The Pervasiveness, as well as, the inchoate nature of state policy responses are too glowing features characterising developing states. Africa appears to be engulfed in this pathological development which raises considerable cause for worry about a state that says so much and does quite little on the score of its duty of care to her burdened citizenry. Evidence of these odd dispositions of state can be gleaned from ill conceived and poorly articulated and implemented policies, itself, a function of a disquieting ordering of priorities by leadership. By implication, state failure in both political and economic terms has exacerbated with inadequacies suggested in the failure of health care delivery systems. The result is that the populations' illnesses deepens and yields a complex profile to make for a pathological continent. This paper attempts a theoretical appraisal of the African health problematic. It examines the conceptions of health as illness beyond physiological epidemiology into the political. It contends that, a consequence of inchoate policies and mis-ordering of priorities, itself a function of politics permits an extension of analysis of African ill health problem to reveal the nature of such problematic in an ever expanding social terms. Essentially, we attempt a critique of state policy responses to the general health profile of African citizenry with a view to checking further degeneration.