Van Doorslaer, et al. ( Nevertheless, both central and state governments in India have become increasingly remiss about ensuring such minimal expenditure and taking basic precautions.. Health expenditure of central and state governments taken together declined from more than 1 per cent of GDP in the mid-1980s to only 0.9 per cent in the mid-2000s. Central government expenditures on health alone have been completely flat at only 0.1 per cent of GDP, which is one of the lowest ratios in the developing world.