The healthcare system in Bangladesh, much like in many developing nations, is confronted with significant challenges that hinder its ability to provide equitable and quality healthcare services to its population. 

These challenges are multifaceted, ranging from inadequate infrastructure and insufficient funding to inefficiencies in service delivery and a shortage of trained medical professionals. 

Despite various attempts at reform, these issues continue to affect the accessibility and quality of healthcare, particularly for marginalised and rural populations who remain underserved. However, genuine and lasting reform in the healthcare sector cannot be achieved by the state alone, no matter how well-intentioned its efforts may be.

While the government plays a pivotal role in shaping healthcare policy, providing funding, and ensuring that medical facilities are established and equipped, it is not enough for the state to shoulder this responsibility alone. The complexities of improving healthcare in a country like Bangladesh require a more holistic approach, where both the state and the citizens actively participate in the process of reform.