Basic health care at affordabkle costs....Who should ensure this ?

Ajeesh may be surprised to know that there is no proper course to train a GP in our country. Except the Dip NB (Family medicine) course of the National Board which is not very popular among doctors. What we do is to shout from rooftops about the importance of primary care service. It may be having commercial interests as well. Specialist practice is concentrated around towns / cities in huge capital intensive multi speciality hospitals. Providing basic health care at affordable costs to the public is a very important duty of the government. It is not something that doctors or private health care providers should be entrusted with. It is not correct to depend on the committment or compassion of a few doctors alone for this.
Experts and medical teachers all over the world are now speaking of providing medical education in community settings to reduce the overemphasis on technology and equipments. Majority of health problems can be solved by the good old village doctor. What he does is to rule out serious illnesses and comfort the poor man. This helps to reduce the cost of health care. Those who need expert care are referred to specialist settings. But this arrangement may not be welcomed by the hospital promoters and some drug companies. It is true that private companies are the most active players in the development of new drugs. How to regulate them without hindering research is another major challenge.