The Union Budget 2026-27, presented by Finance Minister Nirmala Sitharaman, marks a decisive pivot in India's approach to healthcare. Moving beyond its traditional role as a social sector, the budget reframes healthcare as a strategic pillar of economic growth. The announcements signal an integrated strategy focused on strengthening domestic manufacturing, addressing the rising burden of chronic diseases, expanding mental health infrastructure, and building a skilled workforce for the future.
A cornerstone of the new policy is the 'Biopharma Shakti' mission, a ₹10,000 crore initiative spread over five years. This program is designed to bolster India's capabilities in manufacturing biologic medicines, which are crucial for treating non-communicable diseases (NCDs) like cancer, diabetes, and autoimmune disorders. The mission aims to reduce the country's dependence on imported therapies and position India as a competitive global hub for advanced biopharmaceuticals. Industry leaders have lauded the move as a timely step to strengthen the 'Make in India' and 'Atmanirbhar Bharat' initiatives. Jatin Mahajan, President of the Association of Diagnostics Manufacturers of India, noted that the emphasis on quality and global benchmarking would enhance export competitiveness and build trust in Indian healthcare technologies.
The focus on biologics is directly linked to India's changing disease profile. Non-communicable diseases now account for nearly 60% of all deaths in the country. With projections indicating that the number of adults with diabetes could cross 156 million by 2050, the need for advanced, long-term disease management solutions is urgent. The Biopharma Shakti mission is expected to improve the domestic availability of these critical therapies, addressing significant access and affordability gaps.
Recognizing critical infrastructure gaps, the budget announced the establishment of 'NIMHANS 2.0,' a national institute for mental healthcare in North India. This addresses the absence of a premier national mental health institution in the region. Additionally, the government plans a 50% expansion in emergency and trauma care capacity in district hospitals nationwide. This will be achieved by creating dedicated centres aimed at reducing out-of-pocket expenditure during medical emergencies.
To provide immediate relief to patients, the budget proposed a full exemption of basic customs duty on 17 cancer-related drugs and medicines. This measure is expected to significantly lower treatment costs. Furthermore, support for patients with rare diseases was expanded, with seven more conditions added to the list eligible for import duty exemption on essential drugs and medical foods imported for personal use.
The budget also includes a significant push for skilling. A large-scale expansion of allied health education aims to add 1 lakh allied health professionals over the next five years. These professionals will be trained in disciplines such as optometry, radiology, anaesthesia technology, and behavioural health. In parallel, a program will train 1.5 lakh caregivers over the next year, focusing on geriatric care, wellness, and the operation of medical assistive devices.
Traditional medicine received renewed emphasis with the announcement of three new All India Institute of Ayurveda institutions. This move is intended to meet the rising global demand for Ayurvedic healthcare. The finance minister highlighted that exporting high-quality Ayurvedic products could also boost farmer incomes through the cultivation of medicinal herbs. Upgrades to AYUSH pharmacies and drug testing laboratories are also planned to improve quality standards.
Overall, the healthcare measures in Budget 2026 reflect a strategic recalibration. The government is moving from a system focused on episodic care towards building resilient infrastructure capable of managing India's growing chronic disease burden. Experts view this as an integrated architecture for growth, positioning healthcare as a 'care economy' that drives both economic activity and skilled employment. While the initiatives have been widely welcomed, industry stakeholders continue to advocate for raising public health expenditure to the long-term goal of 2.5% of GDP to ensure effective on-ground implementation.
The Union Budget 2026-27 lays a comprehensive foundation for a more self-reliant, innovative, and resilient healthcare ecosystem in India. By focusing on domestic manufacturing, chronic disease management, workforce development, and affordability, the government aims to transform healthcare into a key driver of national growth. The success of this ambitious vision will now depend on the effective and timely execution of these landmark initiatives.
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