I had a respectful familiarity with the Sri Ramakrishna Mission. Besides reading the excellent books that they have been publishing, I had the fortune of visiting the Dakshineshwar Kali Mandir in Kolkata twice where Sri Ramakrishna met Narendra…
Hinterland
Hinterland
When I accompanied Dr APJ Abdul Kalam to Patna in Bihar State in 1999, he was the Principal Scientific Advisor to the Government of India. The Technology Information Forecasting and Assessment Council (TIFAC), which Dr Kalam chaired, had initiated an agriculture project in Paliganj, 55 km from Patna on 2.4 hectares of land. He took me to see what could be done to help assist the healthcare system there, which together with livelihoods, were the two basic problems of the poor.
After becoming the President of India in 2002, Dr Kalam continued his tryst with Bihar, where he thought solutions to all problems of societal transformation can be developed. He made me a part of his entourage in his 3-day visit to Bihar in May 2003. We went to the Jain shrine at Pawapuri, the archaeological site of the ancient Nalanda University, the most sacred of Buddhist shrines – the Mahabodhi temple at Bodh Gaya, Takht Harmandir Sahib in Patna, and the Bihar School of Yoga at Munger. We traveled in the “presidential train,” a relic of the British Raj, from Harnaut to Patna. I felt as if I was living one of my past lives.
President Kalam got entangled in the declaration of President’s Rule in Bihar in May 2005. The Bihar Governor had recommended the dissolution of the Assembly, the Union Cabinet approved it and forwarded it to President Kalam, who was on a visit to Moscow at that time. He signed it there. It was challenged in the Supreme Court and the five-judge Constitution Bench, in a majority verdict, declared the proclamation unconstitutional. President Kalam was penitent saying he should have rejected the Cabinet’s decision and thought of resigning from his office. He was persuaded to continue.
My bonhomie with Bihar continued. In February 2010, I travelled to Muzaffarpur, pursuing my Don Quixotic mission of connecting all district headquarters on a telemedicine link, which we had restricted to Tele-radiology by that time. My student at Hyderabad Central University, where I was teaching MBA (Healthcare and Hospital Management) in School of Management Studies as Adjunct Professor, Dr Janki Raman, who was a native, escorted me. The picture is from the road trip from Patna to Muzaffarpur clicked by him.
Bihar continues to struggle with backwardness, which was inherited like any other hinterland of the British-ruled India but then perpetuated by severe form of caste politics and finally, rampant corruption made the best of Bihari youth migrate out of Bihar. Dr Kalam used to say that unless we solve the Bihar development tangle, India can never be a developed country. And who would do the honors? Of course, the people of Bihar. The opportunity is that they are the best of human resources anywhere in the world. The challenge is their political division.
To put things into the right perspective, Bihar, with more than 120 million people, is the third most populous state in the country after Uttar Pradesh and Maharashtra. But there is scarcity of land. With so many people and not even 100,000 sq. km., Bihar accounts for 3% of India’s land mass but 9% of its population. This skewed population density, which is three times of the national average, is the root cause of the backwardness. Bihar was ruled from Calcutta by the British. It was already lagging before independence. The difference got exacerbated after liberalization in the mid-1990s. While the other states grew, Bihar languished. Bad became worse. But why?
The creation of Jharkhand in November 2000 to separate out South Bihar took away much of the mineral repository. All the industrialization done in Bihar since independence had gone in a whiff. The problems of persistent poverty, complex social stratification, unsatisfactory infrastructure, and weak governance are well-known, but not well understood. With 80 million people younger than 35 years of age, Bihar needs jobs and that needs investment. Now, investment would need SEZ kind of arrangements, roads, electricity and above all, law and order. It is very easy to blame the government but who elects it? The despair is palpable.
I am not a visionary, but I live by hope. I consider imagination more powerful than knowledge. For me, myths are more potent than history and dreams are more powerful than facts. So, it is time to go a little bold and ask for a medical college in each of the 38 districts of Bihar. It is hard to believe and yet true that half of the 38 districts in the state have no more than three government doctors for every 100,000 people. The situation in Siwan is most acute where there is just one doctor for 100,000 people I am told. To put this into perspective, the national average is 134 doctors for 100,000, a little better than the WHO-prescribed level of 1:1,000. Of course this would also mean a nursing college and a paramedic college in every district.
Lack of funding is not an excuse for not doing what is needed. The government should show political will, make a sound proposal, circulate it globally, invite partners and seek investment through bond schemes. The people from Bihar living outside the state themselves would contribute the necessary funds if an honest and transparent scheme is put in place. The same model can be used to create thermal power plants and smart water grids to mitigate the chronic problem of floods, especially in North Bihar. And there should not be any politicking on this. And the best way to do this is to make the system free of political muddling.
Thomas L. Friedman, in his 1999 book, The Lexus and the Olive Tree writes, “You can be a rich person alone. You can be a smart person alone. But you cannot be a complete person alone. For that, you must be part of, and rooted in, an olive grove.” When I asked Dr Raman, currently living in Sydney, Australia, with his family, what would bring him back to Bihar, he said a Neurology & Plastic Surgery Speciality hospital, which he wishes to establish with his younger brothers, Dr Radha Raman and Gopi Raman in Muzaffarpur by 2025.
And I have no doubt that he is not alone in his dream to return and serve his own people. Dr Kalam used to say that if we forget whom we belong to, and if we forget that there is a God, something profoundly human in us will be lost. And after our return from our 2003 trip, he gave me Bertrand Russell’s 1951 book, New Hopes for a Changing World, highlighting the text that read, “Our great democracies still tend to think that a stupid man is more likely to be honest than a clever man, and our politicians take advantage of this prejudice by pretending to be even more stupid than nature made them.” He indeed knew his country well.
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