Bihar has been moving fast to fill up the deficit inherited by the legacy of past indiscretions in governance. The most illuminated city centres on the screen are identified as Patna, Jehanabad, Vaishali and Siwan. Bihar ranks among the top five states on the index of real-time reporting of the diseases. The striking feature of healthcare in the state today is a surfeit of private investment. The state has the highest population density in the country with thousands of private hospitals and health facilities set up to cater to the state’s population of more than 100 million people. Bihar promises to build one of the biggest hospitals in the world under the aegis of the prestigious Patna Medical college Hospital (PMCH) which celebrated its centenary on February 26. In the early nineties, the state was plagued by acute power shortages, poor connectivity due to bad connectivity and migration of the \”survival of the fittest\” In rural parts of the state, the situation was even worse. The decade of the nineties was marked by massacres on caste lines, taking social discord to an extreme that turned many villages into inhospitable villages.