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Subject: Disabled

  • A medical education more inclusive

    Why in the News

    The National Medical Commission (NMC) issued revised guidelines on 27 July 2026 for admitting persons with disabilities to MBBS courses, replacing certificate-based disqualification with a functional assessment of whether a candidate can acquire the competencies needed to practise medicine. The change follows repeated legal challenges, including before the Supreme Court, to the earlier guidelines’ blanket exclusions.

    Key Highlights

    • Shift to Functional Assessment
      • MBBS eligibility will now be based on an applicant’s functional ability rather than the disability certificate alone.
      • Assessment will determine whether the candidate can acquire the competencies required to practise medicine.
      • Designated medical boards will conduct individual functional assessments.
    • Recognition of Reasonable Accommodation
      • Disability itself is not a ground for disqualification.
      • The guidelines recognise that: Assistive technology. Institutional support. Accessible infrastructure can enable candidates to successfully complete medical education.

    Why Were the Earlier Guidelines Challenged?

    • Earlier guidelines relied on fixed disability categories and thresholds.
    • Candidates could be declared ineligible solely because of the nature or extent of disability.
    • Petitioners argued that such blanket exclusions violated the Rights of Persons with Disabilities (RPwD) Act, 2016.
    • The Supreme Court observed that systemic discrimination against persons with benchmark disabilities should be eliminated.

    Significance

    • Promotes inclusive medical education.
    • Aligns with the Rights of Persons with Disabilities (RPwD) Act, 2016.
    • Shifts from a disability-based to a competency-based admission framework.

    Rights of Persons with Disabilities (RPwD) Act, 2016

    • Replaced the Persons with Disabilities Act, 1995.
    • Expanded recognised disabilities from 7 to 21.
    • Provides 4% reservation in government jobs and 5% reservation in higher educational institutions for persons with benchmark disabilities.
    • Administered by the Department of Empowerment of Persons with Disabilities, Ministry of Social Justice and Empowerment.

    National Medical Commission (NMC)

    • Established under the National Medical Commission Act, 2019.
    • Replaced the Medical Council of India (MCI).
    • Regulates medical education and medical professionals in India.

    [2026] Which of the following statements with regard to the persons with disabilities in India is/are correct?
    1. The Rights of Persons with Disabilities Act, an Act passed by the Parliament of India in 2018, mandates reservation in education and employment, places a legal duty on Governments to ensure accessibility and non-discrimination.
    2. The Sugamya Bharat Abhiyan focuses on achieving universal accessibility for Persons with Disabilities across three key domains – built infrastructure, transport systems and information and communication technology.
    3. The National Divyangjan Finance and Development Corporation (NDFDC) is a public sector organization set up by the Ministry of Corporate Affairs as a not-for-profit company to promote entrepreneurship among Persons with Disabilities (PwDs).
    Select the answer using the code given below:

    [A] 1 and 2

    [B] 2 only

    [C] 1 and 3

    [D] 1 only

  • The Rights of Persons with Disabilities Act, 2016 remains only a legal document without intense sensitisation of government functionaries and citizens regarding disability. Comment.

    The RPwD Act, 2016 was enacted to align India’s legal framework with the UN Convention on the Rights of Persons with Disabilities (UNCRPD) to promote equality, ensure dignity, and protect rights of PwDs.

    Key Features of the RPwD Act, 2016

    Expanded definition: Disability categories increased from 7 to 21, including autism, thalassemia, acid attack survivors, etc.

    Reservation: 4% in government jobs and 5% in higher education for PwDs.

    Accessibility: Mandates barrier-free public infrastructure, ICT accessibility, and universal design.

    Institutional Framework: Establishment of Central and State Advisory Boards, Chief Commissioner and State Commissioners for PwDs.

    Legal Protection: Punishment for discrimination, and provision of special courts to handle disability-related matters.

    Major Issues Hindering Effective Implementation

    Bureaucratic Issues

    Poor Institutional Implementation- As per Department of Empowerment of PwDs, only 23 of 35 States/UTs had constituted State Advisory Boards.

    Inaccessible Infrastructure- Under Accessible India Campaign (Sugamya Bharat), only 3% of government buildings were made fully accessible by 2024.

    Tokenistic Compliance- Disability cells in ministries lack funds and trained staff.

    Delay in appointing state commissioners and lack of special courts restrict legal recourse for PwDs.

    Fragmented Coordination- Overlap between ministries (Social Justice, Urban Affairs, HRD) causes slow execution of inclusive programs.

    Citizen Awareness and Social Sensitisation Issues

    Social Stigma and Prejudice- PwDs continue to face exclusion, pity narratives, and stereotypes in media and public life.

    Lack of Awareness Among Citizens and Local Institutions- Rural households and PRIs remain unaware of provisions such as disability certificates or reservation rights.

    Educational Exclusion- Despite RTE inclusion, schools lack special educators and assistive devices; enrolment gaps persist.

    Digital Divide and Communication Barriers- Most government websites and platforms fail web accessibility compliance standards (WCAG).

    Media Misrepresentation- Stereotyping of PwDs continues despite Supreme Court directives (2024) against derogatory portrayals in films and media.

    Way Forward

    Sensitisation – Conduct mandatory disability awareness training for civil servants, teachers, and health workers.

    Grassroots Awareness Campaigns: Use community radio, local NGOs, and ASHA/Aanganwadi networks.

    Institutional Strengthening: Fully operationalize State Advisory Boards, ensure adequate funding and monitoring.

    Accessibility Revolution: Enforce Sugamya Bharat milestones with real-time audits.

    True inclusion demands a “whole-of-society” approach-one that blends policy, participation, and perception change to realise the vision of “Sabka Saath, Sabka Vikas, Sabka Vishwas.”