Digital Payments in India have witnessed substantial development, particularly through the real-time, speedy digital payment system like UPI. This development has reformed the way individuals undertake financial transactions. At the same time, it addresses legal concerns about the validity of consent, user understanding, and privacy.
This paper explores whether digital consent genuinely meets the criteria of unrestricted and knowledgeable consent. The role of RBI as the Apex bank of India is also examined, especially in connection with accountability and transparency. The influence of click-to-accept and standard contracts on user consent is detailed, showing how digital designs can cooperate with user autonomy. It also raises privacy concerns about data usage. Further, a total of 138 responses were collected and analysed for this study, representing empirical research.
The paper concludes that, even though legal frameworks presume informed consent, the reality often compels it because user may give their consent without a complete understanding, suggesting a need for a better consent process and protocols to improve user understanding and meaningful engagement in digital transactions.
KEYWORDS:
Digital Consent, User Autonomy, UPI Framework, Contractual Validity, Data Privacy, Clickwrap Agreements, RBI Regulation, Consumer Protection
In India, the foundation for the rapid growth of digitisation of financial transactions is the extensive use of the Unified Payment Interface (UPI), helping people manage their finances and encouraging a system where funds are transferred digitally due to rapid, easy access, avoiding physical cash, promoting clarity, and reducing money forgery. Yet, shifting towards Digital Payment Systems raises several legal issues, especially regarding their nature and the validity of consent in these transactions.
“A person’s agreement is legally binding when it is made voluntarily, without coercion, undue influence, fraud, misrepresentation, or mistake, and when they clearly understand the conditions they are agreeing to, as in the Indian Contract Act of 1872”.1 “Digital platforms obtain user consent through Click wrap agreements, where users indicate acceptance by clicking an “I agree” button”.2 Further, Empirical Research is conducted to examine the extent to which the user consent can be said to be legally valid when terms and conditions are accepted without proper reading and interpretation.
When the problem is addressed from the viewpoint of user autonomy, meaning to make an independent and well-informed decision, it will require a deeper understanding. Although “Digital payments are regulated by authorities like the Reserve Bank of India”.3 The ability to make a decision may be restricted for a user because of fast payments, technical and use of complicated language in the agreement and design of apps that would make the user act quickly. “There are privacy concerns because the apps collect and use a lot of personal information. This is to be looked into because the right to privacy has been highlighted as a fundamental right”.4 The paper seeks to examine whether consent in digital payment transactions within the UPI framework meets the legal requirements of validity, and studies how challenging it can be for users to make an informed decision. The paper examines whether the present laws and regulations are strong enough to protect users’ rights and interests.
The concept of Consent is an indispensable part of the Indian Contract Act of 1872. Section 13 defines consent as a situation where two or more persons agree on same thing in the same sense (consensus ad idem).5
For a contract to be legally enforceable, the consent of the parties must be ‘free’. In Section 14, consent is said to be free when it is not affected by coercion, undue influence, fraud, misrepresentation or mistake.6
Consent is not valid under these situations:
Therefore, Free consent is mandatory for a valid contract. Any contract lacking free consent is void or voidable under the law.12
The Reserve Bank of India regulates Digital Payment System in India, ensuring smooth functioning of the financial system.13
Objective of RBI:
Unified Payment Interface (UPI) is a noteworthy innovation by the National Payments Corporation of India under RBI administration, facilitating quick money transfers and a PIN-based system to enable user authentication, mirroring the purpose of consent in digital authorisation.15
Furthermore, RBI issues guidelines:
Ensuring Digital Payments are safe, transparent and user-centric.16
Consent in digital payments is closely linked with the right to privacy, as the Supreme Court recognised privacy as a fundamental right under Article 21, in the landmark judgement of Justice K.S. Puttaswamy (Retd.) v. Union of India.17
The Court Highlighted that:
Relevance to Digital Payments: Users share sensitive financial data, consent is required for data storage and processing, and unauthorised data may violate privacy rights. In this judgement, consent is not just contractual but also a constitutional safeguard in digital economy.
The Digital Personal Data Protection Act, 2023, governs handling of personal data in digital payments, directing lawful collection and informed consent, it requires that consent be free, specific and informed and confirms that they are made aware of the nature and purpose of data collection and usage.19
In digital payment services, there are situations involving lack of transparency, unclear terms and misleading interfaces affecting consumer choices. The Consumer Protection Act, 2019, protects against unfair trade practices and misleading representations.20
Practical and structural limitations often challenge digital consent in online transactions. One major issue is use of ‘click-wrap agreements’, where users accept terms and conditions by simply clicking “I agree” without actively reading them, leading to a lack of informed understanding, as legal language is often complex and lengthy.21
Further, in real-time payment systems, users get very little time to review or reconsider their consent due to speedy digital transactions.22 Also, apps and interface design play an important role; many platforms are designed to get users to accept quickly through pre-ticked boxes or unclear options, referred to as “Dark patterns”, that manipulate user behaviour and weaken genuine consent.23 Collectively, these factors call into question whether digital consent in online transactions genuinely satisfies the legal standards of free and informed consent.
The empirical analysis is built on responses collected from 138 participants through a structured questionnaire via Google Form. The findings reveal major patterns in user behaviour, awareness and consent practices in UPI-based digital payment systems.

Figure 1: Demographic Overview
Majority of the population belong to the age group 30+(62.3%), followed by individuals aged 22-30(20.3%) and then 18-21(17.4%).

In terms of occupation, most respondents are working professionals (68.1%), followed by students (15.9%) and a small portion categorized as others (15.9%).

Figure 2: Use of UPI
Almost all (97.1%) respondents use UPI for transactions.

Majority portion of the respondents use UPI on a daily basis (68.1%), followed by occasional (20.3%) and weekly usage (11.6%), reflecting widespread dependence on digital payment systems in everyday

Figure 3: Commitment to Terms & Conditions
The majority of respondents stated that they sometimes read terms and conditions (34.1%), while fewer reported always reading them (31.2%). A small portion indicated that they never/ rarely (8.7%, 26.1%) engage with such terms.

In terms of understanding, most participants reported they only partially understand (60.1%) the terms and conditions they accept, while a smaller group claimed full understanding (26.8%), and some indicated no understanding at all (13%).

Figure 4: Reasons for not reading terms
The primary reason for not reading terms and conditions is that they are too lengthy (55.1%), followed by their complexity (15.9%) and lack of time (21%). A smaller number of respondents considered them unimportant (8%), highlighting structural barriers to informed consent.

figure 5: User autonomy and time pressure
A majority of respondents that they are only sometimes (50.7%) given sufficient time to review terms before completing transactions, while fewer answered definitely yes (29.7%) or no (19.6%).

Significant majority reported that they have felt pressured to complete transactions completely (52.9%), suggesting that time constraints may limit meaningful engagement with contractual terms.

Figure 6: Privacy Awareness
Most respondents reported partial understanding (39.1%) of how their personal data is used, while fewer respondents indicate complete awareness (33.3%) or no awareness at all (27.5%), suggesting limited transparency and user comprehension in data practices.

Figure 7: Perception of terms and Consent
Majority of respondents believe that terms and conditions should be simplified (89.1%), indicating a clear demand for more accessible and user-friendly legal information.

Further, most respondents admitted that they have accepted terms without fully understanding them (66.7%), reinforcing concerns regarding the absence of genuine informed consent in digital payment systems.
In the survey, many respondents highlighted the need for simplified, concise language, with key points presented as bullet points or summaries, because they find it difficult to understand terms and conditions due to lengthy legal language and complex clauses.
Visual assistance:
were suggested to improve understanding, along with interactive guides or step-by-step prompts. Multilingual support was highlighted as important for satisfying diverse users, including older and less-literate individuals.
Suggestion to enhance trust and safety:
Overall, Digital payment platforms can significantly improve user understanding and engagement by making terms shorter, simpler, visual and interactive while respecting user time and ensuring secure transactions.
As mentioned earlier, in India, the legal framework emphasises that consent must be meaningful and informed. Under the Indian Contract Act of 1872, parties must agree on the same thing in the same sense, and such consent is valid only if it is made without coercion, undue influence, fraud, misrepresentation or mistake.24 Similarly, the Digital Personal Data Protection Act, 2023 asserts that consent must be free, specific, informed, unconditional, and unambiguous, with a clear affirmative action signifying agreement.25 These provisions collectively assume that users meaningfully understand the terms to which they are consenting.26
However, the empirical findings indicate that most users accept terms and conditions without reading or fully understanding them. Respondents stated lengthy legal language and complex clauses as key barriers, leading them to prioritise speed and convenience. Many preferred simplified formats such as bullet-point summaries, visual aids and interactive guidance, along with multilingual and clearly structured content, showing that existing consent frameworks do not match user comprehension levels.27
This shows a clear gap between what the law expects and what actually happens in practice. The law assumes that people give informed and thoughtful consent, but in reality, most users just accept terms quickly due to time pressure and fatigue. Because of this, consent becomes more of a formality than a real choice, which weakens user control and raises doubts about whether such consent is truly valid.
Digital payment platforms collect a large amount of personal and financial information of users. However, most users are not fully aware of what data is being collected, how it’s used or who it is shared with, because these details are often hidden in long and complex terms and conditions. This lack of understanding limits users’ control over their own information and raises serious privacy concerns. Justice K.S. Puttaswamy (Retd.) v. Union of India, making informed consent essential.28 Without clear explanations, users cannot make meaningful choices about their data, and platforms may rely on consent that is formal rather than real.
The Reserve Bank of India plays an important role in regulating digital payments in India by setting rules to make transactions safe, secure and reliable for users, with guidelines mainly focusing on preventing fraud, protecting user data and ensuring that payment systems work smoothly, thereby helping people develop trust in digital payment methods like UPI and mobile wallets.29
However, there are still some important gaps in the system. “The rules focus more on technical safety than on whether users actually understand what they are agreeing to. Most users accept terms and conditions without reading them, and there are no strict rules to make these terms simple and easy to understand. Also, different laws like contractual law, data protection law are not well connected, which creates confusion about responsibility. So, even though users are protected from fraud, they are not fully aware or legally empowered when giving consent”.30
To improve digital payments, the terms and conditions should be made simpler. At present, they are lengthy and makes use of complex terms. If they are written in clear and short language, users can understand better and give proper consent.
Also, the design of payment apps should be improved. Many apps make users act quickly without thinking. Important information should be clearly shown, and users should get enough time to read before accepting anything. This will help them make better decisions.
Lastly, stricter rules are needed. The Reserve Bank of India should focus not only on safety but also on making sure users understand what they are agreeing to. This will make consent more real and meaningful, not just a formality.
Digital payment systems in India, especially UPI, have made transactions quick and convenient for everyday use. However, this ease of use also raises important legal concerns about whether users truly give valid consent while using these platforms. Although the law requires consent to be free and informed, in reality, many users accept terms and conditions without reading or understanding them.
This study shows a clear gap between what the law expects and what actually happens in practice. Factors such as complex terms, fast transactions and app design often limit a user’s ability to make informed decisions. As a result, consent in digital payments may become more of a formality than a real choice.
There is a need to make consent more meaningful by simplifying terms, improving user awareness, and strengthening regulations. As digital payments continue to grow, protecting user understanding and autonomy should be a key priority.
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