The National Testing Agency again cancelled the NEET UG 2026 exam due to paper leaks, mirroring the 2024 incident. Despite a committee's 101 recommendations, most critical reforms, like secure paper transmission and governance changes, remain unimplemented. The Public Examinations Act 2024 has failed to deter leaks. The author argues that the fundamental problem is the severe demand-supply mismatch for medical seats, which intensifies competition and props up a lucrative, often unethical, coaching industry. Proposed solutions include significantly increasing available seats, aligning entrance exams with school syllabi, and accelerating the implementation of all recommended reforms to truly address the issue.