𝐖𝐇𝐘 𝐘𝐎𝐔 𝐆𝐄𝐓 𝐌𝐎𝐑𝐄 𝐃𝐈𝐒𝐄𝐀𝐒𝐄𝐒 𝐀𝐒 𝐇𝐎𝐒𝐏𝐈𝐓𝐀𝐋𝐒 𝐈𝐍𝐂𝐑𝐄𝐀𝐒𝐄
- Madhukar Dama
- 2 hours ago
- 9 min read

---
𝐀 𝐒𝐈𝐍𝐆𝐋𝐄 𝐏𝐄𝐑𝐒𝐎𝐍
Imagine a man. He lives as most of us do — working, eating, rushing, worrying. His body whispers small warnings: tiredness, heaviness, breathlessness. But instead of listening, he reassures himself:
“No problem. If anything goes wrong, the hospital is there.”
This thought is where the story begins. And this thought is why, as hospitals rise, so do diseases.
---
𝐋𝐀𝐘𝐄𝐑 𝟏: 𝐓𝐇𝐄 𝐈𝐍𝐃𝐈𝐕𝐈𝐃𝐔𝐀𝐋
When hospitals multiply, people hand over responsibility for health. They eat poorly, sleep less, live carelessly — because cure is always outsourced. Hospitals grow, but self-care withers.
Thus, the very presence of more hospitals breeds more sickness in the individual.
---
𝐋𝐀𝐘𝐄𝐑 𝟐: 𝐓𝐇𝐄 𝐇𝐄𝐀𝐋𝐄𝐑
The doctor enters. He sees not one patient, but many. He is judged by the number of visits, the number of treatments. A quick prescription replaces deep inquiry.
He does not cure; he manages. Because a cured patient is gone, but a managed one keeps returning. Hospitals reward the latter.
Thus, the healer — bound to the hospital — multiplies diseases by keeping them alive.
---
𝐋𝐀𝐘𝐄𝐑 𝟑: 𝐓𝐇𝐄 𝐇𝐎𝐒𝐏𝐈𝐓𝐀𝐋
A hospital is not a quiet refuge. It is a business that must keep running. Empty beds mean failure. Machines lying unused are losses.
So hospitals expand the definition of disease. A symptom becomes a syndrome. A risk becomes a diagnosis. People are pulled in, not only when sick, but when “at risk.”
The more hospitals there are, the more reasons they must find for people to enter. And so diseases rise with them.
---
𝐋𝐀𝐘𝐄𝐑 𝟒: 𝐓𝐇𝐄 𝐌𝐄𝐑𝐂𝐇𝐀𝐍𝐓
Behind hospitals stand the merchants — makers of pills, devices, scans. They thrive on continuity, not cure.
The hospital is their marketplace. Each new drug, each new test, each new machine needs more patients. And hospitals deliver.
Thus, as hospitals increase, they drag diseases along with them — because without disease, nothing sells.
---
𝐋𝐀𝐘𝐄𝐑 𝟓: 𝐓𝐇𝐄 𝐑𝐔𝐋𝐄𝐑
Rulers love hospitals. They can be built, inaugurated, photographed. They stand as monuments to progress.
But prevention — clean food, clean air, clean habits — brings no applause. And so rulers choose hospitals over health. They justify their growth, and by doing so, justify the growth of disease.
---
𝐋𝐀𝐘𝐄𝐑 𝟔: 𝐓𝐇𝐄 𝐂𝐔𝐋𝐓𝐔𝐑𝐄
As hospitals multiply, society’s idea of health changes. To be “healthy” no longer means to live in balance. It means to have your numbers checked, your scans cleared, your prescriptions updated.
Disease becomes the common language. People compare medicines like they once compared achievements. Being under treatment is seen as being responsible.
Thus, more hospitals not only treat disease — they make disease a part of culture itself.
---
𝐋𝐀𝐘𝐄𝐑 𝟕: 𝐓𝐇𝐄 𝐅𝐄𝐀𝐑
Fear is the oxygen hospitals breathe. Awareness campaigns, health camps, “routine” check-ups — all remind the individual: “You may be sick without knowing it.”
Hospitals grow by growing fear. Fear grows disease. And the cycle tightens.
---
𝐋𝐀𝐘𝐄𝐑 𝟖: 𝐓𝐇𝐄 𝐅𝐄𝐄𝐃𝐁𝐀𝐂𝐊 𝐋𝐎𝐎𝐏
Each treatment has side effects. Each side effect is a new disease. Each new disease requires a new treatment.
The loop feeds itself endlessly. More hospitals mean more interventions. More interventions mean more side effects. More side effects mean more disease.
Thus, the hospital does not fight disease — it breeds it.
---
𝐋𝐀𝐘𝐄𝐑 𝟗: 𝐓𝐇𝐄 𝐌𝐈𝐑𝐑𝐎𝐑
Step back. Look carefully. Every hospital that rises promises health, but delivers sickness in shadow.
Because people abandon self-care.
Because doctors are trapped in management.
Because hospitals must stay full.
Because merchants sell endlessly.
Because rulers seek monuments.
Because culture normalises disease.
Because fear multiplies it.
Because treatment creates more of it.
Hospitals rise. Diseases rise. They are not opposites. They are partners.
---
𝐓𝐇𝐄 𝐑𝐀𝐖 𝐂𝐎𝐍𝐂𝐋𝐔𝐒𝐈𝐎𝐍
The more hospitals increase, the more diseases increase. Not by accident. Not by mystery. But by design, by habit, by fear, by profit, by trust misplaced.
It is the most natural cycle of human nature:
we build walls against fire, then play carelessly with matches.
we build hospitals against disease, then live carelessly with our bodies.
And so, as long as hospitals keep rising, so will disease.
---
This version keeps only the layers that tie directly to the title — no drifting, no vagueness, no independent causes. Every thread leads back to the central claim: hospitals don’t reduce disease; they multiply it.
---
---
𝐓𝐇𝐄 𝐂𝐋𝐈𝐍𝐈𝐂 𝐎𝐅 𝐓𝐇𝐄 𝐎𝐏𝐄𝐍 𝐒𝐊𝐘
-- a Socratic dialogue with Madhukar
---
𝐓𝐡𝐞 𝐒𝐞𝐭𝐭𝐢𝐧𝐠
Yelmadagi, early morning. Mist clings to the fields, dew on the grass. A small fire burns in the courtyard of Madhukar’s mud house. The circle of mats is ready. Visitors arrive slowly — the elder farmer with his stick, the town doctor on her scooter, the household woman with a steel dabba of idlis, the young seeker on a cycle, the politician in his jeep, the traditional practitioner with herbs, the chronic patient sweating, the poet quiet and observing.
They settle. The air is still. Only birds and the crackle of fire.
Madhukar sits barefoot, spine straight, eyes calm, but voice sharp.
---
𝐓𝐡𝐞 𝐃𝐢𝐚𝐥𝐨𝐠𝐮𝐞
---
𝐑𝐨𝐮𝐧𝐝 𝟏 – 𝐓𝐡𝐞 𝐎𝐩𝐞𝐧𝐢𝐧𝐠
Madhukar:
Friends, I have called you here because one question does not leave me: Why do diseases increase as hospitals increase?
Elder Farmer:
When I was young, there was only one doctor across many villages. We lived with soil, herbs, food, and rest. People were not free from illness, but they were not chained to it either. Now every street has a hospital, yet people are always sick.
Madhukar:
So you say hospitals do not just treat illness — they change behaviour. They make people careless.
Elder Farmer:
Yes. When you know a net will catch you, you stop watching your step.
---
Town Doctor:
And I, inside the hospital, see how it survives. It needs patients. Beds must be filled, machines must run, medicines must sell. If numbers fall, management scolds us. So, hospitals survive only if disease survives.
Madhukar:
Then hospitals are not merely healers. They are merchants who must keep the market alive.
Town Doctor:
Exactly.
---
Household Woman:
And we pay the price. My husband takes pills for sugar, for pressure, for digestion. The pills give side effects, and those side effects give new pills. It never ends.
Madhukar:
So each cure creates the next disease. A chain without an end.
---
Politician:
But people want hospitals! If I build one, they clap, they vote. If I say “eat clean food,” nobody claps. Hospitals are visible, prevention is invisible.
Madhukar:
So you build monuments, not health. People celebrate the building, not the balance.
---
Young Seeker:
And that’s the real crime. You rulers feed dependency because dependency keeps people obedient. People who think for themselves may rebel, but patients do not rebel.
Madhukar:
Dependency as a political tool. Sharp.
---
Traditional Practitioner:
Hospitals treat fragments. They look at organs, not the whole. A pill may silence the stomach, but the mind and breath remain disturbed. True health is balance, not management.
Madhukar:
And balance does not make profit, does it?
---
Chronic Patient:
I am living proof. I have been diabetic for twenty years. Every year, a new pill. Every year, a new test. My life is longer, but smaller.
Madhukar:
Your survival is stretched, but your life is shrunk.
---
Poet:
Maybe the truth is simple: hospitals rise because we fear death more than we love life.
Madhukar:
Yes. Fear is the soil in which all these layers grow.
---
𝐑𝐨𝐮𝐧𝐝 𝟐 – 𝐏𝐞𝐞𝐥𝐢𝐧𝐠 𝐇𝐮𝐦𝐚𝐧 𝐍𝐚𝐭𝐮𝐫𝐞
Madhukar:
Elder, if hospitals make us careless, is the fault in the hospital, or in human nature?
Elder Farmer:
Human nature seeks comfort. But hospitals multiply that weakness. They give permission for laziness.
Madhukar:
So hospitals are amplifiers of weakness.
---
Madhukar (to Household Woman):
You complain of pills, but you still return to hospitals. Why?
Household Woman:
Because without them, my husband may die. What choice do I have?
Madhukar:
So hospitals hold people hostage: you fear leaving, you suffer staying.
Chronic Patient:
Yes. Fear is my master now.
Madhukar:
Then perhaps the most profitable disease of all is not diabetes or pressure — it is fear.
---
Madhukar (to Town Doctor):
Doctor, you know the system thrives on fear. Why don’t doctors resist?
Town Doctor:
Because resistance means unemployment. Hospitals reward compliance, not honesty.
Madhukar:
So even healers are sick — sick with compromise.
---
𝐑𝐨𝐮𝐧𝐝 𝟑 – 𝐂𝐫𝐨𝐬𝐬-𝐅𝐢𝐫𝐞
Household Woman (to Politician):
You boast about building hospitals. But when my husband’s kidneys fail from your tablets, will you clap then? Or just build a dialysis center for more votes?
Politician:
(quiet) I… cannot deny that.
Madhukar:
Yes. Hospitals multiply hospitals. A dialysis unit grows out of sugar clinics. Cancer centers grow out of pesticide use. One wing feeds another.
---
Young Seeker (to Doctor):
Why don’t you prescribe lifestyle instead of pills?
Town Doctor:
Because patients rarely listen. They want quick fixes.
Madhukar:
But is that not circular? You give pills because people don’t listen, and people don’t listen because you give pills. The circle is endless.
---
Traditional Practitioner (to Chronic Patient):
Would you try food, herbs, breath?
Chronic Patient:
Hospitals trained me to trust only tablets. My faith is colonised.
Madhukar:
Yes. Hospitals don’t just own our bodies; they occupy our faith.
---
𝐑𝐨𝐮𝐧𝐝 𝟒 – 𝐓𝐡𝐞 𝐄𝐱𝐩𝐨𝐬𝐮𝐫𝐞 𝐎𝐟 𝐋𝐚𝐲𝐞𝐫𝐬
Madhukar:
So let us expose the layers:
Hospitals make people careless.
Hospitals survive on disease.
Hospitals multiply illness through medicines.
Hospitals are political monuments.
Hospitals are tools of dependency.
Hospitals fragment the whole body.
Hospitals hold patients hostage in fear.
Hospitals corrupt doctors.
Hospitals colonise our faith.
And hospitals rise because we fear death more than we love life.
This is not a chain of accidents. It is the nature of the system itself.
---
𝐑𝐨𝐮𝐧𝐝 𝟓 – 𝐓𝐡𝐞 𝐅𝐢𝐧𝐚𝐥 𝐒𝐨𝐜𝐫𝐚𝐭𝐢𝐜 𝐒𝐮𝐦𝐦𝐚𝐫𝐲
Madhukar:
So why do diseases increase when hospitals increase?
Because the hospital is no longer a last refuge — it is a business, a theatre, a machine.
Because it needs disease to live, and so it creates it.
Because it feeds on fear, dependency, and weakness.
Because it thrives on fragments, not wholeness.
Because it promises survival, but delivers dependence.
Hospitals rise. Diseases rise.
Not as enemies, but as partners.
We must remember: a hospital is a fire station, not a marketplace. It should wait quietly for rare emergencies, not hunt daily for customers. If we forget this, then every new hospital will be the birth of a new disease.
---
The fire burns down to embers. The sun is now high. The group sits in silence. No applause, no conclusion, only the weight of truth. Madhukar closes his notebook, and the circle disperses — each carrying a mirror of themselves.
---
---
𝐇𝐎𝐒𝐏𝐈𝐓𝐀𝐋𝐒 𝐆𝐑𝐎𝐖 𝐋𝐈𝐊𝐄 𝐓𝐄𝐌𝐏𝐋𝐄𝐒, 𝐃𝐈𝐒𝐄𝐀𝐒𝐄𝐒 𝐅𝐋𝐎𝐖 𝐋𝐈𝐊𝐄 𝐑𝐈𝐕𝐄𝐑𝐒
-- a poetic mirror for the Hospital Romantics
the old farmer says
once there was one doctor
ten villages away
and people lived on soil, milk,
breath and neem leaves.
now, every mohalla has a hospital
painted white, lit blue,
a shrine to the god of fear.
and people line up like devotees
holding blood reports like prayer books,
chanting their sugar numbers,
their pressure levels,
their creatinine counts.
---
the doctor herself
a prisoner in white
counting patients,
counting tests,
counting revenue,
knows the truth:
the hospital lives only if disease lives.
a cured man is a lost customer,
a managed man is a lifetime subscription.
---
the housewife says
my husband’s drawers are full of strips.
morning pill, afternoon pill,
pill for side-effect of pill.
his breath is factory-made,
his kidneys mortgaged.
---
the politician laughs:
you people don’t vote for clean water,
you don’t clap for healthy food,
but build a hospital,
cut a ribbon,
and you call me savior.
progress is measured
by beds, not health.
---
the young seeker burns:
dependency is control.
patients don’t rebel.
sick bodies don’t protest.
hospitals are chains disguised as blessings.
---
the vaidya whispers:
health is balance.
your temples of medicine
break the body into fragments,
sell each part separately,
forget the whole.
---
the chronic patient cries:
i fear leaving hospitals,
i fear staying in them.
i am kept alive,
but not allowed to live.
---
the poet says nothing for long
then mutters:
fear of death is the richest industry,
and hospitals are its factories.
---
meanwhile outside
the earth coughs plastic into rivers,
pesticides into wheat,
dust into lungs.
children grow up on chips and cola,
teenagers on screens,
adults on stress,
the elderly on pills.
and everyone says:
don’t worry, the hospital will fix it.
---
but the hospital
does not fix.
it manages.
it extends.
it multiplies.
the hospital is a banyan tree
feeding on fear,
sending roots into politics,
branches into pharma,
leaves into culture.
---
we clap when new hospitals open
like we clap when new temples rise.
we call it development.
but the graph is simple:
more hospitals
more disease.
more machines
more diagnoses.
more pills
more side effects.
more “life expectancy”
less life worth living.
---
once
death was death.
now
death is postponed,
paid in monthly installments of pills,
and we call that “health.”
---
india builds hospitals
like shrines,
but forgets the well,
forgets the field,
forgets the river.
the air turns toxic,
the food artificial,
the mind restless.
and we hide it all
behind hospital walls.
---
diseases rise
because hospitals rise.
hospitals rise
because fear rises.
fear rises
because we have forgotten
to live.
---
the hospital is not the enemy.
the disease is not the enemy.
our own hunger for comfort,
our laziness,
our politics,
our greed,
our fear,
are the real disease.
and no pill will cure them.
---
i look at the horizon over Yelmadagi fields,
the sun climbs slow,
the fire in the courtyard dies to embers.
the truth is simple, brutal,
and without anesthesia:
hospitals grow like temples,
diseases flow like rivers.
and we—
we are the devotees
building both.
---
---
