Public healthcare in India has evolved significantly over the years, from limited resources and accessibility to a sophisticated network of medical facilities and services in recent times. Here are some notable changes:

• 1947-1970s: The primary focus was on controlling infectious diseases and setting up public health infrastructure.
• 1980s-2000s: Emergence of communicable and non-communicable diseases. The government launched several national health programs to improve maternal and child health, family planning, immunization, and disease control.
• 2010s-present: Government introduced Ayushman Bharat Yojana to provide insurance cover for secondary and tertiary care services. Focus on reducing infant mortality rate, maternal mortality rate, and increasing life expectancy.

Despite these efforts, there are still several issues that need to be addressed, such as inadequate public funding, uneven distribution of healthcare services, and a high out-of-pocket expenditure for patients. As a result, access to quality healthcare remains a challenge for many in India.