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India: health innovator's paradise
  1. Prashant Jha
  1. Biodesign, AIIMS, New Delhi, India
  1. Correspondence to Dr Prashant Jha, Biodesign, AIIMS, 108, Old OT Block, First Floor, AIIMS, New Delhi 110029, India; post{at}

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Let me start by acknowledging my bias: I am bullish on India! Let us start with the most fundamental premise of an innovator's mindset—every problem is an opportunity!1

While health is a very complex field to innovate—with many variables—there are at least six interconnected domains that determine the variables an innovator must consider while solving a problem:

  1. Reimbursement constraints.

  2. Disease complexity and variability.

  3. Skill sets of healthcare providers.

  4. Manufacturing and distribution networks.

  5. Talent availability.

  6. Health infrastructure.

An innovator in North America, Western Europe, Japan or a developed economy in APAC has a couple of them sorted out: a rather straightforward reimbursement pathway, powered by insurance; a very rigid medical education and licensing guidelines for a single discipline of medical care. This is an advantage—and a threat. An innovation that …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.