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Why does the average Indian citizen live 9 years less than someone in China? Why are more people in India dying from poor quality care than from a lack of access to doctors? In this episode of Doctor vs Internet, host Sonal Mehrotra Kapoor sits down with Richard Horton, Editor-in-Chief of The Lancet, the world’s most influential medical journal. Drawing from the newly released Lancet Commission on a Citizen-Centred Indian Health System, Horton reveals why India has reached a critical "inflection point" where more medicine isn’t the answer—better medicine is. In this deep-dive conversation, we cover: 🔴 The Quality Crisis: Why "Access" is no longer India’s biggest hurdle. Richard explains why the lack of regulation and "revalidation" for Indian doctors is leading to lack of quality in primary healthcare and a national crisis of care quality. Does India have a healthcare system or just a disease care system. 🔴 The 9-Year Gap: A startling comparison between India and China’s life expectancy. Horton argues that health is a political choice and calls for Indians to demand health be at the top of the political agenda. 🔴 AI vs. Elon Musk: We address Musk’s claim that AI will replace doctors. Richard’s verdict? Information is not experience. He warns against the unregulated rise of AI in health and why the "human touch" can never be automated. 🔴 The Silent Pandemic (AMR): How unregulated pharmacies and "quasi-doctors" are driving Antimicrobial Resistance (AMR), turning India into a ground zero for a global superbug crisis. 🔴 Air Pollution & Social Despair: Why pollution is a national health emergency that remains ignored but the government and people both. He calls for Indians to demand politicians act and be accountable to them. 🔴 Pandemic Lessons & The Next Crisis: From COVID-19 mismanagement and conflict over figures of Covid deaths in India to discussing when is the next pandemic going to happen and could it be "species ending". How new and mutating viruses are the biggest threat to humans and what we need to do to tackle it. This is essential viewing for anyone interested in public health, medical ethics, wellness, and the future of India. ⸻ Chapters 00:00:00 Richard Horton Montage 3:15 - Introduction 4:45 - Lancet Commission in India 6:37 - India vs China life expectancy 7:15 - India Health story 11:18 - Quality: The Health Issue of India 13:30 - Indian Doctors and relicensing 14:19 - Anti Microbial Resistance 16:00 - Lack of regulation in Healthcare 17:38 - Need political commitment to Health 18:38 - India Health GDP Expenditure vs Neighbours 22:43 - Healthcare system or Disease care system? 25:00 - 2/3rd Indian Deaths from Non-communicable diseases 26:08 - An epidemic of dementia expected? 29:22 - Elon Musk: Do we not need doctors anymore? 30:40 - AI in Healthcare. Yay or Nay? 34:15 - Does India need a FDA style drug controller? 37:03 - India speeding without seatbelt? 38:55 - Government needs to recognise Air pollution 42:39 - Why are Indians not agitated about pollution? 45:23 - Trust in govt gone up even after pandemic deaths? 46:45 - Lancet's vs Govt over Covid death figures 48:33 - India hasn't learnt from the pandemic 50:05 - When is the next pandemic hitting us 51:41 - Species ending virus on the loom? 57:40 - Can Gen Z build a 'Tesla of Health'? 1:03:40 - Richard's Health Checklist: Don'ts or Dos? 1:09:49 - The Coolest doctor and his Tattoo story! 1:11:13 - Goodbye ⸻ About Doctor Vs Internet Hosted by Sonal Mehrotra Kapoor, we fact-check viral health trends against science to help you make informed choices about nutrition and wellness. ⸻ DISCLAIMER: This podcast/video is intended for general informational and educational purposes. It was produced by trained/qualified professional health journalists based on information/inputs from qualified medical experts. These inputs are based on common trends observed in large population sets. Since assessment of individual medical conditions may not always align with the law of averages, this video should not be construed as medical advice, diagnosis, or treatment. The content in this video is indicative, not instructive. Listeners and viewers should consult a qualified healthcare professional for any health-related concerns or before making changes to diet, exercise, medication, or lifestyle. #TheLancet #RichardHorton #IndianHealthcare #PublicHealth #AMR #Pollution #pandemic #covid #next pandemic #new virus #ElonMusk #Dementia #Indiandoctors #HealthPolicy #IndiaVsChina #DoctorVsInternet #SonalMehrotraKapoor