The coronavirus pandemic offers an opportunity for countries around the world to invest and expand their healthcare capacity to fit the needs of the modern world. It is a rare opportunity, where the stress test of our healthcare system, help us improve and if needed redesign the system to dramatically expand preventive, hospital and critical care capacity using new technologies.
Can India fight coronavirus, and rapidly scale its health capacity? If you have visited Kumbh at Prayagraj, you will believe yes it can. Kumbh is simply put - astonishing. Beyond the spiritual domain, administratively and in terms of planning and management, Kumbh is an event with no global parallel. A massive city catering to tens of millions a day emerges out of nowhere at the bed of Ganges for a few months, with almost every amenity one could look for. And then it dissolves into the river. India organizes the Kumbh periodically and has learned the ability over time to live in organized chaos. It is a skill that not every country has acquired. Hence, can India deal with coronavirus? Can its health capacity expand drastically to meet the challenging needs ahead? Yes it can.
I was member of a IIMB based study that studied the 2019 Kumbh at Prayagraj. Kumbh is a floating city serving 3-5 crore visitors on its peak day. The Kumbh was incidence free and deployed a temporary sanitation system, healthcare infrastructure, transport and housing facilities for millions of visitors. How could such high levels of effectiveness be achieved at scale, when otherwise India's state capacity is considered weak? Some features of Kumbh governance model are worth emulating for the rest of India.
Each of these factors helped the government achieve scale in a manner that is uniquely suited for a diverse multistakeholder democracy like India's.