Medical education in India: Black market sale

A substantial percent of students simply BUY seats at medical colleges in India. They need not qualify for admission. "In most places, seats are sold even before the results of the All India Common Entrance Test were declared," reports Times of India (Dec 18, 2014). On average, students pay the equivalent of $100,000 for admission. Seats for graduate degrees (called "post-graduate" in India) can cost the equivalent of $450,000.

Like everything in India, the numbers are large – there is a large number of medical colleges in India. Times of India did the math and says the black market sale of medical seats is as big as the flow of black money out of India in 2010 (and India is among the worst 3 countries (along with China and Russia) in terms of black money outflow).

What is the root cause? Who will fix?