In the shadows of the Taj Mahal, shoemaker Shyambabu Nigam worked for years to save enough money to buy his wife, Anju, a small house with a view of the iconic 17th century mausoleum.

In just a matter of months, they were forced to give it up.

After Anju fell seriously ill with COVID-19 last year, the couple turned to a mix of subsidized government hospitals and more expensive private clinics to treat the illness and pay for two open-heart surgeries that followed.