Andhra Pradesh's healthcare system faces challenges following state bifurcation in 2014, which led to a loss of premier institutions and staff. The subsequent government increasingly relied on public-private partnerships (PPPs) for essential services, including transportation, diagnostics, and even vaccination programs. Critics argue this outsourcing, with no new major public health facilities established between 2014-2019, undermines the constitutional right to health and could jeopardize public health gains.