The Lancet Commission on Citizen-Centric Health System in India presents a comprehensive assessment of Indian health care that was publicly launched on 21 January 2026 in New Delhi.[4] The report acknowledges India's progress in reducing infant and maternal mortality and increasing life expectancy, but also points to persistent gaps in health care delivery.[1] The main problems identified are fragmented governance, poorly coordinated service delivery and a system that is not organized around patient needs.[1] The commission recommends rights-based reforms that include innovative financing, regulation, and community engagement to achieve affordable, equitable, and quality health care.[1] A key principle is the recognition of people as partners in the healthcare system instead of seeing them only as patients, which should lead to greater sensitivity and fairness of the healthcare system.[1] Reforms require decentralization, multi-stakeholder cooperation and strong political will to ensure accountability.[1] The goal is to achieve universal health insurance in India within ten years in line with the vision of a developed and inclusive country by 2047.[4]