The document discusses India's lag in manufacturing medical devices despite being a major exporter of pharmaceuticals. It notes that India imports many basic medical devices like hospital beds and monitors. The secretary cites the example of linear accelerator machines used for cancer treatment, which cost over Rs. 5 crore to import but could cost Rs. 1.5 crore if manufactured in India, allowing more hospitals to offer cancer treatment. Recent duty hikes on medical device imports are aimed to boost domestic manufacturing over time by correcting inverted duty structures that currently favor imports. The government is also working to develop its own quality standards for medical devices rather than relying only on international ones like USFDA.