Has the scandal led to reform? Partially. Insurance companies in Karnataka now mandate stricter nominee verification. Hospitals are required to have better anesthesia monitoring logs. However, patient safety advocacy groups argue that not enough has changed. The mechanisms that allowed Dr. S. H. to kill for a decade—lack of audits, blind faith in doctors, slow forensics—still exist across thousands of nursing homes in India today.

In the early 2020s, the court delivered its verdict. Dr. S. H. was convicted in a few cases—specifically those where the forensic evidence was undeniable, such as the John David case. He was sentenced to life imprisonment.

It was the beginning of a scandal that would consume courts, divide the medical fraternity, and question the very soul of Indian forensic science for the next three decades.