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Ultimately, success will depend on our ability to articulate, encourage, support, and evaluate system citizenship and its impact on health care and health care systems.Yoga is sometimes interpreted as medical therapy and the evidence from biomedical research indicates that it can be useful in a broad range of health conditions. Yoga, however, can also be pursued as a process-oriented contemplative practice. This article draws on participant observation-based research with yoga practitioners at two hospitals, one in Pondicherry, India, and