Formalized as a US non-profit corporation in 2002, Big Medicine is a collaborating network of activist-consultants working in the US, India and Japan to promote progressive causes, green concepts and sustainable technologies. In preparation for its recent India projects, this collective guest-edited India's respected international policy journal World Affairs's Summer 2007 issue on 21st Century Health Care, which collated the best international thinking on the medical, societal and environmental challenges we face.  

Structurally, Big Medicine is divided into four independent but synergistic project arenas, each headed by one of its four directors, who are afforded complete executive control of their area's budgeting, operations and development agenda. In this paradigm each respective director relies upon the organization's collective knowledge base, technical resources and communication networks, but retains full personal responsibility for all projects that he/she develops including their funding, implementation, project specific bank accounts and related contracts.