Bond policy a remedy for doctor shortage in Punjab

THE Punjab Government’s decision to introduce a bond policy for MBBS and BDS students from this session is a bold and much-needed step to tackle the chronic shortage of doctors in its public health system. Under the new rules, graduates from state-run colleges will have to either serve in government healthcare institutions for two years or pay a bond amount of Rs 20 lakh. For students under the all-India quota, the mandatory service is one year.

Though coercive, the policy is a responsible attempt to ensure that the state reaps some return on its investment in medical education, which is heavily subsidised in government institutions. Medical seats in state colleges are funded by taxpayers and it is only fair that students, after graduating, contribute to society. This is especially needed as over 50 per cent of the 3,847 doctor posts in government hospitals remain vacant. Rural and underserved areas bear the brunt of this doctor shortage. For years, newly minted doctors have bypassed public service to pursue private practice or opportunities abroad. This has created a gaping urban-rural healthcare divide. The bond policy seeks to correct this imbalance.

At the same time, opposition from student groups is understandable. Their concerns should be addressed through better working conditions and career progression pathways, not by scrapping the bond policy. A one-year or two-year mandatory stint is a reasonable ask, particularly when it can significantly strengthen public health delivery. Bond policies are not new; several other states and even central institutions have similar models. What Punjab must do now is ensure effective implementation, timely postings and adequate support for the young graduates. Healthcare cannot wait. The bond is a bridge between education and equitable service.

Editorials