This view of the beach in Goa is a perfect example of India's perspective problem. From afar, it looks pristine and idyllic. However, as you get closer and closer to the action, the picture gets less rosy. Sitting on the beach you'd observe a decent amount of trash and general debris. You might be lucky (or unlucky) enough to see the people in charge of cleaning the beach burying all the trash the collected in the sand.
As we toured the wide array of healthcare facilities in India, I was constantly reminded of this example. Even at the high end hospitals (e.g. Max Healthcare), things looked great until you got up close and personal. Solely looking at infrastructure, its easy to see the lack of attention to detail in the construction. While the challenges to the Indian healthcare are many, a focus on and commitment to quality throughout the system seems to be one of the keys to improving the system. Many of our hosts (e.g. Narayana) espoused a consistency in purpose and values, which was encouraging. Hopefully this is a trend that continues with a renewed focused on quality.
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