Because these seven states are the powerhouses of the nation’s economy, there is money to be made, and correspondingly money to be spent on Health. A state that fares poorly on the Economy front has a readymade excuse for faring poorly on the Health front. Third, all these states spend roughly the same on Health as a proportion of their GDP, dispelling another notion that states at the top among this bunch spend a much larger chunk of their GDP on Health. Fourth, these states have substantial rural, tribal, and migrant population, as well as a sizeable slum population, to dispel another caveat, of inaccessibility of health services or of them being burdened by migrant or slum population. Maharashtra has more tribals, migrants, and slums than Gujarat. Finally, all these states have been under stable majority government rule for long periods, resulting in a deeper understanding of, and correspondingly resource availability for, systemic problems.