
Critics argue that the NEET system, mandated by the National Medical Commission Act of 2019, has created an elitist, coaching-driven environment that disadvantages rural and state-board students.
Tamil Nadu and other states have challenged the centralized exam in the Supreme Court, citing violations of Article 14 and the federal structure of public health and education.
The recent surge in paper leak allegations and protests has intensified calls to replace the single-point-of-failure national exam with a multi-tiered federal architecture that restores state-level autonomy.