A serious drawback of India’s health service is the neglect of rural masses. It is a service based on urban hospitals. Although, there are large no. of PHC’s and rural hospitals yet the urban bias is visible. According to health information 31.5% of hospitals and 16% of hospital beds are situated in rural areas where 75% of the total population resides.

Moreover, the doctors are unwilling to serve in rural areas. Instead of evolving a health system dependent on paramedical (like bare-footed doctors in China) to strengthen the periphery. India has evolved one dependent on doctors giving it a top-heavy character.