the Kerala model- why it wont work elsewhere.

Kerala is different. Why? It's actually quite a nice place to live. Kidnapping isn't a heavy industry. Movies and novels and magazines aint utter shit. That means some Doctors are going to want to live even in backwater villages- especially if they've inherited land there.
Furthermore, its radically  fucked economy means you have cheap nurses part of whose reproductive cycle occurs in the province.
But what happens if Kerala's economy gets a little less fucked coz like the Cubans are backtracking and. anyway, the other alternative of cutting off the hands of lecturers is soooo last decade?
Well, then the statistics go into reverse- like what happened in China when the barefoot doctors got shoes and ran the fuck out of the rural backwaters and didn't stop running till they'd started to do well for themselves.

Still, the Kerala Model DOES offer a beacon of hope, not alas! for Kerala but for ...urm... dunno...Cambridge?

Some place with a lot of caste complexity. Oh yes, and land reform.

So not Cambridge then. 

Pity.

But don't tell Amartya Sen- there's a dear.

In any case he turns up his nose at poor old England's N.H.S, preferring the other Cambridge for medical help.

This I think is his lasting contribution to the Capital reswitching debate and the War between the two Cambridges. Joan Robinson would have been so proud!