Legacy of "paperwork" is a millstone tied around India's neck.
Latest example -
Migrant workers who need to travel , now need a "medical certificate" to declare that there are no active symptoms of flu or SARI.
Govt or pvt practitioner can issue this certificate.
First question, any sensible person should have asked, "is there any way to do this screening WITHOUT using precious and expensive resource i.e. medical practitioners?"
Which among these require a doctor or nurse?
But that will solve the problem.
Who is interested in that?