The NHS is in trouble. Hardly a week goes by without fresh news of its financial woes, disputes over the access to costly drugs and trouble recruiting enough doctors and nurses. Its a similar story in most developed nations, where runaway costs undermine the future of healthcare. But there are countries that are coping and thriving despite endemic shortages of money and manpower. Frugal innovation born out of necessity in places like India could provide both inspiration and solutions for getting global healthcare costs under control.

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