The political landscape in Tamil Nadu is undergoing a significant change as Joseph Vijay Chandrasekhar of the Tamilaga Vettri Kazhagam (TVK) party is expected to be sworn in as Chief Minister. Both Vijay and former Chief Minister M.K. Stalin are united in their opposition to the National Eligibility-cum-Entrance Test (NEET), which they argue favors affluent students who can afford coaching, thereby disadvantaging those from economically weaker backgrounds. They advocate for an alternative admission model based on academic performance in Class 12. Critics suggest that the opposition to NEET may also be influenced by the high fees associated with private medical colleges in Tamil Nadu. Furthermore, Stalin has expressed concerns over the proposed NExT examination, which aims to consolidate various medical assessments, stating it would further centralize power with the Union Government and harm the interests of rural and socially disadvantaged students. His letter to Prime Minister Narendra Modi highlights the adverse effects of NEET on equitable education and public health systems.