The document discusses issues with the current Indian public health care system and proposes solutions. The main issues are: 1) Free medical care leads to overuse of services and corruption. 2) Economic dependence on government funding leads to inadequate facilities and corruption. 3) Sectarian approaches to health care make people dependent on doctors. The proposed solutions are: 1) Replace free care with a payment system to encourage responsibility and generate revenue. 2) Make hospitals self-sufficient through income-generating projects. 3) Move to a holistic health care model instead of sectarian approaches.