India’s goal of “Health for All” faces major hurdles such as low public health spending, rising non-communicable and infectious diseases, antimicrobial resistance, and persistent gaps in infrastructure and access. Although initiatives like Ayushman Bharat, Health and Wellness Centres, and disease-control programmes have expanded services, missed TB targets and repeated pharmaceutical quality lapses reveal systemic weaknesses. Achieving true universal health coverage will require higher funding, stronger regulation, and a primary healthcare–centred approach.
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