Appendix A

India? Really?

Countering Skepticism about Transferring Practices from India to Developed Countries

Over the last five years, as we have shared our research with colleagues, we have encountered skepticism about our thesis that India can offer lessons for health-care reform in the United States.

“India?” people ask. “Really?”

“Yes, India!” we reply, time and again.

But the question is understandable. After all, India’s overall performance in the health-care sector leaves a lot to be desired, compared with the United States and even with China (see table A-1). So we would like to address some recurring doubts. Skeptics’ concerns typically fall into one of two camps: skepticism about the exemplars’ results and skepticism about reverse ...

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