Indian health care scenario is at best complex. Probably, India is the only country in the world where there is a whole range of health care related issues such as safe motherhood, control of communicable diseases, life style diseases, etc.

The health care delivery mechanisms in India range from project orientation, subsidized governmental health care delivery systems (primary health care centres, district hospitals, state hospitals), health care systems managed by non-profit and trust-based organizations, to hospitals managed by professional enterprises.

The cost of health care in India is rapidly increasing and the trend is likely to continue.

The health insurance sector is slowly evolving and is likely to stabilize soon. The implications of the evolution of health insurance sector to the cost of health care, service quality, and portfolio of services offered by hospitals are unclear.

The managerial effectiveness of various health care delivery mechanisms needs to be improved.

The policies pertaining to health care need to be articulated properly as there are periodic changes.

The supporting infrastructure like health care professionals, paramedicals, etc. is still in the process of developing.

The pharmaceutical industry is going through a major structural change.

Health care systems are continuously and routinely investing in new equipment and technology.

Health care systems are a part of a larger agenda of sustainable human development.

In essence, health care policy, health care delivery mechanisms, infrastructure, and managerial effectiveness are in a continuous state of evolution.