Does improving the state of well-being and health for Nepalese begin with governing ourselves?

We need to talk about where the solution of improving the Healthcare System for Nepal needs to begin.

There was a time when in the early 1990's that I was convinced without doubt that the solution to Nepal's problems would come from Kathmandu. I think much of Nepal believed this. But the Maoist insurgency, as much as it was a flop, showed the nation that not all solutions to Nepal need to come, or will come, from Kathmandu. If the Maoists, despite their faults, proved one point, it is this: that the solution to Nepal's problem can come from anywhere: villagers, peasant women and children. Despite all the hurt, disillusionment and carnage left behind by the Maoists, this lesson is clear: that any one person can bring change within Nepal. Any one can bring together resources to bring about change.
As time has gone on, the more and more we are seeing that Kathmandu is not the solution to Nepal's problem. In fact, we might need to accept that Kathmandu's culture might be the root of Nepal's problem.

From time to time we've been tempted to believe that society has become too complex to be managed by self-rule, that government by an elite group is superior to government for, by, and of the people. Well, if no one among us is capable of governing himself, then who among us has the capacity to govern someone else? All of us together, in and out of government, must bear the burden.

I feel that it is from here that the solution of improving the Healthcare System of Nepal can begin.

forum user BABAL Khate made the above comment here:
http://sajha.com/sajha/html/index.cfm?threadid=94892#846926