As smog thickens and PM2.5 soars, small cities are gasping for breath, yet many remain invisible on pollution maps. In Nāgrika’s Climate Change Series, Part 4 unpacks how climate change fuels toxic air, why monitoring falls short, and what’s at stake when the country’s most polluted places go unnoticed in policy response.

From ICU upgrades in Begusarai to mobile endoscopy units in smaller towns, healthcare in India’s Tier-II and Tier-III cities is witnessing transformation. With major hospital chains expanding capacity, pharma access improving, and home healthcare gaining traction, the belief that quality care only exists in metros is slowly being challenged. The shift may be slow, but it's changing lives one small city at a time.