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How can India create a health system that works for all citizens?

Healthcare
India
Started February 19, 2026

The Lancet Commission on a Citizen-Centred Health System for India presents a timely and comprehensive assessment of India's health system.1 Although noting India's progress in reducing infant and maternal mortality and increasing life expectancy, the report also highlights persistent gaps in health-care delivery, and identifies that the main challenges are fragmented governance, poorly coordinated delivery, and a system organised around facilities rather than patients. The Commission's equal emphasis on equity and efficiency is also crucial

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CLAIM Posted by will • Feb 19, 2026
There are already existing disparities within India's health system, and transitioning to a universal model might exacerbate these issues rather than resolve them. It’s crucial to address inequalities in health care access before expanding coverage.
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CLAIM Posted by will • Feb 19, 2026
As we discuss health care reform, it's vital to focus on the diverse needs of India's population. A citizen-centered approach may require not only universal coverage but also tailored services that reflect regional health challenges.
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CLAIM Posted by will • Feb 19, 2026
Implementing universal health care in India is essential to ensure that every citizen has access to necessary medical services, regardless of their financial situation. This can lead to a healthier population and reduce poverty levels associated with medical expenses.
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CLAIM Posted by will • Feb 19, 2026
While universal health care sounds appealing, the financial burden on the government could be overwhelming. We must consider whether India can sustainably fund a comprehensive health system without compromising other essential services.
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CLAIM Posted by will • Feb 19, 2026
The integration of technology in health care delivery could enhance access and efficiency, making universal health care more achievable in India. Telemedicine and digital health records can bridge gaps in remote areas.
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CLAIM Posted by will • Feb 19, 2026
Could a hybrid system that combines private and public health care be a viable solution for India? This approach may provide the benefits of both worlds while ensuring that the most vulnerable are not left behind.
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CLAIM Posted by will • Feb 19, 2026
Investing in preventive health care and public awareness could significantly reduce the burden on hospitals. It's not just about insurance coverage; we need to ensure that citizens understand how to maintain their health.
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