This presentation addresses the critical issues of health expenditure and inequity in India, contrasting the low investment in public health with the catastrophic health costs borne by the poor. It examines the repercussions of inadequate healthcare financing on economic stability and individual impoverishment, advocating for increased public spending and efficient health service delivery. The document emphasizes that without substantial reform, the health and economic future of the nation’s poorest will remain precarious, underscoring the moral and economic imperatives to rectify these disparities.