Care to explain?
It’s substantially better than it used to be. FWIW I believe the people of India deserve to have proper sanitation.
Yet they landed on the moon [1], how about that. I assume they're theoretically capable of producing medicine.
It's the same kind of brag the USA has. We have this giant military but have a broken health care system.
India has a space program, but a huge portion of their population doesn't have toilets.
-Who owns the pharmaceutical plants? What are their incentives?
Private companies own the pharmaceutical plants in India, their incentive is to maximize profit.. in a country with lots of corruption and poor sanitation.
I’m not making the claim that 10% of India defecating in the open is a moral or cultural failure, I’m saying that, in conjunction with the corruption, it does not inspire confidence in manufacturing goods that need to be sterile.