This paper presents a comparative analysis of two prominent healthcare initiatives: Medicaid in the United States and Ayushman Bharat in India. Both programs aim to improve healthcare accessibility and affordability for vulnerable populations within their respective countries. Medicaid, established in 1965, provides comprehensive health coverage primarily to low-income individuals and families through federal and state cooperation. In contrast, Ayushman Bharat, launched in 2018, seeks to address healthcare disparities by offering health insurance coverage to over 500 million people, focusing on the economically disadvantaged. This comparative study examines the structures, objectives, implementation challenges, and outcomes of Medicaid and Ayushman Bharat, analyzing their effectiveness in achieving universal health-care goals. Key factors explored include funding mechanisms, coverage criteria, administrative efficiency, healthcare delivery models, and socio-economic impact. By highlighting successes, challenges, and lessons learned from these programs, this research aims to contribute valuable insights into the global discourse on healthcare policy and the pursuit of equitable health outcomes.
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