The document proposes setting up and operating an intensity modulated radiation therapy (IMRT) machine through a public-private partnership (PPP) alignment with a medical institute. It would build a state-of-the-art radiation oncology center using qualified professionals driven by a vision. An "insourced managed oncology center" is recommended over an outsourced model to maintain clinical decision making control. The proposal offers an IMRT machine, experienced technicians, knowledge transfer, and research/training ties to provide value for money and customer satisfaction.