But here’s the twist: the government has no plan to convert Diploma seats into full DNB degrees. Why? Because quality control matters more than quantity. The National Medical Commission is严格 enforcing norms; faculty, infrastructure, patient load; before approving new seats. And while private college fees remain state-controlled (and legally disputed), NBEMS courses like DNB cost a flat ₹1.25 lakh/year nationwide. Phase-3 of the central scheme will add 5,000 more PG seats by 2029; but only if colleges meet the bar. This isn’t about expansion for expansion’s sake. It’s about building a system that can actually deliver skilled doctors, not just degrees.