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In the land of make believe, ad hoc responses trump improving our processes

Whether the Congress or the Bharatiya Janata Party is in charge, we remain the land of ad hoc decisions

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Rahul Jacob
For more than a decade, the well-known medical writer and doctor, Atul Gawande, has publicised a checklist for hospitals to work from to avoid common mistakes in, say, delivering a child. The rules are often simple: the need for health care providers to wash their hands with soap before a vaginal examination, or having a machine hooked up and ready in the event that a new-born has difficulty breathing. Despite some improvement, high rates of maternal mortality remain a problem in India, in part because Gawande’s checklist is routinely ignored. 

It’s possible that the architects of ‘the largest healthcare scheme
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