Wes Jackson: A Misfit Trying to Change the Future of Farming
It’s possible that I shall make an ass of myself. But in that case one can always get out of it with a little dialectic. I have, of course, so worded my proposition as to be right either way (K.Marx, Letter to F.Engels on the Indian Mutiny)
Saturday, February 21, 2026
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COMMENT: India's healthcare model evolves as private capital reshapes access

India’s healthcare sector is drawing increasing investor attention as rising incomes, urbanisation and expanding insurance coverage fuel demand for hospital services, diagnostics and specialised treatment.
Private capital inflows across the country have accelerated alongside these structural drivers, positioning healthcare in India as a defensive growth segment within emerging markets.
Yet the same financial dynamics that attract investment are also intensifying scrutiny over its affordability and access. In India’s healthcare landscape, out of pocket spending remains a heavy cost, capable of bankrupting average households according to an article by Vivek Nenmini Dileep in the Global Health Journal.
Healthcare spending in India continues to expand faster than overall economic growth, supported by demographic pressures, a growing burden of chronic disease and also rising expectations of quality care.
As a result, private providers now account for a dominant share of service delivery, particularly in urban areas, where corporate hospital chains and related diagnostic networks have scaled rapidly. Investors thus view the sector as resilient to economic cycles given persistent demand for medical services and a relatively low penetration level compared with developed economies.
Added to this, the growing presence of private equity has played a central role in shaping industry structure. Funds have channelled capital into hospital platforms, specialty clinics and also health technology ventures, pursuing consolidation in a fragmented market.
Investment strategies typically focus on expanding bed capacity while enhancing high-margin services and building referral networks that help capture patient flows across regions. Such models can improve operational efficiency and infrastructure, while also enabling pricing strategies that support targeted returns within defined investment horizons.
This financial transformation has in turn coincided with rising treatment costs. Hospitalisation charges in major metropolitan areas have increased steadily of late, reflecting capital expenditure on advanced equipment as well as specialist staffing and premium facilities.
Industry observers note that pricing power has also strengthened for large corporate providers operating in markets with limited competition. Smaller independent facilities often struggle to match the ubiquitous presence, scale, branding and most noticeably technology investments backed by institutional capital.
As such, India’s policymakers have responded with regulatory and welfare measures intended to expand access and moderate cost pressures. India’s Ministry of Health and Family Welfare oversees public health infrastructure and national insurance initiatives designed to reduce financial barriers for lower-income households.
At present, India’s flagship publicly funded insurance scheme, Ayushman Bharat and Pradhan Mantri Jan Arogya Yojana, provide cashless hospital treatment for eligible beneficiaries through empanelled public and private providers.
However, despite the government’s welfare programmes, dissenting voices in the Indian parliament have raised a number of questions over the optimal utilisation and cost of service to the beneficiaries. Certain specific examples cited are philanthropic ventures by private individuals.
These philanthropists have far smaller capital than that the Government of India can muster from its coffers - or has the ability to absorb the deficit of. Yet these private individuals, although only in a single location at any given time, provide access to advanced services like CT-Scans and other forms of capital intensive medical machine imaging at less than $1 to the needy.
However, in aggregate, government programmes have expanded utilisation of hospital services among these economically vulnerable groups and strengthened preventive care delivery through primary health centres.
India’s National Health Authority administers insurance coverage and reimbursement mechanisms intended to integrate private providers into existing publicly financed care networks.
Public health campaigns focused on maternal health, vaccination and disease surveillance meanwhile, have contributed to measurable improvements in a range of key health indicators over the past decade. Despite these interventions, structural gaps persist. Insurance coverage remains uneven, and many households continue to bear substantial out-of-pocket expenses for outpatient consultations, diagnostics and in the end, pharmaceuticals. There is also a coverage gap affecting individuals whose incomes exceed eligibility thresholds for public schemes but remain insufficient for comprehensive private insurance.
This cohort represents a significant share of India’s population and it faces heightened exposure to healthcare-related financial risk. Implementation challenges further complicate access in some regions. Variations in administrative capacity across the different states influence reimbursement timelines, provider participation and infrastructure quality.
Reports of delayed payments to hospitals and inconsistencies in eligibility verification have affected service delivery under a range of publicly funded programmes. In areas with limited regulatory oversight too, disparities in pricing transparency and billing practices remain a concern for policymakers seeking to strengthen consumer protection.
Healthcare access disparities are particularly pronounced in India's more rural and economically disadvantaged regions. Public facilities in these areas often face staffing shortages, equipment constraints and supply disruptions affecting essential medicines reaching patients.
When public services are unavailable or insufficient, patients have no choice but to turn to private providers where treatment costs may exceed household financial capacity. Economists say this dynamic contributes to a degree of medical indebtedness and asset liquidation among lower-income families.
The interplay between private capital and public policy therefore continues to shape sector evolution. Investors have supported expansion of telemedicine platforms, digital health records and specialised treatment centres, reflecting growing interest in scalable service models, and these developments have improved access in some underserved areas by extending consultation networks and reducing travel requirements for patients.
However, adoption remains uneven due to infrastructure constraints and disparities in digital literacy. In several of its policy communiques, India’s central bank, the Reserve Bank of India (RBI), has emphasised the importance of sustainable credit growth and financial stability as healthcare financing expands. In turn, banking system exposure to hospital operators and healthcare service providers has increased alongside sector growth.
Market participants are monitoring asset quality trends and leverage levels among healthcare companies as investment activity continues, and policy discussions increasingly focus on balancing investment incentives with equitable access.
Health economists advocate expanding public financing for primary and outpatient care to reduce reliance on high-cost hospital treatment. Others highlight the need for stronger regulatory frameworks governing pricing transparency, quality standards and insurance reimbursement practices.
India’s Ministry of Finance has indicated that healthcare infrastructure investment remains a priority within broader development planning. Long-term demand fundamentals remain supportive of sector expansion.
And with India’s population ageing trajectory, rising prevalence of non-communicable diseases and continued urban migration are expected to sustain healthcare utilisation growth.
Projections to this end indicate that private providers will thus continue to play a significant role in meeting capacity requirements, particularly in specialised and tertiary care segments. For investors, and because of this, the sector presents both opportunity and policy risk.
Continued private equity participation may accelerate consolidation and operational modernisation, while regulatory intervention could influence pricing dynamics and returns. Yet market observers say the trajectory of public financing reforms and insurance expansion will be critical in determining the balance between profitability and accessibility.
As India seeks to expand healthcare capacity while addressing affordability concerns, the interaction between state policy and private investment will remain a defining feature of the industry’s evolution. As such, the sector’s ability to align commercial incentives with public health objectives is likely to shape investor sentiment and long-term growth prospects.
Palo Alto Networks acquires Israeli cybersecurity startup Koi for $400mn
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US cybersecurity giant Palo Alto Networks announced its intent to acquire Israeli startup KOI for $400mn.
This comes just a week after Palo Alto acquired another Israeli information security company, CyberArk, for $25bn. The close acquisition of these two Israeli firms appears to have been deliberately planned, given that both companies are focused on tackling the same cybersecurity challenge: protecting AI agents and autonomous tools that operate outside traditional cybersecurity frameworks.
Koi was founded by Amit Assaraf, Idan Dardikman, and Itai Kruk, all of whom are alumni of the IDF’s elite 8200 Intelligence Corps. The company provides an endpoint security platform aimed at tracking, monitoring, and enabling safe software installs, with a focus on AI-powered tools.
"AI agents and tools are the ultimate insiders. They have full access to your systems and data, but operate entirely outside the view of traditional security controls. By acquiring Koi, we will be closing this gap and setting a new standard for endpoint security,” Lee Klarich, Chief Product & Technology Officer, stated in a joint press release.
"We founded Koi to secure the next frontier of risk,” Amit Assaraf, co-founder and CEO of Koi, added. “Joining forces with Palo Alto Networks will allow us to scale our technology to the world's largest organisations, delivering protection that makes work on the modern AI-native endpoint secure by design."
This acquisition marks a rapid exit for Koi’s investors and founders, given the company’s establishment in 2024. Prior to its acquisition by Palo Alto, the company raised a total of $48mn, mostly stemming from a $38mn Series A round in September 2025, Calcalist noted.
This acquisition marks the latest in a rise in Israeli cybersecurity acquisitions. In addition to the purchases of Koi and CyberArk, fellow Israeli firm Wiz was acquired by Google for $32bn, the largest acquisition of an Israeli company in history.
Such market activity demonstrates the resilience of the Israeli tech sector and the economy at large amid regional instability. Israel’s post-war economic recovery already appears to be well underway, with the country posting a 3.1% GDP growth for 2025, beating analysts’ estimates of 2.8% to 2.9%.
BEACHFRONT REAL ESTATE
Trump announces $7bn Gaza reconstruction plan with police force recruitment underway

US President Donald Trump announced that over $7bn was pledged to Gaza relief during the inaugural meeting of the Board of Peace in Washington.
The financial aid was pledged by nine nations, namely Saudi Arabia, the United Arab Emirates, Azerbaijan, Bahrain, Kazakhstan, Kuwait, Morocco, Qatar, and Uzbekistan. In addition, Trump stated the United States would contribute $10bn to the board.
This comes amid the second phase of the ongoing Gaza ceasefire agreement, with hostilities paused since October 2025. The military stabilisation of the Gaza Strip also received focus during the meeting, which is a logical step given the reopening of the Rafah Border Crossing and the consequential rise in movement on the ground.
Several countries committed troops to the International Stabilisation Force in Gaza. Morocco, Albania, Kosovo, and Kazakhstan "have all committed troops and police to stabilise Gaza," Trump said in his public address, adding that Egypt and Jordan "are likewise providing very, very substantial help, troops, training and support for a very trustworthy Palestinian police force." They follow the footsteps of Indonesia, which became the first country to decide to deploy troops to Gaza, with up to 8,000 troops expected.
Journalist Barak Ravid posted on X that, according to the Board of Peace Director General Nickolay Mladenov, recruitment to the Palestinian police force is already underway, with 2,000 Palestinians already applying to join the initiative. Italy is set to provide training to the Gaza police forces as the programme commences.
The initiative faces significant implementation challenges despite ambitious projections. As explained by CNN, the Board of Peace meeting featured presentations on Gaza's development potential, including FIFA's preview of "a complete football ecosystem", even as the vast majority of the enclave remains in ruins after nearly two years of conflict. Repeated violations of Trump's ceasefire persist, whilst the critical issue of Hamas demilitarisation remains unresolved, raising questions about when reconstruction and troop deployment can actually proceed.
Trump directed criticism at the United Nations and its authority. "The Board of Peace is going to almost be looking over the United Nations and making sure it runs properly," he stated, suggesting potential expansion beyond Gaza. "We're also going to maybe take it a step further, where we see hot spots around the world, we can probably do that very easily."
Roughly four dozen countries attended Thursday's meeting, though only half hold board membership, with most European participants present as observers. Many traditional US allies declined membership over concerns about the board's broad mission. A senior European Union diplomat told reporters in Brussels, "It is clear there are issues with the Board of Peace," but acknowledged no alternative mechanism exists to shape Gaza's future.
Aaron David Miller, former Middle East negotiator for the US, told CNN the meeting appeared detached from reality, noting the demilitarisation plan is not ready for "prime time." He commented that "the money is no good if you can't spend it," citing Israeli government inspection requirements and ongoing military strikes as fundamental obstacles.
US officials and regional allies understand demilitarisation will be a long-term process, with expectations that the technocratic Palestinian government will facilitate Hamas discussions, though no timeline exists. Hamas made no mention of disarmament in its evening statement on February 19, instead calling on the international community to compel Israel to fully open Gaza crossings and begin reconstruction.
The National Committee for the Administration of Gaza, chaired by Ali Shaath, aims to "restore security via professional civilian police under one authority … including training and developing 5,000 Gazan police to be deployed in 60 days." However, the committee remains stuck in Cairo, unable to enter Gaza or implement decisions on the ground. Still, the reopening of the Rafah crossing could signify that travel may become a practical possibility shortly.
Clashes erupt in Albania between police and protesters

Albanian police fired tear gas and water cannon at protesters in Tirana on February 20 as opposition supporters clashed with security forces during a rally demanding the resignation of Prime Minister Edi Rama.
The protest was called by the opposition Democratic Party of Albania amid a corruption investigation involving Deputy Prime Minister Belinda Balluku, who was indicted in December and later suspended.
Political tensions have flared repeatedly in recent months, with both government and opposition accusing each other of corruption and abuse of power in a country long marked by bitter rivalry between Rama’s Socialist Party, now on its fourth consecutive term in power, and the opposition Democratic Party.
Demonstrators gathered near the prime minister’s office before marching towards parliament, chanting “Rama, go away” and “Rama in jail” and waving Albanian and opposition party flags, according to local media reports. Some hurled Molotov cocktails, fireworks and other objects at police lines, prompting officers in riot gear to push them back.
In a February 21 statement, Tirana police said: “Pyrotechnics, Molotov's, and strong items were thrown and opposed by Police employees, during the rally held yesterday, 46 citizens were identified. 18 of them are arrested, the other 28 are prosecuted.” Authorities said they seized 25 unexploded Molotov cocktails and 27 mobile phones, adding that investigations were ongoing to identify others involved.
Police said around 30 people were detained, while the Democratic Party put the figure closer to 40.
Opposition leader Sali Berisha accused the government of repression. “We will stand on the battlefield. Our country is on a battlefield,” he told reporters, according to a Democratic Party statement. “As you can see, Tirana is in the hands of peaceful insurgents and the regime is huddled in rat holes.”
He added: “They have taken out and are using means prohibited by law against peaceful protests. But this doesn't make them more hopeful, on the contrary it makes them more hopeless.”
Berisha later visited two injured protesters at Tirana’s Trauma Hospital, accompanied by senior party figures. He alleged excessive force by police, saying officers who assaulted demonstrators would be treated as criminals. “These people will no longer be considered law enforcement officers, but will be considered thugs and will be dealt with as thugs wherever they are,” he said.
Rama’s Socialist Party won a fourth consecutive term last year and holds a solid majority in parliament. The government has pledged to press ahead with reforms as Albania seeks to join the European Union by 2030.