In January 2024, Chief Minister Siddaramaiah wrote to Union Minister for Finance and Corporate Affairs, Nirmala Sitharaman, seeking the establishment of an AIIMS in Raichur. The underdeveloped Kalyana Karnataka region, where Raichur is located, continues to suffer from some of the worst health indicators in the state. Many have labelled Union Health Minister JP Nadda’s recent response to Siddaramaiah as a diplomatic no, disguised as an “in-principle” approval.