In 2016, non-communicable diseases (NCDs) contributed to 66 percent of the total deaths in Nepal. For the United States, this number stood at 88 percent and for OECD countries it was 87 percent. It is a feature of the developed world that NCDs be their greatest challenge and a feature of ours that children in remote villages like Jajarkot die every year from communicable diseases such as diarrhea. When our country cannot even at times provide access to adequate amount of Jeevanjal and paracetamol, it would be quite naïve to expect them to deliver a vaccine efficiently and uniformly—if and when that arrives.