It is heartening that now in all health forums; the social determinants dimension of health is well recognized. Millennium Development Goals are a very important move in that direction. It is true that many people still live in extreme poverty, lack access to safe drinking water, suffer due to lack of regular access to reliable energy services. Problem relating to illiteracy still remain high in many places. Access to vocational skill for livelihood is very much in need. Access to good nutritious food is still a problem in many areas. Above all lack of felt access to affordable health care and health education problem needs no mention as peoples felt need. Until we have made significant progress on these critical areas, health will remain a distant dream for millions of people all over the world. We have only few years left to reach the goal to villages and slums.