This shit is so crazy. A bit of an old news but I don't know if people outside of India caught wind of this.
The National Testing Agency (NTA), an autonomous body under India’s Ministry of Education that is responsible for holding the nationwide examinations, is at the centre of these controversies over the integrity of the National Eligibility cum Entrance Test (NEET), a national exam for medical aspirants held last month.
There are two NEET exams, one for undergrad and one for postgrad. The former was held but the results have been scrapped. The latter has been postponed. The postponement was announced the night before the exam.
The scale of foul play is something that I have not been able to wrap my head around mostly because I have not read the news articles about this recently. There were reports of some participants getting marks that were mathematically impossible and shit like that.
"Autonomous bodies" have become an extension of the ruling party. For example, BJP uses the Election Commision to arrest opposition leaders and freeze the funds of opposition parties. I wouldn't be surprised if the NTA was chock full of deadbeat BJP lackeys. Truly a terrible time to be an Indian right now.
The system you suggest would work in a better society but the whole political economy does the opposite of what it claims to do and what people think it should do.
Like the doctor shortage you mention is very real and severe. But there is no immediate financial incentive in fulfilling it. The ruling class hates public health in general. So the (official) life expectancy is sitting at a cool 68 while potential doctors pursue medicine for money rather than any nobler notions and people blame minority groups for producing "bad" doctors because of affirmative action.