Wright outlines several goals related to sustainability in chapter 6. His analysis of these goals reflects how they are being realized in the Indian state of Kerala. The implications are very clear from this. In the so- called "developing world," it does not take massive shifts and policies to generate practices towards sustainability. The will to embrace new paradigms is where Kerala demonstrates itself as a potential model for other states and where change can be realized. Chapter 6 features some statistics regarding Kerala that make it uniquely qualified to embrace goals of sustainability.
Many of these elements relate to the progressive approach that the state has taken towards health care. One of the most impressive facts to emerge out of chapter 6 regarding what is so unique about the state of Kerala is the approach it has taken towards health care. Every village in the state of Kerala has access to modern health services. This is one of the reasons that the state has a vastly lower mortality rate over the Indian nation, in general. Infant mortality in Kerala is estimated at 17/1000 as opposed to 72/1000 for the rest of India. This is coupled with a vastly improved fertility rate. Life expectancy is about 10 years higher in Kerala than it is for the rest of India. The economic progress tied to social modernization which is seen as essential for lowering the crude birth rate is evident in Kerala. Part of the reason why is that Kerala has an overwhelming literacy rate, where women as well as men are educated. In this analysis of Kerala, it becomes evident that improvements in the education system and fundamental beliefs of social modernization are linked to enhanced health care and the benefits associated with it.