Punjab, Oct. 6 -- eSanjeevani, India's national telemedicine service, has passed 50 crore teleconsultations - 50,00,92,730 across all 36 states and union territories. It is handling 2.5 to 3 lakh consultations a day.

The infrastructure behind it

The platform crossed the 50 crore mark on 15 September.

What the hub-and-spoke design solves

This is the part worth understanding, because it is why the numbers are this large.

A patient does not need a smartphone or a data connection. They walk into a health centre - the spoke - where a health worker connects them to a doctor at a hub. The technology burden sits with the system, not the patient.

That is the opposite of how most telemedicine works, and it is the only design that reaches people...