When institutional reliability matters: the story of di-ethylene glycol

India's history with di-ethylene glycol (DEG) has been marked by tragic incidents over the past 40 years, highlighting the urgent need for reliable governmental institutions to protect public health. DEG, a toxic substance often mistakenly used in pharmaceuticals and consumables, has been linked to numerous fatalities due to inadequate regulatory oversight. The recurring problems with DEG emphasize the importance of establishing robust systems that ensure the safety of products distributed to the public. As India grapples with its health crisis, the focus must shift towards strengthening institutional credibility, improving regulatory frameworks, and fostering transparency in the pharmaceutical industry. By learning from past mistakes, the government can work towards preventing future tragedies and ensuring the safety of its citizens. This situation serves as a stark reminder of the critical role that trustworthy institutions play in safeguarding public health and the need for comprehensive reforms that prioritize the well-being of the population over profit. A commitment to responsible governance and accountability is essential in curbing the risks associated with hazardous substances like DEG, ultimately leading to a healthier and safer environment for all.