A senior medical professional has called for major reforms in medical education and healthcare, submitting a set of suggestions to both the Centre and state governments. Dr Kundan Mittal, Senior Professor and Medical Superintendent at PGIMS-Rohtak, says urgent measures are needed to improve the current system.
Better Use of Bonded Doctors in Primary Healthcare
One of the key proposals focuses on the compulsory service bond that several states have implemented for medical graduates. Dr Mittal argues that this system is not being used effectively. Instead of arbitrary postings, he suggests that bonded doctors should primarily be deployed at Primary Health Centres (PHCs) and Community Health Centres (CHCs).
These are the facilities where the shortage of medical professionals is the highest. By placing doctors where they are needed most, the reforms would strengthen primary healthcare services. This approach would also reduce the financial burden on governments by ensuring optimum utilisation of available manpower.
Leadership Reforms in Medical Colleges
The proposals also highlight the need for leadership reforms in medical colleges. Dr Mittal has put forward ideas to improve how these institutions are managed, though the specific details of these leadership changes are part of the broader reform package submitted to the authorities.
The suggestions come at a time when the medical education system faces multiple challenges, from doctor shortages in rural areas to administrative inefficiencies in training institutions.
Our Take: Practical Steps Toward a Stronger System
In our view, these proposals make practical sense. The compulsory service bond has existed for years, but its impact has been limited when doctors are posted without a clear strategy. Sending bonded doctors to PHCs and CHCs — where patients struggle to find qualified care — is a logical fix that benefits both the public and the government's budget.
The push for leadership reforms in medical colleges is equally important. A medical college cannot produce good doctors if its administration is weak. While the details are still emerging, the direction is clear: the system needs structural change, not just more funding.
What matters now is whether the Centre and state governments act on these suggestions. The proposals are practical, cost-effective, and aimed at the root of the problem. If implemented, they could meaningfully improve healthcare delivery across the country.