 This study examined the experiences of doctors working in the public health system in rural India. It found that doctors faced numerous challenges in implementing policies such as lack of resources, top-down imposition of programs that were not meaningful to them and limited support from the organization to improve processes. As a result, many doctors rootenized care and became resigned and risk averse. They also accepted this behavior as an inevitable part of their jobs, which was not conducive to providing quality primary care. The study concluded that doctors' behaviors in these settings are coping mechanisms to deal with their loss of professional identity and organizational constraints. It emphasizes the importance of appropriate interventions to address these issues and ensure that doctors can provide high-quality care. This article was authored by Siddharamani, Lucy Gilson, Muthusemi Sivakami, and others.