The word Vyapam conjures up Madhya Pradesh’s image as a state full of fake doctors. After all, the organised racket of admitting bogus candidates through rigged pre-medical tests had been going on for a decade before it was busted in July 2013. These admission tests are conducted by the Professional Examination Board or Vyapam—the Hindi acronym of Vyavasayik Pariksha Mandal. While 1,100 bogus medicos have been detected and their admissions have been cancelled, many more ‘Munnabhais’ have become practising doctors in the state. Add to this frequent allegations of corruption in drug purchase, siphoning of National Rural Health Mission funds, chronic absenteeism of doctors in rural areas, poor infrastructure of medical colleges, acute shortage of doctors and the unhygienic condition of operation theatres in district hospitals.