Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 73
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 73
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
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Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Deprecated (16384): The ArrayAccess methods will be removed in 4.0.0.Use getParam(), getData() and getQuery() instead. - /home/brlfuser/public_html/src/Controller/ArtileDetailController.php, line: 74
 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php. [CORE/src/Core/functions.php, line 311]
Code Context


        trigger_error($message, E_USER_DEPRECATED);

    }
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 You can disable deprecation warnings by setting `Error.errorLevel` to `E_ALL & ~E_USER_DEPRECATED` in your config/app.php.'
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deprecationWarning - CORE/src/Core/functions.php, line 311
Cake\Http\ServerRequest::offsetGet() - CORE/src/Http/ServerRequest.php, line 2421
App\Controller\ArtileDetailController::printArticle() - APP/Controller/ArtileDetailController.php, line 74
Cake\Controller\Controller::invokeAction() - CORE/src/Controller/Controller.php, line 610
Cake\Http\ActionDispatcher::_invoke() - CORE/src/Http/ActionDispatcher.php, line 120
Cake\Http\ActionDispatcher::dispatch() - CORE/src/Http/ActionDispatcher.php, line 94
Cake\Http\BaseApplication::__invoke() - CORE/src/Http/BaseApplication.php, line 235
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\RoutingMiddleware::__invoke() - CORE/src/Routing/Middleware/RoutingMiddleware.php, line 162
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Routing\Middleware\AssetMiddleware::__invoke() - CORE/src/Routing/Middleware/AssetMiddleware.php, line 88
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Error\Middleware\ErrorHandlerMiddleware::__invoke() - CORE/src/Error/Middleware/ErrorHandlerMiddleware.php, line 96
Cake\Http\Runner::__invoke() - CORE/src/Http/Runner.php, line 65
Cake\Http\Runner::run() - CORE/src/Http/Runner.php, line 51
Cake\Http\Server::run() - CORE/src/Http/Server.php, line 98

Warning (512): Unable to emit headers. Headers sent in file=/home/brlfuser/public_html/vendor/cakephp/cakephp/src/Error/Debugger.php line=853 [CORE/src/Http/ResponseEmitter.php, line 48]
Code Context
            if (Configure::read('debug')) {

                trigger_error($message, E_USER_WARNING);

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    <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f102d9605be-trace').style.display = (document.getElementById('cakeErr67f102d9605be-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67f102d9605be-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f102d9605be-code').style.display = (document.getElementById('cakeErr67f102d9605be-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f102d9605be-context').style.display = (document.getElementById('cakeErr67f102d9605be-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67f102d9605be-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700">&lt;</span><span style="color: #0000BB">head</span><span style="color: #007700">&gt;
</span></span></code>
<span class="code-highlight"><code><span style="color: #000000">&nbsp;&nbsp;&nbsp;&nbsp;&lt;link&nbsp;rel="canonical"&nbsp;href="<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">);&nbsp;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">category</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">slug</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>/<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">seo_url</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>.html"/&gt;
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-The Indian Express
&lt;/div&gt;
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&lt;br /&gt;
The rural health cadre will not create two classes of doctors, it will help fill two different needs.
&lt;/p&gt;
&lt;p align=&quot;justify&quot;&gt;
The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.
&lt;/p&gt;
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In other words, it would begin to systematically serve the needs of rural India, so far shamefully let down by the healthcare system. In 2006, 72 per cent of India&#039;s population lived in rural areas, but barely 26 per cent of its doctors did. But any attempt to address this shortfall through brief, intense and dedicated training programmes in community health has been shot down by medical associations. In 2009, the Delhi High Court provided a legal mandate for such a course, saying it was &amp;quot;better to be treated by a trained doctor than a quack&amp;quot;. Chhattisgarh and Assam have already experimented with the three-year model through their own legislations, with heartening results. If the Centre manages to get this plan through, it can then let states decide if they want to opt out of it, without holding back others.
&lt;/p&gt;
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What&#039;s more, this would encourage students from rural areas to join the programme and learn to deal with common medical problems, and to serve close to their homes, if possible. This aligns their incentives to professionalise and serve their communities, unlike other unworkable recommendations like forcing MBBS graduates to spend time in compulsory rural postings. These community health officers could also choose to study further, specialise and join the mainstream if they want, through specially designed &amp;quot;bridge courses&amp;quot;. Both rural India and the urban poor suffer for the lack of trained and responsible medical providers and we need diverse solutions to meet their needs, including more medical colleges graduating more doctors, as well as mid-level practitioners and nurse-practitioners. Making a fetish of the five-year programme, to the extent of depriving much of India of healthcare professionals, is patently wrongheaded. 
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The rural health cadre will not create two classes of doctors, it will help fill two different needs.


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The rural health cadre will not create two classes of doctors, it will help fill two different needs.
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The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.
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The rural health cadre will not create two classes of doctors, it will help fill two different needs.


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-The Indian Express



The rural health cadre will not create two classes of doctors, it will help fill two different needs.


The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by..."/>
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                <strong>Not all or nothing</strong></h1>
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                <div align="justify">-The Indian Express</div><p align="justify"><br />The rural health cadre will not create two classes of doctors, it will help fill two different needs.</p><p align="justify">The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.</p><p align="justify">In other words, it would begin to systematically serve the needs of rural India, so far shamefully let down by the healthcare system. In 2006, 72 per cent of India's population lived in rural areas, but barely 26 per cent of its doctors did. But any attempt to address this shortfall through brief, intense and dedicated training programmes in community health has been shot down by medical associations. In 2009, the Delhi High Court provided a legal mandate for such a course, saying it was &quot;better to be treated by a trained doctor than a quack&quot;. Chhattisgarh and Assam have already experimented with the three-year model through their own legislations, with heartening results. If the Centre manages to get this plan through, it can then let states decide if they want to opt out of it, without holding back others.</p><p align="justify">What's more, this would encourage students from rural areas to join the programme and learn to deal with common medical problems, and to serve close to their homes, if possible. This aligns their incentives to professionalise and serve their communities, unlike other unworkable recommendations like forcing MBBS graduates to spend time in compulsory rural postings. These community health officers could also choose to study further, specialise and join the mainstream if they want, through specially designed &quot;bridge courses&quot;. Both rural India and the urban poor suffer for the lack of trained and responsible medical providers and we need diverse solutions to meet their needs, including more medical colleges graduating more doctors, as well as mid-level practitioners and nurse-practitioners. Making a fetish of the five-year programme, to the extent of depriving much of India of healthcare professionals, is patently wrongheaded. </p>               </font>
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    <link rel="canonical" href="https://im4change.in/<pre class="cake-error"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f102d9605be-trace').style.display = (document.getElementById('cakeErr67f102d9605be-trace').style.display == 'none' ? '' : 'none');"><b>Notice</b> (8)</a>: Undefined variable: urlPrefix [<b>APP/Template/Layout/printlayout.ctp</b>, line <b>8</b>]<div id="cakeErr67f102d9605be-trace" class="cake-stack-trace" style="display: none;"><a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f102d9605be-code').style.display = (document.getElementById('cakeErr67f102d9605be-code').style.display == 'none' ? '' : 'none')">Code</a> <a href="javascript:void(0);" onclick="document.getElementById('cakeErr67f102d9605be-context').style.display = (document.getElementById('cakeErr67f102d9605be-context').style.display == 'none' ? '' : 'none')">Context</a><pre id="cakeErr67f102d9605be-code" class="cake-code-dump" style="display: none;"><code><span style="color: #000000"><span style="color: #0000BB"></span><span style="color: #007700">&lt;</span><span style="color: #0000BB">head</span><span style="color: #007700">&gt;
</span></span></code>
<span class="code-highlight"><code><span style="color: #000000">&nbsp;&nbsp;&nbsp;&nbsp;&lt;link&nbsp;rel="canonical"&nbsp;href="<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">Configure</span><span style="color: #007700">::</span><span style="color: #0000BB">read</span><span style="color: #007700">(</span><span style="color: #DD0000">'SITE_URL'</span><span style="color: #007700">);&nbsp;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$urlPrefix</span><span style="color: #007700">;</span><span style="color: #0000BB">?&gt;&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">category</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">slug</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>/<span style="color: #0000BB">&lt;?php&nbsp;</span><span style="color: #007700">echo&nbsp;</span><span style="color: #0000BB">$article_current</span><span style="color: #007700">-&gt;</span><span style="color: #0000BB">seo_url</span><span style="color: #007700">;&nbsp;</span><span style="color: #0000BB">?&gt;</span>.html"/&gt;
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-The Indian Express
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The rural health cadre will not create two classes of doctors, it will help fill two different needs.
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The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.
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In other words, it would begin to systematically serve the needs of rural India, so far shamefully let down by the healthcare system. In 2006, 72 per cent of India&#039;s population lived in rural areas, but barely 26 per cent of its doctors did. But any attempt to address this shortfall through brief, intense and dedicated training programmes in community health has been shot down by medical associations. In 2009, the Delhi High Court provided a legal mandate for such a course, saying it was &amp;quot;better to be treated by a trained doctor than a quack&amp;quot;. Chhattisgarh and Assam have already experimented with the three-year model through their own legislations, with heartening results. If the Centre manages to get this plan through, it can then let states decide if they want to opt out of it, without holding back others.
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What&#039;s more, this would encourage students from rural areas to join the programme and learn to deal with common medical problems, and to serve close to their homes, if possible. This aligns their incentives to professionalise and serve their communities, unlike other unworkable recommendations like forcing MBBS graduates to spend time in compulsory rural postings. These community health officers could also choose to study further, specialise and join the mainstream if they want, through specially designed &amp;quot;bridge courses&amp;quot;. Both rural India and the urban poor suffer for the lack of trained and responsible medical providers and we need diverse solutions to meet their needs, including more medical colleges graduating more doctors, as well as mid-level practitioners and nurse-practitioners. Making a fetish of the five-year programme, to the extent of depriving much of India of healthcare professionals, is patently wrongheaded. 
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The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.
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-The Indian Express



The rural health cadre will not create two classes of doctors, it will help fill two different needs.


The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by..."/>
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                <strong>Not all or nothing</strong></h1>
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                <div align="justify">-The Indian Express</div><p align="justify"><br />The rural health cadre will not create two classes of doctors, it will help fill two different needs.</p><p align="justify">The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.</p><p align="justify">In other words, it would begin to systematically serve the needs of rural India, so far shamefully let down by the healthcare system. In 2006, 72 per cent of India's population lived in rural areas, but barely 26 per cent of its doctors did. But any attempt to address this shortfall through brief, intense and dedicated training programmes in community health has been shot down by medical associations. In 2009, the Delhi High Court provided a legal mandate for such a course, saying it was &quot;better to be treated by a trained doctor than a quack&quot;. Chhattisgarh and Assam have already experimented with the three-year model through their own legislations, with heartening results. If the Centre manages to get this plan through, it can then let states decide if they want to opt out of it, without holding back others.</p><p align="justify">What's more, this would encourage students from rural areas to join the programme and learn to deal with common medical problems, and to serve close to their homes, if possible. This aligns their incentives to professionalise and serve their communities, unlike other unworkable recommendations like forcing MBBS graduates to spend time in compulsory rural postings. These community health officers could also choose to study further, specialise and join the mainstream if they want, through specially designed &quot;bridge courses&quot;. Both rural India and the urban poor suffer for the lack of trained and responsible medical providers and we need diverse solutions to meet their needs, including more medical colleges graduating more doctors, as well as mid-level practitioners and nurse-practitioners. Making a fetish of the five-year programme, to the extent of depriving much of India of healthcare professionals, is patently wrongheaded. </p>               </font>
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-The Indian Express
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The rural health cadre will not create two classes of doctors, it will help fill two different needs.
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The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.
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In other words, it would begin to systematically serve the needs of rural India, so far shamefully let down by the healthcare system. In 2006, 72 per cent of India&#039;s population lived in rural areas, but barely 26 per cent of its doctors did. But any attempt to address this shortfall through brief, intense and dedicated training programmes in community health has been shot down by medical associations. In 2009, the Delhi High Court provided a legal mandate for such a course, saying it was &amp;quot;better to be treated by a trained doctor than a quack&amp;quot;. Chhattisgarh and Assam have already experimented with the three-year model through their own legislations, with heartening results. If the Centre manages to get this plan through, it can then let states decide if they want to opt out of it, without holding back others.
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What&#039;s more, this would encourage students from rural areas to join the programme and learn to deal with common medical problems, and to serve close to their homes, if possible. This aligns their incentives to professionalise and serve their communities, unlike other unworkable recommendations like forcing MBBS graduates to spend time in compulsory rural postings. These community health officers could also choose to study further, specialise and join the mainstream if they want, through specially designed &amp;quot;bridge courses&amp;quot;. Both rural India and the urban poor suffer for the lack of trained and responsible medical providers and we need diverse solutions to meet their needs, including more medical colleges graduating more doctors, as well as mid-level practitioners and nurse-practitioners. Making a fetish of the five-year programme, to the extent of depriving much of India of healthcare professionals, is patently wrongheaded. 
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The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.
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-The Indian Express



The rural health cadre will not create two classes of doctors, it will help fill two different needs.


The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by..."/>
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                <strong>Not all or nothing</strong></h1>
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                <div align="justify">-The Indian Express</div><p align="justify"><br />The rural health cadre will not create two classes of doctors, it will help fill two different needs.</p><p align="justify">The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.</p><p align="justify">In other words, it would begin to systematically serve the needs of rural India, so far shamefully let down by the healthcare system. In 2006, 72 per cent of India's population lived in rural areas, but barely 26 per cent of its doctors did. But any attempt to address this shortfall through brief, intense and dedicated training programmes in community health has been shot down by medical associations. In 2009, the Delhi High Court provided a legal mandate for such a course, saying it was &quot;better to be treated by a trained doctor than a quack&quot;. Chhattisgarh and Assam have already experimented with the three-year model through their own legislations, with heartening results. If the Centre manages to get this plan through, it can then let states decide if they want to opt out of it, without holding back others.</p><p align="justify">What's more, this would encourage students from rural areas to join the programme and learn to deal with common medical problems, and to serve close to their homes, if possible. This aligns their incentives to professionalise and serve their communities, unlike other unworkable recommendations like forcing MBBS graduates to spend time in compulsory rural postings. These community health officers could also choose to study further, specialise and join the mainstream if they want, through specially designed &quot;bridge courses&quot;. Both rural India and the urban poor suffer for the lack of trained and responsible medical providers and we need diverse solutions to meet their needs, including more medical colleges graduating more doctors, as well as mid-level practitioners and nurse-practitioners. Making a fetish of the five-year programme, to the extent of depriving much of India of healthcare professionals, is patently wrongheaded. </p>               </font>
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-The Indian Express
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<br />
The rural health cadre will not create two classes of doctors, it will help fill two different needs.
</p>
<p align="justify">
The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.
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The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists.
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Not all or nothing

-The Indian Express The rural health cadre will not create two classes of doctors, it will help fill two different needs. The cabinet is pondering the idea of a cadre of mid-level health practitioners, a plan that has been fiercely resisted by medical associations because they worry it will dilute the worth of MBBS graduates. It has also been recently rejected by the parliamentary standing committee on health, for allegedly creating two kinds of doctors, and consigning rural areas to the care of under-educated practitioners. On the other hand, the Union health ministry is backing the plan, as is the Planning Commission and a range of public health experts who recognise the urgent need to train medical professionals to serve in rural areas. The three-and-a-half year degree, originally called a Bachelor of Rural Medicine and Surgery, has now been amended to BSc (community health) to placate the Medical Council of India. It will include a basic grounding in primary level management of diarrhoea, pneumonia, malaria, TB, diabetes etc, and these health officers would be able to refer complicated cases to specialists. In other words, it would begin to systematically serve the needs of rural India, so far shamefully let down by the healthcare system. In 2006, 72 per cent of India's population lived in rural areas, but barely 26 per cent of its doctors did. But any attempt to address this shortfall through brief, intense and dedicated training programmes in community health has been shot down by medical associations. In 2009, the Delhi High Court provided a legal mandate for such a course, saying it was "better to be treated by a trained doctor than a quack". Chhattisgarh and Assam have already experimented with the three-year model through their own legislations, with heartening results. If the Centre manages to get this plan through, it can then let states decide if they want to opt out of it, without holding back others. What's more, this would encourage students from rural areas to join the programme and learn to deal with common medical problems, and to serve close to their homes, if possible. This aligns their incentives to professionalise and serve their communities, unlike other unworkable recommendations like forcing MBBS graduates to spend time in compulsory rural postings. These community health officers could also choose to study further, specialise and join the mainstream if they want, through specially designed "bridge courses". Both rural India and the urban poor suffer for the lack of trained and responsible medical providers and we need diverse solutions to meet their needs, including more medical colleges graduating more doctors, as well as mid-level practitioners and nurse-practitioners. Making a fetish of the five-year programme, to the extent of depriving much of India of healthcare professionals, is patently wrongheaded.