The NEET-UG (National Eligibility cum Entrance Test for Undergraduates) in India has faced repeated controversies, particularly concerning paper leaks and the recent cancellation of NEET-UG 2026. This situation underscores the need for enhanced security measures in India's medical entrance examination system. In contrast, countries like China, the United States, and the United Kingdom have established more secure methodologies for conducting large-scale medical entrance exams. For instance, China's Gaokao employs rigorous security protocols, including biometric verification and surveillance, while the US's Medical College Admission Test (MCAT) is administered on multiple dates with varied question sets from extensive banks, reducing risks of compromise. Similarly, the UK's University Clinical Aptitude Test (UCAT) is conducted online over several weeks, allowing candidates to select their exam slots. These models highlight the importance of infrastructure, as many countries utilize permanent computer-based testing centers, contrasting with India's temporary venues. Transitioning to a fully online examination system for approximately 25 lakh candidates in India would necessitate significant improvements in testing facilities, especially in rural areas, where challenges like unreliable internet and power outages persist.