Health and Medical Education is a crucial department that provides essential services to the public and, as such, requires the requisite manpower to deliver the services. On the one hand, there is a 50% shortage of doctors, hampering health services, especially in rural areas. No one was held accountable, which is why this shortage persisted for years. On the other hand, 2274 illegal appointments in the department have been noticed while conducting a manpower audit. It is beyond comprehension how the salaries of this excess staff have been withdrawn for years without the Finance Department’s approval. This is a serious matter with long-term consequences and shows the deep nexus of officials working in tandem to execute such a large number of illegal appointments without being penalized for years together. The dark period of terrorism seems to have been a boon for this kind of nexus, which worked in sync to exploit the situation and indulge in illegal appointments. Fear of the law was never in mind, but the present LG administration is unflagging. Proper investigation and stringent action must be initiated to set an example for the future. A classic case of BMO Beerwah has lingered on since 2010, despite two audits in 2011 and 2012. Although 89 posts were sanctioned, 102 people were drawing salaries, which will amount to crores if cumulatively accumulated to date. Who is responsible for this loss to the state for decades now? This is just the case of one BMO with 13 illegal employees, but when we take the case of 2274 employees, this salary figure is enormous and requires immediate intervention from the authorities. All these illegal appointees have snatched employment opportunities and rights of employment from deserving candidates. The earlier decision of the LG administration to proceed with human audits in all departments is paying off now that the administration has swung into action, committees have been formed to take the final call, and we expect an example to be set for the future.