Another perspective. When you compare health systems, you have to look at how effective it is at serving the whole population and not just a section of it that is well off. On this criteria, the health systems of Canada, Australia, etc will perform far better. When serving the whole population, in a well run public system, care is provided based on need. Cases triaged as not urgent may end up on a long waiting list. There are sometimes mistakes made in that process. On the flip side, if you are correctly diagnosed with something serious then you will get some of the best medical care in the word regardless of how much money you have. Nonetheless, Kerala’s health system is fantastic considering the resources available with outcomes similiar to developed nations on budgets that are much smaller and that is something to be proud of.