One looks forward to knowing the details of the "reverse rocket model" that Dr. Sarin has alluded to. There certainly is a woeful lack of medical specialists of all kinds. But even greater is the need to reorient the undergraduate training so as to produce medical graduates competent to take responsibility for primary/secondary levels of health care and to channel more of them eventually to Family Medicine as their speciality. But there are two basic steps fundamental to any stable, sustainable model of man power generation at both these levels.: [1] Medical education has to be made less expensive without dilution of the quality of the graduates which is quite feasible. This will enable all states to have one medical college in each district and thus have a equitable and steady generation of physicians for all levels of health care. (2) Plan a crash programme for producing sufficient faculty of good quality to man this growing number of medical colleges.