3T model for last-mile healthcare - trained rural youth as certified community health workers, decision-support primary care software and frugal technologies, supported by GP and specialist doctors - all operating in a disruptively affordable integrated model. Location/language agnostic, multiple global and national R&D collaborations for health technologies that solve a real problem for real people in a sustainable manner; well supported by institutions, government and S&T ministries. Early scale achieved - 3 states in India (47 clinics) plus Nigeria, 11000+ patients seen; 174 rural youth employed. Transformational impact on public health, primary care and technology R&D through health data for India.