Prime Minister Narendra Modi’s plan to provide healthcare and insurance to half a billion Indians, a people-mass larger than the entire population of South America, is facing serious hurdles.  Almost five months after announcing the programme they are still working to lock in hospitals and insurance companies in time for the planned 15 August launch (India’s Independence Day). The healthcare scheme aims to cover the poorest 40% in a country where a 2017 World Health Organisation report found personal spending on health pushed over 52 million people below the poverty line. Although beneficiaries are identified and IT infrastructure is in place, the involvement of hospitals still needs to be finalised. It is the government's second major welfare push this year. It recently presented a draft bill on a social security programme designed to cover the country’s 500 million poorest workers, including those in informal employment.