The challenge is to acknowledge the inappropriateness of the current health education and delivery systems, and refashion health care delivery relevant for the country. The confluence of recent events is an opportunity to rethink health systems. The new Medical Council of India, the proposed Human Resources in Health Bill, the penultimate year of the National Rural Health Mission, preparations for the 12th Five Year Plan and the promise of a significant...

The roller-coaster ride of the government-civil society joint drafting committee on the Lokpal (ombudsman) Bill has ended in a draw, but left both sides badly injured. Whether the tie will be broken when they present their separate recommendations to a proposed all-party committee in July remains an open question. Yet, this is a good time to draw up a balance-sheet of the government's first-ever effort to take on board civil...

  Can we agree in this country on a floor of human dignity below which we will not allow any human being to fall? No child, woman or man in this land will sleep hungry. No person shall be forced to sleep under the open sky. No parent shall send their child out to work instead of to school. And no one shall die because they cannot afford the cost of...

The ends may justify the means, but let's be clear - in rural India, extremes of coercion are being used to encourage toilet use Robert Chambers recently wrote that community-led total sanitation is leading to a development revolution, especially in south Asia. I agree with his assessment of sanitation's importance. In practice, however, the success of community-led efforts often hinges on the use of outright coercion. In my experience, the measures...

Eminent economists have shot off a letter to National Advisory Council (NAC) Chairman Sonia Gandhi to ensure that the proposed Food Security Bill is quite comprehensive and excludes only a few rich people. They also want Sonia to get the Bill legislated in such a way it is not based on the current public distribution system (PDS) for all times to come as direct subsidy transfer could also be an...