The scope of medical education in India has expanded so rapidly that it raises important questions about access to it. The number of seats has nearly tripled in 12 years, thanks in part to the government’s push to improve access to health care, entailing infrastructure upgrades and simplified regulations. However, much of the growth has been happening in the private sector, in addition to new government colleges attached to district hospitals. This year, for the first time, private institutions host more than half of all MBBS seats. Finally, beyond compelling rural service, governments should reward it, in addition to ensuring that the daily needs of rural health-care workers and their families and of hospitals are both well-met.