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 ...