Often times I am asked why I have embarked on this unusual journey – medical education, civil service and now governance reform. Born about a decade after Independence, I grew up in a village in coastal Andhra. My father was employed in a small town in Maharashtra, and an old aunt, a child widow who never remarried, raised me. These somewhat unusual circumstances gave me the different perspective of a participant/observer of public defecation, caste, hierarchies, superstitions, poverty and underdevelopment.