New Delhi (PTI): A day before polling for the first phase of Bihar assembly polls, the Congress Wednesday put out 20 points on what it called "deceptions, injustices, and neglect inflicted upon" the state by the BJP-JD(U) government, urging the voters to defeat the NDA to end unemployment, migration, corruption, and "goonda raj".

Congress general secretary (communications) Jairam Ramesh alleged that the NDA has pushed Bihar's bright future into darkness for the sake of its own "power-hungry interests".

"Before the first phase of voting on November 6 tomorrow, be sure to take a look at these 20 points on the deceptions, injustices, and neglect inflicted on Bihar by the BJP-JD(U) government over the past 20 years," Ramesh said on X, listing out the 20 points.

He pointed out that more than 10 recruitment and entrance exams in the state were leaked, with scandals erupting.

"The futures of lakhs of youth were ruined. When the youth took to the streets demanding justice, they were mercilessly beaten with batons," Ramesh said.

He also cited a sting operation to claim that papers and degrees are sold in Bihar for anywhere from Rs 20 to 50 lakh.

"Due to the NDA government's failed economic and employment policies, crores of people were forced to leave their homes and migrate to other states for labour work. According to the Modi government's own e-Shram portal, 3 crore 18 lakh people from Bihar are engaged in labour in other states," the Congress general secretary said.

Claiming that the BJP-JD(U) has turned Bihar into the country's poorest state, Ramesh cited the caste-based survey in the state and said 64 per cent of the population is surviving on just Rs 67 a day, with the most affected being the extremely backward classes and Dalits.

"Industries and businesses have been devastated. Even those industrialists running businesses on their own steam are now insecure. In the last 6 months, 11 industrialists have been murdered," Ramesh said.

In Bihar, "goonda raj" and the kidnapping industry are thriving -- on an average, 8 murders, 33 kidnappings, and 136 heinous crimes occur every day, he claimed.

He also pointed to the CAG exposing a "scam" worth 70,000 crore rupees.

In the last 3 years, 27 major bridges collapsed due to corruption, he said.

"The CAG report states that Bihar's health system is in shambles—60% shortage of staff, 86% shortage of specialist doctors, 57% shortage of resources from district hospitals to Primary Health Centre (PHCs), and a shortage of beds in 93% of hospitals," the Congress leader said.

"According to the NGT, pollution in 'Ma Ganga' has increased - out of 13 sewage treatment plants, only 7 are operational, and even those are not up to standard levels," he said.

Under the guise of alcohol prohibition, an empire of illegal liquor has been established, he claimed, adding that from 2016 until now, 190 deaths from poisonous liquor have taken place, mostly in Saran, Siwan, Gaya, Bhojpur, Buxar, and Gopalganj.

"The school education system has collapsed - dropout rate of 26% (the highest in the country), no electricity in 1,16,529 schools, only one teacher in 2,637 schools, and not a single student in 117 schools," Ramesh said.

He further claimed that the higher education is in utter disarray with gross enrolment ratio of 17.1 per cent (the lowest in the country), and only 7 colleges per lakh population, when the national average is 30.

"Farmers' incomes have completely dried up -- no benefits under the KUSUM scheme, and out of Rs 3,980 crore in the Agriculture Infrastructure Fund, only Rs 915 crore has been spent," Ramesh said.

He further alleged that the daughters of Bihar have been trapped in the web of microfinance loans with "recovery mafias' reign of terror" intensifying.

Ramesh also alleged "massive scams" in MGNREGA with prevalence of fake attendance, fake photos, payments in the names of the deceased.

"The Srijan scam - direct loot of 1,000 crore rupees. 1,000 acres of land given to Adani at the rate of 1 rupee per acre. Even in nutritional meals, there's a scam - out of 1,14,000 anganwadis, growth monitoring machines are non-functional in 50,000," he claimed.

Ramesh alleged that corruption in the state is at its peak and according to the Economic Offences Unit and Vigilance Department, there are graft cases against 4,200 government officials, Ramesh said.

He urged the people of Bihar to defeat the BJP-JD(U).

"Unemployment, migration, corruption, and goonda raj will end on their own," Ramesh said.

The stage is set for the crucial first phase of the assembly elections in Bihar on Thursday, as 3.75 crore voters will decide the electoral fate of 1,314 candidates, including top leaders such as INDIA bloc's chief ministerial face Tejashwi Yadav and Deputy Chief Minister Samrat Choudhary of the BJP.

Yadav aims at a hat-trick in Raghopur, while his principal challenger Satish Kumar of the BJP had defeated his mother Rabri Devi in 2010 while contesting on a JD(U) symbol.

The Bihar polls are being held in two phases on November 6 and 11, and results will be announced on November 14.

The opposition INDIA bloc, which has the RJD, the Congress and the Left parties as the main constituents, has declared RJD leader Tejashwi Yadav its chief ministerial candidate.

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He has walked through some of the world’s most dangerous places, not as a witness, but as a doctor treating people when everything around them is falling apart. Dr. Santhosh Kumar from Kerala has spent years working in war zones and crisis-hit regions with Doctors Without Borders, often stepping in where medical systems no longer exist.

Most recently, he served in Gaza, where large-scale violence has left thousands struggling for basic medical care. Even after returning, his work there is not over. He is preparing to head back to Gaza later this month, continuing his role on the frontlines of a humanitarian crisis.

In this interview, he speaks about what he has seen, the challenges of working in conflict zones, and what it means to be a doctor when survival itself becomes uncertain.

Excerpts from the interview below:

Question: You had just come back from Ukraine after a long stretch of work. What made you say yes again, this time for Gaza, without even taking a break?

Dr. Santosh Kumar: I had just returned from Ukraine, and physically, yes, I was tired. But when the call came for Gaza, it didn’t feel like something I could say no to. Situations like these don’t wait for you to rest. When there is such a large-scale humanitarian crisis unfolding, you don’t think in terms of convenience. You think about where you are needed the most. For me, the decision was simple, if I have the skills and the experience, I have to be there.

Question: Do you remember your first night in Egypt before entering Gaza? What was going on in your mind at that moment?

Dr. Santosh Kumar: That night was very heavy. You are standing at the edge of something you already know is going to be intense, but you still don’t know what exactly you are walking into. There is always a mix of thoughts about the people inside, about what kind of medical situation you will face, and whether the system there is even functioning. At the same time, you prepare yourself mentally to adapt quickly. You try to stay calm, because once you cross over, there is no time to process emotions.

Question: When you finally reached Gaza, what was the first thing that told you this was going to be very different from any other place you’ve worked in?

Dr. Santosh Kumar: It is very important to understand what is happening there. This is not a war. This is a genocide. When you see the scale of destruction, the number of civilians affected, and the complete breakdown of basic systems, it becomes very clear that this is different. As doctors, we are trained to respond to emergencies, but here, the situation goes beyond a typical conflict setting. Understanding that reality is important before you even begin your work.

Question: You’ve spoken about that smell when you entered Gaza. It’s something people don’t usually talk about. What did that moment feel like for you?


Dr Santosh Kumar from the Gaza war front. 

Dr. Santosh Kumar: The first thing that hits you is not what you see, but what you smell. It’s very difficult to explain, but it stays with you. There is this constant mix in the air the smell of medicines, of wounds, of poor sanitation, and something deeper that comes from a complete breakdown of systems. You can feel the suffocation almost immediately.

The healthcare system has collapsed. Sanitation has collapsed. People don’t even have access to basic facilities. When all of that comes together, it creates an environment where the air itself feels heavy. It is not something you experience in a typical conflict zone.

Question: When you saw people living in tents, without even basic dignity, did it hit you immediately, or did it take time to sink in?

Dr. Santosh Kumar: It hits you almost instantly, but at the same time, the full reality takes time to process. You see thousands of people living in makeshift tents, without proper water, sanitation, or healthcare. The system is completely broken.

If people are not dying from bombs or bullets, they are dying from diseases. There are very limited places for basic human needs like excretion, and the queues are so long that people are forced to wait for hours. In some cases, people are collapsing or dying while waiting.


Photograph by Dr. Santosh Kumar 

This is not just about displacement. It is about the loss of dignity at every level. As a doctor, you are trained to deal with emergencies, but here, the scale and the nature of suffering are very different. It takes time for that to fully sink in, even if the shock is immediate.

Question: You’ve seen many war zones. What was it about Gaza that disturbed you the most compared to others?

Dr. Santosh Kumar: In most conflict zones, even if the situation is bad, some systems still function at some level. In Gaza, what I saw was a complete collapse. There is no proper healthcare system, no sanitation, nothing functioning the way it should. The scale is also very different. The number of people affected, and the intensity of the situation, makes it much more disturbing than many other places I have worked in.

Question: Can you describe one scene that still hasn’t left your mind?

Answer: There is no one single scene. That’s the reality. Every day, things are happening around you. People keep coming in with injuries. Families bring their relatives, sometimes in critical condition, sometimes already gone. It becomes a continuous cycle. There is no one moment you can isolate, because the entire environment is like that all the time.

Question: When you saw children coming in injured… or sometimes not even making it… how do you process that as a doctor and as a human being?

Dr. Santosh Kumar: As a doctor, you focus on what you can do in that moment. You don’t have the luxury to process everything emotionally when you are working. You have to keep going, patient after patient. But as a human being, it does affect you. You see children, you see families, and you understand what they are going through. Still, during work, you have to stay focused on treatment.

Question: There’s a part where you mentioned people losing even their basic dignity. How difficult is it to witness that, knowing you can’t fix it immediately?

Dr. Santosh Kumar: It is difficult, but we have to be clear about our role. We are not there to fix everything. We are there to treat patients. The situation around us may be chaotic. When patients die, sometimes people even blame us. But in that environment, you have to stay focused on your responsibility. Treating people remains our priority.

Question: When you have more patients than you can treat, how do you decide who gets treated first? How do you live with those decisions?

Dr. Santosh Kumar: Like I said, the number of patients is always more than what the system can handle. In such situations, you follow basic medical priorities. You treat those who can be saved with immediate intervention. It is not an easy decision, but in these environments, you have to be practical.

You don’t have the luxury to think too much about each decision at that moment. You focus on doing the maximum possible with the limited resources you have. That becomes your approach.

Question: There are moments where you know someone could have survived if there were proper resources. How do you carry that weight?

Dr. Santosh Kumar: That is something you are aware of all the time. You know that with better facilities, better access, some of these lives could have been saved. But like I said earlier, we are not there to fix the entire system. We are there to treat with what we have.

You cannot carry every single outcome with you while you are working. If you do that, you won’t be able to continue. You accept the limitations and focus on the patients you can help.

Question: After coming back, do these memories stay with you? Or do you learn to switch off?

Dr. Santosh: The memories stay. You don’t completely switch off from something like this. What you see there, it stays with you in some form.

But over time, you learn how to manage it. Because if you keep holding on to everything, it becomes very difficult to continue this kind of work. So you carry it, but you also learn how to move forward.


Question: A lot of young people today see such things only through social media. What do you think they are missing?

Dr. Santosh Kumar: What you see on social media is only a small part of the reality. It doesn’t show you the full picture. It doesn’t show the scale, the continuous nature of the suffering, or what people are going through every single day.

Like I said, when you are physically present there, you understand how different it is. Social media can inform you, but it cannot make you fully understand the situation.

Question: How can youngsters build real empathy, not just momentary sympathy that fades after scrolling?

Dr. Santosh Kumar: Empathy comes from understanding and consistency. It is not about reacting to one post or one video. It is about staying aware, learning more about the situation, and trying to understand what people are going through.

It also means thinking beyond immediate reactions. If you want to build real empathy, you have to stay connected to the issue, not just for a moment, but over time.

Question: For someone who genuinely wants to help, where do they even begin?

Dr. Santosh Kumar: You don’t have to start with something big. You can begin by educating yourself, understanding the ground realities, and supporting credible organisations that are working in these areas.

Helping is not always about being physically present in a conflict zone. There are many ways to contribute, even from where you are.

Question: Do you think you need to be a doctor or specialist to make a difference in such situations?

Dr. Santosh Kumar: No, not at all. Of course, medical professionals have a specific role, but these situations require support in many forms. There are people working in logistics, coordination, communication, and many other areas.

Everyone has a role to play depending on their skills.

Question: What role can students or young professionals play from where they are?

Dr. Santosh Kumar: They can start by being informed and responsible. They can support the right initiatives, raise awareness in a meaningful way, and contribute in whatever capacity they can.

Like I said, you don’t have to be on the ground to make a difference. What matters is how consistently and responsibly you engage with the issue.


Dr. Santhosh Kumar recounts his experience in Gaza at the Quantum Century exhibition in February 2026. (Courtesy: The Hindu)

Question: After everything you’ve seen in Gaza, has it changed how you look at life?

Dr. Santosh Kumar: It does change you in some ways. When you see people struggling for the most basic things, food, water, safety, you start looking at life a little differently. Things we often take for granted become much more real.

At the same time, like I said, you learn to keep moving forward. You cannot keep thinking about everything all the time. You take what you have seen, and you continue with your work.

Question: If there’s one thing you want people to understand about Gaza beyond headlines and politics, what would that be?

Dr. Santosh Kumar: The most important thing is to understand the reality on the ground. This is not just about headlines or numbers. These are real people, living in extremely difficult conditions.

And like I said earlier, it is important to understand that what is happening there is not a war. It is a genocide. Unless people understand that, they won’t fully understand the situation.

Question: And finally, what keeps you going? What makes you still say yes, even after seeing so much pain?

Dr. Santosh Kumar: Like I said, this is something I chose a long time ago. From my early years, I have been involved in this kind of work. So for me, it is a commitment.

You don’t think about it every time as a new decision. You just continue doing what you believe is your responsibility. That is what keeps me going.