More Nano Please

Ramesh Ramanathan of Janaagraha/JNURM in Mint (no link):

The Nano Inspiration

I am inspired by the story of the Nano. Beyond its cute look or frugal engineering-driven price tag, I find it remarkable how Team Tata pulled it off in just four years.

I've watched and read the rumblings – on congestion, traffic, the environment. Confession: I own a car. This makes it hard for me to criticise the Nano: people-in-glass-houses constraint. There is an Indian equivalent of this – the "unreserved compartment syndrome". All those inside the compartment do everything to keep outsiders at bay; but once someone gets in - bravely beating the odds - he becomes an insider, repeating the same behaviour, so nothing changes. We need to understand the sentiments of the outsiders - how many people who don't own cars criticise the Nano on the grounds of traffic congestion and environmental concerns.

But the larger point is the inspirational lamp that the Nano story lights. There are hundreds of challenges in India where the lessons of the Nano can be applied – design innovation, scale efficiency, vendor networking and so on. I want to talk about three illustrative examples.

Healthcare

Dr Devi Shetty, one of the country's leading heart surgeons is also focused on bringing affordable health services to the poor. He talked of the need for innovation and scale in healthcare, based on our unique challenges in India .

Using the example of a CT scan, which costs Rs 5,000 - 10,000 per patient, he said, "We have a few hundred CT scan machines in India, each doing 3-4 scans a day, although the capacity is over 100/day. These machines are like planes that earn money only when they fly. We need to increase the flow of patients through these centres. But this is related to other issues like hospital bed capacity and inpatient/outpatient ratios. Today, most hospitals make their money from inpatients. We need to reverse this relationship where thousands of outpatients who each pay a few hundred rupees for tests can subsidize the operating costs of the hospital."

Imagine if we could get a CT scan cost down to Rs 500, offer a heart surgery for a few thousand rupees or a gall bladder surgery for under a thousand. This requires a fundamental redesign of all the parts of the healthcare delivery system - from re-engineering individual components like the CT scan, to embedding these into scaled health "cities" that can get a critical mass of 10,000 outpatients a day.

Housing

In urban India alone, we need to build over 26 million homes to meet projected demand until 2012, and over 95% of this is for the poor. If we ignore government subsidised programmes, and focus on market-driven solutions, we need to build homes with an all-in cost of Rs 2 - Rs 2.5 lakhs for land and building, so that the EMI is around Rs 2,500. Given current land costs and fsi/far ratios in urban India , this translates to a construction cost of about Rs 300- 400 per square foot for a 400 sft dwelling. Imagine the kind of demand that can open up if we can change the engineering specifications, reduce the cost-per-unit by scale economies, improve the construction process, and deliver a product that might not have marble floors, but doesn't compromise on quality.

Public transport

The Design Museum of London ( www.designmuseum.org) says this about the famous London double-decker bus, "Developed over nine years from 1947 to 1956 by a team led by industrial designer Douglas Scott, the Routemaster was designed with mass-production in mind. By constructing a bus from the maximum number of interchangeable parts, they cut the cost not only of the initial tooling and manufacturing, but of repairs and maintenance too. They also equipped it with the latest automotive engineering innovations such as power steering, an automatic gearbox, hydraulic brakes, independent springs and heating controls."

I think of the public bus system in our cities. If the experience is bad for passengers, it's worse for the bus drivers, having to navigate these Noah's arks through the narrow Indian streets. We need buses designed for Indian conditions: our roads, our traffic, our people. With environmental challenges thrown in, we are looking at a fundamental redesign of the Indian bus. Can we create an icon like the London Routemaster?

These challenges – and the hundreds more that India faces – would normally result in little more than wishful thinking or simplistic dead-end pilot projects. The Nano story inspires us to say, "Why not?" with a clear-headed acknowledgement of the complexities. To me, this itself is worth the applause it is receiving.