I explained to Rajiv Gandhi that he had to reformulate his strategy. I told him to forget foreign experts’ models and focus only on the four states with the largest population and area—the BIMARU states. Development there is the key—health, education, literacy, everything. He agreed and put me on a high-powered committee monitoring the 20-point programme. I produced a note saying that the main problem is the bureaucracy cooking up data to meet their targets. As a result, targets were out. Instead, these four states were given a package of health and development programmes that was intended to curb population growth. But Rajiv Gandhi was killed before this plan began to have an impact. After that nothing much happened until Manmohan Singh launched his national rural health mission. He listed 18 high-focus states which included the original four bimaru states (now grown to seven), and all of the northeastern states and two hill states. But I don’t buy this approach: if you want to make a dent in population growth, you don’t care what happens in Nagaland or Mizoram, because these are very small. It’s all mixed up—he supports the idea of bimaru states but adds his own political list.