In order to address the persistence of inequalities in healthcare and access to healthcare services in India, we identify four key areas that require urgent attention and action. Most capital strengthening programs are centrally sponsored, time-bound, and vertical interventions. They are sponsored and implemented by separate ministries with little coordination let alone synergies between programs. There has been a tendency for these new initiatives to target socially marginalized people and those below the poverty line. Our analysis of the spending burden shows that, while the poorest are hardest hit, the burden is substantial even for the middle quintiles. This applies to outpatient and inpatient care in rural and urban areas. This raises concerns about targeted approaches that focus only on the poorest, but supports universal access to health services. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essay Given the number of programs focusing on the poor and socially marginalized, the need arises for greater public investment and greater synergies at different levels of implementation within and between ministries. Comprehensive regulation of the public and private sectors in procurement, medical technology and pharmaceuticals is needed. This is critical to controlling costs and improving quality and accountability. Supplier behavior, an essential component of quality and accountability, requires innovative approaches that allow charitable communities and their representatives to have a greater say in monitoring performance. For the private sector, accountability can be ensured by a combination of legislation, involvement of professional organizations, consumer rights groups and public action. The way forward in the public sector could be the implementation of Indian Public Health Standards and a combination of incentives and disincentives to induce greater sensitivity and accountability of providers at the panchayat or municipality level. New and innovative systems for monitoring performance and evaluating progress towards equitable health outcomes must be introduced. It would be worth, for example, adopting the idea of ​​institutionalizing a health equity indicator that helps monitor inequalities, similar to that initiated in South Africa and adopted by some low- and middle-income countries at central and state levels. Another innovative initiative is found in the case of Health Councils in Brazil which have institutionalized health issues as a primary political interest at both the local and national levels as a citizen's right. The current government can further develop the steps initiated and address inequalities in availability, use and affordability with more seriousness, as well as by courting democratic voices and the rules of deliberative democracy. Please note: This is just an example Get a custom paper from our expert writers now. Get a Custom Essay Health security in India must become an urgent national and political priority. Rapid improvements in the healthcare sector are needed not only to accelerate and sustain India's economic growth; they are also critical for India to gain recognition as a distinct middle-income country with improved living standards and reduced levels of human deprivation. Focusing on health equity will be critical to enhancing human capabilities and advancing the progress of Indian society in the next decade.