I was reminded of this when I opened my copy of Hindustan Times and encountered a story about how a the parents of a patient at a hospital in Kerala gave the doctor their morning catch (five kilograms of fresh pearl spot fish) -- which the harried pediatrician stacked inside a freezer in the pediatric operation ward of Kottayam Medical College. (A pharmacist discovered the fish when he restocked the freezer.)
It's not just gross negligence in hospitals; it's a lack of basic hygiene facilities for a vast proportion of the country, water shortages, inappropriate drug delivery systems, insufficient oversight to address health threats encountered by manual laborers, and grinding poverty that makes it necessary to, for example, sell one's kidney to get out of debt.
As much as people are talking about medical tourism, it seems -- as with so many other things here -- that adequate care is reserved only for the elite. I'd gladly pay more for my pills if that could, in some alterna-perfect world, help India's less privileged afford essentials like protection from mosquito-borne illnesses.