The document discusses the need for a systematic, city-system approach to address urbanization challenges in India. It argues that treating problems with "band-aids" is insufficient and that a holistic framework is required that considers spatial planning, municipal capacities, political leadership, transparency, and citizen participation. It advocates for strengthening institutions, increasing qualified staff and sustainable financing for cities. It also proposes directly electing mayors for longer terms and implementing annual surveys to assess cities' health and guide reforms. The document concludes that state governments need time-bound plans incorporating these ideas to better manage urban growth.