Ukraine Resists Russia Alone: A Tale Of The West's Broken Promises

Ukraine is under a massive Russian assault. Kiev is under siege. Russian President Vladimir Putin's main objective is to keep Ukraine permanently out of NATO, the western nations' military alliance. Putin says the West has broken its promise to not expand NATO after the end of the Cold War. Ukraine is complaining that the West has left Ukraine at the mercy of Russia's powerful military after it agreed to give up its nuclear weapons under firm security assurances contained in the Budapest Memorandum. 

NATO Expansion. Source: BBC

Ukraine Gave Up Nukes:

When Ukraine became independent in the early 1990s,  it was the third-largest nuclear power in the world with thousands of nuclear arms. In the years that followed, Ukraine made the decision to denuclearize completely based on security guarantee from the U.S., the U.K. and Russia, known as the Budapest Memorandum.  Ukrainian analyst Mariana Budjeryn explained in an interview with NPR's Mary Louise Kelly as follows: 

"It is clear that Ukrainians knew they weren't getting the exactly - sort of these legally binding, really robust security guarantees they sought. But they were told at the time that the United States and Western powers - so certainly, at least, the United States and Great Britain, they take their political commitments really seriously. This is a document signed at the highest level by the heads of state".

NATO Expanded: 
In a meeting with Soviet leader Mikhail Gorbachev on February 9, 1990, the US Secretary of State James Baker gave “not one inch eastward” assurance about NATO expansion, according to declassified U.S., Soviet, German, British and French documents posted by the National Security Archive at George Washington University. 
The US and Western European nations have added 14 former East Bloc nations and former Soviet Republics as NATO members in spite of repeated protests by the Russians.  Putin's anger boiled over when the US supported a coup in 2014 that removed pro-Russia President Viktor Yanukovych from power in Ukraine. In a leaked taped conversation, US assistant Secretary of State Victoria Nuland can be heard discussing with the US Ambassador to Ukraine, Geoffrey Pyatt, the plans to replace Mr. Yanukovych. 
Broken Promises:
Russia and Ukraine are both nursing grievances against the West. Russians feel aggrieved because the West has continued the NATO expansion to include several countries on its border where NATO has based US forces. Russians see these forces as a serious threat to its national security. Ukrainians resent the fact that they were persuaded by the West to give up thousands of nuclear weapons in the 1990s which could have prevented the Russian invasion of their country. The bottom line is that the Ukrainians are now facing the might of the powerful Russian military alone. Ukrainian President Volodymyr Zelensky said in a speech that Ukraine has been “left alone” to defend against the Russian invasion. “Today, I asked the twenty-seven leaders of Europe whether Ukraine will be in NATO. I asked directly. Everyone is afraid. They do not answer", he added. 
Lesson For Pakistan: 
Commenting on Ukraine, Russian analyst  Alexey Kupriyanov told Indian journalist Nirupama Subramanian: "For us, Ukraine is the same as Pakistan for India". What he failed to mention is that Pakistan has developed and retains its nuclear arsenal while Ukraine gave up its nukes in the 1990s after the fall of the Soviet Union. Many Ukrainians now regret this decision. Ukrainians know that no country with nuclear weapons has ever been physically invaded by a foreign military. They now understand the proven effectiveness of nuclear deterrence.  They realize that all the talk about "rules-based order" is just empty rhetoric. The reality is the Law of the Jungle where the strong prey on the weak. The US military invasions of Afghanistan and Iraq have shown that Washington is just as guilty of violating the "rules-based order" as Moscow. 

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Comment by Riaz Haq on March 11, 2022 at 1:16pm

Glenn greenwald,: “That a neocon like Nuland is admired and empowered regardless of the outcome of elections illustrates how unified and in lockstep the establishment wings of both parties are when it comes to questions of war, militarism and foreign policy.”

Comment by Riaz Haq on March 11, 2022 at 1:34pm

"We Are Witnessing a New Form of Warfare" | Washington Monthly


https://washingtonmonthly.com/2022/03/11/we-are-witnessing-a-new-fo...

Q: What do you make of the offer by Poland to provide MiG fighters to the United States that we would then deliver to Ukraine?

A: It was really not smart of the Poles to float this publicly. It was an unforced error on their part. The more visible this discussion is, the less helpful it is.

Q: So how will Ukraine get the fighters it needs?

A: There are countries that have MiGs that are not members of NATO. This is a classic case where the U.S. government gets its checkbook out and quietly goes to one of those countries. The fighters just show up in Ukraine. The Russians wouldn’t even necessarily know where they came from—remember, right now, they don’t even control the airspace over Ukraine. They would obviously know what happened, but the United States and NATO would have deniability. It’s called “foreign material acquisition.” We did this all the time during the Cold War.

Q: How vital is it to get those MIGs to Ukraine?

A: I don’t see it as being decisive. Maybe I’m wrong. The Ukrainians seem to want them badly. I’m sure they want to use them to hit Russian tanks and deny Russia control of the airspace. But they are doing an amazing job of that with the weapons we already gave them. We’ve supplied them with something like 17,000 anti-tank missiles and I don’t know how many [antiaircraft] Stingers. We should be giving them thousands more.

We are witnessing a new form of warfare. To put a tank on a battlefield costs maybe $30 million. A Javelin anti-tank missile costs $175,000. Similarly with fighter jets and antiaircraft missiles. You can defend territory at a tiny fraction of what it costs the aggressor to take it. The drones the Ukrainians bought from the Turks are doing incredible damage. But just the cheap commercial drones you buy at Walmart can give you total tactical awareness of the battlefield. So Ukrainians can see everything the Russians are doing. They don’t even nee

Comment by Riaz Haq on March 11, 2022 at 1:35pm

Over Ukraine, Lumbering Turkish-Made Drones Are an Ominous Sign for Russia

https://www.nytimes.com/2022/03/11/us/politics/ukraine-military-dro...

Ukraine’s most sophisticated attack drone is about as stealthy as a crop duster: slow, low-flying and completely defenseless. So when the Russian invasion began, many experts expected the few drones that the Ukrainian forces managed to get off the ground would be shot down in hours.

But more than two weeks into the conflict, Ukraine’s drones — Turkish-made Bayraktar TB2 models that buzz along at about half the speed of a Cessna — are not only still flying, they also shoot guided missiles at Russian missile launchers, tanks and supply trains, according to Pentagon officials.

The drones have become a sort of lumbering canary in the war’s coal mine, a sign of the astonishing resiliency of the Ukrainian defense forces and the larger problems that the Russians have encountered.

“The performance of the Russian military has been shocking,” said David A. Deptula, a retired three-star Air Force general who planned the U.S. air campaigns in Afghanistan in 2001 and the Persian Gulf in 1991. “Their failure to secure air superiority has been reflected by their slow and ponderous actions on the ground. Conversely, the Ukrainian air force performing better than expected has been a big boost to the morale of the entire country.”

“Even with the drones’ record of success, everyone expected that, once they really faced the full gamut of Russian defenses, they would stand no chance,” said Lauren Kahn, who studies drone warfare at the New York-based Council on Foreign Relations. Their survival and continued use “is really raising questions about the Russians’ capabilities,” she said.

Pentagon officials remain puzzled by the Russians’ failure to dominate the skies over Ukraine, at least so far. Moscow built up sophisticated missile defenses and air power on Ukraine’s borders, but it has not been using them effectively to complement its ground forces, U.S. officials and analysts said. And Ukrainian air defenses have been surprisingly effective at downing Russian aircraft.

“We aren’t seeing the level of integration between air and ground operations that you would expect to see,” John F. Kirby, the chief Pentagon spokesman, said on Monday. “Not everything they’re doing on the ground is fully being supported by what they’re doing in the air. There does seem to be some disconnect there.”

Comment by Riaz Haq on March 13, 2022 at 11:03am

Chinese Perspective on Possible Outcomes of the Russo-Ukrainian War and China’s Choice

https://uscnpm.org/2022/03/12/hu-wei-russia-ukraine-war-china-choice/

I. Predicting the Future of the Russo-Ukrainian War

1. Vladimir Putin may be unable to achieve his expected goals, which puts Russia in a tight spot. The purpose of Putin’s attack was to completely solve the Ukrainian problem and divert attention from Russia’s domestic crisis by defeating Ukraine with a blitzkrieg, replacing its leadership, and cultivating a pro-Russian government. However, the blitzkrieg failed, and Russia is unable to support a protracted war and its associated high costs. Launching a nuclear war would put Russia on the opposite side of the whole world and is therefore unwinnable. The situations both at home and abroad are also increasingly unfavorable. Even if the Russian army were to occupy Ukraine’s capital Kyiv and set up a puppet government at a high cost, this would not mean final victory. At this point, Putin’s best option is to end the war decently through peace talks, which requires Ukraine to make substantial concessions. However, what is not attainable on the battlefield is also difficult to obtain at the negotiating table. In any case, this military action constitutes an irreversible mistake.

2. The conflict may escalate further, and the West’s eventual involvement in the war cannot be ruled out. While the escalation of the war would be costly, there is a high probability that Putin will not give up easily given his character and power. The Russo-Ukrainian war may escalate beyond the scope and region of Ukraine, and may even include the possibility of a nuclear strike. Once this happens, the U.S. and Europe cannot stay aloof from the conflict, thus triggering a world war or even a nuclear war. The result would be a catastrophe for humanity and a showdown between the United States and Russia. This final confrontation, given that Russia’s military power is no match for NATO’s, would be even worse for Putin.

3. Even if Russia manages to seize Ukraine in a desperate gamble, it is still a political hot potato. Russia would thereafter carry a heavy burden and become overwhelmed. Under such circumstances, no matter whether Volodymyr Zelensky is alive or not, Ukraine will most likely set up a government-in-exile to confront Russia in the long term. Russia will be subject both to Western sanctions and rebellion within the territory of Ukraine. The battle lines will be drawn very long. The domestic economy will be unsustainable and will eventually be dragged down. This period will not exceed a few years.

4. The political situation in Russia may change or be disintegrated at the hands of the West. After Putin’s blitzkrieg failed, the hope of Russia’s victory is slim and Western sanctions have reached an unprecedented degree. As people’s livelihoods are severely affected and as anti-war and anti-Putin forces gather, the possibility of a political mutiny in Russia cannot be ruled out. With Russia’s economy on the verge of collapse, it would be difficult for Putin to prop up the perilous situation even without the loss of the Russo-Ukrainian war. If Putin were to be ousted from power due to civil strife, coup d’état, or another reason, Russia would be even less likely to confront the West. It would surely succumb to the West, or even be further dismembered, and Russia’s status as a great power would come to an end.

Comment by Riaz Haq on March 13, 2022 at 11:03am

Chinese Perspective on Possible Outcomes of the Russo-Ukrainian War and China’s Choice

https://uscnpm.org/2022/03/12/hu-wei-russia-ukraine-war-china-choice/

III. China’s Strategic Choice

1. China cannot be tied to Putin and needs to be cut off as soon as possible. In the sense that an escalation of conflict between Russia and the West helps divert U.S. attention from China, China should rejoice with and even support Putin, but only if Russia does not fall. Being in the same boat with Putin will impact China should he lose power. Unless Putin can secure victory with China’s backing, a prospect which looks bleak at the moment, China does not have the clout to back Russia. The law of international politics says that there are “no eternal allies nor perpetual enemies,” but “our interests are eternal and perpetual.” Under current international circumstances, China can only proceed by safeguarding its own best interests, choosing the lesser of two evils, and unloading the burden of Russia as soon as possible. At present, it is estimated that there is still a window period of one or two weeks before China loses its wiggle room. China must act decisively.

2. China should avoid playing both sides in the same boat, give up being neutral, and choose the mainstream position in the world. At present, China has tried not to offend either side and walked a middle ground in its international statements and choices, including abstaining from the UN Security Council and the UN General Assembly votes. However, this position does not meet Russia’s needs, and it has infuriated Ukraine and its supporters as well as sympathizers, putting China on the wrong side of much of the world. In some cases, apparent neutrality is a sensible choice, but it does not apply to this war, where China has nothing to gain. Given that China has always advocated respect for national sovereignty and territorial integrity, it can avoid further isolation only by standing with the majority of the countries in the world. This position is also conducive to the settlement of the Taiwan issue.

3. China should achieve the greatest possible strategic breakthrough and not be further isolated by the West. Cutting off from Putin and giving up neutrality will help build China’s international image and ease its relations with the U.S. and the West. Though difficult and requiring great wisdom, it is the best option for the future. The view that a geopolitical tussle in Europe triggered by the war in Ukraine will significantly delay the U.S. strategic shift from Europe to the Indo-Pacific region cannot be treated with excessive optimism. There are already voices in the U.S. that Europe is important, but China is more so, and the primary goal of the U.S. is to contain China from becoming the dominant power in the Indo-Pacific region. Under such circumstances, China’s top priority is to make appropriate strategic adjustments accordingly, to change the hostile American attitudes towards China, and to save itself from isolation. The bottom line is to prevent the U.S. and the West from imposing joint sanctions on China.

4. China should prevent the outbreak of world wars and nuclear wars and make irreplaceable contributions to world peace.

Comment by Riaz Haq on March 15, 2022 at 1:32pm

John Mearsheimer on why the West is principally responsible for the Ukrainian crisis
The political scientist believes the reckless expansion of NATO provoked Russia

https://www.economist.com/by-invitation/2022/03/11/john-mearsheimer...

Mr Putin surely knows that the costs of conquering and occupying large amounts of territory in eastern Europe would be prohibitive for Russia. As he once put it, “Whoever does not miss the Soviet Union has no heart. Whoever wants it back has no brain.” His beliefs about the tight bonds between Russia and Ukraine notwithstanding, trying to take back all of Ukraine would be like trying to swallow a porcupine. Furthermore, Russian policymakers—including Mr Putin—have said hardly anything about conquering new territory to recreate the Soviet Union or build a greater Russia. Rather, since the 2008 Bucharest summit Russian leaders have repeatedly said that they view Ukraine joining nato as an existential threat that must be prevented. As Mr Lavrov noted in January, “the key to everything is the guarantee that nato will not expand eastward.”

Tellingly, Western leaders rarely described Russia as a military threat to Europe before 2014. As America’s former ambassador to Moscow Michael McFaul notes, Mr Putin’s seizure of Crimea was not planned for long; it was an impulsive move in response to the coup that overthrew Ukraine’s pro-Russian leader. In fact, until then, nato expansion was aimed at turning all of Europe into a giant zone of peace, not containing a dangerous Russia. Once the crisis started, however, American and European policymakers could not admit they had provoked it by trying to integrate Ukraine into the West. They declared the real source of the problem was Russia’s revanchism and its desire to dominate if not conquer Ukraine.

My story about the conflict’s causes should not be controversial, given that many prominent American foreign-policy experts have warned against nato expansion since the late 1990s. America’s secretary of defence at the time of the Bucharest summit, Robert Gates, recognised that “trying to bring Georgia and Ukraine into nato was truly overreaching”. Indeed, at that summit, both the German chancellor, Angela Merkel, and the French president, Nicolas Sarkozy, were opposed to moving forward on nato membership for Ukraine because they feared it would infuriate Russia.

The upshot of my interpretation is that we are in an extremely dangerous situation, and Western policy is exacerbating these risks. For Russia’s leaders, what happens in Ukraine has little to do with their imperial ambitions being thwarted; it is about dealing with what they regard as a direct threat to Russia’s future. Mr Putin may have misjudged Russia’s military capabilities, the effectiveness of the Ukrainian resistance and the scope and speed of the Western response, but one should never underestimate how ruthless great powers can be when they believe they are in dire straits. America and its allies, however, are doubling down, hoping to inflict a humiliating defeat on Mr Putin and to maybe even trigger his removal. They are increasing aid to Ukraine while using economic sanctions to inflict massive punishment on Russia, a step that Putin now sees as “akin to a declaration of war”.


America and its allies may be able to prevent a Russian victory in Ukraine, but the country will be gravely damaged, if not dismembered. Moreover, there is a serious threat of escalation beyond Ukraine, not to mention the danger of nuclear war. If the West not only thwarts Moscow on Ukraine’s battlefields, but also does serious, lasting damage to Russia’s economy, it is in effect pushing a great power to the brink. Mr Putin might then turn to nuclear weapons.

At this point it is impossible to know the terms on which this conflict will be settled. But, if we do not understand its deep cause, we will be unable to end it before Ukraine is wrecked and nato ends up in a war with Russia.

Comment by Riaz Haq on March 19, 2022 at 8:13pm

How a Far-Right Militia Uses Facebook to Train New Members | Time

https://time.com/5926750/azov-far-right-movement-facebook/

Its fighters resemble the other para-military units—and there are dozens of them—that have helped defend Ukraine against the Russian military over the past six years. But Azov is much more than a militia. It has its own political party; two publishing houses; summer camps for children; and a vigilante force known as the National Militia, which patrols the streets of Ukrainian cities alongside the police. Unlike its ideological peers in the U.S. and Europe, it also has a military wing with at least two training bases and a vast arsenal of weapons, from drones and armored vehicles to artillery pieces.

Outside Ukraine, Azov occupies a central role in a network of extremist groups stretching from California across Europe to New Zealand, according to law enforcement officials on three continents. And it acts as a magnet for young men eager for combat experience. Ali Soufan, a security consultant and former FBI agent who has studied Azov, estimates that more than 17,000 foreign fighters have come to Ukraine over the past six years from 50 countries.

The vast majority have no apparent links to far-right ideology. But as Soufan looked into the recruitment methods of Ukraine’s more radical militias, he found an alarming pattern. It reminded him of Afghanistan in the 1990s, after Soviet forces withdrew and the U.S. failed to fill the security vacuum. “Pretty soon the extremists took over. The Taliban was in charge. And we did not wake up until 9/11,” Soufan tells TIME. “This is the parallel now with Ukraine.”

At a hearing of the House Committee on Homeland Security in September 2019, Soufan urged lawmakers to take the threat more seriously. The following month, 40 members of Congress signed a letter calling—unsuccessfully—for the U.S. State Department to designate Azov a foreign terrorist organization. “Azov has been recruiting, radicalizing, and training American citizens for years,” the letter said. Christopher Wray, the director of the FBI, later confirmed in testimony to the U.S. Senate that American white supremacists are “actually traveling overseas to train.”

The hearings on Capitol Hill glossed over a crucial question: How did Azov, an obscure militia started in 2014 with only a few dozen members, become so influential in the global web of far-right extremism? TIME, in more than a dozen interviews with Azov’s leaders and recruits, found that the key to its international growth has been its pervasive use of social media, especially Facebook, which has struggled to keep the group off its platform. “Facebook is the main channel,” says Furholm, the recruiter.

In a statement to TIME, Facebook defended its recent attempts to deal with the proliferation of right-wing extremists, saying it has banned more than 250 white-supremacist groups, including Azov. “As they evolve their efforts to return to the platform, we update our enforcement methods with technology and human expertise to keep them off,” the statement said.

Comment by Riaz Haq on March 22, 2022 at 6:06pm

#US Undersecretary Victoria Nuland: ‘#Russia-#China axis not good for #India… US can help (India) with defense supplies’. #Modi #BJP #Nuland #Ukraine https://indianexpress.com/article/india/russia-china-axis-not-good-... via @IndianExpress

FRAMING the Russia-China alliance over Ukraine as a debate between democracies and autocracies, visiting US Under Secretary of State for Political Affairs Victoria Nuland told The Indian Express Wednesday that US was ready to help India move away from dependence on Russia for defence supplies. Excerpts from an exclusive interview:

On the Russia-Ukraine crisis, how do you read India’s statements?

We had very broad and deep conversations (Nuland met External Affairs Minister S Jaishankar and her counterpart Harsh Vardhan Shringla) about what’s in this war. Unfortunately, Indian students got trapped, and they were able to get out, but unfortunately one Indian lost his life which was very tragic.

The Chinese Vice Foreign minister drew a parallel between NATO’s eastward expansion in Europe and the Quad in the Indo-Pacific.

Obviously, China is trying to seek an advantage for itself in this conflict, as it always does. But again, what threatens China most: open and free societies who offer their people a different way of life than the Communist party of China offers for Chinese people.

So NATO is a defensive alliance, of voluntary alignment of countries who asked to join together to defend themselves. In the Indo-Pacific strategy, we are talking about the great democracies of the region, working together to protect themselves and to advance prosperity, and free and open commerce and navigation and all of these things. All of the things that the autocrats want to change, want to threaten. So I’m not surprised that the Chinese are trying to draw parallels here. Because, in both cases, we’re talking about trying to keep the world free for democratic governance.

Who is a bigger threat — Russia or China?

The worry now is that they intensify their efforts together. They learn from each other, whether it is how to coerce a neighbour economically, or militarily. Whether it’s about how to go in the UN system and undercut the rules of the road that the US, India and other democracies have built to favour freedom. Whether it is that they let each other off the hook by financing each other’s militaries.

All of these things are worrying. But I also think that this is an energizing moment for the democracies, because now we see very clearly what we are up against.

Comment by Riaz Haq on March 26, 2022 at 7:11pm

The takeaway from the US President Joe Biden’s European tour on March 25-26 is measly. Dissenting voices are rising in Europe as western sanctions against Russia start backfiring with price hikes and shortages of fuel and electricity. And this is only the beginning, as Moscow is yet to announce any retaliatory measures as such.

By M. K. BHADRAKUMAR

https://www.indianpunchline.com/bidens-reality-check-in-europe/

The unkindest cut of it all is that the Russian Defence Ministry chose Biden’s trip as the perfect backdrop to frame the true proportions of success of its special operation in Ukraine. The US and NATO’s credibility is perilously close to being irreparably damaged, as the Russian juggernaut rolls across Ukraine with the twin objectives of ‘demilitarisation’ and ‘denazification’ in its sights.

The Russian General Staff disclosed on Friday that the hyped up Ukrainian Armed Forces, trained by the NATO and the US, have sustained crippling losses: Ukrainian air force and air defence is almost completely destroyed, while the country’s Navy no longer exists and about 11.5% of the entire military personnel have been put out of action. (Ukraine doesn’t have organised reserves.)

According to the Russian General Staff’s deputy head Colonel General Sergey Rudskoy, Ukraine has lost much of its combat vehicles (tanks, armoured vehicles, etc.), one-third of its multiple launch rocket systems, and well over three-fourths of its missile air defence systems and Tochka-U tactical missile systems.

Sixteen main military airfields in Ukraine have been put out of action, 39 storage bases and arsenals destroyed (which contained up to 70% of all stocks of military equipment, materiel and fuel, and more than 1 million 54000 tons of ammunition.)

Interestingly, following the intense high-precision strikes on the bases and training camps, foreign mercenaries are leaving Ukraine. During the past week, 285 mercenaries escaped into Poland, Hungary and Romania. Russian forces are systematically destroying the Western shipment of weapons.

Most important, the mission to liberate Donbass is about to be accomplished. Simply put, the main objectives of the first phase of the operation have been achieved.

Apart from Kiev, Russian troops have blocked the northern and eastern cities of Chernigov, Sumy, Kharkov and Nikolaev, while in the south, Kherson and most of Zaporozhye region are under full control — the intention being to not only to shackle Ukrainian forces but to prevent their grouping in Donbass region. (See my article Dissecting Ukraine imbroglio, Tribune, March 21, 2022)

“We did not plan to storm these cities from the start, in order to prevent destruction and minimise losses among personnel and civilians,” Rudskoy said. But, he added, such an option is not ruled out either in the period ahead.

It stands to reason that Washington and European capitals are well aware that the Russian operation is proceeding as scheduled and there is no stopping it. Thus, the NATO’s extraordinary summit on March 24 confirmed that the alliance is unwilling to get into a military confrontation with the Russian Army.

Instead, the summit decided to strengthen the defence of its own territories! Four additional multinational NATO combat groups of 40,000 troops will be deployed in Bulgaria, Hungary, Romania and Slovakia on a permanent basis. Poland’s proposal to deploy NATO military units in Ukraine was outright rejected.

However, Poland has certain other plans, namely, to deploy contingents to the western regions of Ukraine to support the ‘fraternal Ukrainian people” with the unspoken agenda of reclaiming control over the historically disputed territories in the those regions. What Faustian deal has been struck in Warsaw on March 25 between Biden and his Polish counterpart Duda remains unclear. Clearly, vultures are circling Ukraine’s skies. (See my blog Biden wings his way to the borderlands of Ukraine, March 24, 2022)

Comment by Riaz Haq on March 28, 2022 at 10:39am

#UkraineWar has exposed #inequity in #India's #medical school admissions. #Indian medical entrance exam favors students from elite backgrounds (upper caste) who can afford specialized coaching or those who can attend expensive private colleges ($100,000) https://www.csmonitor.com/World/Asia-South-Central/2022/0328/How-th...

Every year, roughly 1.5 million students take the National Eligibility cum Entrance Test, or NEET, to compete for some 90,000 seats in medical schools across India. About half of those are at private universities where tuition and other fees easily exceed $100,000. As a result, tens of thousands of Indian students opt to study medicine in countries like China, Russia, and Ukraine, where education is cheaper.

Opposition to NEET has been brewing since the government introduced the exam in 2013. Critics say that NEET favors students from elite backgrounds who can afford specialized coaching – echoing arguments against the SAT and ACT in the United States – or who can attend expensive private colleges where the bar for admission is lower. “The system is not fair; there cannot be any doubt on that,” says Dr. Anand Krishnan, a professor of community medicine at the All India Institute of Medical Sciences in New Delhi. “Medical profession is not just pure knowledge. You have to be more humane. There are a lot of other characteristics which are important to look for.”

When Mr. Gahlot was in 11th grade, he left his hometown of Siryawali in northwest Uttar Pradesh to go to Kota, Rajasthan, the academic coaching capital of India. There, he says, he followed a grueling regimen of studying six to seven hours a day, but fell about 50 points short of what was required to get into a government-run college.

“It was totally depressing. I would think I’m not smart enough to be a doctor, I can’t do this,” he says. Several of his friends in similar situations chose different career paths. But Mr. Gahlot had made up his mind to become a doctor in eighth grade, and turned to his last resort – going abroad. He says he was too ashamed to tell his peers he was leaving India, because many see foreign medical students as “quitters” who weren’t able to crack NEET.

The fierce competition for Indian medical school seats cost another student his life. Naveen Gyanagoudar had gone outside to buy food when he was killed by Russian shelling in Kharkiv, Ukraine. Speaking to local reporters, his distraught father lamented that despite scoring 97% on high school exams, his son couldn’t get admission to a medical school in his own country.

The double blow of high competition and high cost means India’s new generation of doctors lacks diversity. “They are predominantly urban-centric kids, from well-entrenched, reasonably well-off middle-class families,” says Dr. Sita Naik, a former member of the Medical Council of India, which used to oversee medical education. Dr. Naik says these graduates are unlikely to move to rural areas, where the demand for doctors is the greatest. Rural India is home to two-thirds of the country’s population but only 20% of its doctors, according to a 2016 report.

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