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The CEO of India's ambulance service was among the first generation of women in her Rajasthan town to receive an education beyond high school. Sweta Mangal received her MBA from the University of Rochester, with the full intention of finding a job and remaining in the US. But less than two years after she graduated, she felt an itch - an India itch - and without telling her family, she flew back to India.

Shortly after she returned, the friend of Ravi Krishna, another US-educated Indian, died in a car accident because he did not receive prompt medical attention. In response to this tragedy, Sweta and a few friends started talking about India's need for an ambulance system. "In the US," she said, "we would have just dialed 911. But there wasn't anything like that here." In 2003, Sweta and a few friends created an initiative to provide ambulance services for Mumbai residents, buying two ambulances and putting them on the road. As demand grew, they bought eight more ambulances. They also expanded their services to provide a women's helpline as well as first aid workshops at schools and colleges. Two years ago, Mangal left her day job to become CEO of Dial 1298 for Ambulance. By April 2011, they expect to have 500 ambulances across India.

Mangal is part of a growing trend of young Indians who are increasingly unwilling to accept India's inequality gap as immutable truth. This gap means that in medical emergencies, the wealthy are rushed to private hospitals in chauffeur-driven cars, while the poor are forced to hope for a run of luck that will save their lives. Indeed, India is (in)famous for its information technology capabilities even though there is no assurance of a constant supply of electricity in most parts of the country. India is renowned for its cardiothoracic surgery facilities even though access to basic sanitation for the majority of the population is non-existent. The wealthy have Ferraris in cities known for clogged roads and cashmere scarves in areas whose temperatures rarely drop below 70 degrees, while slum children burn plastic bottles to keep warm.

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