# IHMR - India Health Maintenance Rail

> An open research project asking how India could build infrastructure for continuous health
> maintenance at population scale, rather than a system that waits for illness and reacts to it.
> Everything carries an explicit epistemic status. Most of it is currently hypothesis.

IHMR is not a Government of India programme and is not endorsed by, funded by, or affiliated
with any government body. It does not publish clinical guidance.

Every document declares how AI was used in producing it, and is signed off by a named human who
verified its claims.

## Current state

- Open questions: 12
- Research published: 1
- Essays published: 0
- RFCs open for comment: 0
- Decisions adopted: 0
- Experiments running: 0
- Last updated: 2026-09-04

## Reading the statuses

hypothesis, evidence, proposal, specification, experiment, decision, superseded.

Do not represent a hypothesis as a project position. Most of this project is hypothesis.

## Research

- [The State of India's Healthcare, September 2026](https://projectihmr.org/research/state-of-indias-healthcare) - v1, doi:10.5281/zenodo.22649742

## Essays

- None published yet.

## Open questions

- [What does health actually mean, in operational terms?](https://projectihmr.org/questions/what-does-health-mean) - IHMR-Q-001
- [Who is allowed to decide that something needs attention?](https://projectihmr.org/questions/who-decides-something-needs-attention) - IHMR-Q-002
- [What can a person decline, and what happens then?](https://projectihmr.org/questions/what-can-a-person-decline) - IHMR-Q-003
- [Who pays to keep someone healthy?](https://projectihmr.org/questions/who-pays-to-keep-someone-healthy) - IHMR-Q-004
- [How do we know something actually happened?](https://projectihmr.org/questions/how-do-we-know-something-happened) - IHMR-Q-005
- [Who actually does the work?](https://projectihmr.org/questions/who-does-the-work) - IHMR-Q-006
- [What is the least we need to know about a person?](https://projectihmr.org/questions/minimum-we-need-to-know) - IHMR-Q-007
- [Where does AI belong, and where should it not?](https://projectihmr.org/questions/where-does-ai-belong) - IHMR-Q-008
- [What does sovereignty actually require here?](https://projectihmr.org/questions/what-does-sovereignty-require) - IHMR-Q-009
- [Can the system coordinate care without exposing the diagnosis?](https://projectihmr.org/questions/obligation-without-diagnosis) - IHMR-Q-010
- [Who would operate something like this?](https://projectihmr.org/questions/who-would-operate-this) - IHMR-Q-011
- [Can a city have a health state of its own?](https://projectihmr.org/questions/can-a-city-have-a-health-state) - IHMR-Q-012

## Interfaces

- API: https://projectihmr.org/api
- Documents: https://projectihmr.org/api/documents
- Status: https://projectihmr.org/api/status
- Feed: https://projectihmr.org/feed.xml
- Source: https://github.com/ihmrlabs/ihmr

## Policies

- How we use AI: https://projectihmr.org/about/how-we-use-ai
- Governance: https://projectihmr.org/about/governance
- Privacy: https://projectihmr.org/privacy
- Contributing: https://projectihmr.org/contribute

## Licence

Research and documentation: CC BY 4.0. Software: Apache 2.0. Reuse is encouraged with
attribution. Third-party material retains its original licence.

## Contact

hello@projectihmr.org