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In response to the question as to which of the three he thought had the best chance of realizing his vision and passion, without a moment of hesitation, Dr. Shetty said, “All three, of course.” There can be no doubt that Dr. Shetty and his team had revolutionized cardiac care at his hospital, but to what extent could he expand the Wal-Martization of health care beyond his area of specialization?

In addition, health-care solutions like NH raised the question of what drove its success and how this could be sustained. To what extent was this success the driving force of one man’s vision and charisma, versus a fundamental change in the institutions underpinning Indian health care? Could this be adopted in other developing countries?

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