It is time to recognise that the utter neglect of primary healthcare and its related institutions has influenced the utilisation of health services and contributed to a worsening epidemiological profile in the country. In its present form, the proposed Rural Health Mission adds to the confusion about the country's approach to healthcare. Cost-effective interventions, such as the rational distribution of medical and financial resources, should be part of the vision but they are often brushed aside in favour of the privatisation logic.