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Supreme Court of India· 17 March 2025

Is the provision of medical facilities part of the right to life under Article 21 of the Constitution?

SIDDHARTH DALMIA & ANR. v. UNION OF INDIA & ORS.
2025 INSC 351 · WRIT PETITION (C) No. 337 of 2018
Coram: Surya Kant; Nongmeikapam Kotiswar Singh
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Answer

Yes. The provision of medical facilities to one and all is an essential component of the right to life guaranteed under Article 21, and the States have committed themselves to provide them in furtherance of the duty and vision enshrined in Part IV of the Constitution. Because the States have not been able to develop the requisite medical infrastructure in proportion to the population, they have facilitated and promoted private entities in the medical field, and the States themselves now look towards those entities to provide basic and specialized medical facilities to the public at large.

Headnote

Constitution of India — Arts. 21, 32, 38, 39, 47 — List II (State List) — Public health — Private hospitals — Pricing of drugs — Policy decisions — Judicial restraint — Constitution of India — Art. 32 — Policy decisions — Scope for mandatory directions — Held: Issues of paramount public importance that primarily involve policy decisions are for the policy-makers, who are best equipped to take a holistic view and formulate the guidelines; mandatory directions that would hamper the growth of hospitals in the private sector are not advisable. (¶15, 17) Constitution of India — Art. 21, Part IV — Medical facilities — Right to life — Held further: Provision of medical facilities to one and all is an essential component of the right to life, and where the requisite medical infrastructure falls short of the population the States have themselves facilitated private entities and look to them. (¶13) Constitution of India — List II (State List) — Public health and hospitals — State competence — Held further: Public health and sanitation, hospitals and dispensaries fall in the State List, so regulation of this kind must come from the State Governments keeping their local conditions in mind; writ petition disposed of with a direction to consider the issue. (¶16, 18)

In the Court's own words
Paragraph 13There can be no doubt that the provision of medical facilities to one and all is an essential component of the right to life guaranteed under Article 21 of the Constitution. The States have, therefore, committed themselves to provide medical facilities to the people in furtherance of the duty and vision enshrined in Part IV of the Constitution. It is also a matter of record that in proportion to the population of this country, the States have not been able to develop the requisite medical infrastructure to cater to the needs of all kinds of patients. The States have, therefore, facilitated and promoted private entities to come forward in the medical field as a result of which, numerous renowned private hospitals, well-known for their specialties, and which are comparable to any other hospital around the globe, have been set up throughout the country. It, therefore, must be acknowledged that not only the people, even the States look towards these private entities to provide basic and specialized medical facilities to the public at large.
Acts & Sections
Art.32 Constitution of IndiaArt.21 Constitution of IndiaArts.38, 39 and 47 Constitution of IndiaDrugs and Cosmetics Act, 1940Essential Commodities Act, 1955

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Also decided in this judgment
When a petition under Article 32 of the Constitution raises an issue of public importance that turns on policy, will the Supreme Court issue mandatory directions?Under the Constitution of India, which government is competent to regulate the pricing practices of private hospitals?What competing consideration limits regulation of private hospitals under a right-to-health claim?
Plain-language answer prepared by the LexStreak Editorial Desk — verify against the judgment. Source: Supreme Court of India. Corrections