For India to improve the existing government health system is far less complex than expanding health insurance. International experience shows the difficulties of regulating an insurance-based system to keep costs down and assure quality.
Monica Das Gupta (mdasgupta@gmail.com) teaches at the University of Maryland, College Park, the US. V R Muraleedharan (vrm@iitm. ac.in) teaches at the Indian Institute of Technology Madras.
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