If you want to be good at something you need to focus, that is obvious.  But how much of a difference does it make?  Take the Aravind eye hospital in India.

It was founded in 1976 by Dr Govindappa Venkataswamy.  He had one aim, “to eradicate needless blindness”.

In 2009 it treated 2.75 million patients (half of them for free) and exceeded the care benchmark of the Royal College of Ophthalmologists.  It did all this and turned a profit.

How?  There are lots of technological reasons:
1.  Economies of scale
2.  Technology transfer
3.  Industry leading productivity
4.  Value analysis

But how did they achieve all of that?  Simply by making sure that every action they took contributed towards their aim.

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