Kerala has earned recognition for its exceptional healthcare system, showcasing achievements in various health indicators and serving as a model for development for various countries. Since the 1990s, the rapid growth of the private healthcare sector, combined with technological advancements, has driven up healthcare costs and out-of-pocket expenses. According to the WHOs health finance profile for 2017, Indias out-of-pocket healthcare expenditure reached 67.78%, far above the global average of 18.2%. Kerala leads the nation in this regard. The coexistence of a stagnant public healthcare system and unchecked private sector growth, along with high out-of-pocket spending, has raised concerns about Kerala ability to sustain its healthcare successes.