We Indians are right to believe in fate.

It is a Sunday in Delhi. You are driving home after lunch at a restaurant when you experience an ache in the center of your chest with profuse sweating. You continue driving but start feeling faint. You don't want to faint while the vehicle is moving because that will injure your wife. Then she asks if you feel alright and you say no. You get out to get to the passenger seat but fall down on the road. Your wife screams and two men pick you up and put you in the back seat of the car. There are always people around in India. One advantage of the over-population. Your wife drives straight to the hospital in 10 minutes and tells them to hurry because you are having a heart attack. They take you into Casualty, stick a nasal cannula to deliver oxygen and do a cardiogram. A doctor says it is an inferior wall STEMI, which means ST segment elevated myocardial infarction. Immediately a man starts shaving your right wrist, while another sticks a cannula into a vein in the left arm and injects a bolus of heparin. You feel nauseated and throw up your lunch into a basin. They remove it and pop two tablets into your mouth, one a statin and the other anti-platelet. Then they give you an aspirin to chew. Your clothes are taken off and put into a plastic bad and you slip into hospital pyjamas. In another 5 minutes you are in cath lab and a man is prepping your right wrist as well as keeping your right groin ready, just in case. You feel a sharp prick on your right wrist and then the X Ray arm over you starts moving. The Right Coronary is blocked. The doctor consults with your family and inserts two stents into the artery, presumably after dilating it. Everything takes about an hour and a half after which you are in ICU. The monitor shows atrial fibrillation and your blood pressure is low. A shock is applied to your chest which restores normal rhythm and your blood pressure comes to normal. You feel fine and notice people for the first time. The nurses are efficient and pleasant. Any problem is quickly attended to. You are transferred to the ward the next day and discharged home on the third day. Cardiovascular disease is the biggest killer in the US. About 23% of people die before reaching hospital after first MI. Rates are rising in India while falling in the US. So why did you survive? Was it the fast protocol-led treatment in a fully equipped hospital administered  by expert doctors and nurses? Actually, it was pure blind luck. You could be alone at home and unable to get to the hospital. It could be a weekday and you could be stuck in a traffic jam Delhi is famous for. Or Delhi Police could stop you reaching a hospital to give preference to a VIP thug. Every year Indians die because they are prevented from reaching hospital. You survived because you were lucky. That's why we Indians believe in fate.