Over the past decade, India has witnessed a phenomenal growth in the clinical trial industry. The projections forecast a double-digit growth over the next decade propelled by enhanced outsourcing by drug developing companies.

The Government of India set up the ‘Health Survey and Development Committee’, popularly known as the ‘Bhore Committee’ in 1943 to draw up the scheme of health services for the newly emerging independent India. The recommendations made by the committee remain a landmark in the development of health services in the country and continue to inspire the health workers in the country in their struggle for developing pro-people health system.

The policy of levying charges on people seeking healthcare, which requires people to pay before receiving care, has been a contentious issue among health policy-makers and people working in the health sector. The impact of user charges on the health of a nation merits serious consideration.