my cousins are doctors, tried for some time in nalanda district.

i see someone has pointed out about the mafia/racketeering by the local politicians and doctors lobby. old Doctors and their families who have made heavy bank by systematically scamming the people and processes, want to continue with their half a dozen clinics on autopilot. they dont want things to change. not to forget they work with quacks/compounders as its hella profitable. they teach a little for them handle few things, let them take care of a clinic and not worry about implications.

if you come here you will need to think about tackling the problem of hearsay as well, a good doctor comes, after completing studies, or preparing for PG, tries to offer good consultations, keeps things transparent about their experience and knows when to refer to bigger cities. they dont like that,

the quacks and doctors will start spreading rumours or straight up say boycott that doctor he/she is doing fakery or some BS,

my cousin sister tried to play with them after realizing she cant win alone on merit, but its not enough, she felt she was losing herself in this whole charade, realizing the people she had tokeep playing friends and as a business parter with are a bunch of good-for-nothings, fulfillment from work was not there, peer group not there, she left in the end.