There has been little investigation into whether the “social gradient to health”—whereby people belonging to groups higher up the social ladder have better health outcomes than those belonging to groups further down—exists in developing countries like India. The relative strengths of economic and social status in determining the health status of persons in India is evaluated using the National Sample Survey Office data set for 2004 and 2014. This is evaluated with respect to two health outcomes: the age at death and the self-assessed health status of elderly persons.