Government-run hospitals are Telangana’s main clinical trial laboratories and the Nizam Institute of Medical Sciences which top the charts with about 21 out of the state’s 200 medical facilities. Meanwhile, in the last year about 339 risky death cases were reported in the country from which only one case of abortion was recorded in NIMS. A review of ICMR’s clinical trial registry information by TOI showed that out of 571 clinical trials in the Telangana area and the government, about 50% were part of the NIMS identified by Gandhi Hospital, Osmania General Hospital, MNJ Cancer Institute, and Niloufer Hospital. Although the ethics committee allows clinical trials, legal experts say that it is difficult to trails to pick government hospitals. Former central data commissioner Professor Madabhushi Sridhar said the majority of patients who come to government hospitals are disadvantaged or belong by social strata to the lower middle class and by training are illiterate. Issues of consent need to be checked. If the individual signing the consent form is not properly informed, a thumb impression may be signed or placed and an unexpected consent may be granted. This dimension must be examined by the authorities, he said. Dr. N Kavitha Reddy, head of the NIMS ethics committee, said that most clinical trials are connected to ICMR in NIMS and only a few are licensed by drug companies.