We’ve been trying to deploy AI in hospitals.
The biggest bottleneck isn’t doctors.
It isn’t regulation.
It’s legacy IT vendors.
They control the data.
And they don’t want anyone else touching it.
@ptrmadurai@the_hindu I agree that not all welfare is “freebies.”
In fact, even direct handouts can be justified—if they reach the right people.
But the real question is design.
The best welfare schemes align incentives—
where what is good for the individual is also good for society.
What if India’s unemployment problem is being misdiagnosed?
We keep treating it as policy failure.
But part of it may be structural.
And that changes the solutions completely.
@kaushikcbasu Important point. But part of this may be structural, not just policy.
Growth itself is becoming less job-intensive—and in places like Kerala, even available jobs may not be taken.
Expanded thoughts below 👇
https://t.co/8SxBUjkcb3
What if India���s unemployment problem is being misdiagnosed?
We keep treating it as policy failure.
But part of it may be structural.
And that changes the solutions completely.
So the challenge is deeper:
We cannot artificially create low-productivity, labor-intensive jobs in a globally competitive world.
And in many regions, even if we do—people won’t take them.
Real question:
How do we create enough desirable jobs in a high-productivity economy?
Take Kerala:
Youth unemployment ~30%
~30% of youth prefer to remain unemployed rather than take lower-quality jobs
~65% of youth want to work abroad
This is not just job scarcity—
👉 it’s also about job acceptance.
6/ The priority has to remain clear:
We need innovation, high-productivity businesses, and opportunities that match the aspirations of our youth.
Otherwise, outmigration will only accelerate.
4/ Market depth is thin. Even core real estate goes through deep cycles.
Niche segments like retirement housing are far more vulnerable. During my time in real estate, I’ve seen projects struggle—even in Kochi.
3/ Affordability is a bigger issue than we admit.
Retirement communities are expensive. Most families cannot justify the cost. And many elders simply don’t want to leave familiar surroundings, even for better facilities.
2/ Culture is a real constraint. Kerala is deeply rooted and distinct.
Elderly outsiders are unlikely to relocate in large numbers. That means the market is largely limited to Keralites—not a deep enough base to build an industry.
@ShashiTharoor@IndianExpress “Retirement haven” sounds elegant. But who is the customer—and who is the builder?
Kerala doesn’t yet have the depth of demand to make retirement housing a viable asset class.
Kerala’s future still depends on youth, innovation, and high-productivity jobs—not managed decline.
The real question isn’t just about managing finances.
It’s about changing the model.
From redistribution → to creation
Should policy now focus on building
high-growth, innovation-driven businesses?
Kerala’s finances have a structural problem.
Revenue: ₹1.25 lakh crore
Salaries + pensions + interest: ~₹1 lakh crore
Welfare pensions: ~₹12,000 crore
There’s very little left for everything else.
Yet this barely features in election debates.
Why?
Kerala’s fiscal problem and job problem are linked.
Not enough high-productivity businesses → limited revenue growth
Not enough good jobs → migration of talent
Without an innovation ecosystem,
both problems reinforce each other.
So what happens in Kerala?
Running the government → Borrowing
Building infrastructure → Borrowing
That’s the difference:
Others spend revenue.
Kerala spends debt.