When a child in a remote village walks into a government school or a family visits a Primary Health Centre without worrying about the bill, something remarkable is happening behind the scenes. The government is acting as an investor-not in factories or highways, but in people. Public spending on sectors like health, education, nutrition, housing, and social protection forms the bedrock of a nation’s development story. Yet this role is often misunderstood, underfunded, and politically contested. Understanding why the state must step in where markets hesitate is central to any serious conversation about inclusive growth.
Table of Contents
- Why markets fail in social sectors
- Public goods and non-excludability
- Positive externalities
- Information asymmetry and affordability
- The government as investor, not just spender
- Building human capital
- Targeting vulnerable groups
- Poverty alleviation and employment
- What the numbers reveal about social sector investment
- The education spending gap
- The health spending challenge
- Shifting priorities within the social sector
- Decentralisation and its mixed record
- Where decentralisation has worked
- Where it has faltered
- The fiscal squeeze on local bodies
- Making social sector investment work
- Effective targeting and last-mile delivery
- Coordination across levels of government
- Public-private partnerships with strong regulation
- The development stakes
Why markets fail in social sectors
Before we talk about what the government does, we need to understand why the private sector alone cannot deliver. Social sectors are classic examples of what economists call market failure-situations where free markets do not allocate resources in ways that best serve society. The theory of market failure underpins most economic analyses that justify government intervention in markets for goods and services, and welfare services like education, healthcare, child care, and elder care are among the most commonly cited examples.
Three specific features make social sectors particularly prone to market failure.
Public goods and non-excludability
Many social services behave like public goods-they are non-excludable and non-rivalrous. Because exclusion is impossible, the market also cannot ensure a profitable return if it were to provide a public good. Clean air, disease eradication, basic sanitation, and herd immunity from vaccination programmes benefit everyone, whether they pay or not. A private company has little incentive to immunise an entire village or control a mosquito-borne epidemic because it cannot charge each beneficiary individually.
Positive externalities
Education and health generate benefits that extend far beyond the individual consumer. An educated citizen is more productive, more civically engaged, and raises healthier children. A vaccinated child protects classmates, neighbours, and strangers. These spillover benefits are not captured in the price a private provider can charge, so the market systematically under-produces them.
Information asymmetry and affordability
Patients rarely know more than their doctors. Parents cannot fully evaluate the quality of a school until years later. This information gap creates space for exploitation in unregulated private markets. Add to this the reality that the poor simply cannot afford market prices for quality healthcare or schooling, and the result is systematic exclusion of the very people who need these services most.
The government as investor, not just spender
Describing government expenditure on social sectors as “spending” understates what is actually happening. It is an investment in human capital-the productive capacity of people. Unlike a bridge or a power plant, the returns show up slowly, in the form of a literate workforce, lower infant mortality, higher female labour participation, and a citizenry capable of demanding better governance.
Health and education are defining sectors for equitable human development and sustainable and inclusive economic growth. Public expenditure in these areas is not a handout; it is the foundation on which private enterprise, democratic participation, and demographic dividend rest.
Building human capital
A study examining public spending on healthcare and education across South Asia found that public sector spending on healthcare and education is recognised as a vital contributor to improving human development outcomes. Countries that have invested early and consistently in these sectors-think of South Korea’s educational transformation or Thailand’s universal health coverage-have reaped enormous economic dividends.
Targeting vulnerable groups
Government investment is uniquely positioned to reach those the market ignores. Schemes like the Mid-Day Meal programme (now PM POSHAN), Integrated Child Development Services (ICDS), Ayushman Bharat, and Samagra Shiksha are designed to deliver benefits precisely to children, women, tribal communities, and economically weaker sections. These targeted interventions recognise that development is not automatic-it must be engineered through deliberate policy choices.
Poverty alleviation and employment
Beyond health and education, social sector investment extends into direct employment guarantees and income support. MGNREGA, the National Social Assistance Programme, and PM Awas Yojana are not charity; they are instruments for smoothing consumption, building rural assets, and maintaining social stability during economic shocks. The pandemic demonstrated this vividly, when rural employment guarantees became a lifeline for millions of returning migrants.
What the numbers reveal about social sector investment
For all the rhetoric about inclusive development, actual fiscal commitment tells a more complicated story. According to the Press Information Bureau, expenditure on social services increased from 6.7% of GDP in 2017-18 to 7.8% in 2023-24, with health expenditure rising from 1.4% to 1.9% in the same period. This represents genuine progress, but the pace remains slow relative to stated goals.
The education spending gap
The Kothari Commission recommended in 1964 that at least 6% of national income be spent on education. Six decades later, that target remains elusive. Current spending on education hovers below 4% of GDP. Analysis by EY suggests that by FY2048, general government spending on education may need to rise to 6.5% of GDP from the current level of 4.6% to reach developed country standards.
The health spending challenge
The National Health Policy, 2017 set an ambitious target of 2.5% of GDP for public health by 2025. Progress has been modest. Critics point out that the Union health budget in 2026-27 is a mere 0.27 percent of GDP, and over the last five years has remained below 0.3 percent of GDP. With 50% of citizens still dependent on out-of-pocket spending for healthcare, the gap between ambition and delivery is stark.
Shifting priorities within the social sector
Recent fiscal analysis reveals interesting shifts in composition. As IndiaSpend noted, during the recent phase, food subsidy and civil supplies accounted for 35% of total social sector spending, while the share going to medical and health fell to an average of only 10%. Meanwhile, the share of housing, urban development, water, and sanitation has risen, reflecting a policy tilt toward physical infrastructure within the social sector umbrella.
Decentralisation and its mixed record
The 73rd and 74th Constitutional Amendments of 1992-93 promised a revolution: moving decision-making closer to citizens through Panchayati Raj Institutions and urban local bodies. The theory was elegant-local governments understand local needs better, respond faster, and are more accountable. The reality has been uneven.
Where decentralisation has worked
Kerala’s People’s Plan Campaign launched in 1996 stands out as a successful experiment. Substantial devolution of funds and powers to local bodies produced high public participation in planning, meaningful improvements in healthcare and education delivery, and a strengthening of grassroots democracy. Karnataka has also consistently ranked high on devolution indices.
Where it has faltered
Empirical research on fiscal federalism in the country has found that the central-state decentralisation has fostered development reasonably well, but the third tier-state to rural local bodies-has been dismal and has not achieved significant results across states. Many panchayats remain financially starved, dependent almost entirely on transfers from higher levels, with limited own-source revenue.
Other challenges include elite capture, where powerful local figures dominate nominally democratic institutions; proxy governance, where women and Dalit representatives face pressure from dominant groups; and poor administrative capacity. Local officials often lack the training, data, or technical expertise to plan and execute complex social sector programmes.
The fiscal squeeze on local bodies
Effective social sector delivery requires adequate resources at the point of delivery. Recent assessments of devolution suggest that if states retain unspent funds, it erodes the foundation of decentralised democracy and takes away from the panchayat’s decision-making power. The tension between political commitment to decentralisation and actual fiscal empowerment remains unresolved.
Making social sector investment work
Raising the quantum of spending matters, but so does the quality. Three ingredients determine whether social sector investment actually improves lives.
Effective targeting and last-mile delivery
Direct Benefit Transfers, Aadhaar-linked payments, and digital service delivery have reduced leakages significantly. But technology alone cannot substitute for functional schools, staffed health centres, and capable frontline workers. A well-designed scheme fails if the teacher is absent or the primary health centre has no doctor.
Coordination across levels of government
Social sectors sit at the messy intersection of Union, state, and local responsibilities. Education and health are largely state subjects, but centrally sponsored schemes carry much of the funding. This creates opportunities for synergy but also for confusion, duplication, and accountability gaps. Strengthening cooperative federalism-not just rhetoric, but actual mechanisms for joint planning and monitoring-is essential.
Public-private partnerships with strong regulation
Given fiscal constraints, the role of private providers cannot be ignored. Well-designed partnerships can bring efficiency and innovation, but only under firm public oversight. The Asian Development Bank has argued that public-private partnerships have shown their ability to meet some service delivery challenges in India and overseas, particularly in bridging investment gaps in health and education infrastructure.
The development stakes
Treating social sector spending as discretionary-the first to be cut in times of fiscal stress-misses the point entirely. A nation’s economic trajectory, its ability to leverage a demographic dividend, its resilience to shocks, and its democratic stability all depend on the human capital produced by these investments. When schools fail, when hospitals are out of reach, when children grow up malnourished, the costs compound across generations.
Inclusive development is not a slogan. It is an outcome that requires sustained, intelligent, and adequately funded government presence in the sectors where markets will not go and cannot reach. The evidence is unambiguous: societies that invest early and well in their people prosper; those that do not, remain trapped.
What do you think? Should public spending on health and education be protected from fiscal austerity through a constitutional or statutory floor? And how can Panchayati Raj Institutions be given genuine fiscal muscle without losing accountability to the communities they serve?
References
- https://www.britannica.com/money/market-failure
- https://open.maricopa.edu/pad100/chapter/30-market-failures-public-policy-textbook/
- https://www.adb.org/publications/improving-health-and-education-service-delivery-india-through-public-private-partnershi
- https://arxiv.org/pdf/2503.12178
- https://www.pib.gov.in/PressReleasePage.aspx?PRID=2034937
- https://www.ey.com/en_in/insights/tax/economy-watch/why-india-should-focus-on-health-and-education-to-achieve-viksit-bharat-status
- https://theleaflet.in/world-health-day-2026/the-continued-asphyxiation-of-indias-public-health-budgets
- https://www.indiaspend.com/budget/budget2025-four-key-trends-in-union-govts-social-sector-expenditure-940524
- https://www.sciencedirect.com/science/article/abs/pii/S0305750X12000666
- https://idronline.org/article/advocacy-government/the-state-of-indias-panchayati-raj-system/
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