The Delhi, Bengal, and Odisha governments have chosen not to participate in the Ayushman Bharat scheme, citing the presence of their own health schemes. These states have claimed that their existing schemes are sufficient to meet the healthcare needs of their residents. The decision has been made after careful consideration of the effectiveness of their own schemes. This move highlights the importance of recognizing regional variations and tailoring healthcare policies to suit the specific needs of each state. While Ayushman Bharat aims to provide comprehensive healthcare coverage on a national level, it is crucial to acknowledge the autonomy of states in designing and implementing their own schemes.