Of days we remember

A group of my friends meets to discuss soul searching questions like how does one live a purposeful happy life. Recently we talked about the purpose of commemorating dates - birth(day)s, anniversaries (of events and people), graduations and so on - in our lives. Dates are an opportunity to reflect on the paths taken, the successes achieved and the lessons learnt. They are also a way to remember the people who came into and those who left our lives, and to renew our old resolutions and make new ones.

With this thought, here is this post, to commemorate a day in mine!

The Wharton India Economic Forum: Healthcare (India versus US)

On Saturday, March 27, 2010 I attended the 14th Wharton India Economic Forum. So I believe the event started in 1996 marking five years of liberalization of Indian economy. There was an impressive list of speakers. You had people from Private Equity, Information and Technology, Social Sector, Healthcare, and Education and Training. There also was panel of woman leaders talking about issues of glass ceiling at workplace.



In the morning, I attended the healthcare panel. I found the Sangita Reddy, (Director, Apollo Hospitals) had the most memorable insights. She pointed out the efficiency of health care services in India by comparing the back office & administrative costs in the two countries; 7 percent in India versus 25 percent in US. I am impressed that India has basically managed to keep the cost of a by-pass surgery stable for 27 years despite the high rate of inflation. She underscored her point by mentioning that Indian doctors were more willing to do a 'Beating Heart Surgery', a very complicated procedure that saves costs and has a greater probability of recovery. Apparently, 97 percent of heart surgeries are beating heart in India versus less than 10 percent in the US. You would think that a country as technologically advanced as the US would have adopted an advanced technique. This underscores the discussions about healthcare that I have with my friends, some of them healthcare professionals. They insist that in India doctors are more efficient and more willing to actually 'treat you'. My take on this has always been that a society with such a high instance of law-suits and 'do no harm' principle causes doctors to cover their backs first with multiple tests, before initiating any treatment. The inefficiency in the system is greater because the payment is made by a third party. Since the money appears to go from the insurance company's pocket, neither doctors nor patients are concerned about efficiency. Remember, your insurance premium is actually a 'sunk cost', money that you have spent anyway.



Bhargav Das Gupta, CEO and MD, ICICI Lombard talked about the new products to finance healthcare in India, especially for really poor people. The low penetration on insurance (less than 5%) is an opportunity for insurers, but the low awareness a huge challenge. Only yesterday I was reading how Indians do not care much about health insurance. There was the perennial subject of drugs patents and generics and branded drugs, and the long winded process to discovery of new drugs. What really stayed on with me was an interesting tit bit about ingenious water filters. Homi Khusrokhan, Advisor to Tata Healthcare explained how the Tata's successfully developed an extremely cheap water filter that removes 99.7% bacteria from water using burnt rice husk and nano silver, without power. On a personal note, I really liked Khusrokhan, the man had a wealth of experience with a really humble Lucknowi demeanor. The composition of the panel was extremely impressive. The organizers had ensured that there were representatives from delivery (Apollo), pharmaceutical (GSK and Excel life sciences) and the payers (Tata Healthcare, ICICI Lombard and GSK Venture), ensuring that all aspects of this complex issue are covered. I hope to write about other panels and speakers in my later posts. In the meantime you can have a look at the complete list of speakers & panel members here

Books Update: I am back to fiction for the time being. Finished 'Memoirs of Geisha' sometime back. Loved the portrayal and discovered few unknown aspects of the traditional Japanese culture

Both Democracies - Yet Poles Apart

Last year I spent a lot of time following the US Presidential election. The Indian elections this year have made me compare notes: How do elections in the world's largest democracy compare with elections in world's largest economy.?

For a start, I was really intrigued by the involvement of the ordinary American into the political process and the fact the campaign was fought on real issues. Yes, there were diversions about Bill Ayers and the religion of present President of the US but the majority of the campaign was on matters that affected the life of an ordinary American - healthcare, economy, pro-choice or pro-life (can't understand why this should be a election issue), Iraq , Afganistan and such. Turn the globe about 180 degrees to India and you fail to spot a single national issue in this election. A string of regional parties splitting, resplitting, aligning to the point where your head spins with confusion.

The two men contesting the king's chair aka Presidency of the World's largest economy, even at their most bitter, treated each other with respect. Incontrast, the two old men at the helm of two of India's largest parties have hurled insults and abuses at each other. And once you move a little lower in the ranks of the parties you are shocked at hatred and virulous remarks that you hear.


Last but probably the most important, because it explains some of the above, is the apathy of the middle class Indian towards the elections. Infact a majority of Indians think what they can achieve in their lives is despite the government rather than because of it. They can not relate to the politicians who them. On top of that is the age and generation gap. 40% of India's billion plus population is young but unfortunately young political parties have old and middle age people at the helm of affairs and in their 2nd line of command. Manmohan Singh & L K Advani and both more than 70 years old.
This article from the New York Times offers a perspective (requires a free signup)

Movie Update : The Fast and the Furious - IV . Some really great action sequences and car chases. Keeps you at the edge of that seat
State of the Play : Average to Interesting.

It also happens in Delhi

It happened with me yet again. Had taken a day off to make good use of the Christmas weekend to go home. The three days home were great for unwinding and I really did not want to come back. (For those who me know too well, for example my parents, were surprised. I am not those very sentimental and mushy kinds) Never the less, I let home on Christmas night to take the Rajdhani to this city in the heart of India where I work

Now that I am absent minded is almost universal acknowledged. And I had the extra advantage of leaving a little late for the station. I went to station the train was already there at the platform. I frantically searched my name in charts. To my dismay, it was not there . It took me quite some disbelief to figure out that my ticket was not confirmed.

It took me good 15 minutes of talking to the TT to convince me how desperately I needed to be at work the next morning. Seeing no signs of me relenting the poor man gave in. That he too almost missed the train in this whole exercise is another story.

Once in I decided to call back home to tell them that I have left Delhi. I looked into my purse, then in my bag, then in my jeans pocket and then again in my purse. Quite a few rounds of these searches and realized the evening had been more exciting than I initially thought. I had lost my cell phone. Since was talking on the phone while on my way to station it clearly was not left back home.

For those who loose their cell phone for the first time are clearly unprepared for the loss of information it brings. I have since long stopped keeping people's cards or a diary. The 1.5 inches by 4 inches by 1/2 inch gadget stores all my contact numbers, to do lists, information etc. But this to is not the high point of this story.

The high point of the story was to be unfolded the next day morning. I landed in Nagpur and then reached office, to find out that dad had called someone to give a message. An autorickshaw driver had given my cellphone in the nearest police station to be delivered to its owner. In 2004 something similar had happened to me in Mumbai. But ordinarily I or for that matter no one I know would have expected this is Delhi. We just make certain generalizations of things and people around us.

Yet again life taught me not to make any assumptions

PS : If I haven't called you for long, please blame it on this incident. Its high time you give me a call so that I get your number again.

ART - My second play in Delhi

Mumbai introduced me to the play culture. Saw a few of them during my summers. Once you come back from Mumbai its everyone's pet peeve that Delhi does not offer similar avenues for an evening out as Mumbai does.

Anyways yesterday went for my second play in Delhi. 'Art' a French play translated into English with lead performances by Sumeet Tandon and Suhel Seth

Found this while googling for a review. It must consider my self lucky :P . It did manage it cheap considering it must have cost me a fortune to watch it at Illinios Theatre Center where it is being staged in January 2006

This brilliant Tony Award winning comedy examines the questions of “What is friendship?” and “What is art?” Three men, longtime friends, clash over the artistic and monetary value of a large white-on-white painting one of them has purchased. An internationally acclaimed hit, “ART” is intelligent, thought provoking, and wildly funny at the same time.

But funny it was and teh show made for a great evening. In the process got introducted to 'Kamani Centre' The have next week's schedule on theire website so you can plan ahead.

What I missed - I really want to go and see a Durga Pooja. Thought about going today but, missed it this year. Would definitely won't want to miss it next year. My bong friends are you listening.....

Life Outside Office

I look at my social accomplishments chart for this month. Two movies & two books. Pretty decent. I have been making good use of my time outside office. Have met my old college friends too.

The two months that I saw this month have both been ok. In fact Iqbal was a really good one. A simple yet powerful tale. Highly recommended. Nasserudin Shah's performance is amazing

The other one Salaam Namaste was a typical Hindi movie. The fast half is good, fast and thrilling. The second half was a shouting competition between Saif and Preity. And lots of tear-shedding

Watched Skeleton too a few days later. I love scary movies but this one was ordinary. Yes, there is a suspense and a twist in the end which the director tried to do it the Shamalayan way but my rating - Ordinary stuff.

On October 2, I saw the - "Maine Gandhi Ko Nahi Maara". - Urmila and Anupam Kher. If one thing you can watch the movie for is Anupam's acting. Classic , simply amazing. Reminds me of Saaransh (tale of a old father and the anguish he goes through in getting his dead son's remains released from Customs). In MGKNM, Anupam's portrayal of man who is guilt ridden because he killed Gandhi is touching. Urmila too has really come of age since her Rangeela days.

In all I have done a lot of work, beyond office
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Books that I read last month - Tipping Point & The Alchemist.
I am far from competing with some fellows who claim to be reading two or three books in parallel but I try to console myself - after all I am working hard in office too :)

The memories of a city: Mumbai

I am a born and bred North Indian. So much that I often describe Delhi as the place I belong to, to cut short the details. The first time I visited Bombay ( The old name symbolises some things & I prefer it to the new one) was ten years back. The first impressions of the city have been such that I rank it above any other. One of the few cities (in India) where people queued for buses, where a female could safely take a taxi at 11 pm , place where people have much more civic sense then our national capital, where taxi drivers would not cheat you if you did not know the way (unlike delhi or chennai). A city that was untouched by the fundamentalism & culture police and, had a night life.

For those used to bus travel in Delhi, let me recall an incident which happened 10 years ago.
I was boarding a BEST bus with my travel group (5 people), when the buses conductor said he could take more than two of us on borad. Reason, the standing capacity of the bus was X (I don't remember the number) and he could accomodate only two of us. So either we split or wait for the next bus (15 minutes or something). For us, used to passengers hanging out of Delhi buses and the scant regard of traffic rules generally around the country, this was a welcome surprise.

That was Bombay ten years ago. Things have changed since then. With the mounting population pressures , Mumbai's infrastructure seems to be creaking. But, what has not changed is the spirit of a Mumbaikar (the new term for Bombayites).