Reform 1: Doubling of medical seatsThe first reform must be expansion of medical education. A second metric is required—medical seats per million youth (18–22 years), because young people, not the entire population, compete for these seats. India should adopt a national mission to double medical education capacity over the next decade while maintaining quality standards. Today, many lower-middle-class families receive little meaningful support while facing dramatically higher education costs. Reform 6 : Wages in the first jobEntry-level professional wages have remained largely stagnant while education costs have multiplied.