India and Pakistan are united in spending citizen lives like pocket change

This week, three newborns died in an NICU (neonatal intensive care unit) fire at a government hospital in Amravati, in the western Indian state of Maharashtra. Two days later, 14 newborns were killed in a fire that broke out in the maternity ward at one of Pakistan’s most prominent state hospitals. The reported causes of the fire were different – a faulty ventilator in Amravati and an exploding air conditioner in Islamabad – but the harrowing stories of the parents on both sides of the border are identical.

On both sides, parents stand outside a government hospital, trying to make sense of this state-inflicted cruelty. In Amravati, one father was still distributing sweets to celebrate the birth; he had not yet seen the baby’s face. In Islamabad, a family was celebrating the first baby boy in years. The circumstances are different, but the institutional failures and official response followed a familiar pattern. Rescue teams arrived late, while emergency evacuation was hampered by basic fire-safety failures. Politicians were quick to express their sorrow. High-level inquiries were announced, along with financial compensation and fire safety audits. As the dust settles, the two tragedies expose the same indecent truth: lives of poor, vulnerable families are expendable in both nations.

The two countries are rivals in cricket, military posturing and diplomatic rhetoric, but united when it comes to spending lives of ordinary citizens like pocket change.

Over the past 26 years, as a health reporter, I have watched hospital fires in India and Pakistan result in significant and frequent loss of life, without a jot of difference in regulating these institutions. In India, the AMRI Hospital fire of 2011 in which 89 people died and the SUM Hospital fire in Bhubaneswar in 2016 in which 24 people died were traumatising to write about. Not a single person was convicted.

In Pakistan too, a fire at Services Hospital in Lahore killed 10 newborns in 2012 and another 11 infants died at Sahiwal Teaching Hospital in 2024.

I dredge these memories because the latest fires – in Amravati and Islamabad – cannot be reduced to stories about faulty equipment or individual negligence. The hospital fires did not happen in the boondocks, but in India’s wealthiest state and Pakistan’s capital. They are stories about government priorities.

The longer you look at government data, the more grisly it gets. Year on year, both nations sacrifice their citizens to fire like medieval societies trying to appease indifferent gods. India and Pakistan are not poor or war-torn countries without knowledge or wealth to do what is needed. The refusal to make any meaningful improvements is a political choice. An unforgivable one at that.

India and Pakistan have spent decades convincing their citizens that the highest form of security is protection from each other. The truth is that the greatest co-morbidity citizens of both nations live with is our own careless governments.