Shortage of essential and life-saving drugs at SKIMS Soura has made hundreds of critical patients of the institute vulnerable. Apparently, the SKIMS administration had failed to finalise the tendering process for the last four years which has delayed the approval for the supply company. This is as alarming as can be. All said and done, while life and death are in the hands of Allah Subhaan a Hu Wa Taala, but proper medication at the right and the needed time is important. But, now since there have been glitches in the procurement and supply chain of medicines and medication at the SKIMS, this both potentially prolongs the agonies, miseries and problems of patients but also puts their lives in danger. This condition then must be immediately addressed and redressed. In the final analysis, while the SKIMS is the premier medical institute of the valley and despite immense pressures on it due to supply and demand issues, there are certain issues especially of a management nature that bedevil it. The lack of medicine and drugs is one reflection of this problem and lacuna albeit a critical one of great import. For the benefit of the masses and patients, it stands to reason for the SKIMS to make its management and administrative structures both effective and efficient with the overall purpose of streamlining it. Generally speaking, one major lacuna that is observed across hospitals is that professionals trained in the science of administration and management do not man the positions in contention. Instead, these posts and positions are usually manned by those who are not technocrats. This condition, among other things, renders hospital administration lackadaisical, inefficient and ineffective. The hospitals then need reform of their structures, administration and management processes. The first step of this reform would be to fill in positions with relevant and requisite expertise. The second would be to tighten up structures and processed that are inefficient and which hamper the smooth functioning of hospitals. It must be borne in mind that public hospitals exist for the people and it is to and for the benefit of people that all these hospitals must strive to work for. This , among other things, requires probity , honesty and a burning desire to keep the welfare of the people as priority. The issue then is conceptual, practical and administrative . Let all these factors be addressed simultaneously and the functioning of all hospitals, especially the SKIMS be improved.