Rural MBBS - 3 year shortened MBBS course with the Doctors passing out to provide basic care in rural areas – Good idea or Bad?

This is an issue which is likely to be taken seriously in the near future considering the abysmal conditions currently prevailing in health care in the rural set up. However prior to jumping headlong in to this, one needs to really analyse the reasons for the current scenario. Govt of Orissa (and some other States as well) have tried out something similar by posting AYUSH (Ayurvedic, Homeopathic, Unani and Siddhi)) MOs in additional PHCs and we are all aware of the consequences. There is really no reason to believe that a shortened MBBS would serve our purpose any better. And who decided that village folks need less qualified Doctors than people living in cities?
We have to understand that the real reason for Medical Officers not attending their places of postings are multi factorial. The most important, according to me, would be lack of administrative commitment. If I am posted to a remote PHC and I do not attend, I do so because I am sure that no action is going to be taken against me. If at all any of my CDMO thinks of taking action, I am also aware that there are ways to placate my CDMO in a way that is beneficial to both of us (I know I am generalising, but unfortunately this is the sad truth and the sooner we come to grips with it the better for us). Then is the issue of political interference. Ask any CDMO and he will vouch for the fact that it is not possible to budge an ANM from a Sub Center to the next, within the district, without getting a couple of nasty phone calls. There is no reason to believe that a rural MBBS would work any better unless he is posted in his village or near about. But we also know that for getting a posting in one's own place one has to wade through dozens of clerks at the DHS and Secretariat, all demanding their pound of flesh. Then there are issue like living conditions in the PHCs. No Doctor (long MBBS or short) is going to enjoy defecating in open fields, living without electricity, living under the threat of Maoist violence, living in an area where his children do have access to basic schooling (don't get me started on the education system.... that is another long and painful story) and so on. These issues have to be factored in before initiating another experiment on public health. Our meagre Medical Schools are already stretched to their limits.
What could be a possible solution would be multi purpose workers with upgraded skills. as stated in the article, around 80% of the diseases do not really need a qualified MBBS Doctor to diagnose and treat. Next would be a good and robust referral system. A person should not be entertained, in say a medical college, for common cold. Everyone should be referred upwards with adequate documentation. Third would be a good, strong, quality controlled Lab network in existing health institutions. Most important would be liaising with other departments (e.g. water works for ensuring potable drinking water, good roads to the nearest hospital, robust education system where in mothers too are taught the basics of hygiene and healthy living and so on).
Unless this kind of vision is brought in to our public health planning mechanism, no amount of money or manpower influx is going to help in the long run.