Also, the high-tech healthcare that we are accustomed to in the US is generally only available to the upper classes in India or people who pay with foreign (>local) purchasing power. Some of the hospitals that provide high-tech care do some symbolic pro-bono care for the poor, financed in part by donations from Indians abroad and foreign medical tourists. (Source: my parents have donated to such hospitals, and I have some acquaintances who have gone to India to have cheaper-than-US specialty medical procedures performed).