Last month, late at night, searching for a painkiller for my wife I came upon an old stock of tablets I had been prescribed for a muscle injury. It was a combination peculiar to India, and among other drugs it included Paracetamol and Diclofenac. Since she was still breastfeeding I took care to check the tablet only to find the combination I had taken for over a week was banned in several countries due to the possibility of a life-threatening reaction.
I had been prescribed the medicine at one of many new private medical hospitals that have recently sprung up in India. The old government hospitals gave off an intense smell of phenyl (a once ubiquitous disinfectant), patients would usually spill out of the wards on to long dingy hospital corridors, wastebaskets would be overflowing with discarded injections and bloodied dressings and even a dog or two roaming the wards wouldn’t be taken amiss. They were among the few places where the existence of the Indian elite couldn’t be completely cut-off from the reality of this country.
This is no longer the case. The private hospitals are run according to the same insurance driven model that funds medical practice in the US. They cater exclusively to the post-liberalization elite and medical tourists from other countries. In look and feel they resemble the four and five star hotels that have mushroomed in the country at much the same time and pace. Over the past three years I have had reason to observe them up close as my father has gone from a healthy middle age to radiotherapy for a malignant prostate, a gallbladder removal, three major surgeries for a persistent subdural hematoma, a mild stroke, all the while requiring monitoring for his diabetes and his weakened heart. All things considered he has come out of this rather well, but now on my mobile phone instead of a single number for a general practitioner I carry the contact details of a host of specialists who individually deal with the brain, heart, prostate and other assorted body parts.

The correct answer would be “it depends” or “compared to what”? After all, it’s not so much that everyone else in Eurasia stopped thinking 500 years ago, but rather than an explosion of knowledge occurred in Europe that rapidly outstripped other centers of civilization in Eurasia. And after a period of relative decline,