Fiscal Marksmanship in Health Expenditure

There is a dearth of literature about fi scal marksmanship beyond total revenue expenditures and defi cits at the central or state level. It is of utmost importance to elicit a debate on the budgetary discipline around micro variables. These micro-level deviations result in macro-level errors in budget forecasting. The article explores state-level fi scal marksmanship in the context of medical and public health expenditure over the period—2002 to 2017. The deviations in capital health spending are high compared to those in revenue health spending. This may have an impact on the improvement in health over the long term.