"With only 3% of India's population, the tiny state provides two-thirds of India's palliative care services"
That was really interesting man, the "Kerala case". I didn't know about it.
That's the point, like the 1st-gear, Communism might act efficiently at the beginning, but to reach higher goals and standards you need to shift for higher-level gears.
Marxism looks matching in "Kerala's case" but as you mentioned, I hope it never ends into the failed Communism, as the world already holds expensive experiences on that matter.