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The typical work culture in Indian government hospitals allows doctors to come to work at 10 am and leave by 3 pm. After hours work by doctors and even ancillary staff (ultrasonography and pathology technicians, immunology lab staff, etc.) can be difficult to ensure. The rigid top down bureaucracy discourages young rising talent to take on new and special challenges such as transplant.
Everyone just wants to jump in and do a transplant for the sake of doing it. Too few transplant professionals seem to genuinely care whether their patient survives or not.