India's progress in healthcare access faces challenges from poverty, inequality, and climate stress. While policymakers recognize the need to strengthen social infrastructure and universal public services, successful health equity relies on deep community engagement. Public health systems thrive when communities actively participate and trust the services, such as affordable medicine centers and health centers. Across India, communities are transforming from passive beneficiaries into active changemakers, organizing, informing, and holding systems accountable to make universal healthcare a reality.