KERALA RISING · FROM EXPORTING PEOPLE TO EXPORTING IDEAS PHASE SC O PE WH A T I T P ROV E S Scale-up A district, with the partner department leading That the loop holds beyond the early-adopter corridor State-wide Rolled into the partner’s standing operations That the program is durable infrastructure, not a campaign Table 12.3; Healthy Kerala: a three-phase rollout, each phase gated on the last. The economics, configured Verification volume is moderate, and much of it is non-image (check-ins, blood-bank records), so inference cost is low. The real cost discipline here is on data handling rather than compute: consent-first logging and the strict exclusion of clinical data are operational commitments, not technical ones, and they are inexpensive to honour and expensive to breach. Hospitals, insurers, and corporate wellness budgets are the natural sponsors of camps and drives, and pharmacies and sports retailers are natural Reward Partners. The program is unlikely to be a large direct earner and is a candidate for cross-subsidy; its return is overwhelmingly the avoided downstream health-system cost, which is a benefit to the state rather than a line on the institution’s accounts. 183