Karnataka has made substantial progress in health infrastructure and service provision, adopting a three-tiered rural healthcare model, and implementing various state and national health programs. This paper highlights disparities in healthcare access and health outcomes across social categories and regions within Karnataka, with special attention to rural and urban areas. Through an analysis of health expenditure, poverty, and inequality indicators, the paper tries to explore the limitations and strengths in health service delivery in Karnataka. The findings underscore the need for an equitable distribution of resources, targeted health services for socially vulnerable populations, and a systematic investment in healthcare financing to reduce the burden of out-of-pocket expenses on individuals. Further, it tries to provide insights for policymakers to address persistent challenges in healthcare equity and to enhance the state's overall health outcomes through comprehensive, inclusive strategies.