Over the last five decades, India has built up a vast health infrastructure and manpower at primary, secondary and tertiary care in government, voluntary and private sectors. These institutions are manned by professionals and Para-professionals trained in the medical colleges. Currently, private sector health services range from those provided by large corporate hospitals, smaller hospitals / b\nursing homes to clinics / dispensaries run by qualified personnel..

     As on June 2001, there were 181 medical colleges out of which 155 (46 of them private) were recognized and 26 (19 of then private) were permitted under the section 10A of the Indian Medical Council Act. A total 5,39,00 MBBS doctors were registered with the Medical council number of Physicians and specialists available is more than the estimated requirements. The current doctor population ratio is 1:1800.Public spending on health in India has itself declined after liberalization from 1.3% of GDP in 1990 to 0.9% in 1999. Consider the contrast with the Bhore Committee recommendation of 15% committed to health from the revenue expenditure budget, against the WHO, which recommended 55% of GDP for health. The current annual per capita public health expenditure is no more than Rs. 160and a recent World Bank review showed that over all primary health services account for 58% f public expenditure mostly but on salaries, and the secondary/tertiary sector for about 38%, perhaps the greater part going to tertiary sector, including government funded medical education..