Healthcare inequality continues to be a widespread problem in Pakistan, which creates severe disadvantages for people in rural areas, together with women and those from lower income brackets. The 1973 Constitution, through Article 38(d), establishes universal healthcare rights, but the country faces healthcare inequalities because of its fragmented system and inefficient governance structure. Annual healthcare expenses from out-of-pocket payments force 2.5 million people into poverty, and more than 24% of Pakistan’s population survives below the country’s official poverty line (World Bank, 2023; Nishtar, 2020). Maternal death rates differ between rural and urban areas to the extent that the rural population suffers a 37% higher number of maternal deaths (UNFPA, 2023). The paper utilizes evidence-based policy analysis to study the fundamental healthcare inequality factors by examining structural elements and economic resources with sociocultural components. The research combines numerical information with personal interview findings and evaluation of different policies to create practical healthcare solutions supported by proven scientific evidence.