Balasubramanyam Pattath (Balu)

Portrait of Balasubramanyam Pattath

Economist
Global Development Network · Nayaneethi Policy Collective
Research Lead, Inclusivity Measurement Programme
PhD in Economics,
Geneva Graduate Institute
Geneva, Switzerland

Working Papers

These Aren't the Droids You're Looking For: Endogenous AI, O-Rings, and Bottleneck Reallocation [Draft]
with Arcand J.-L. (2026). Coverage: The Business Standard, The Daily Star.

Abstract

We extend Kremer’s O-ring theory by modeling artificial intelligence as a failure-reduction technology. AI raises task reliability by eliminating a fraction of residual failure risk, which makes AI and human quality substitutes within a task but complements across complementary tasks. Endogenous deployment generates three allocation regions in the exact two-task model, can attenuate or reverse sorting complementarity under sufficient asymmetry, compresses marginal skill premia without destroying O-ring wage convexity, and raises the value of non-automatable bottlenecks. We then add an extensive-margin adoption problem in which technical AI capability, economic stakes, baseline reliability, complementary non-AI reliability, and deployment costs enter separately. The model yields a sign-changing capability–reliability cross-partial and sharp predictions for capability interactions with stakes, complementary reliability, variable deployment costs, and fixed costs. The empirical design follows these theoretical objects sequentially. Radiology identifies the primitive failure-reduction mechanism using repeated measurements to correct the mechanical errors-in-variables problem created by latent baseline quality. Across detailed occupations, direct measures of technical AI capability strongly predict usage, while conditional wage gradients are weak. We use this occupation-level capability measure and pre-generative-AI May 2022 U.S. occupational staffing patterns to construct a Rajan–Zingales-style external industry AIopportunity index. Linking that index to the 2026 India World Bank Enterprise Survey AI follow-up yields a firm-level adoption design with industry fixed effects. The positive level association between AI opportunity and adoption is primarily between broad sectors. Within industries, external AI capability interacts negatively with predetermined worker schooling. We then add an independently measured local-infrastructure margin using BharatNet service-ready Gram Panchayats. Because the released WBES suppress district identifiers, district BharatNet data are aggregated to the survey’s released state/state-group regions. The capability–BharatNet interaction is negative, stable in sign across leave-one-region-out exercises, and concentrated toward the high-readiness end of the infrastructure distribution. When schooling and BharatNet interactions enter jointly with region fixed effects, the BharatNet interaction remains negative while the schooling interaction becomes imprecise. We treat both patterns as reduced-form evidence rather than structural parameters and conclude with a roadmap for distinguishing improvements in the AI frontier from reductions in complementary deployment constraints.

Rails, Adoption, and Intelligence: Coordinating Artificial Intelligence and Digital Public Infrastructure for Development [Draft]
with Arcand J.-L. (2026).

Abstract

Artificial intelligence (AI) and digital public infrastructure (DPI) are increasingly discussed as complementary ingredients of digital development, but they are usually financed, deployed, and evaluated separately. This paper develops a simple model in which publicly supplied DPI changes the profitability of privately chosen AI deployment. Production has an O-ring structure: AI reduces failure on digitally enabled tasks, while residual analog tasks remain complementary bottlenecks. DPI has a direct friction-reducing effect and an enabling effect that raises the productivity of AI. Private agents face fixed and convex AI-deployment costs and capture only part of the social return. The resulting economy exhibits three wedges: underprovision of DPI, underdeployment of AI conditional on adoption, and delayed adoption. A Stackelberg government chooses DPI anticipating private AI responses and can supplement infrastructure with targeted adoption grants and intensive-use subsidies. The optimal policy mix changes with digital maturity: DPI is built first, intensive-use support becomes valuable once adoption begins, and targeted grants are most useful near the extensive-margin frontier. With continuous heterogeneity, private AI adoption can occur over an interior capability band rather than through a monotone cutoff. DPI expands this band in both directions, while residual analog bottlenecks delay diffusion and tilt first adoption toward high-capability users. AI-use inequality and adopter– non-adopter polarization can therefore be sharply transitional even when output inequality falls. The framework links the emerging policy discussion on AI–DPI convergence to phased AI evaluation and yields a practical question for adaptive development finance: for this application, country, and stage of digital maturity, where should the next public dollar go?

Dissertation

Three Essays in Development Economics, PhD in Economics, Geneva Graduate Institute (2026, summa cum laude). Committee: Jean-Louis Arcand, Martina Viarengo, Vijayendra Rao.

Risk Sharing, Relative Position, and Position-Dependent Enforcement in Village Economies [PDF]
Household panel data from three ICRISAT villages show that a household's rank within its group predicts consumption dynamics; embedding position-dependent enforcement in a limited-commitment model with coalitional deviations and estimating it by simulated method of moments, the model matches far more of the observed consumption dispersion (2026).

Abstract

I study the role of relative position in informal risk sharing in Indian village economies. Using household panel data from three ICRISAT villages, I first document a robust pattern: a household’s rank in the within-group distribution, whether measured through consumption or income, is a powerful predictor of consumption dynamics, significant at the 1% level across all villages and castes. Controlling for rank substantially reduces or eliminates rejections of efficient risk sharing. The finding holds with both consumption rank (motivated by a preference-based derivation) and income rank, which is free of mechanical correlation with contemporaneous consumption changes and provides a direct bridge to the structural model. To quantify the structural importance of this finding, I embed position-dependent enforcement, where social sanctions upon deviation depend on a household’s income-state rank, into Bold and Broer’s (2021) limited commitment model with coalitional deviations. Estimating via simulated method of moments, I find the data consistently prefer position-dependent enforcement (ω = 0.95 across all three villages), with the SMM criterion improving by 46–56% relative to the baseline. The improvement is driven primarily by cross-sectional consumption dispersion: the model matches 51–82% of observed dispersion across villages, compared to 14–30% in the baseline, while preserving the core findings of small stable groups and approximately symmetric insurance.

Can Community Health Workers Rebuild Trust? Evidence from India's NRHM and Emergency-Era Sterilization [PDF]
Districts hit hardest by the 1975–77 sterilization campaign showed a lasting deficit in public health-care use; a difference-in-differences design across six survey rounds (1998–2021) finds that the National Rural Health Mission's community health workers closed the deficit, but only over a decade or more (2026).

Abstract

India’s 1975–77 Emergency subjected districts to a mass sterilization campaign of sharply varying intensity, and a persistent deficit in public health-care utilization followed in the most affected districts, consistent with durable distrust of the public health system. Three decades later, the National Rural Health Mission (NRHM) deployed nearly one million community health workers (ASHAs) as household-level intermediaries between communities and the formal health system. While NRHM was designed as a supply-side health system reform, its scope could have created unintended positive externalities, precisely along the dimension of (re)building trust. Using a difference-in-differences design that interacts district-level sterilization intensity with the national reform, and individual-level data from six survey rounds spanning 1998–2021 (approximately 2.1 million observations; 402 matched districts, 379 in the balanced sample), this paper asks whether the reform narrowed the deficit, and how fast. In the short run (two to three years) there is no detectable narrowing, and the design had the power to detect effects well below those that later emerged, so the null is informative. Over a decade to fifteen years the deficit closes: by 2019–21, a one-standard-deviation increase in sterilization intensity is associated with differential gains of 3.0 percentage points in DPT vaccination and 3.2 points in antenatal care, outcomes with clean pre-reform trends, and comparable gains in institutional and public-facility delivery. The convergence matches or exceeds the measured pre-reform deficit, worse-off districts shift differentially toward public providers, and the path of recovery implies a half-life of roughly eight to ten years. Direct trust measures from 2012–13 and the timing of recovery are consistent with trust rebuilt through sustained community-embedded intermediation, plausibly via ASHAs; a differential rise in voluntary sterilization adoption provides corroborating but not dispositive evidence. Historically rooted distrust, these results suggest, is reversible, but recovery may take a decade or more.

Peer-reviewed Publications

COVID-19 led return to Kerala: A comparative analysis of return emigrants
with Irudaya Rajan S. Indian Journal of Labour Economics, 67: 389–405 (2024).

The last straw? Experiences and future plans of returned migrants in the India–GCC corridor [Link]
with Irudaya Rajan S. and Tohidimehr H. Journal of Ethnic and Migration Studies, 49(20): 5169–89 (2023).

Routine childhood vaccination in India from 2005–2006 to 2015–2016: Temporal trends and geographic variation [Link]
with Nayar R., Mantha N., Debnath S., and Deo S. Vaccine, 40(48): 6924–30 (2022).

Distress return migration amidst COVID-19: The Kerala response [Link]
with Irudaya Rajan S. Asian and Pacific Migration Journal, 31(2): 176–89 (2022).

Book Chapters

COVID-19 led return migration from the Gulf–India migration corridor [Link]
with Irudaya Rajan S. In International Migration, COVID-19 and Environmental Sustainability, Emerald Publishing (2023).

What next for the COVID-19 return emigrants? Findings from the Kerala Return Emigrant Survey [Link]
with Irudaya Rajan S. In India Migration Report 2021, Routledge India (2022).

Keeping up with Kerala's Joneses [Link]
In India Migration Report 2020: Kerala Model of Migration Surveys, Routledge (2020).

Indian migration to Indonesia
with Fatima M. In Palgrave Handbook of Indian Migration to Southeast Asia (forthcoming).

Projects

LLM Health Safety Evals [Code] [Pilot results]
An open benchmark of large language model reliability for health decision support in low-resource settings, with a 12-item pilot across six models. With the Nayaneethi Policy Collective (2026).

Other Writing

The Socioeconomic Impact of Digital Public Infrastructure: Evidence from Bangladesh, Benin, and Ethiopia [Link]
Global Development Network report (2025).

Imagining the Future from the Global South: DPI at Clermont Innovation Week 2025 [Link]
Global Development Network blog (2025).

Kerala Return Emigrant Survey 2021: What next for return migrants of Kerala? [Link]
with Irudaya Rajan S. CDS Working Paper 504 (2021).

Kerala Return Emigrant Survey 2021: Insights and the Way Forward [Link]
with Irudaya Rajan S. World Bank Blogs (2021).

The resilient international migrant deserves better [Link]
with Irudaya Rajan S. World Bank Blogs (2020).

For academic publications, see Google Scholar; for non-academic work, see the Global Development Network.