Chapter Five

Principle Four

Keep It Simple

I would not give a fig for the simplicity on this side of complexity, but I would give my life for the simplicity on the other side of complexity.

Oliver Wendell Holmes

Dr. Sathya Jeganathan is a pediatrician in Chengalpattu Government Medical College, a rural hospital in South India. Infant mortality used to run high at her hospital: on average, 39 out of every 1,000 infants died at birth. This statistic, unfortunately, did not differ greatly from overall neonatal mortality rates in India where, of the roughly 26 million children born each year, 1.2 million die during their first four weeks of life.1

Wishing to decrease infant mortality in her hospital, Dr. Jeganathan first tried to import incubators ...

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