Healthcare in India

If you follow the Indian media closely, you've heard of the advances made by Indian pharmaceuticals companies globally and and rise of India as a major 'medical tourism' destination, offering world-class medical facilities at a fraction of the price one would pay in the west. Great. But what about the common man?

It is well known that the situation is rural India is bad enough with absent doctors and poor infrastructure. The situation in urban India can only be called slightly better.

The average person living in India comes across fake doctors, fake medicines, genuine doctors giving un-necessary treatment, or 'their own' tablets (given in small paper bags) which are accepted because the common man knows of all of this, and chooses the safety that comes with getting it straight from the doc, be it without any indication of what it is. Then you have centres offering hundreds of alternative therapies, some of which are not therapies at all but more bizarre displays. Of course, all of this is when the person has access to 'healthcare'.

A recent article by the Economist quotes a senior Delhi Medical Council official claiming that fake doctors outnumber genuine doctors in India. They cater mostly to lower income groups (which form a large part of India's population). But with telecom operators, retailers, insurers, builders aiming precisely for such high volume markets, can a business model be worked out to provide them with decent healthcare too in a similar fashion? To me this seems to be the only way out of the vicious circle which is formed between population growth and declining health care availability. [More research needed].

Cultural journeys

So I'm in another seven hour coach journey through English countryside happy to have bypassed hefty British train fares and gain a few hours of the only sort of time when I'm able to read a novel. I find a window seat too whose real comfort lies in what's below the window: the heating vent. Along comes my neighbour who is hesitantly settling down on his seat. His girlfriend is sitting just behind him. Being polite in a quintessentially British sense, they will never ask me to move, not even in a polite way. So I give up my seat and settle down on the aisle seat behind me, where the girl was. The girl says thanks many times and so does the guy.

Soon after I settle down on my new seat, I realise I haven't actually settled down. I can't. A mass of round flesh is occupying the crucial space required by my right shoulder and arm. The flesh is young and being pumped with louder-than-headphones-can-handle music, cola and Nintendo DS visuals before a mobile phone rings. "At 11". Damn, he'll be there until the end. "Can you bring some cigarettes? ... No, they ran out... Are you listening to what I'm saying? No, you're not! They last a week! A week has seven days! This is the eighth day!... Love you, ma."

I forget about the discomfort I'm feeling and ponder - Amen to Indian family values and practical politeness! Family values - everyone knows of. Practical politeness can be best described using an example. Readers' Digest found Mumbai to be the rudest city on earth because people don't hold doors open for people behind them and don't help someone who's dropped papers on the floor. What RD fail to realise is that its a city where the rat race results in endlessly overflowing trains in which people hunt to find the infinitesimal space, yet the same people offer their hands to help up the guy running alongside the platform, because they know his boss will fire him if he doesn't get on that train. In the words of Suketu Mehta, "That's opening doors."

Integrated India

The stark contrasts and diversity found in India are tough to parallel. For example, take this news article about matrilineal tribal custom in the state of Meghalaya. Its at odds with the rest of India and the world in general, but in principle there's nothing wrong with it.

Being one of the few such tribal societies in the world today, it can be argued that had a Uniform Civil Code been implemented in the Constitution of India, these customs would surely have disappeared. India being a land proud of maintaining its customs for thousands of years, might not let that happen, and well - does not need to let that happen.

Yet other elements of Indian society urgently demand such a code to be put in place to avoid social breakdown. The challenge posed is clear: India must not let its diversity be at odds with its integration, even if it requires, in the words of Gurcharan Das, the 'million negotiations of democracy'.

England

A picture can say a thousand words.

This is how I might describe England.

(Photo is original not edited; captured by me)