The true dimensions & deeper meanings of the cliché “Health is wealth” seem lost on the managers of Nigeria, but it is not in doubt that the capacity to deliver effective healthcare at affordable rates is a very important measure of the level of development of any society. The health sector in Nigeria is full of paradoxes that are at once confounding and perplexing. It is perplexing to observers of Nigeria that the funding is top heavy, with a focus on tertiary health institutions while the primary health institutions that ideally should treat over 70% of common ailments suffers neglect. How the largest exporter of medical personnel in Africa is also home to a large contingent of medical tourists beats reason. There is a need to address the underlying issues in this abnormality in such a strategic sector.