[Aravind Eye Care System] began modestly in 1976 with an 11-bed hospital. [It] now has 4,000 beds in seven hospitals, most in the southern Indian state of Tamil Nadu. It was late founder Dr. G. Venkataswamy's goal to eliminate needless blindness. About 45 million people in the world are blind. About 80 percent of them could be cured through surgery. Dr. V," as he is known, founded the organization on a deep belief in the spirituality of service. R.D. Thulasiraj, a top Aravind official, says that early on the organization embraced the simple idea that if it wanted to have a real impact in reducing blindness, its surgeons needed to work as efficiently as possible. That attention to process has made Aravind surgeons quite possibly the most productive in the world. In total, the number of sight-restoring eye surgeries that Aravind Eye Care System conducts each year is 300,000 - and about half, or nearly half, are free. The push for more efficiency forces down the average cost of a surgery for Aravind. But that doesn't mean quality is sacrificed. Aravind surgeons have just half the number of complications that the British health system has for the same procedure. That high quality allows Aravind to attract patients who are willing to pay market rates. Then it takes the large profit made on those surgeries to fund free and subsidized surgeries for poor people.