I read the editorial “Ethics regulation by National Medical Commission: No reason for hope” by Amar Jesani with keen interest [1]. The article raises many pertinent issues which need urgent policy attention. Institutions and governance for regulating medical education and practice in India carry a significant colonial legacy of British rule [2]. No major reform was carried out to change the status till 2019. The recent reform in apex medical regulatory institutions, replacing the erstwhile Medical Council of India (MCI) with National Medical Commission (NMC), was a result of long-term demand. Several previous attempts to reform MCI had failed, despite recommendations by various committees, including the high level parliamentary standing committee [3].