FROM MEDICAL DRONES TO PRAGYIA: WHAT HAPPENED TO COMMON SENSE IN HEALTHCARE POLICY? John Dramani Mahama, while in opposition, criticised the Nana Addo government’s investment in the Zipline medical drone delivery system, which was championed by Dr Mahamudu Bawumia. The system was designed to overcome the challenge of poor road networks in remote communities by delivering essential medical supplies quickly. Now, with the reported shift towards using tricycles popularly know as Pragyia, under John Mahama’s government, to transport medical supplies to remote areas, an important question arises: How practical is this approach in communities where even 4x4 vehicles struggle to navigate the roads? A tricycle may be useful for certain deliveries, but can it offer the same speed, reliability and accessibility as a drone when roads are impassable? Public spending must be guided by evidence, efficiency and the needs of the people. If a system was designed to overcome geographical barriers, any decision to replace or scale it back should be backed by a clear assessment of costs, delivery times and coverage. The real question is simple: are we improving healthcare delivery, or replacing a solution designed for difficult terrain with one that still depends on roads?