Healthcare
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Bihar can’t even count how many dengue cases it has had, let alone fight the disease
In Bhagalpur, the historic Bihar city on the southern banks of the river Ganga, doctors disagree about the threat of dengue in the area. Vijay Kumar, the civil surgeon for Bhagalpur, says dengue is under control. His statement has been flatly contradicted by doctors at Bhagalpur’s Jawaharlal Nehru Medical College and Hospital. The hospital identified… Continue reading
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Lessons from Bihar’s 2016 dengue outbreak : Migration, poverty, garbage are spreading new diseases
In 2016, dengue hammered Krah. As many as 100 people living in this densely-packed, predominantly Muslim ghetto of about 1,000 families near Biharsharif contracted the disease, say residents. The scale of the outbreak was unprecedented. As Mohammad Ilyas, a young tailor who works and lives in Krah, said: “We never had such an outbreak earlier.”… Continue reading
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Cancer has exploded in Bihar as lakhs of people drink water poisoned with arsenic
It is a day like any other at Mahavir Cancer Sansthan. The driveway is lined with people who have travelled a long way to get to this charitable hospital in Patna. Families sit huddled, holding their bags close. The lobby is even more crowded, rather like the ticket buying hall of a train station. The… Continue reading
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Think Tamil Nadu has good public healthcare? It’s hard to find it on the ground
the concluding part of our story on why Tamil Nadu’s healthcare system is weakening. In India’s development circles, Tamil Nadu is viewed as one of the best performing states in the delivery of public welfare like education and healthcare. But, as the first part of this story reported, the state is improving on some public… Continue reading
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Tamil Nadu’s healthcare numbers look good – but its people aren’t getting healthier
Out today, the first part of our final #ETTG story from Tamil Nadu. This one says the state’s much-vaunted healthcare system is weakening. On some fronts, the state’s public health system continues to work well. Today, nearly all babies in Tamil Nadu are delivered in clinics – from 87% in 2002-’04, institutional deliveries climbed to… Continue reading
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Has Punjab’s obsession with cancer robbed its poor of healthcare?
“Private waley kehte hain ghar le ja kar sewa karo.” Private hospitals tell us to tend to the patient at home if we cannot pay their fee. That was Mohan Lal Shonky’s response when asked how he and others in the poor quarter of Nurmahal town in Punjab’s Jalandhar district use medical services. Shonky, 55… Continue reading
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What a primary school in Keonjhar tells us about Odisha’s misplaced government spending
Pradip Kumar Behera is trying to beat the odds. A bespectacled man in his late thirties, he is the headmaster of the government school in Unchabali, a village in Odisha’s mineral-rich district of Keonjhar. Under his watch are 144 students, mostly from the poorer families in the village, studying in classes from the first grade… Continue reading
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The CBI must understand trains and bogies if it aims to crack the Vyapam scam
out today, this story which looks at how exam rigging was done in madhya pradesh’s #vyapam scam. As the number of gangs grew, the market evolved further. First, students began shopping for lowest prices between gangs. This gave rise to a set of disputes which, by 2009, had resulted in the gangs dividing up Madhya… Continue reading
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Vyapam’s hidden costs: Broken dreams and a health system staffed by dodgy doctors
In 2009, Poonam Sharma finished school and turned her thoughts to medical school. The daughter of a junior police officer, Sharma left home in Shivpuri, in the northern reaches of Madhya Pradesh, for Gwalior, home to coaching centres that promise to help candidates crack all kinds of entrance exams. She enrolled for a year-long coaching… Continue reading
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Why medical workers are taking personal loans to keep Mizoram’s healthcare system running
One late evening in April, a senior official with the Mizoram health administration sat in his office in Aizawl, frustrated and angry. It was dark outside. Most of his staff had left for the day. “If they delay it by two months it is okay, if they delay it by three months we may manage, but… Continue reading
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Why AIDS is about to explode in mizoram
Thirty-three year-old Lalbiaki is a counsellor with Mizoram’s AIDS Prevention and Control Society. Until last year, she would spend several days on the road every month, travelling the hills and valleys of Champhai in a white-coloured pickup with two colleagues – a lab technician and a driver – scouring the countryside for cases of AIDS. Located… Continue reading
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Why AIIMS Is In Trouble
In his Budget speech, Finance Minister Arun Jaitley announced plans to set up five new All India Institutes of Medical Sciences (AIIMS) in Jammu & Kashmir, Punjab, Tamil Nadu, Himachal Pradesh and Assam. This line of action , set up more AIIMS, has been a popular response to both the larger, generic challenge of adequate… Continue reading
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Why Health Secy Keshav Desiraju Was Transferred
something strange happened in mid-february. the bureaucrat who heads india’s union ministry of health was abruptly transferred. and none of the explanations doing the rounds seemed to make much sense. Why was health secretary Keshav Desiraju transferred? Two days ago, in a statement reproduced by the Press Trust of India, Azad said: “Officers’ and ministers’… Continue reading
I am an Indian journalist with interests in energy, environment, climate and India’s ongoing slide into right-wing authoritarianism. My book, Despite the State, an examination of pervasive state failure and democratic decay in India, was published by Westland Publications, India, in January 2021. My work has won the Bala Kailasam Memorial Award; the Ramnath Goenka Excellence in Journalism Award; and five Shriram Awards for Excellence in Financial Journalism. Write to me at despitethestate@protonmail.com.
Reviews
“…une plongée dans les failles béantes de la démocratie indienne, un compte rendu implacable du dysfonctionnement des Etats fédérés, minés par la corruption, le clientélisme, le culte de la personnalité des élus et le capitalisme de connivence. (…a dive into the gaping holes in Indian democracy, a relentless account of the dysfunction of the federated states, undermined by corruption, clientelism, the cult of the personality of elected officials and crony capitalism).” Le Monde
“…a critical enquiry into why representative government in India is flagging.” Biblio
“…strives for an understanding of the factors that enable governments and political parties to function in a way that is seemingly hostile to the interests of the very public they have been elected to serve, a gross anomaly in an electoral democracy.” Scroll.in
“M. Rajshekhar’s deeply researched book… holds a mirror to Indian democracy, and finds several cracks.” The Hindu
“…excels at connecting the local to the national.” Open
“…refreshingly new writing on the play between India’s dysfunctional democracy and its development challenges…” Seminar
“A patient mapping and thorough analysis of the Indian system’s horrific flaws…” Business Standard (Image here)
“33 മാസം, 6 സംസ്ഥാനങ്ങൾ, 120 റിപ്പോർട്ടുകൾ: ജനാധിപത്യം തേടി മഹത്തായ ഇന്ത്യൻ യാത്ര… (33 months, 6 states, 120 reports: Great Indian journey in search of democracy…)” Malayala Manorama
“Hindustan ki maujooda siyasi wa maaashi soorat e hal.” QindeelOnline
“What emerges is the image of a state that is extractive, dominant, casteist and clientelist.” Tribune
“…reporting at its best. The picture that emerges is of a democracy that has been hijacked by vested interests, interested only in power and pelf.” Moneycontrol.com
Book lists
“Ten best non-fiction books of the year“, The Hindu.
“Twenty-One Notable Books From 2021“, The Wire.
“What has South Asia been reading: 2021 edition“, Himal Southasian
Interviews
“Journalism is a social enterprise…,” Booksfirst.in.
“Democratic decay at state level: Journalist M Rajshekhar on book ‘Despite the State’,” The News Minute.
“Covid-19 en Inde : “des décès de masse” dont un “État obscurantiste est responsable,” Asialyst.
Allusions/Mentions
“JP to BJP: The Unanswered Questions“.
Mahtab Alam’s review of “JP to BJP: Bihar After Lalu and Nitish”.
“Urban History of Atmospheric Modernity in Colonial India“. Mohammad Sajjad’s review of “Dust and Smoke: Air Pollution and Colonial Urbanism, India, c1860-c1940”.
“Westland closure: Titles that are selling fast and a few personal recommendations,” by Chetana Divya Vasudev, Moneycontrol. (Because this happened too. In February, a year after DtS was released, Amazon decided to shutter Westland, which published the book. The announcement saw folks rushing to buy copies of Westland books before stocks run out.)
“Time to change tack on counterinsurgency” by TK Arun, The Federal.
“All Things Policy: The Challenges of Governing States” by Suman Joshi and Sarthak Pradhan, Takshashila Institute (podcast).
“The Future of Entertainment“, Kaveree Bamzai in Open.
“On What India’s Watching“, Prathyush Parasuraman on Substack.
“The puppeteers around us“, Karthik Venkatesh in Deccan Herald.
“Will TN election manifestos continue ‘populist’ welfare schemes?“, Anna Isaac for The News Minute.
“Why wages-for-housework won’t help women“, V Geetha in Indian Express.
“The poor state of the Indian state“, Arun Maira in The Hindu.
Book discussions
26 December, 2021: Rangashankara, Bangalore, a discussion with Dhanya Rajendran.
16 November: Rachna Books, Gangtok, a discussion with Pema Wangchuk.
29 August: Books In The Time of Chaos, with Ujwal Kumar.
21 May: Hyderabad Lit Fest with Kaveree Bamzai and Aniruddha Bahal.
28 March: Paalam Books, Salem, Tamil Nadu.
19 March: The News Minute, “Citizens, the State, and the idea of India“
6 March: Pen@Prithvi, with Suhit Kelkar
20 February: A discussion between scholars Usha Ramanathan, Tridip Suhrud, MS Sriram and me to formally launch Despite the State.
6 February: DogEars Bookshop, Margoa.
5 February: The Polis Project, Dispatches with Suchitra Vijayan.
30 January: Founding Fuel, “Systems Thinking, State Capacity and Grassroots Development“.
25 January: Miranda House Literary Society
Fractured/Earth 
