Acute respiratory illness and diarrhoea cause high levels of child morbidity and mortality in Jammu and Kashmir, and high levels of insurgency and an unstable political environment have usually been identified as the two main causes for the poor health conditions in the state. This article is based on a study which compares J&K with Himachal Pradesh and finds that some of the causes for poor health oucomes in the former may be unrelated to insurgency or related issues.