A woman working as a domestic in Delhi developed shortness of breath on walking. Auscultation revealed pure mitral stenosis and she was sent to a nearby expensive hospital which was offering an investigation package including ECHO. She was examined by one doctor and when the word spread at least 10 doctors came to listen to her heart and see the ECHO findings. The reason is the rheumatic heart disease has disappeared in middle and upper classes and doctors training in private institutions have never seen a case. In Haiti a cholera epidemic has already claimed 250 and will probably kill more especially children. The reason is that large numbers of Haitians are still crowded into camps after last year's earthquake. The total area of the Haiti is just 10714 sq. miles and it has a population of 9.8 million most of whom crowd into cities especially Port au Prince, the capital. This population pressure on a small area of land makes it the poorest country in the western hemisphere and susceptible to such diseases. On the other hand Chile has a land area of 292260 sq. miles with a population of just over 15 million. Thus Chile is much richer economically and is better able to support its people as the recent rescue of the 33 trapped miners showed. Bihar, which is holding elections to its Assembly, is the Haiti of India. Its people just go on breeding regardless of the ability to feed, educate or give decent healthcare to their children. Crime is the major industry in Bihar. People with money educate their children in faraway boarding schools to protect them from being kidnapped. To eliminate poverty we must eliminate breeding. Simple.