Managing hospitals, at any given day, is not an easy task. The task becomes all the more difficult and complicated when the supply of healthcare does not match with its demand. This holds salience and significance for a place like Kashmir where there is a burgeoning demand for health care but is not evenly matched by supply. The reasons accrue from demographic shifts and the attendant population growth and , generally speaking, awareness among the people over and about health issues. Increase in population entails increased pressures on the extant health care systems and facilities in Kashmir. The corollary to this is that hospitals are strained and find it difficult to cope up. Be it the difficulties in finding the right doctors for a given problem, adequate testing and diagnostic facilities or , at times, wrong diagnoses and so on, the problem is the one that must be addressed. While the obvious solution to this issue and problem lies in building more health care facilities but this is a long term one that has huge financial implications. In the short term and for reasons of immediacy, the solution would lie in efficient , effective and equitable administration. The problem in Kashmir is that specialists in administration, especially hospital administration are not hired for this specialized function. Instead, often times, it is medics or those associated with the medical profession that the administrative function is devolved to. The result is a mess whose negative consequences redound to the masses. All this happens despite the fact that public hospitals are, at times, staffed beyond the immediate needs. The key then, to repeat, lies in administrative efficiency and effectiveness. The administration of hospitals must either be handed over to specialists in this domain or outsourced to those who have the capacities and capabilities to perform this critical function. Moreover, colleges and universities in Kashmir must offer specialized courses, either diplomas or degrees to train young students specifically in this domain. In the final analysis, public health and hygiene are something that people have an entitlement to. They must not suffer or , more accurately, be made to suffer just because the administration is efficient. The issue , at hand, is urgent and critical and needs to be remedied , the earliest. It can be done through a comprehensive administrative reform and changes in the way hospital administration is carried out here. Let this be done the soonest!