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By:

Rajendra Joshi

3 December 2024 at 3:50:26 am

Procurement first, infrastructure later

Procurement at multiples of market price; equipment before infrastructure; no accountability Kolhapur: Maharashtra’s Medical Education and Public Health Departments have been on an aggressive drive to expand public healthcare infrastructure. Daily announcements of new centres, advanced equipment and expanded services have reassured citizens long denied dependable public healthcare. Procurement of medical equipment, medicines and surgical supplies is reportedly being undertaken at rates two to...

Procurement first, infrastructure later

Procurement at multiples of market price; equipment before infrastructure; no accountability Kolhapur: Maharashtra’s Medical Education and Public Health Departments have been on an aggressive drive to expand public healthcare infrastructure. Daily announcements of new centres, advanced equipment and expanded services have reassured citizens long denied dependable public healthcare. Procurement of medical equipment, medicines and surgical supplies is reportedly being undertaken at rates two to ten times higher than prevailing market prices. Basic economics dictates that bulk government procurement ought to secure better rates than private buyers, not worse. During the Covid-19 pandemic, equipment and consumables were procured at five to ten times the market rate, with government audit reports formally flagging these irregularities. Yet accountability has remained elusive. The pattern is illustrated vividly in Kolhapur. The Dean of Rajarshi Shahu Government Medical College announced that a PET scan machine worth Rs 35 crore would soon be installed at Chhatrapati Pramilaraje (CPR) Government Hospital for cancer diagnosis. But a comparable machine is available in the market for around Rs 6.5 crore. A senior cancer surgeon at a major cancer hospital in western Maharashtra, where a similar machine was recently installed, remarked that the gap between what his hospital paid and what the government is reportedly paying was enough to make one ‘feel dizzy’. The label of a ‘turnkey project’ does not adequately explain a price differential of this magnitude. High Costs CPR Hospital recently had a state-of-the-art IVF centre approved at a sanctioned cost of Rs 7.20 crore. Senior fertility specialists across Maharashtra note that even a modern IVF centre with advanced reproductive technology equipment typically costs between Rs 2.5 crore and Rs 3 crore. The state’s outlay is reportedly approaching Rs 15 crore. Equipment arrived in June 2025 and lay idle for months owing to indecision about the site. Similarly, digital X-ray machines approved for CPR Hospital and a government hospital in Nanded; available in the market for roughly Rs 1.5 crore; were reportedly procured at Rs 9.98 crore per unit. Doctors in CPR’s radiology department, apprehensive about being drawn into potential inquiries, reportedly resisted accepting the equipment. One departmental head was transferred amid disagreements over signing off on the proposal. What’s Wrong These cases point to a deeper structural failure: Maharashtra has perfected what might be called the ‘equipment first, infrastructure later’ model. In any public hospital, the administrative sequence ought to be: identify space, create infrastructure, sanction specialist posts, and only then procure equipment. Compounding the procurement paradox is a parallel policy decision. On 20 December 2025, the state government decided to introduce radiology diagnostic services through a Public-Private Partnership model (PPP). Following this, an order issued on 6 February 2026 authorised private operators to provide PET scan, MRI and CT scan services at six government medical college hospitals: in Pune, Kolhapur, Miraj, Sangli, Mumbai and Baramati. CPR already has a 126-slice CT scan machine and a 3 Tesla MRI scanner, with another CT scan proposed. If the PPP arrangement proceeds, the hospital could simultaneously run one PET scan machine, two MRI scanners and three CT scan machines. Medical experts warn this could lead to unnecessary diagnostic testing simply to keep machines occupied, thus exposing patients to excess radiation while government-owned equipment gathers dust. A similar pattern was seen during the pandemic, when the Medical Education Department spent hundreds of crores on RT-PCR machines, only to award swab-testing contracts to a private company. Many of those machines remain unused today.

The Science of AUM — And Geometry Before Pythagoras

Bharat’s rich heritage shows that long before modern science, our sages explored the universe through sound, geometry, and consciousness.

ॐ – the most divine chant that we have known since time immemorial. The chant that we relate to divinity and spirituality. To start with, it's not OM; it's A U M


Do you know that there is a sound of the "heartbeat" of the Earth, and the sound vibration is at a specific frequency?


First proposed by German physicist Winfried Schumann in 1952 and later confirmed experimentally, the Earth’s electromagnetic field is shaped by global lightning activity. These lightning strikes generate waves that become trapped between the Earth’s surface and the ionosphere, forming standing waves known as Schumann resonances. The strongest of these vibrations—at about 7.83 Hz—is often called the planet’s heartbeat or natural tuning fork for life.


When chanted correctly, the vibrations produced by AUM are believed to generate a frequency that can harmonise or synchronise with the Earth's natural frequency of 7.83 Hz. This is the frequency where you connect to nature and the divine, and hence we use ॐ during our prayers.


The 7.83 Hz frequency falls right at the border of the human brain's alpha waves (8−12 Hz) and theta waves (4−8 Hz). Alpha waves are associated with calm, relaxed alertness and a meditative state, and theta waves are linked to deep relaxation, meditation, creativity, and intuition. And the confluence of the two is the core objective of meditation, and hence ॐ is what we chant while meditating.


AUM chanting begins in the abdomen with the “A” sound, rises through the chest and throat with the “U”, and ends with the humming “M” resonating in the crown of the head. This upward vibration is said to energise the body’s chakras, fostering peace and well-being.What scientists uncovered barely 75 years ago has been part of our tradition for millennia. And the wisdom of ancient India didn’t end with sound and vibration — even in mathematics and geometry, our sages showed extraordinary insight long before their Western counterparts.


Ancient Indian geometry

As children, we learnt that the square of a right triangle’s hypotenuse equals the sum of the squares of its other two sides. A principle known as Pythagoras’ Theorem, attributed to the Greek mathematician Pythagoras around 500 BCE.


But centuries earlier, India’s learnt Rishis (Gyaanis) had explored similar concepts and more. The Śulba Sutras—meaning “rules of the cord”—described the geometry and mathematics used to design Vedic fire altars.Among the eight major texts, the oldest is the Baudhayana Śulba Sutra, though the science behind these rituals predates the written records.


In 800 BCE, Rishi Baudhayana had written some of these Sutras.

1. Pythagorean Theorem

Sutra 1.12 - Aksnayā Rajju


दीर्घस्याक्ष्णया रज्जुः पार्श्वमानी, तिर्यग् मानी च यत् पृथग्भूते कुरुतस्तदुभयाङ् करोति।


English Translation:  The rope stretched along the length of the diagonal [of a rectangle] produces an area that the vertical and horizontal sides make together.


Meaning: The area of the square drawn on the diagonal (hypotenuse) is equal to the sum of the areas of the squares drawn on the vertical (length) and horizontal (breadth) sides.


2. Value of the Square Root of 2

Sutra: I.61-62 (Elaborated in Āpastamba Śulbasūtra I.6)


समस्य द्विकरणी। प्रमाणं तृतीयेन वर्धयेत् तच्चतुर्थेनात्मचतुस्त्रिंशोनेन सविशेषः।


English Translation: "The diagonal [dvikaraṇī] of a square. The measure [side length] is to be increased by a third and by a fourth, decreased by the thirty-fourth part [of that fourth]. That is its diagonal approximately."


Formula (implied): If the side of the square is a = 1, the length of the diagonal (\sqrt{2}) is approximately:

1 + 1/3 + 1/(4 × 3) - 1/(34 × 4 × 3)


We may not have been the first—Egyptian and Babylonian scholars also studied these concepts—but the depth of our Rishis’ knowledge is remarkable. Sadly, they are often seen merely as ascetics, when in truth they were profound scholars and scientists.


Whether it’s the hum of AUM resonating with the Earth’s heartbeat or the geometric brilliance of our Rishis, ancient Indian wisdom endures. It reminds us that science and spirituality were never separate — only two paths to the same truth.

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