Only real collective responsibility, along with adequate resources and focus, can improve this system and make it safe
In the years 1995-2000, I used to visit Bihar three-four times a year. I was then involved in the financing of hospitals and other healthcare facilities. I had made enough mistakes by then, and learnt that the only way to figure out the real risks of lending to a particular hospital or doctor was to do your own due diligence on the ground. Then, Bihar was widely regarded as having failed in every way. Its reputation for lawlessness did make the idea of financing there seem foolish. In pursuit of growth, we were adventurous. As our portfolio in Bihar built up, we saw that it was no worse than most other parts of the country. So we kept going on.