The Supreme Court of India and Indian Medical Association regard the practice of modern medicine by practitioners of Unani, Ayurveda and Siddha medicine as quackery. Practitioners of any medical system, including Unani medicine, are not authorized to practice medicine in India unless trained at a qualified medical institution, registered with the government, and listed as physicians annually in "The Gazette of India". Referring to practitioners of all medical systems, the Supreme Court of India stated in 2018 that "unqualified, untrained quacks are posing a great risk to the entire society and playing with the lives of people without having the requisite training and education in the science from approved institutions".