Public health is not about drugs, doctors and hospitals, but it is of people's health, which is an outcome of not just medical technology and services but of welfare, democracy, and socialism that alone can ensure basic human rights. There is a global consensus that public health is a state responsibility, that health is an outcome of social and economic justice and development. Public health is influenced by the problems of social, political, and economic structures within which people live.
Despite this, the World Bank has looked at health in a comparmentalized manner and has advocated a philosophy of privatisation, user fees, public private partnerships, contracting/outsourcing of services in hospitals, among other such measures. These policies have made health largely unaffordable to the majority of India's citizens and increased the burdens of poverty.