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My go to answer has always been that we need more colleges. But it was good to see behind the curtains of what is causing the real scarcity of doctors in India.

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Feb 20, 2022Liked by Pranay Kotasthane

A layman like me finds our national relationship with foreign countries baffling. I feel emotional about countries but understand the importance of "only permanent interest, no permanent friends and all that". I also understand that there are wheels within wheels, and the whole truth of foreign relations will never come out to layman-public ever.

The voting public cannot understand foreign policy, so the electorate cannot hold the government accountable in any meaningful way. That being the situation, what are the incentives for a democratically elected government to conduct a foreign policy beneficial for the nation? Who should hold the government accountable in matters of foreign policy?

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I used to think that increasing supply was clearly the solution to India's high-demand, low-supply education problems, so I used to be a big advocate for, say, more IITs. But I have since come around to the point of view that this only solves the degree-printing-machine side of the problem. As with engineering, medicine requires teachers with great science knowledge, an ability to be hands on in applying this, and to be willing and able to break this down with effective communication for others to follow. Typically, the demand for such skilled professionals in non-academic settings is so high (and their pay commensurate to that demand), it's much harder to convince them to actually teach for a pay that then struggles to keep up. Sure, that too can be addressed with "right" incentives but that quickly reduces to a "who will bell the cat" situation.

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Can you post your sources here? I am working on a whitepaper on Indian medical education and the sources to your figures saves me a lot of trouble. Thanks.

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You covered several points. However the malaise goes deeper. There is extensive criticism on private colleges but very minimal scrutiny of government colleges and institutes of national importance. For e.g. how many graduates from these institutions have stayed back in India for starters? How many of those stayed back have worked in tier 2 & tier 3 cities? A significant number of doctors from these institutes take advantage of tax payer funded subsidized education to settle abroad. Is there any discussion on this at all?

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