The lack of reliable, cause-specific mortality statistics is considered a major obstacle to the improvement of public health in many low- and middle-income countries. Researchers and government officials in India have set up the Million Death Study to address this situation. First, how the study produces quantitative estimates of the burden of mortality in India is explored by collecting symptomatic data, using that data for diagnostic purposes, and aggregating those diagnoses into an overview of mortality in India. Second, the limitations of the perspective on public health based on discrete and specific diseases that result from this approach are addressed. Numbers alone cannot solve the public health issues India faces, rather cognitive justice towards a broader range of perspectives on major public health problems is required to develop effective political interventions.