License to Treat

How many doctors are sufficient for India?
Is the number of Doctors available at present adequate ?
Can our medical colleges meet the demand ?
Can we delegate the authority to treat?

In US, nurse anesthesists administer 67% of anaesthesia. An emergency assistant handles all cases in the ambulance while transporting the sick.

Treatment of heart ailment & surgery, liver disease, poly trauma, neurology anaesthesia, psychiatry, cancer chemo cases needs 14 years of study. On the other hand the numerous cold cough, seasonal flu, diarrhoea, abscess can be managed by 3+1 year courses.
It is some thing like an electronic/ jewellery shop may require ₹1 crore investment where as a tea shop can be started with few thousand. Of course the essential grocery etc will be majority & is like a midcap investment.
Can we make a rule that anybody who wants to start a business( tea shop or jewellary) can invest ₹20 lakh only not more, nothing less.
But in Indian health scenario, a nurse/ pharmacist/ dresser of 20 years experience is not allowed to practise. Although 90% health need of the country whether it is government hospitals, private nursing homes or chemist shop on the corner are met by them. It is illegal. Without a MBBS degree( which costs at least 50 lakh to the government or to the person either way) you are not permitted to touch or treat.
Result: in spite of abundant technically competent para medics there is always an inadequate and inappropriate health care delivery. Health need of an average indian is largely unmet.
In US, nurse anesthesists administer 67% of anaesthesia. An emergency assistant handles all cases in the ambulance while transporting the sick. In my career ( I am a pediatrician) all injury cases till date are managed by dressers & delivery cases by sisters, with my signature of course. I have stopped stitching & delivering babies for the last 30 years . The sisters & dressers have been doing that for the last 30 years. But they are not allowed to touch the patient without my initial.
In Indian Railway an earlier practice of 3 month training in Anesthesia and 1 month in USG to MBBS doctors has been withdrawn on legal grounds. So service in all those Operation Theatre & Ultrasound clinics are severely affected. Finally the beneficiaries suffered.
Except Kerala, the nursing profession in rest of India has come down because of poor career progression. Soon we may have to import them from philipines.
All the 3 version of the game in health care provision ie. 3 +1( non existent), 5+1( MBBS) & 9+3( specialist & super speciality ) are the need of the day. Compensation will be market driven.
But the supply pyramid in India is 0, 50000, & 14000 seats in that order for the above 3 versions with further divide of govt./Pvt., urban /rural, clinical/ non clinical etc.
The result is disastrous.