This personal narrative discusses challenges faced by MBBS graduates in Kerala’s public healthcare system. Based on observations as a government medical officer, this essay examines a culture where professional skills and humane values are often overshadowed by a system that prioritises postgraduate degrees above all else. It questions the fairness of a structure that sidelines clinicians without higher qualifications, even when they are capable and dedicated. MBBS graduates often suffer a lack of decision-making power and are frequently excluded from institutional leadership and recognition. They are treated as a secondary group, becoming invisible, undervalued, and disempowered. The narrative draws comparisons with historical instances of institutional oppression and shows how extra-clinical talents are often ignored in favour of strict hierarchies. This essay advocates for a change toward a more inclusive and fair system where one's abilities and contributions are not judged solely by the number of degrees held.