The Union Labour Ministry’s new free annual health check-up for workers aged 40+ via ESIC is commendable but problematic. Though mandatory for hazardous jobs and ESI-funded, its success is uncertain. Issues include poor e-Shram integration, overlooking informal workers, inadequate female medical staff, and no compensation for lost wages. The scheme focuses on non-communicable diseases, neglecting heat-related and infectious risks for vulnerable groups, and lacks vaccination. The author advocates for mobile units, on-site check-ups, and worker compensation to truly enhance this deficient system.