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[Editorial] India—small progress in health care, decline in rural services

As the second most populated nation in the world, with 1·2 billion people, India is a complex society, with wide ethnic, religious, and cultural variations; and deeply entrenched inequalities in wealth distribution, education, and access to health-care services. In 2011, the Lancet India Series called for the implementation of a universal Indian Health Service by 2020, accompanied by structural, educational, and political changes. The authors recommended that government overall health spend be increased from the current 1·04% to 4% of gross domestic product by 2015, and to 6% by 2020.