NEET, the National Eligibility cum Entrance Test, was designed to bring uniformity to medical admissions across India. But uniformity is not the same as fairness. This piece argues that NEET systematically disadvantages students from state board schools, regional language backgrounds, and lower-income families while disproportionately benefiting those with access to expensive coaching infrastructure. Tamil Nadu's sustained resistance to NEET is not parochialism. It is a princ