It is necessary for city governments to be enabled to take on more and ensure the health of their residents. It is also imperative that the role played by our city governments builds on their competitive advantage of being the closest to citizens. Being the country with the largest number of locally elected representatives in the world, India has the opportunity to utilise this competitive advantage to make governance more localised. This would be aided by the relatively larger trust that the citizens place in local representatives as compared to other government agents like state level officials and police.