Preliminary results of an analysis of data sets on morbidity and health care utilisation from two NSS surveys in the 1980s and 1990s together with empirical results of other studies points the worsening of class-based inequalities in access to health services for both men and women. While gender inequity, particularly in untreated morbidity, appears to have remained severe, also seen is a relative worsening of access for poor men over this period, even though in absolute terms men are better off than poor women.