The article on the Indian Medical Association and the Clinical Establishment Act (CEA), 2010, was well written and showed the author's grasp of the state of affairs in the bureaucracy. The opposition to the CEA is largely because of private practitioners' fear of extortion in the hands of 'babus'. The government should let health be administered by health professionals rather than by babus who are typically both junior in service to government doctors and also have lower pay scales, at least at the district level. Since senior government doctors resent being commanded by a junior government officer, the honest and the expert keep away from government service.