For many young students in India, becoming a doctor has always been considered one of the most respected and noble career paths. But over the years, this dream has become increasingly difficult to achieve due to limited seats in medical colleges, high costs of education, shortage of faculty, and the constant migration of doctors abroad in search of better opportunities. These factors together have created a healthcare system struggling with both access and quality.

I chose to write on this issue because the gap between the aspirations of young students and the reality of medical education in India is widening. While the country needs more doctors, nurses, and healthcare professionals than ever before, the system still falls short in creating enough opportunities. The irony is that India produces some of the brightest minds in medicine, but many either fail to get a seat in government institutions or leave for foreign countries, leading to a talent drain. If we want healthcare to be strong and accessible for all citizens, we must first make medicine a viable dream for those who want to serve. Addressing shortages, preventing the exodus of talent, and bridging education gaps is not just about building careers but about strengthening India’s health security in the long run.

Shortage of doctors in India

India faces a serious shortage of doctors compared to its vast population. The doctor-to-patient ratio is still below the WHO recommended level of 1:1000. Rural areas are the worst affected, where healthcare facilities either have very few doctors or none at all. This shortage puts immense pressure on existing doctors, leading to overwork and burnout, and in turn reduces the quality of care patients receive.

Why doctors are leaving India

A large number of Indian doctors migrate abroad every year, mainly to countries like the US, UK, Canada, and Australia. The reasons are not hard to see: better pay packages, more advanced infrastructure, less workload, and greater opportunities for research and growth. While this is a personal choice, the result is a brain drain that weakens India’s healthcare system, especially when the government spends heavily on training these professionals.

Education gaps and limited seats

Medical education in India is both expensive and highly competitive. Every year, millions of students appear for NEET, but only a fraction secure seats in government colleges. Private colleges, while offering more seats, often charge fees that are unaffordable for most families. Moreover, the uneven distribution of institutions across states means that some regions are better served than others.

Steps needed to make medicine a viable dream again

To address these issues, India needs a multi-pronged approach:

• Increase the number of government medical colleges and expand existing ones to accommodate more students
• Make medical education more affordable through scholarships, subsidised loans, and transparent fee structures
• Strengthen rural healthcare infrastructure and provide incentives for doctors to work in underserved areas
• Improve working conditions and research opportunities within India so that doctors do not feel compelled to leave
• Invest in modern training facilities and bring in global best practices in medical education