What do you make of India's under-performing, poorly-funded, leaky public health system, smothered by high population and appalling sanitation? It is the same health system, by the way, which has helped raise life expectancy from 32 years a few decades ago, to more than 65 today. What do you make of a health system which pulls off the remarkable feat of eradicating polio - India was home to four-fifths of the world's polio cases in 2002 - in a decade, but where women continue to die delivering babies and during simple sterilisation surgeries? So does India's health system - like many other things in the country - do the big things well and fare badly in executing the relatively smaller ones? Surgeon and writer Atul Gawande, who loves grappling with such gruelling questions, believes India's public health system is one of the "most complex things" in the world.

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